Dosage guide
DHEA dosage
DHEA dosing: typical range, frequency, half-life, onset, routes. Evidence-tiered.
At a glance
- Typical dose
- 25mg
- Half-life
- 12hr
- Frequency
- daily, typically morning
- Routes
- oral, vaginal, topical
Protocol
- 1
Measure the dose
Typical DHEA dose is 25 mg. Use a weight-based calculator for individual adjustments.
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Set the frequency
Administer daily, typically morning. Half-life of 12 hours anchors the dosing interval.
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- 4
Monitor for side effects
Watch for: acne; oily skin; hirsutism (women); gynecomastia (men, higher doses). Stop or reduce dose if tolerability breaks down.
Why this dose
Steroid prohormone converted intracrinologically to testosterone and estrogens in target tissues; also exerts direct effects via sigma-1 receptor, GABA-A modulation, and glucocorticoid receptor interaction.
The typical 25 mg dose is the figure most commonly used in published protocols for DHEA. Treat the label as a starting point: body weight, training status, sleep, diet, and concurrent medications all shift the effective dose-response curve in real users.
How to administer
DHEA is administered via the oral, vaginal, topical routes. Oral dosing is straightforward: take with water, with or without food unless specifically noted.
Onset of action runs around 1 hour after administration. Peak effect lands near 1 hour post-dose. Plan the administration window so that peak effect lines up with whatever outcome you are dosing for, whether that is training, sleep, or symptom coverage.
Half-life note: DHEA half-life ~30 minutes; circulating DHEA-S half-life 12 to 24 hours, the more stable readout for monitoring
Cycling and tolerance
No formal cycling; long-term continuous dosing is empirical
The cycling rationale for receptor-active compounds is partly empirical and partly mechanistic: continuous high-dose stimulation can downregulate target receptors or accelerate negative-feedback loops on endogenous production. Built-in off-periods give the system time to resensitize before the next phase, which preserves the effective dose-response over a longer arc.
Effects to expect at typical dose
- Adrenal androgen precursor; serum DHEA-S declines progressively after the third decade of life
- OTC dietary supplement in US under DSHEA 1994; prescription in EU, UK, Canada, Australia
- FDA approved as Intrarosa (6.5 mg vaginal insert) for postmenopausal dyspareunia in 2016
- Acts as tissue-specific prohormone converted intracrinologically to testosterone and estrogens
- Best evidence: adrenal insufficiency replacement and vaginal atrophy; weaker on cognition and longevity
- WADA banned in competitive sport; banned in NCAA, MLB, NFL, IOC settings
Best-graded outcomes
- A Vaginal atrophy and dyspareunia : Robust effect; FDA approved as Intrarosa (Postmenopausal vulvovaginal atrophy, 6.5 mg vaginal).
- B Wellbeing in adrenal insufficiency : Improved mood and sexual function in women (Primary or secondary adrenal insufficiency).
- B Bone mineral density in older women : Small spine and hip BMD improvements (Postmenopausal women, 50 to 100 mg).
Side effects and interactions
Common side effects
- acne
- oily skin
- hirsutism (women)
- gynecomastia (men, higher doses)
- irritability
Notable interactions
- warfarin (moderate): case reports of altered INR; monitor
- estrogens (HRT) (moderate): additive estrogenic effect via conversion; monitor
- insulin (minor): may improve insulin sensitivity slightly; monitor glucose
- anastrozole (minor): may reduce DHEA-derived estrogen; clinical relevance unclear
Lists above cover commonly reported and well-characterized items. They are not exhaustive: review the full DHEA profile and discuss with a clinician familiar with your medication list before starting, particularly if you are on prescription therapy or have a chronic condition.
Regulatory snapshot
- WADA status
- banned
- DEA / Rx
- OTC supplement in US (not scheduled); Rx in EU, UK, Canada, Australia
- Pregnancy
- Contraindicated in pregnancy
- Legal status
- OTC supplement in US (DSHEA 1994); prescription in EU, UK, Canada, Australia
Do not use if
- hormone-sensitive cancer (breast, ovarian, prostate)
- active liver disease
- uncontrolled lipid disorder
- pregnancy and lactation
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