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DHEA for Menopause: a look at benefits and dosing | Felice Gersh, MD 

Felice Gersh
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DHEA is an adrenal androgen. As women age, the adrenal gland shrinks, atrophies, and produces less DHEA. As this happens, many women will benefit from supplementing.
Likely benefits of DHEA include:
* extending fertility
* strong bones
* increased muscle mass
* loss of visceral fat
* improved sexual function
But not every woman at every stage of menopause needs extra DHEA. Women with a history of PCOS or other androgen excess conditions should be especially cautious.
In this talk, I cover what DHEA is, why it is critical for health, testing to figure out who might want to supplement, and how to approach dosing.
Watch for my latest Instagram lives at
/ dr.felicegersh
I am a full time practicing doctor. I see patients in my office in Irvine, CA and worldwide via telemedicine. If you need more healthcare assistance than I can provide in a video series, please contact my office:
integrativemgi.com/​​
---- Contents of this video --------------------------
00:00 - Intro to DHEA
02:15 - Affects of aging on DHEA
02:46 - Testing and target levels
04:31 - DHEA affects in the body
05:25 - Musculoskeletal system
08:06 - Weight loss
09:02 - Cardiovascular health
09:42 - Fertility
10:18 - Immune system
11:53 - Sex drive
14:52 - Hair loss
16:45 - Dosing

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4 июл 2024

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Комментарии : 79   
@ebells33
@ebells33 22 дня назад
Every woman needs to follow this channel. Thank you for educating us!
@mamayoda123
@mamayoda123 2 минуты назад
Thank you so much! You are amazing explaining everything. 🎉
@furysfancy
@furysfancy 2 месяца назад
Thank you for this very informative video!😊
@JackieTurner23
@JackieTurner23 2 месяца назад
IMPORTANT!! Note: I’d like to say that I had chronic pain symptoms after taking DHEA. I was having X-rays, chiropractors, so much pain that I couldn’t explain. All around hips and lower back. Suddenly I couldn’t lift legs or put shoes on etc. chronic back pain that I even took pain meds for. (I don’t usually take any kind of medicine OTC medicines.) I decided to stop taking DHEA to see and within 72 hours the pain disappeared. So please don’t just take this supplement without checking levels first.
@jfdc8432
@jfdc8432 2 месяца назад
How much did you take?
@bluejean-1968
@bluejean-1968 Месяц назад
What was your dose? That seems like important information.
@CriticalLinker
@CriticalLinker Месяц назад
That happened to me too. I took 50 mg at night for three days and couldn't sleep for severe lower back pain and pain in my left hip. The pain persisted through the day. I couldn't bend over or walk properly. I thought I had sciatica, but as soon as I stopped taking the dhea the pain went away. I waited about a week and then started again three nights ago with a lower dose (25mg), and so far so good - no pain. I'm so glad I saw your post because I thought it was just me; severe back pain isn't mentioned anywhere as a side effect as far as I can see. For context, I'm a 72-year old woman, about 20 years post-menopausal and my DHEA-S levels are really low.
@jfdc8432
@jfdc8432 Месяц назад
There are several people who have asked how much you were taking. Will you please reply?
@jfdc8432
@jfdc8432 Месяц назад
@@CriticalLinker Thank you! Very helpful information!
@hazeldellis
@hazeldellis Месяц назад
I take dhea daily tablet 25mg and if i forgot to take it I'm like a bear with a sore a.... (Butt for the US folk!). I have zero tolerance for anyone!!after taking it for 2 years my last bloods still showed it as being on the lower end for a menopausal woman. I have also lost LOADS of weight, i didn't want to unfortunately, but after 1 year of DHEA I'm super skinny!! But i also have lost muscle too, so now on testosterone and building back up with a weights programme (Dhea-s 1.05 ug /ml)
@suzysandiego6478
@suzysandiego6478 Месяц назад
You are wonderful Felice! (beautiful name by the way) Thank you for helping all us women to understand our bodies and have a better quality of life! God Bless you.👏🤗👏
@ildus48
@ildus48 2 месяца назад
I was taking low dose DHEA, 10 mg in the mornings and unfortunately it gave me insomnia. I had my DHEA level tested and it was on the lower end of the scale. I am 63, postmenopausal.
