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DHEA 12 dec 2003 Medscape

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In a message dated 12/14/03 4:30:53 AM Eastern Standard Time,

redactie@... writes:

> Low-Dose DHEA Increases Androgen, Estrogen Levels in MenopauseFor some of

> you (breastcancer and ovariancancer) probably an interesting studyreport

Pardon my confusion but I am having difficulty understanding exactly what

they means? I do take DHEA, one capsule a night and have for about 2 years. I

am high risk breast cancer and wonder how this study would effect me? Can

anyone please advise me on that? Thanks.

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In a message dated 12/14/03 4:30:53 AM Eastern Standard Time,

redactie@... writes:

> Low-Dose DHEA Increases Androgen, Estrogen Levels in MenopauseFor some of

> you (breastcancer and ovariancancer) probably an interesting studyreport

Pardon my confusion but I am having difficulty understanding exactly what

they means? I do take DHEA, one capsule a night and have for about 2 years. I

am high risk breast cancer and wonder how this study would effect me? Can

anyone please advise me on that? Thanks.

Link to comment
Share on other sites

In a message dated 12/14/03 7:48:46 AM Eastern Standard Time,

redactie@... writes:

> What I understand it will protect you in eventually getting breastcancer,

> but maybe Leonard or can explain better?

>

This is good news. I am extremely high risk and I take some things now to

help but I am always concerned about this.

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Share on other sites

In a message dated 12/14/03 7:48:46 AM Eastern Standard Time,

redactie@... writes:

> What I understand it will protect you in eventually getting breastcancer,

> but maybe Leonard or can explain better?

>

This is good news. I am extremely high risk and I take some things now to

help but I am always concerned about this.

Link to comment
Share on other sites

Low-Dose DHEA Increases Androgen, Estrogen Levels in MenopauseFor some of you

(breastcancer and ovariancancer) probably an interesting studyreport.

Gr. kees braam

webmaster www.kanker-actueel.nl

To Print: Click your browser's PRINT button.

NOTE: To view the article with Web enhancements, go to:

http://www.medscape.com/viewarticle/465827

--------------------------------------------------------------------------

Low-Dose DHEA Increases Androgen, Estrogen Levels in Menopause

Mindy Hung

Medscape Medical News 2003. © 2003 Medscape

Dec. 12, 2003 - Low-dose dehydroepiandrosterone (DHEA) administration

increases adrenal hormone plasma levels in early and late menopause, according

to results of a prospective case study published in the December issue of

Fertility and Sterility.

" Although DHEA supplementation is not yet considered a medical treatment,

this steroid has been demonstrated to induce specific metabolic effects and to

increase both androgen and estrogen plasma levels in postmenopausal women, "

write Alessandro D. Genazzani, MD, PhD, and colleagues from the University of

Modena in Italy.

The Italian team selected 20 healthy, postmenopausal patients, age 50 to

65 years, who were not using hormone replacements, for the 12-month prospective

study. All patients received an ultrasound examination and a mammogram before

the start of the study to exclude organic disease.

Dr. Genazzani and colleagues divided patients by age into two groups:

early (aged 50-55 years, n = 10, group A) who were two to three years

postmenopausal; and late (aged 60-65 years, n = 10, group B) who were five or

more years postmenopausal. Five of the women were mild smokers.

All patients took 25 mg/day DHEA supplementation for 12 months. Every

three months throughout the trial period, the investigators evaluated patients

and drew blood samples to determine plasma levels of LH, FSH, E2, DHEA, DHEAS,

androstenedione (A), testosterone, dihydrotestosterone, progesterone, 17

alpha-hydroxyprogesterone (17-OHP), allopregnanolone, estrone (E1), sex-hormone

binding globulin (SHBG), cortisol (F), beta-endorphin, growth hormone (GH), and

insuline-like grown factor-1 (IGF-1).

Investigators also conducted a transvaginal ultrasound examination in each

patient before and after 6 and 12 months of treatment to evaluate endometrial

thickness. In addition, the researchers administered a Kupperman questionnaire

to evaluate subjective vasomotor and psychological symptoms before and after 3,

6, and 12 months of therapy.

Younger postmenopausal subjects (group A) demonstrated higher levels of

DHEA, DHEAS, testosterone, and beta-endorphin levels than older subjects (P <

..05). Significant changes in endocrine levels were observed with therapy. DHEA

treatment eliminated endocrine differences observed between the two groups at

baseline.

Testosterone and dihydrotestosterone plasma levels, and plasma E1 and E2

levels increased significantly and progressively in both groups. Investigators

found no changes in SHBG concentrations in either group despite significant

changes in A and E plasma concentrations. Allopregnanolone and beta-endorphin

concentrations significantly increased in both groups.

Cortisol F plasma levels progressively decreased throughout the study.

Both groups also experienced significantly reduced LH and FSH plasma levels. GH

and IGF-1 levels significantly increased in both groups. Supplementation did not

induce changes in endometrial thickness.

