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Dhea and hrt for 47 year old

Answered on August 19, 2014
Created May 26, 2012 at 1:48 PM

I am considering supplementing with 25mg of dhea for a variety of reasons. I am 47, perimenapausal, on low dose birth control to help with some hormone related issues, had an ablation a few months ago to rid uterus of cysts and fibroids. While this protocol has helped in many ways I find I'm still very very low energy, no libido at ALL, weit loss at standstill (need to lose about another 50, have lost 60) and still somewhat mildly depressed. We eat primal, I take Vit.D, fish oil, and magnesium at night. My sleep is decent, I'm pretty low stress, walk daily when I have the energy. I hate feeling this way and honestly my docs are useless and I'm stuck being my own advocate for health decisions. Any input regarding DHEA would be grand.

A65499f2f8c65602881550fe309cd48c

(3501)

on September 28, 2012
at 02:09 AM

Just to update....I am on day 4 of a bio-identical progesterone cream and am hoping that will help. Thank you all for your input, much appreciated!

A65499f2f8c65602881550fe309cd48c

(3501)

on May 26, 2012
at 03:19 PM

Thank you for your input.

A65499f2f8c65602881550fe309cd48c

(3501)

on May 26, 2012
at 02:52 PM

Thank you, I'll check that out. I wasn't convinced going on the pill was the answer but when you're desperate it's easy to believe what a degreed person will tell you...even if it's prescribed on what seems like a casual whim. Ugh.

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5 Answers

3
Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on September 07, 2013
at 12:44 AM

Sorry I can't help with the DHEA.

I imagine that you might be estrogen-dominant, from your symptoms.

Bio-identical progesterone may be a better bet than the BCPs (which contain synthetic progestins that don't work in the body in the same way as progesterone.)

What has helped me immensely with my perimenopausal symptoms (49) is getting my D level up to 60-80 ng/ml, supplementing with 50 mg zinc picolinate to correct a long-term deficiency and using Pro-gest cream from day 14-26 ish of my cycle.

More info in Dr. John Lee's book "What your Doctor may NOT tell you about Pre-menopause" or his website:

http://www.johnleemd.com/

A65499f2f8c65602881550fe309cd48c

(3501)

on May 26, 2012
at 02:52 PM

Thank you, I'll check that out. I wasn't convinced going on the pill was the answer but when you're desperate it's easy to believe what a degreed person will tell you...even if it's prescribed on what seems like a casual whim. Ugh.

2
E5855f4def7ecdc4d43f695ac2116720

on May 26, 2012
at 04:55 PM

A couple things: There are wonderful doctors out there who can help you (I work for one), you just have to find them. I would search on the American Academy of Anti-Aging Medicine (http://www.a4m.com/directory.html) and the Institute for Functional Medicine (http://www.functionalmedicine.org/practitioner_search.aspx?id=117) for a practitioner in your area. Don't be afraid to call the practitioner's office and ask questions before you make an appointment. I think it is worth it to find help for hormonal issues.

And, just my observation (I'm obv not a dr), but women usually take 10mg/day of DHEA; 25mg is the typical men's dose. Some women experience acne when taking DHEA. DHEA may not be your problem though, so I would look at finding a practitioner and getting some labs done first.

Good luck!

1
5447e1f37d3ffa1525dac55be36ee454

on May 26, 2012
at 04:34 PM

First, I a am not a doctor, and this isn't a substitute for medical advice. DHEA is made from cholesterol, although DHEA has much more negative side-affects when it comes to causing imbalances in steroid hormone levels. I always urge people who need a boost in cortisol or T to try supplementing with eggs first. Eat a few eggs before sleep, and make sure you get LOTS of sleep. Also, makes sure you are getting a good amount of your fat-soluble vitamins from good sources. Vitamin A, D, E, and K2. If you are low-carb, make sure you implement some carb refeeds, as carb refeeds boost leptin, and leptin is a master hormone controlling sex hormone production.

Matthew Caton NSCA-CPT

1
9dd74d3941535d0aaa2c8d3cf454fb7e

on May 26, 2012
at 02:54 PM

Watch out for blood pressure spikes when taking 25 mg oral doses of DHEA (see Ray Sahelian's site http://www.raysahelian.com/dhea.html). You may actually be suffering from too low a free testosterone level, caused by either insufficient T synthesis, or too high a SHBG level, or a combination (you should measure both then calculate free T). See Steve Aegis' post on PH regarding whole nutritional approaches to raising testosterone synthesis (add K2, be sure to get selenium). As an alternative to DHEA, you might consider transdermal pregnanalone supplementation, particularly if you are suffering cortisol over/under production.

A65499f2f8c65602881550fe309cd48c

(3501)

on May 26, 2012
at 03:19 PM

Thank you for your input.

0
E60e99fc277fdd41f62a3b1c2701f20b

on September 27, 2012
at 01:20 PM

I take a quarter tab of dhea vaginally a d it eliminates vaginal dryness & boost libido. I also take natural progesterone which balances it & keeps metabolism high.

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