Endocrinology
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October 23, 2024

Why Take DHEA At Night? Understanding The Advantages

Medically Reviewed by
Updated On
October 30, 2024

Dehydroepiandrosterone (DHEA) is a hormone the body produces naturally in the adrenal glands. It’s sometimes called a prohormone because it’s used to make testosterone, estrogen, and others. DHEA is also a popular dietary supplement that helps support hormone balance and anti-aging because, after age 25, DHEA declines rapidly (decreasing about 80% by age 75).

Taking DHEA supplements at night may offer unique benefits that enhance its effectiveness. This article explores why taking DHEA at night offers many advantages for your health and well-being.

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Understanding DHEA

Becoming familiar with DHEA is highly beneficial in fully understanding the important advantages of this hormone.

What is DHEA?

DHEA, also called dehydroepiandrosterone, is a hormone the body makes in larger amounts in young adulthood. It’s critical for maintaining hormone balance.

However, DHEA levels gradually decrease with aging, which is why some people take DHEA dietary supplements under the direction of a healthcare provider. Such supplements come in the form of capsules, tablets, powders, gels, and topical creams. Over-the-counter and prescription DHEA products are both available. 

Common Uses of DHEA

Common uses of DHEA supplements in men and women include:

More research is needed to determine the extent of DHEA’s effects on diseases and their risk factors. Despite the numerous potential benefits of DHEA supplementation, researchers suggest there is a risk of recreational DHEA misuse in healthy individuals. That’s why medical supervision is important. 

Circadian Rhythms and Hormonal Production

Circadian rhythm is the human body’s internal clock, helping us feel tired when it’s dark and more awake when it’s light outside. Potential effects on circadian rhythms include stress, physical activity, food intake, temperature, and social environments. 

Circadian rhythms influence sleep patterns, appetite, digestion, hormone release, and other physiological processes. The human body naturally produces DHEA peaks and troughs throughout the day and night. 

Some studies suggest that taking DHEA before bedtime stimulates the body’s circadian rise of nighttime DHEA secretion, benefiting individuals with low DHEA levels by improving muscle strength and supporting better sleep quality.

Benefits of Taking DHEA at Night

Examples of the benefits of taking DHEA at night include:

Enhanced Hormonal Synchronization

Nighttime DHEA supplementation may help align with the body’s natural hormone cycles or compensate for lower night DHEA levels. Therefore, taking DHEA supplements before bed can improve its absorption and effectiveness. 

Improved Sleep Quality

Hormone balance appears to impact sleep architecture and overall restfulness. Researchers found that low DHEA levels can cause sleep disturbances in people with obstructive sleep apnea. Studies suggest that taking DHEA at night optimizes sleep quality. This might be because of the relationship between DHEA and melatonin (sleep hormone). 

Stress Reduction

Researchers found that DHEA supplementation is linked to significant decreases in cortisol levels, which is beneficial for stress management and recovery. 

Other Benefits

In addition to the benefits listed above, other potential perks (backed by research) associated with taking DHEA supplements at night include increased muscle strength, less depression, a stronger immune system, and a higher sex drive in women with adrenal insufficiency and low DHEA levels. 

Scientific Evidence and Studies

Studies examining the effects of nighttime DHEA supplementation are limited. One study suggested that taking DHEA at night is the most beneficial because human adrenal glands secrete DHEA in a pulse-like pattern, with a higher frequency at night. 

The researchers suggest that nighttime DHEA administration maximizes the supplement’s benefits, particularly in supporting higher-quality sleep. 

Another study suggests that low DHEA levels in healthy individuals can induce sleep disturbances in obstructive sleep apnea patients. Interestingly, researchers found that DHEA supplementation can either stimulate or inhibit sleep, depending on DHEA’s effects on estrogen and testosterone levels. 

Researchers also discovered the possibility that higher daytime DHEA levels are linked to deeper sleep in regularly meditating people. 

Taking DHEA before bedtime may be helpful for older adults who have difficulty sleeping at night because their bodies produce higher levels of DHEA during the day — but not enough at night.

Practical Considerations

It’s important to talk with a healthcare provider before taking DHEA supplements because they can affect hormone balance and can interact with certain medications. This supplement may have a steroid effect, increasing the risk of hormone-sensitive cancers, acne, and male-pattern hair growth in women. 

Furthermore, research shows that amounts of DHEA in over-the-counter supplements may differ significantly from those listed on the supplement fact labels. Therefore, obtaining DHEA supplements from a compounding pharmacy under medical supervision is best.

Breastfeeding women, pregnant women, and children should avoid DHEA supplements. People under 40 generally aren’t encouraged to take DHEA supplements unless their DHEA levels are low. 