At baseline, group A had higher values for subjective vasomotor

disturbances and psychological disturbances than group B, whereas the latter had

a higher score for psychological variables. Scores significantly improved in

both groups during therapy.

" The present study demonstrates the efficacy of low-dose DHEA

administration of endocrine and psychoneuroendocrine parameters in early and

late menopause and confirms that a low-dose DHEA supplementation increases

adrenal androgens plasma levels (mainly DHEA and DHEAS), which are significantly

impaired during menopause, " Dr. Genazzani and colleagues write.

" These data support and confirm that DHEA must be considered a valid

compound and drug for [hormone therapy] in postmenopausal women and not just a

'dietary supplement,' " they add.

Fertil Steril. 2003;80:1495-1501

Reviewed by D. Vogin, MD

--------------------------------------------------------------------------

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Low-Dose DHEA Increases Androgen, Estrogen Levels in MenopauseFor some of you

(breastcancer and ovariancancer) probably an interesting studyreport.

Gr. kees braam

webmaster www.kanker-actueel.nl

To Print: Click your browser's PRINT button.

NOTE: To view the article with Web enhancements, go to:

http://www.medscape.com/viewarticle/465827

--------------------------------------------------------------------------

Low-Dose DHEA Increases Androgen, Estrogen Levels in Menopause

Mindy Hung

Medscape Medical News 2003. © 2003 Medscape

Dec. 12, 2003 - Low-dose dehydroepiandrosterone (DHEA) administration

increases adrenal hormone plasma levels in early and late menopause, according

to results of a prospective case study published in the December issue of

Fertility and Sterility.

" Although DHEA supplementation is not yet considered a medical treatment,

this steroid has been demonstrated to induce specific metabolic effects and to

increase both androgen and estrogen plasma levels in postmenopausal women, "

write Alessandro D. Genazzani, MD, PhD, and colleagues from the University of

Modena in Italy.

The Italian team selected 20 healthy, postmenopausal patients, age 50 to

65 years, who were not using hormone replacements, for the 12-month prospective

study. All patients received an ultrasound examination and a mammogram before

the start of the study to exclude organic disease.

Dr. Genazzani and colleagues divided patients by age into two groups:

early (aged 50-55 years, n = 10, group A) who were two to three years

postmenopausal; and late (aged 60-65 years, n = 10, group B) who were five or

more years postmenopausal. Five of the women were mild smokers.

All patients took 25 mg/day DHEA supplementation for 12 months. Every

three months throughout the trial period, the investigators evaluated patients

and drew blood samples to determine plasma levels of LH, FSH, E2, DHEA, DHEAS,

androstenedione (A), testosterone, dihydrotestosterone, progesterone, 17

alpha-hydroxyprogesterone (17-OHP), allopregnanolone, estrone (E1), sex-hormone

binding globulin (SHBG), cortisol (F), beta-endorphin, growth hormone (GH), and

insuline-like grown factor-1 (IGF-1).

Investigators also conducted a transvaginal ultrasound examination in each

patient before and after 6 and 12 months of treatment to evaluate endometrial

thickness. In addition, the researchers administered a Kupperman questionnaire

to evaluate subjective vasomotor and psychological symptoms before and after 3,

6, and 12 months of therapy.

Younger postmenopausal subjects (group A) demonstrated higher levels of

DHEA, DHEAS, testosterone, and beta-endorphin levels than older subjects (P <

..05). Significant changes in endocrine levels were observed with therapy. DHEA

treatment eliminated endocrine differences observed between the two groups at

baseline.

Testosterone and dihydrotestosterone plasma levels, and plasma E1 and E2

levels increased significantly and progressively in both groups. Investigators

found no changes in SHBG concentrations in either group despite significant

changes in A and E plasma concentrations. Allopregnanolone and beta-endorphin

concentrations significantly increased in both groups.

Cortisol F plasma levels progressively decreased throughout the study.

Both groups also experienced significantly reduced LH and FSH plasma levels. GH

and IGF-1 levels significantly increased in both groups. Supplementation did not

induce changes in endometrial thickness.

At baseline, group A had higher values for subjective vasomotor

disturbances and psychological disturbances than group B, whereas the latter had

a higher score for psychological variables. Scores significantly improved in

both groups during therapy.

" The present study demonstrates the efficacy of low-dose DHEA

administration of endocrine and psychoneuroendocrine parameters in early and

late menopause and confirms that a low-dose DHEA supplementation increases

adrenal androgens plasma levels (mainly DHEA and DHEAS), which are significantly

impaired during menopause, " Dr. Genazzani and colleagues write.

" These data support and confirm that DHEA must be considered a valid

compound and drug for [hormone therapy] in postmenopausal women and not just a

'dietary supplement,' " they add.

Fertil Steril. 2003;80:1495-1501

Reviewed by D. Vogin, MD

--------------------------------------------------------------------------

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Share on other sites

What I understand it will protect you in eventually getting breastcancer,

but maybe Leonard or can explain better?

