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DHEA
Aug 13, 2012

Hello

Could you provide a status with the ability of dhea to bo a good complement to haart in maintaining a long a healthy life with hiv?

Response from Mr. Vergel

Dehydroepiandrosterone (DHEA) is a steroid hormone produced by the adrenal glands in men and women. The adrenal glands are located on top of the kidneys.

DHEA is the most common steroid in humans. It can be transformed in the body into testosterone (the primary male sex hormone), estrogen (an important female sex hormone), or other steroids. However, DHEA supplements have been shown not to increase testosterone in men (this effect is only seen in women).

DHEA has not demonstrated the same effects as anabolic (muscle-building) steroids, but the Food and Drug Administration has already examined the possibility of classifying DHEA as a Schedule III drug. If this happens, it will be extremely difficult to get DHEA. Right now, DHEA can be obtained in over-the-counter supplements in the Unitd States (a prescription is required in many countries).

In normal adults, DHEA levels are highest at about age 20, and then decrease steadily. HIV patients with lipodystrophy have very low levels of DHEA.

People with various diseases have levels of DHEA that are unusually low. DHEA has been used in the last thirty years or so to treat obesity, diabetes, and lupus. It has also been found to improve sleep. Many people who have taken DHEA report improved energy levels and a better sense of well being.

Some people with HIV take DHEA in amounts designed to restore normal levels. This might help improve their energy levels. Several studies have found that DHEA increases the levels of IL-2, a chemical messenger that increases the production of CD4 (T-helper) cells.DHEA also improves the ability of CD8 (T-killer) cells to destroy infected cells. DHEA may help normalize the immune system. A recent study shows that DHEA can reduce depression in people with HIV.

DHEA is available in "regular" form or as DHEA-S (DHEA sulfate). The body can convert DHEA into DHEA-S and back again.

One approach to using DHEA is to maintain normal blood levels for young adults. This usually means taking 25-100 milligrams of DHEA either once or twice a day.

Bood levels of DHEA-S determine the need for potentially supplementing this hormone, but we are lacking studies in HIV that prove its clinical benefit.

DHEA is not recommended for children or adolescents with HIV. Its use might interfere with normal hormone balance.

There are few documented side effects of DHEA at doses up to 2,500 mg per day. However, there are reports of increases in acne and facial hair, and decreases in high-density lipoprotein ("good" cholesterol) and increases in liver enzymes.

Some studies suggest that people with HIV and Kaposi's Sarcoma have very high levels of DHEA. Taking more DHEA might be harmful for these people. Check your blood DHEA-S levels before you take DHEA.

There are no documented interactions of DHEA with other therapies. Because DHEA occurs naturally in the body, interactions are unlikely. It is possible that DHEA could affect the processing of drugs by the liver, but this has not been studied.

There is continuing scientific interest in DHEA, with well over 100 scientific articles written in each of the last four years. However, there have not been many studies that document health benefits in humans, and some initial good results have not been confirmed in follow-up studies.

There is not good scientific support for taking DHEA supplements (that is, getting more than normal amounts in your body). However, some health care providers recommend DHEA replacement, which means taking enough DHEA to bring your levels back into the normal range.

DHEA is a steroid hormone produced by the body. DHEA levels go down with age, and go down even faster with some illnesses including HIV. DHEA may help with immune function, increasing energy levels, and reducing depression.

It may be helpful to take enough DHEA to bring levels up to the normal range. This is called "replacement" therapy. Before you take DHEA, your health care provider should check your blood or saliva levels.

At this point, there are no research studies that support taking DHEA supplements (amounts that would give you higher than normal levels).

For more information on using DHEA in HIV, please refer to the following studies:

DHEA and HIV

Nelson



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