DHEA Dosing Guidelines

While standard guidelines aren’t available for DHEA supplementation, the common dosages used in research studies are 20-200 milligrams daily. The exact amount that’s most beneficial for an individual depends on the results of lab tests evaluating their current DHEA levels. After beginning supplementation, routine blood tests help promote optimal hormone balance.

Researchers found that taking a single morning dose of 25-50 milligrams of DHEA is enough to restore normal DHEA levels in adults with adrenal insufficiency. Treatments generally begin by prescribing 25 grams of DHEA daily (sometimes less for women). 

Avoid taking DHEA at night if you notice negative effects on sleep quality or if it interacts with any of your medications.

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Key Takeaways

  • The potential research-backed benefits of taking DHEA supplements at night include better sleep, improved muscle strength, reduced depression, improved sex drive, stronger immunity, stress reduction, and hormone synchronization.
  • However, some practitioners suggest taking DHEA in the morning. Because of its impact on hormone balance, it’s vital to consult with a healthcare provider before beginning a new supplementation regimen, particularly if it includes DHEA. Routine DHEA testing is also vital when supplementing with this hormone. 
  • Future research would help determine the full extent of DHEA’s effects on circadian rhythm and the best time to take this dietary supplement for optimal health and well-being. 
The information provided is not intended to be a substitute for professional medical advice. Always consult with your doctor or other qualified healthcare provider before taking any dietary supplement or making any changes to your diet or exercise routine.

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Achuff, J. (2024, March 5). Plant-Based diets: A new approach to managing obstructive sleep apnea. Rupa Health. https://www.rupahealth.com/post/plant-based-diets-a-new-approach-to-managing-obstructive-sleep-apnea

Bertagna, B. (2024a, January 8). Melatonin for sleep: Unlocking the power of this hormone for restful nights. Rupa Health. https://www.rupahealth.com/post/melatonin-for-sleep-unlocking-the-power-of-this-hormone-for-restful-nights

Bertagna, B. (2024b, January 11). The science behind meditation and sleep: How mindfulness practices improve sleep quality. Rupa Health. https://www.rupahealth.com/post/the-science-behind-meditation-and-sleep-how-mindfulness-practices-improve-sleep-quality

Caufriez, A., Leproult, R., L’Hermite-Balériaux, M., Kerkhofs, M., & Copinschi, G. (2013). Effects of a 3-week dehydroepiandrosterone administration on sleep, sex steroids and multiple 24-h hormonal profiles in postmenopausal women: A pilot study. Clinical Endocrinology, 79(5), n/a-n/a. https://doi.org/10.1111/cen.12201

Chen, H., Jin, Z., Sun, C., Santos, H. O., & kord Varkaneh, H. (2021). Effects of dehydroepiandrosterone (DHEA) supplementation on cortisol, leptin, adiponectin, and liver enzyme levels: A systematic review and meta‐analysis of randomised clinical trials. International Journal of Clinical Practice, 75(11). https://doi.org/10.1111/ijcp.14698

Cloyd, J. (2023e, July 5). Integrative approaches to managing high blood sugar: Specialty testing, lifestyle modifications, and natural remedies. Rupa Health. https://www.rupahealth.com/post/integrative-approaches-to-managing-high-blood-sugar-testing-lifestyle-modifications-and-natural-remedies

Cloyd, J. (2023a, April 7). Functional medicine high cholesterol protocol. Rupa Health. https://www.rupahealth.com/post/functional-medicine-high-cholesterol-protocol

Cloyd, J. (2023b, April 28). What is the difference between medical-grade supplements and over-the-counter supplements? Rupa Health. https://www.rupahealth.com/post/what-is-the-difference-between-medical-grade-supplements-and-over-the-counter-supplements

Cloyd, J. (2023a, March 7). An integrative medicine approach to fatigue. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-fatigue

Cloyd, J. (2023c, June 5). A functional medicine ulcerative colitis (UC) protocol: Testing, nutrition, and supplements. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-ulcerative-colitis-uc-protocol-testing-nutrition-and-supplements

Cloyd, J. (2023d, November 17). The gut-based approach to healing your acne. Rupa Health. https://www.rupahealth.com/post/the-gut-based-approach-to-healing-your-acne

Cloyd, K. (2023, September 7). Unlocking hormonal health: A comprehensive guide to understanding and choosing the right hormonal testing for your patients. Rupa Health. https://www.rupahealth.com/post/unlocking-hormonal-health-a-comprehensive-guide-to-understanding-and-choosing-the-right-hormonal-testing-for-your-patients

Creedon, K. (2022, March 18). 8 ways to prevent osteoporosis as you age. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-osteoporosis

Daglis, S. (2024, August 23). The synergy between compounding pharmacy and functional medicine for optimal health. Rupa Health. https://www.rupahealth.com/post/the-synergy-between-compounding-pharmacy-and-functional-medicine-for-optimal-health

