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Dehydroepiandrosterone
DHEA/Nutrient Depletion:
DHEA levels
DHEA levels: In humans, various drugs may decrease circulating concentrations of DHEA and/or DHEA-S, including ACE inhibitors (decreased serum DHEA in older men) (
201
), antidepressants (mirtazapine, venlafaxine, and bupropion reduced DHEA-S concentrations) (
195
;
196
;
28
), thiazolidinediones (troglitazone and rosiglitazone decreased serum DHEA-S in women with polycystic ovarian syndrome (PCOS)) (
202
;
203
), metformin (decreased DHEA-S levels in women with PCOS) (
204
;
203
), antipsychotic drugs (unspecified; may reduce DHEA and DHEA-S levels, particularly in men) (
205
;
206
), oral contraceptives (reduced serum concentrations of DHEA-S (
207
;
208
;
209
) and reduced urinary excretion of DHEA (
210
)), corticosteroids (dexamethasone, hydrocortisone, and prednisone reduced DHEA-S concentrations) (
211
;
212
;
213
;
214
), gefitinib (lowered DHEA levels in men and women and DHEA-S levels in women) (
215
), fiber (inverse relationship; a high-fiber diet was associated with reduced plasma and serum DHEA-S levels (
217
;
218
;
219
), and soy (decreased DHEA-S concentrations) (
220
;
221
).
Fatty acids
Fatty acids: In patients with X-linked adrenoleukodystrophy, following supplementation of DHEA, decreases in saturated and mono- and polyunsaturated fatty acids (C16:0, C18:0, C20:4omega-6, C22:5omega-6, C18:1omega-9, C20:1omega-9, and C20:3omega-9) in plasma and erythrocytes were noted; however, lowered elevated plasma levels of saturated very-long-chain fatty acids were lacking (
466
). Only in plasma was a decrease in unsaturated fatty acid and oleic acid (syn. olefinic acid C18:1omega 9) noted. In human research, DHEA-S supplementation decreased levels of total fatty acids (
339
).
Glucose
Glucose: In men with age-related disorders, including cardiovascular disease, DHEA supplementation reduced glucose levels (
301
;
115
).
Lipids
Lipids: In humans, DHEA and DHEA-S supplementation decreased HDL, LDL, VLDL, total cholesterol, triglyceride, and apolipoprotein A-I levels (
468
;
405
;
153
;
192
;
155
;
115
;
156
;
157
;
269
;
159
;
158
;
160
;
161
). In other research evaluating topical 7-oxo-DHEA, a decrease in total cholesterol levels was noted (
476
).