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The Latest on DHEA and
Pregnenolone
Pregnenolone: The "Smart" Hormone
Pregnenolone is naturally produced in the mitochondria of
the cells by enzymes that convert cholesterol into pregnenolone. The pineal gland is primarily responsible
for controlling this entire process, but as the body ages, it produces considerably less
steroid hormones, including pregnenolone. It is estimated that
by the age of 75 there is only 60% of the pregnenolone the body once had when it was 35!
When the pregnenolone is formed it can take one of two pathways:
1) Conversion into DHEA or
2) Conversion into progesterone and then cortisol and aldosterone.
It is misleading to think that supplementation with pregnenolone will take care of balancing DHEA levels since
it may not always go through this particular pathway. Research on pregnenolone dates back to the 1940's, beginning with
studies conducted by Dr. Gregory Pincus and Dr. Hudson Hoaglond which first established
the safety of properly administered pregnenolone.
A Sharp Mind
The role of pregnenolone and its enhancement of memory function are
being explored with very interesting and promising results. The Geriatric Research
Education and Clinical Center in St. Louis, Missouri is one of the world's leading
research centers on pregnenolone. A 1995 study conducted at the Center
suggested that low levels of steroid hormones may be the cause of learning and memory
impairment (Flood et al., 1995).
They also did a study in 1992 which found a relationship
between pregnenolone levels in aging and the increase of cancer
and behavorial disorders in people who receive drugs that block the synthesis of
cholesterol
(the precursor of pregnenolone)
(Flood et al., 1992).
The National Institute of Mental Health in Bethesda, Maryland
also supports that pregnenolone is important for effective memory. The
NIH study found that pregnenolone positively modulates NMDA receptors in the
brain which are believed to be responsible for retention (Mathis et al., 1994).
A French research study in 1995 found that when they administered a series of cognitive
tests to mice, those with the highest steroid hormone levels performed significantly
better
(Robel et al., 1995).
In addition to memory, serum levels of pregnenolone are also a factor in depression.
The NIH found that people with clinical depression have significantly lower levels
of pregnenolone.
Pregnenolone levels were decreased in
subjects with affective illness,
particularly during episodes of active depression (Mathis
et al., 1994).
Healthy Bones
The production of progesterone
from pregnenolone was the key to corrective treatment for one
of four groups of 67 year old women in Japan, who were subjects of a study that tested the
effects of sex steroids on bone mineral density. The group which administered sex
steroids (including pregnenolone) showed a significantly increasing measure of
bone mineral density throughout the 24 months of treatment. This is a promising finding
which warrants more research on pregnenolone
and the possibilities of deterring bone mass deterioration. (Shiraki et al., 1991).
More Progressive Hormone Research
Another interesting prospect of pregnenolone stems out of research which was conducted at
the college of William and Mary in Williamsburg, Virginia. This study found pregnenolone, which admonistered with two other drugs,
showed improvement in rats with spinal cord injuries. These very preliminary findings
offer an entirely new avenue for pregnenolone
research (Guth et al., 1994).
DHEA
DHEA (dehydroepiandrosterone)
also known as "the mother hormone",
is produced by the adrenal glands and is the most dominant hormone in the body.
The body converts DHEA into whatever hormone it needs
(i.e. estrogen, testosterone, progesterone, and coriconsterone).
In both sexes, blood levels of DHEA peak at 20. After 30 years of age, the
levels steadily decline. By eighty years old, the body only has 5% of the DHEA levels it had at 20(Sahelian, 1996).
Supplementation of DHEA is becoming the anti-aging antidote
endorsed by many of today's researchers.
Breakthrough Findings
DHEA is the focus of study on the multiple
complications which occur as we grow older. Degenerative conditions, which are
an inevitable part of the aging process, have been associated with lower than
average levels of DHEA. Supplementation has been associated with
deterring bone density loss in women, assisting weight loss, and many other
benefits. Combining DHEA with treatment for auto-immune disorders
such as lupus, rheumatoid arthritis, and others has yielded promising results.
Probably the most popular recent clinical research is a study which was
conducted at Stanford University. Dr. Von Vollenhoven's team from the Division
of Immunology and Rheumatology in Palo Alto, California found dramatic clinical
results in lupus patients when treated with
DHEA.
The subjects who were supplemented with DHEA had fewer flares of the condition with
virtually no side effects.
In fact, subjects reported an increase in energy levels that they had not
felt in years. The success of this treatment is
attributed to DHEA supplementation correcting the imbalance of
hormones which occurs in lupus patients(Harvard Women's Health Watch, 1996).
This is a very promising alternative to the
corticosteroids, which are commonly prescribed drugs used on lupus patients that
may cause brittle bones over an extended period of time.(Regelson, 1996)
Cardio-Protection
Research strongly speculates that
DHEA may also be a smart method in the
prevention of one of the world's biggest threats-heart disease.
In 1986, a population based cohort study of 242 men ages 50-79 was published in
the New England Journal of Medicine. The trial observed that an increase in DHEA levels lead to a 48% reduction in mortality
from Cardiovascular disease (Barrett-Connor et al., 1986).
Further research at the Medical College of Virginia, Virginia Commonwealth
University, supports this observation based on research that DHEA "may lower plasma lipoprotein levels in
humans"
(Sholley et al., 1990).
Dr. William Regelson, one of the leading innovative pioneers of DHEA research, conducted a study out of the same
institution which revealed that DHEA has a beneficial effect on induced
hypertension in laboratory animals (Shafagoj, Y et al., 1992).
Regelson states in his book, The Superhormone Promise, "I
do not mean to suggest that DHEA is a CURE for heart disease, but what many
other researchers and I now believe is that the age-related decline in DHEA levels creates an environment in which
heart disease is permitted to take hold" (Regelson, 1996).
Virility
DHEA
may be an important predictor in male
sexual performance.
According to a 1995 study published in the British Medical Journal, there is a
direct correlation between sex steroid levels and frequency of orgasms. (Mantzoros,
CS et al., 1995).
The Massachussetts Male Aging study explored many aspects of healthin men ages
forty to seventy. One of the observations made on sexual performance found a
direct correlation between DHEA and impotency.
The statistics showed that as DHEA levels decrease, the occurrences of
impotency increase.
In Regelson's book, he suggests that DHEA'S effect on sex drive can also be
attributed to the way this hormone enhances feelings of well being, energy and
happiness (Regelson, 1996).
Yam Scam
A popular
question is "Is Mexican wild yam a good substitute for DHEA?"
The answer is "NO"!
It can be very misleading as some manufactures sell Mexican wild yam under the
name Natural DHEA.
This is extremely inaccurate.
According to recently published data, it is impossible to
ingest Mexican wild yam
and metabolically convert it to DHEA (Sahelian, 1996).
Very few side effects have been found with DHEA in low doses.
DHEA is NOT for use by pregnant women or
recommended for men with known or suspected prostate cancer.
It is always recommended that a healthcare professional,
who may recommend testing for DHEA,be consulted first.
These two "superhormones" may be part of the answer to the never-ending battle
against the tolls of aging process. As medical research continues to aggressively explore
these hormones, we may not only understand aging better, but also reduce health care costs
and increase vitality in today's aging men and women.
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