DHEA (Dehydroepiandrosterone) vs Phosphatidylserine

Mechanism

DHEA is the most abundant circulating steroid hormone, produced primarily by the adrenal zona reticularis. It serves as a precursor for both androgens (testosterone, DHT via 3beta-HSD and 17beta-HSD) and estrogens (estradiol, estrone via aromatase). DHEA-S (sulfated form) acts as a neurosteroid, positively modulating NMDA receptors and antagonizing GABA-A receptors (cognitive enhancement/alertness). It also modulates immune function (enhances Th1 immunity, IL-2 production), supports bone mineral density via estrogenic metabolites, enhances insulin sensitivity via PPAR-alpha activation, and opposes cortisol's catabolic effects (DHEA:cortisol ratio is a stress/aging biomarker).

Standard Dosing

25-50mg daily (men); 10-25mg daily (women)

Timing

Morning (mimics natural circadian peak). With food.

Cycle Duration

Ongoing under supervision with regular blood monitoring (DHEA-S, testosterone, estradiol, PSA in men)

Side Effects

• Acne (androgenic)
• Hair loss (androgenic)
• Hirsutism in women
• Mood changes (irritability, aggression)
• Deepening of voice in women (at high doses)
• Insomnia
• Oily skin

Contraindications

• Hormone-sensitive cancers (prostate, breast, ovarian)
• PCOS (may worsen androgen excess)
• Endometriosis
• Uterine fibroids
• Children/adolescents

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Mechanism

Major phospholipid component of neuronal cell membranes (15-20% of total phospholipid pool) that maintains membrane fluidity and supports signal transduction. Serves as a cofactor for protein kinase C (PKC), Na+/K+-ATPase, and other membrane-bound enzymes critical for neurotransmitter release. Blunts HPA axis hyperactivation by modulating corticotrophin-releasing factor (CRF) receptor interactions, attenuating cortisol release during physical and psychological stress. Facilitates acetylcholine, dopamine, and norepinephrine release, and enhances glucose metabolism in the brain.

Standard Dosing

100-300mg daily

Timing

With meals (fat-containing preferred for absorption). Can be taken morning or evening. Cortisol-blunting effects are relevant for evening/pre-bed dosing in stressed individuals.

Cycle Duration

Ongoing; no cycling required. Clinical benefits observed from 6-12 weeks.

Side Effects

• Mild GI upset at high doses
• Insomnia (if taken too late in some individuals)
• Rare: nausea
• GI distress (uncommon)
• Insomnia (at higher doses)
• Headache (rare)

Contraindications

• Soy allergy (if soy-derived — use sunflower-derived instead)
• Known soy allergy (soy-derived PS)
• Antiphospholipid syndrome (theoretical concern)

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