Ultimate Longevity Bible

Biomarker

DHEA-S (Dehydroepiandrosterone Sulfate)

Last updated 2026-07-02· Last reviewed 2026-07-02· 1 min read

Reviewed by the Ultimate Longevity Bible editorial team. Educational reference — not medical advice. See disclaimer.

Physiology

  • Produced by the zona reticularis of the adrenal cortex.
  • Peripheral tissues convert DHEA into androgens and oestrogens.
  • Circulating levels: 100–500 μg/dL in young adults, dropping to 30–150 μg/dL by age 70.

Evidence as a biomarker

  • Cross-sectional and prospective studies show inverse association with all-cause and cardiovascular mortality in older adults.
  • Whether this reflects DHEA-S itself or general adrenal-cortex reserve is unclear.

Supplementation evidence

  • Bone density: modest improvement in postmenopausal women.
  • Body composition: small effects.
  • Sexual function: modest improvement in some men and women with low baseline levels.
  • Cognitive function and general aging markers: no consistent benefit.

Practical

  • Available OTC in the US as a supplement; prescription-only in most other jurisdictions.
  • Typical doses 25–50 mg/day.
  • Side effects: androgenic effects (acne, hirsutism in women), oestrogenic effects, and dose-dependent hormonal disruption.

Related entries

HRT (menopause), Testosterone (biomarker), Testosterone replacement.

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