@Baby-Dont-Hurt-Me-007
@Baby-Dont-Hurt-Me-007 19 дней назад
Wow you have no clue
@AISmallBusinessHub
@AISmallBusinessHub Месяц назад
Thank you so much for sharing your knowledge so generously Dr Gersch. I’ve been researching DHEA for perimenopause so this was incredibly helpful. DHEA isn’t available in UK and Canada :(
@elleherzog
@elleherzog 17 дней назад
..you can order it from the US.
@Spicydoc1
@Spicydoc1 2 месяца назад
So I am more inclined to think and listen to my body in response to treatment and levels. I think if you look at levels and still not feeling well, then obviously it doesn’t matter what your level is. I urge most of you not to be lab lovers and get fixated on the ranges as they may not be pertinent to physiology. Doctors who practice medicine based on labs really don’t think outside the box and that’s such a damn shame. We are all individuals who have our own physiology.
@kamibacon5340
@kamibacon5340 2 месяца назад
Lab lovers. 👏🏼
@user-ut4jn7yq2z
@user-ut4jn7yq2z 2 месяца назад
Can DHEA supplementation be monitored by testing DHEA-S? If I understand correctly, DHEA-S is primarily produced in the adrenals, and should be evaluated prior to deciding whether or not to supplement. But the OTC form is DHEA. Thank you for your content, I am very grateful. 🙏
@shannonhoffman5875
@shannonhoffman5875 2 месяца назад
What should your test level be mine measures in ng/mL
@GameOver-jq1cu
@GameOver-jq1cu Месяц назад
Hello do you order and work wit Dutch test no results for recommendations for menopause ? Also are you avail for tele- health if I live in illinois? THank YOU
@user-nw2cs6ex9o
@user-nw2cs6ex9o 2 месяца назад
Does topical or oral stop your body natural production
@romasplace1
@romasplace1 Месяц назад
Is there a link between hair growth and progesterone? 🎉
@anonanonymous1970
@anonanonymous1970 2 месяца назад
Should DHEA be taken with progesterone if it creates estrogen?
@karenhochwald1616
@karenhochwald1616 2 месяца назад
Supplementation with DHEA as well as with straight testosterone can cause hair loss in women. I was Dr. Gersh's patient for 30 years. She put me on DHEA and testosterone, my hair started to thin. A compounding pharmacist, not Dr. Gersh, told me that DHEA converts to estrogen and testosterone in the body and can cause hair thinning /loss. So I stopped both.
@wendymccleary1465
@wendymccleary1465 2 месяца назад
Important feedback.. Thank you! I used the DHEA compounded cream and became very irritable as a result. I stopped, and felt better. I'm now trying a much lower dose to see how that works in my body.
@crh251
@crh251 2 месяца назад
@@wendymccleary1465, it gave me acne and made me cranky too.
@karenhochwald1616
@karenhochwald1616 2 месяца назад
No. I was not on a high dose. Do not make such comments when you have no idea what someone's dosing is or was.
@crh251
@crh251 2 месяца назад
@@karenhochwald1616, I was on a low dose too, and I started getting acne and very irritable. I had to stop. It just wasn’t for me either.
@ServantOfJesusChrist777
@ServantOfJesusChrist777 Месяц назад
Unfortunately, because you were taking testosterone AND DHEA, and the testosterone alone can cause hair loss, and you stopped them BOTH instead of one or the other, you don't know if it was the DHEA. I'M surprised she gave both to you because the DHEA is enough in women to boost testosterone a bit. Since DHEA converts to male AND female hormones in the body, I learned that the body knows what it needs and and converts DHEA into one or another as needed, so I personally would suspect the added testosterone as the culprit, but that's just my opinion from my research and my doctor. I understand why you quit both though. I'm surprised she didn't give you DHEA first and test and see how you did before adding testosterone. That's kinda crazy over zealous treatment.
@leslieharari8755
@leslieharari8755 2 месяца назад
Dr. Gersh, I love your content. Do you worry about DHEA converting to estrone?
@alwaysright5901
@alwaysright5901 2 месяца назад
Yes, another doc (Dr. Robert Mathis on Santa Barbara California) said that DHEA converts to estrogen which is NOT what we want.