Gr. kees

Re: DHEA 12 dec 2003 Medscape

> In a message dated 12/14/03 4:30:53 AM Eastern Standard Time,

> redactie@... writes:

>

>

> > Low-Dose DHEA Increases Androgen, Estrogen Levels in MenopauseFor some

of

> > you (breastcancer and ovariancancer) probably an interesting studyreport

>

> Pardon my confusion but I am having difficulty understanding exactly what

> they means? I do take DHEA, one capsule a night and have for about 2

years. I

> am high risk breast cancer and wonder how this study would effect me? Can

> anyone please advise me on that? Thanks.

>

>

>

>

Link to comment
Share on other sites

What I understand it will protect you in eventually getting breastcancer,

but maybe Leonard or can explain better?

Gr. kees

Re: DHEA 12 dec 2003 Medscape

> In a message dated 12/14/03 4:30:53 AM Eastern Standard Time,

> redactie@... writes:

>

>

> > Low-Dose DHEA Increases Androgen, Estrogen Levels in MenopauseFor some

of

> > you (breastcancer and ovariancancer) probably an interesting studyreport

>

> Pardon my confusion but I am having difficulty understanding exactly what

> they means? I do take DHEA, one capsule a night and have for about 2

years. I

> am high risk breast cancer and wonder how this study would effect me? Can

> anyone please advise me on that? Thanks.

>

>

>

>

Link to comment
Share on other sites

I know from muscle builders that for some guys DHEA has a feminizing effect

and that for some women it has an androgenic effect. I know that there was

a while when AIDS victims would experiment with enormous doses of DHEA but

not getting an adequate effect of health restoration. It seems harmless

enough though.

DHEA is natural in the body. It decreases as the body ages. Most cancer is

a disease of senescence of the immune system. I see no harm in low-dose

DHEA. I do believe it is not allowed in Canada. It might be worthwhile to

find out why.

Re: DHEA 12 dec 2003 Medscape

>

>

> > In a message dated 12/14/03 4:30:53 AM Eastern Standard Time,

> > redactie@... writes:

> >

> >

> > > Low-Dose DHEA Increases Androgen, Estrogen Levels in MenopauseFor some

> of

> > > you (breastcancer and ovariancancer) probably an interesting

studyreport

> >

> > Pardon my confusion but I am having difficulty understanding exactly

what

> > they means? I do take DHEA, one capsule a night and have for about 2

> years. I

> > am high risk breast cancer and wonder how this study would effect me?

Can

> > anyone please advise me on that? Thanks.

> >

> >

Link to comment
Share on other sites

I know from muscle builders that for some guys DHEA has a feminizing effect

and that for some women it has an androgenic effect. I know that there was

a while when AIDS victims would experiment with enormous doses of DHEA but

not getting an adequate effect of health restoration. It seems harmless

enough though.

DHEA is natural in the body. It decreases as the body ages. Most cancer is

a disease of senescence of the immune system. I see no harm in low-dose

DHEA. I do believe it is not allowed in Canada. It might be worthwhile to

find out why.

Re: DHEA 12 dec 2003 Medscape

>

>

> > In a message dated 12/14/03 4:30:53 AM Eastern Standard Time,

> > redactie@... writes:

> >

> >

> > > Low-Dose DHEA Increases Androgen, Estrogen Levels in MenopauseFor some

> of

> > > you (breastcancer and ovariancancer) probably an interesting

studyreport

> >

> > Pardon my confusion but I am having difficulty understanding exactly

what

> > they means? I do take DHEA, one capsule a night and have for about 2

> years. I

> > am high risk breast cancer and wonder how this study would effect me?

Can

> > anyone please advise me on that? Thanks.

> >

> >

Link to comment
Share on other sites

A good website for info on DHEA is

LIFEEXTENSION.COM, do a search for DHEA then read the articles on DHEA.

Re: DHEA 12 dec 2003 Medscape

> In a message dated 12/14/03 4:30:53 AM Eastern Standard Time,

> redactie@... writes:

>

>

> > Low-Dose DHEA Increases Androgen, Estrogen Levels in MenopauseFor some

of

> > you (breastcancer and ovariancancer) probably an interesting studyreport

>

> Pardon my confusion but I am having difficulty understanding exactly what

> they means? I do take DHEA, one capsule a night and have for about 2

years. I

> am high risk breast cancer and wonder how this study would effect me? Can

> anyone please advise me on that? Thanks.

>

>

>

>

Link to comment
Share on other sites

A good website for info on DHEA is

LIFEEXTENSION.COM, do a search for DHEA then read the articles on DHEA.

Re: DHEA 12 dec 2003 Medscape

> In a message dated 12/14/03 4:30:53 AM Eastern Standard Time,

> redactie@... writes:

>

>

> > Low-Dose DHEA Increases Androgen, Estrogen Levels in MenopauseFor some

of

> > you (breastcancer and ovariancancer) probably an interesting studyreport

>

> Pardon my confusion but I am having difficulty understanding exactly what

> they means? I do take DHEA, one capsule a night and have for about 2

years. I

> am high risk breast cancer and wonder how this study would effect me? Can

> anyone please advise me on that? Thanks.

>

>

>

>

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Share on other sites

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