Dehydroepiandrosterone sulfate (DHEAS) is a steroid hormone produced primarily by your adrenal glands that serves as a precursor to both male and female sex hormones. Research has established that it plays crucial roles in energy metabolism, immunity, insulin sensitivity, cognitive function, physiological function, and overall vitality.[Traish, 2011] DHEAS concentrations naturally peak in your 20s and then gradually decline with age, with studies documenting an approximate 1–2% annual decline after age 30.[Orentreich, 1984][Baulieu, 2000] Many health researchers monitor DHEAS as a key marker of hormonal balance due to its age-associated decline pattern. Beyond being just a precursor to other hormones, research has demonstrated that DHEAS supports immune function, metabolism, and may help protect against age-related inflammation.[Traish, 2011]
When DHEAS runs low, research indicates potential physiological effects including inflammatory diseases, sexual dysfunction and bone loss.[Traish, 2011] Physical recovery may be affected, as studies have linked low DHEAS levels with increased mortality risk and various health outcomes in aging populations. Research on elderly men has shown that low DHEAS predicts death from all causes, correlates with markers of cardiovascular risk and may reflect overall health status.[Ohlsson, 2010]
When DHEAS runs high, your body may convert more of this hormone into testosterone and other sex hormones.[Labrie, 2001] This can affect your skin and hair – you might notice increased oiliness, occasional acne breakouts, or changes in hair growth patterns.[Finckh, 2005] For women, this might include unwanted facial or body hair, while men may experience accelerated balding patterns. While slightly elevated levels are usually not a cause for concern, significantly high DHEAS can sometimes signal hormonal imbalances which should prompt further evaluation with your healthcare provider
Measurement Units
DHEAS can be measured in: mg/L, µg/100mL, µg/dL, µg/L, µg%, µmol/L
Reference Ranges by Age and Gender
Reference ranges represent typical values for healthy individuals. Your healthcare provider must interpret your specific results.
DHEAS plays a significant role in maintaining bone health through its conversion to estrogen, which is crucial for bone mineral density. As DHEAS levels naturally decline with age, this may contribute to age-related bone loss.[Weiss, 2009] Research shows that DHEAS supplementation can improve bone mineral density, particularly in postmenopausal women and older adults.[Jankowski, 2006] The DHEAS-bone connection becomes especially important after menopause in women when estrogen production decreases significantly.
Mood Regulation
DHEAS influences several neurotransmitter systems involved in mood regulation, including GABA, serotonin, and dopamine pathways.[Maninger, 2009] When DHEAS levels drop, you might experience mood disturbances, including symptoms of depression and anxiety. Clinical studies have demonstrated that DHEAS supplementation can have antidepressant effects in some individuals with midlife-onset depression.[Schmidt, 2005] This mood-enhancing effect may be particularly relevant during aging when natural DHEAS production declines.
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Related Biomarkers
Estradiol(Coming Soon)
Your body keeps large reserves of DHEAS in your blood, which tissues first turn into androstenedione and testosterone and then use the aromatase enzyme to make estrogens (estrone and estradiol).[Labrie, 2001][Simpson, 2002]
Free Serum Cortisol(Coming Soon)
Research demonstrates an inverse relationship between these hormones – when cortisol remains chronically elevated, DHEAS often decreases. Studies show this cortisol/DHEAS ratio becomes increasingly imbalanced with age and chronic stress, potentially affecting immune function and resilience.[Buford, 2008]
Total Serum Cortisol(Coming Soon)
Research demonstrates an inverse relationship between these hormones – when cortisol remains chronically elevated, DHEAS often decreases. Studies show this cortisol/DHEAS ratio becomes increasingly imbalanced with age and chronic stress, potentially affecting immune function and resilience.[Buford, 2008]
DHEAS serves as a key testosterone precursor in both sexes. In men, it contributes to total androgenic activity, becoming more important as testicular production naturally declines with age. In women, DHEAS conversion significantly contributes to testosterone levels, particularly post-menopause. In men, this contribution is smaller, but relevant especially in the elderly.[Labrie, 2001]
Total Testosterone(Coming Soon)
DHEAS serves as a key testosterone precursor in both sexes. In men, it contributes to total androgenic activity, becoming more important as testicular production naturally declines with age. In women, DHEAS conversion significantly contributes to testosterone levels, particularly post-menopause. In men, this contribution is smaller, but relevant especially in the elderly.[Labrie, 2001]
Academic References
Elmlinger M. Endocrine Alterations in the Aging Male. (2003).