@user-nw2cs6ex9o
@user-nw2cs6ex9o 2 месяца назад
Great question
@karenhochwald1616
@karenhochwald1616 2 месяца назад
I can tell you, as a former patient of Dr. Gersh's for thirty years, and yes she put me on vaginal DHEA, it converts to a form of estrogen and testosterone, which can cause hair loss in women. She did not tell me that, a compounding pharmacist did. I stopped taking it.
@KC-kh5dv
@KC-kh5dv 2 месяца назад
@@alwaysright5901Why now if we are low on it ?
@carascottvo
@carascottvo Месяц назад
If you take a DUTCH test after starting DHEA, you'll know what your particular tendency is.
@PeggyDeLay-eu9fg
@PeggyDeLay-eu9fg 20 дней назад
Would the vaginal DHEA compound cream help with a uterine prolapse? Thank you! Great info
@valerie4912
@valerie4912 3 дня назад
Anyone know if we can get it in Canada? Good for women on birth control for perimenopause?
@francoisemullen417
@francoisemullen417 2 месяца назад
What about pregnenolone ?
@crh251
@crh251 2 месяца назад
I think the problem with pregnenolone is you don’t know for certain which pathway it could go. You could end up with too much progesterone, testosterone, etc. My understanding is pregnenolone is a gamble.
@crh251
@crh251 2 месяца назад
I believe pregnenolone is a gamble. You don’t know for certain which pathway it will decide to go.
@user-ds8of7zi6f
@user-ds8of7zi6f 3 дня назад
If youre taking small dose of Testosterone, would you also take Dhea or is one or the other?
@jfdc8432
@jfdc8432 2 месяца назад
How much should a woman take AFTER menopause?
@emokeandrews8867
@emokeandrews8867 Месяц назад
I understand 5-10 mg is a safe dose long term!
@thaliagarcia9684
@thaliagarcia9684 2 месяца назад
Can DHEA be used in conjunction with HRT?
@cathykelly791
@cathykelly791 2 месяца назад
My doctor has me on bhrt to include estradiol gel, progesterone pill, and a compounded dhea/testosterone cream.
@shannonhoffman5875
@shannonhoffman5875 2 месяца назад
I was using 50 mg of topical cream daily I had my dheas tested and it came back low
@wendymccleary1465
@wendymccleary1465 2 месяца назад
What happened as a result, please? You said 'were taking', as in past tense. It sounds like it didn't work effectively if you stopped, or perhaps another reason?
@aquaprincess9879
@aquaprincess9879 2 месяца назад
100 what??? I'm in Europe and we may not use the same units as the United States, please consider that part of your audience is outside the US!
@123STEP23
@123STEP23 2 месяца назад
DHEAS blood measured by uh/dl
@nicolemerz1731
@nicolemerz1731 2 месяца назад
I'm in Germany and mine was measured as: 104 microgramm/dl (a strange small Greek letter that looks like a reversed letter "y"). It is just so annoying that the laborarories don't use a standardized way to measure hormones 🙃
@YoannaDilova
@YoannaDilova 2 месяца назад
Ther is an online converter.
@gilliandowney5225
@gilliandowney5225 2 месяца назад
​@YoannaDilova there is a world outside America
@YoannaDilova
@YoannaDilova 2 месяца назад
​@gilliandowney5225 Yes,I live in the UK 😁
@cheribeck101
@cheribeck101 Месяц назад
Even 2.5 mg of DHEA makes me very hungry and keeps me up at night. Why would this be?
@user-lg2dl3fx5d
@user-lg2dl3fx5d 2 месяца назад
Can post menopausal women take it?
@KC-kh5dv
@KC-kh5dv 2 месяца назад
Yes
@rhondaodden4286
@rhondaodden4286 21 день назад
Sounds like a lot of negative results. Think I’ll stay clear.
@anaf9314
@anaf9314 18 часов назад
Dr. DHEA needs to be at least to a 100 BUT 100 What?? ng, pmol? mg? or what.You have to be specific! 100 what??🙄
@Shellbee22
@Shellbee22 13 дней назад
NO WOMAN should be taking 25…50 😳😳😳😳 absolutely not !!! start with 2.5 or 5…that’s it !!!
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