DeCesaris, L. (2023, December 12). Elevating mood with nutraceuticals: A functional medicine perspective. Rupa Health. https://www.rupahealth.com/post/elevating-mood-with-nutraceuticals-a-functional-medicine-perspective

DeCesaris, L. (2024a, January 4). The impact of circadian rhythms on hormonal health: Insights from functional medicine. Rupa Health. https://www.rupahealth.com/post/the-impact-of-circadian-rhythms-on-hormonal-health-insights-from-functional-medicine

DeCesaris, L. (2024b, February 6). Nutritional strategies for endurance athletes: Sustaining energy and performance. Rupa Health. https://www.rupahealth.com/post/nutritional-strategies-for-endurance-athletes-sustaining-energy-and-performance

Dehydroepiandrosterone. (2023, October 25). Memorial Sloan Kettering Cancer Center. https://www.mskcc.org/cancer-care/integrative-medicine/herbs/dehydroepiandrosterone

Dehydroepiandrosterone information |  mount sinai - new york. (2012). Mount Sinai Health System. https://www.mountsinai.org/health-library/supplement/dehydroepiandrosterone

DHEA-S. (2024). Rupa Health. https://www.rupahealth.com/biomarkers/dhea-s

Dr.Bobban Subhadra, & Dr.Bobban Subhadra. (2023, November 28). When is it best to take DHEA – morning or night? - biom probiotics. Biom Probiotics. https://biomprobiotics.com/when-is-it-best-to-take-dhea-morning-or-night/?srsltid=AfmBOooQt0OIjrch1f1QSRQi6VMlQ9j85UgvjxkcDtdNZ0ysh2YTetsw

Easthope, A. (2022, March 25). 9 common causes of low libido in women. Www.rupahealth.com. https://www.rupahealth.com/post/a-functional-medicine-approach-to-low-libido-in-women

Jancic, J., Nenezic, N., Kostic, S., Strac, D. S., Grunauer, M., Nenezic, D., Radosavljevic, M., & Jancic, J. (2022). Dehydroepiandrosterone (dhea): Pharmacological effects and potential therapeutic application. Mini-Reviews in Medicinal Chemistry, 22(8). https://doi.org/10.2174/1389557522666220919125817

Khakham, C. (2023a, April 6). Understanding your risk of cardiovascular disease with functional medicine labs. Rupa Health. https://www.rupahealth.com/post/understanding-your-risk-of-cardiovascular-disease-with-functional-medicine-labs

Khakham, C. (2023b, June 30). Integrative approaches to the treatment of lupus: A comprehensive review. Rupa Health. https://www.rupahealth.com/post/integrative-approaches-to-the-treatment-of-lupus-a-comprehensive-review

Khakham, C. (2023b, May 23). An integrative medicine approach to alzheimer’s disease: Testing, nutrition, and supplements. Rupa Health. https://www.rupahealth.com/post/to-functional-medicine-labs-that-help-individualize-treatment-for-alzheimers-disease

Khakham, C. (2023c, June 30). Personalizing skin health: Leveraging functional medicine labs to tailor dietary interventions and supplements. Rupa Health. https://www.rupahealth.com/post/using-dietary-interventions-and-supplements-to-support-healthy-skin

Li, Y., Ren, J., Li, N., Liu, J., Tan, S. C., Low, T. Y., & Ma, Z. (2020). A dose-response and meta-analysis of dehydroepiandrosterone (DHEA) supplementation on testosterone levels: Perinatal prediction of randomized clinical trials. Experimental Gerontology, 141, 111110. https://doi.org/10.1016/j.exger.2020.111110

LoBisco, S. (2022, November 16). 7 natural treatments for low progesterone. Rupa Health. https://www.rupahealth.com/post/progesterone-imbalance-signs-treatments

Maholy, N. (2023, April 14). How to reduce stress through mind-body therapies. Rupa Health. https://www.rupahealth.com/post/how-to-reduce-stress-through-mind-body-therapies

Malani, S. (2023, February 22). Inflammatory markers 101: How to interpret. Rupa Health. https://www.rupahealth.com/post/inflammatory-markers-101-what-do-they-mean

Mayo Clinic. (2023, August 10). DHEA. Mayo Clinic. https://www.mayoclinic.org/drugs-supplements-dhea/art-20364199

Nagendra, R. P., Sathyaprabha, T. N., & Kutty, B. M. (2022). Enhanced dehydroepiandrosterone levels are positively correlated with N3 sleep stage in long-term mindfulness meditation practitioners. Sleep Science, 15(2). https://doi.org/10.5935/1984-0063.20220039

National Institute of General Medical Sciences. (2023, September). Circadian rhythms. Www.nigms.nih.gov; National Institute of General Medical Sciences. https://www.nigms.nih.gov/education/fact-sheets/Pages/circadian-rhythms.aspx