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Orentreich N. Age changes and sex differences in serum dehydroepiandrosterone sulfate concentrations throughout adulthood. (1984).
J Clin Endocrinol Metab.
Traish AM. Dehydroepiandrosterone (DHEA)—A Precursor Steroid or an Active Hormone in Human Physiology. (2011).
J Sex Med.
Buford TW. Impact of DHEA(S) and cortisol on immune function in aging: a brief review. (2008).
Appl Physiol Nutr Metab.
Labrie F. DHEA and its transformation into androgens and estrogens in peripheral target tissues: intracrinology. (2001).
Front Neuroendocrinol.
Rifai N.. Tietz Textbook of Laboratory Medicine (2022).
Elsevier.
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Weiss EP. Dehydroepiandrosterone replacement therapy in older adults: 1- and 2-y effects on bone. (2009).
Am J Clin Nutr.
Maninger N. Neurobiological and neuropsychiatric effects of dehydroepiandrosterone (DHEA) and DHEA sulfate (DHEAS). (2009).
Front Neuroendocrinol.
Khorram S. Dehydroepiandrosterone as a regulator of immune cell function. (2010).
J Steroid Biochem Mol Biol.
Kenny AM. Dehydroepiandrosterone combined with exercise improves muscle strength and physical function in frail older women. (2010).
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Valenti G. Role of DHEAS in the cognitive and affective functioning in the elderly. (2009).
J Endocrinol Investig.
Paolisso G. Insulin resistance and advancing age: what role for dehydroepiandrosterone sulfate? (1997).
Metabolism.
Straub RH. Serum dehydroepiandrosterone (DHEA) and DHEA sulfate are negatively correlated with serum interleukin-6 (IL-6), and DHEA inhibits IL-6 secretion from mononuclear cells in man in vitro: possible link between endocrinosenescence and immunosenescence. (1998).
J Clin Endocrinol Metab.
Friedrich N. Reference Ranges for Serum Dehydroepiandrosterone Sulfate and Testosterone in Adult Men. (2008).
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Baylis D. Understanding how we age: insights into inflammaging. (2013).
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View Source
Jankowski CM. Effects of dehydroepiandrosterone replacement on bone mineral density in older adults: a randomized, controlled trial. (2006).
J Clin Endocrinol Metab.
Schmidt PJ. Dehydroepiandrosterone monotherapy in midlife-onset major and minor depression. (2005).
Arch Gen Psychiatry.
Simpson ER. Aromatase—A Brief Overview. (2002).
Annu Rev Physiol.
Weiss EP. Dehydroepiandrosterone (DHEA) replacement decreases insulin resistance and lowers inflammatory cytokines in aging humans. (2011).
Aging (Albany NY).
Orentreich N. Age changes and sex differences in serum dehydroepiandrosterone sulfate concentrations throughout adulthood. (1984).
J Clin Endocrinol Metab.
Maninger N. Neurobiological and neuropsychiatric effects of dehydroepiandrosterone (DHEA) and DHEA sulfate (DHEAS). (2009).
Front Neuroendocrinol.
Buford TW. Impact of DHEA(S) and cortisol on immune function in aging: a brief review. (2008).
Appl Physiol Nutr Metab.
Villareal DT. DHEA enhances effects of weight training on muscle mass and strength in elderly women and men. (2006).
Am J Physiol Endocrinol Metab.
Baulieu EE. Dehydroepiandrosterone (DHEA), DHEA sulfate, and aging: contribution of the DHEAge Study to a sociobiomedical issue. (2000).
PNAS.
Ohlsson C. Low serum levels of dehydroepiandrosterone sulfate predict all-cause and cardiovascular mortality in elderly Swedish men. (2010).
J Clin Endocrinol Metab.
Labrie F. DHEA and its transformation into androgens and estrogens in peripheral target tissues: intracrinology. (2001).
Front Neuroendocrinol.
Finckh A. A randomized, double-blind, placebo-controlled trial of dehydroepiandrosterone in women with fibromyalgia: androgenic side effects. (2005).
Arthritis Rheum.
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