Olech, E., & Merrill, J. T. (2005a). DHEA supplementation: The claims in perspective. Cleveland Clinic Journal of Medicine, 72(11), 965–966. https://doi.org/10.3949/ccjm.72.11.965

Preston, J. (2023a, March 15). An integrative medicine approach to managing menopause symptoms. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-managing-menopause-symptoms

Preston, J. (2023b, April 7). The benefits of breastfeeding for mother and baby: How to increase milk production naturally. Rupa Health. https://www.rupahealth.com/post/the-benefits-of-breastfeeding-for-mother-and-baby-how-to-increase-milk-production-naturally

Stanford, J. (2024, March 21). Insulin resistance and inflammation: Understanding the connection. Rupa Health. https://www.rupahealth.com/post/insulin-resistance-and-inflammation-understanding-the-connection

Sweetnich, J. (2023a, February 23). 4 functional medicine labs to test for root cause of estrone imbalance. Rupa Health. https://www.rupahealth.com/post/4-functional-medicine-labs-to-test-for-root-cause-of-estrone-imbalance

Sweetnich, J. (2023b, February 24). The importance of testing DHEA levels. Rupa Health. https://www.rupahealth.com/post/evidence-based-health-benefits-of-dhea

Sweetnich, J. (2023c, February 28). How to balance cortisol levels naturally. Rupa Health. https://www.rupahealth.com/post/how-to-balance-cortisol-levels-naturally

Sweetnich, J. (2023d, February 28). Testosterone testing 101. Rupa Health. https://www.rupahealth.com/post/testosterone-testing-101

Sweetnich, J. (2023e, June 12). Integrative treatment options for adrenal disorders: Specialty testing, nutrition, supplements. Rupa Health. https://www.rupahealth.com/post/integrative-treatment-options-for-adrenal-disorders-specialty-testing-nutrition-supplements

Tang, N., & Sanborn , A. (2014, March 25). Better quality sleep promotes daytime physical activity in patients with chronic pain? A multilevel analysis of the within-person relationship. PLoSOne. https://journals.plos.org/plosone/article/comment?id=10.1371/annotation/81676b63-8416-44ed-a423-4d9ce9e4e9cf

Teeter, L. A. (2023, April 13). Using functional nutrition to address hormone imbalances. Rupa Health. https://www.rupahealth.com/post/using-functional-nutrition-to-address-hormone-imbalances

Villareal, D. T., & Holloszy, J. O. (2006). DHEA enhances effects of weight training on muscle mass and strength in elderly women and men. American Journal of Physiology-Endocrinology and Metabolism, 291(5), E1003–E1008. https://doi.org/10.1152/ajpendo.00100.2006

Wang, F., He, Y., O. Santos, H., Sathian, B., C. Price, J., & Diao, J. (2020). The effects of dehydroepiandrosterone (DHEA) supplementation on body composition and blood pressure: A meta-analysis of randomized clinical trials. Steroids, 163, 108710. https://doi.org/10.1016/j.steroids.2020.108710

Weinberg, J. (2022, April 14). 4 lifestyle changes that help manage crohn’s disease. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-crohns-disease

Weinberg, J. (2024a, January 11). Enhancing sleep quality during shorter days: Insights from functional medicine. Rupa Health. https://www.rupahealth.com/post/enhancing-sleep-quality-during-shorter-days-insights-from-functional-medicine

Weinberg, J. (2024b, February 29). The neurobiology of stress: Cortisol and beyond. Rupa Health. https://www.rupahealth.com/post/the-neurobiology-of-stress-cortisol-and-beyond

Yen. (2001a). Dehydroepiandrosterone sulfate and longevity: New clues for an old friend. Proceedings of the National Academy of Sciences of the United States of America, 98(15), 8167–8169. https://doi.org/10.1073/pnas.161278698

Yoshimura, H. (2023a, April 10). Integrative medicine approaches to managing anxiety and depression naturally. Rupa Health. https://www.rupahealth.com/post/integrative-medicine-approaches-to-managing-anxiety-and-depression-naturally

Yoshimura, H. (2023b, October 26). Diving into DHEA: The overlooked hormone and its impact on women’s vitality. Rupa Health. https://www.rupahealth.com/post/diving-into-dhea-the-overlooked-hormone-and-its-impact-on-womens-vitality

Yoshimura, H. (2023c, December 20). Boosting immunity during the holidays: Functional medicine insights. Rupa Health. https://www.rupahealth.com/post/boosting-immunity-during-the-holidays-functional-medicine-insights

Yoshimura, H. (2024, May 31). 6 supplements to boost testosterone levels. Rupa Health. https://www.rupahealth.com/post/testosterone-supplements

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