Elevated DHEA (dehydroepiandrosterone) or DHEA-S levels are most commonly caused by chronic stress, adrenal dysfunction, or conditions like PCOS. Evidence-based strategies to lower DHEA include stress reduction (meditation, sauna, adequate sleep), dietary changes (reducing refined sugars and caffeine), regular moderate exercise (avoiding overtraining), and adaptogenic herbs like ashwagandha. If levels remain elevated despite lifestyle changes, medical evaluation is important to rule out adrenal tumors or other underlying conditions.
DHEA (dehydroepiandrosterone) is a hormone produced primarily by your adrenal glands. It serves as a precursor to both testosterone and estrogen, making it a critical building block in your hormonal cascade. DHEA-S (DHEA-sulfate) is the storage form measured in blood tests because it's more stable and reflects overall DHEA production.
Normal DHEA-S ranges: • Women (18–29): 65–380 mcg/dL • Women (30–39): 45–270 mcg/dL • Men (18–29): 280–640 mcg/dL • Men (30–39): 120–520 mcg/dL
DHEA naturally peaks in your mid-20s and declines with age. Elevated levels outside your age-appropriate range can signal:
Elevated DHEA can manifest differently in men and women:
In women: • Acne (especially along the jawline and chin) • Excess facial or body hair (hirsutism) • Thinning hair on the scalp • Irregular menstrual cycles • Oily skin • Mood changes (irritability, anxiety) • Difficulty losing weight, especially around the midsection
In men: • Aggressive behavior or mood swings • Acne • Sleep disturbances • Prostate concerns (DHEA converts to testosterone and DHT)
Because DHEA converts to other hormones downstream, elevated DHEA can create a cascade of hormonal imbalances. Addressing the root cause — rather than just treating symptoms — is the most effective approach.
1. Manage chronic stress (most important)
Since the adrenal glands produce DHEA in response to ACTH (the same signal that triggers cortisol), reducing your stress load directly reduces DHEA output. Effective approaches include:
2. Dietary modifications
3. Exercise appropriately
Several supplements have evidence for supporting healthy adrenal function and may help normalize DHEA levels:
Ashwagandha: An adaptogenic herb with strong evidence for reducing cortisol and supporting HPA axis balance. Studies show 300–600 mg daily of root extract can significantly reduce cortisol levels within 8 weeks.
Phosphatidylserine: May help blunt excessive cortisol and DHEA production, particularly in response to exercise stress. Typical dose: 100–300 mg daily.
Omega-3 fatty acids: Fish oil (2–3 grams daily) has anti-inflammatory effects that support adrenal health.
Magnesium: Involved in hundreds of enzymatic reactions including adrenal hormone metabolism. Many people are deficient. 200–400 mg daily of magnesium glycinate is well-absorbed.
Vitamin C: The adrenal glands contain the highest concentration of vitamin C in the body. Adequate intake (500–1,000 mg daily) supports healthy adrenal function.
Important: If you're currently taking DHEA supplements, stop them. Over-the-counter DHEA supplementation is the most common cause of artificially elevated DHEA-S levels. Levels typically normalize within 2–4 weeks of discontinuation.
Lifestyle changes are appropriate for mildly elevated DHEA-S, but medical evaluation is important if:
Your physician may order additional testing including: • Comprehensive hormone panel (testosterone, estrogen, cortisol, ACTH) • Adrenal imaging (CT or MRI) if tumor is suspected • 17-hydroxyprogesterone (to rule out congenital adrenal hyperplasia)
Medical treatments for persistently elevated DHEA may include oral contraceptives (for women with PCOS), spironolactone (anti-androgen), or dexamethasone (to suppress adrenal overproduction).
At Deliberate Wellness Studio, our bloodwork and health panels include DHEA-S testing as part of comprehensive hormone evaluation. We can help identify whether your levels are elevated and connect you with physician guidance for next steps.
Elevated DHEA is usually a signal that your adrenal glands are working overtime — most often due to chronic stress. The most effective approach combines stress reduction (sauna, sleep, meditation), dietary improvements (less sugar and caffeine, more anti-inflammatory foods), appropriate exercise (moderate, not excessive), and targeted supplements (ashwagandha, magnesium, omega-3s).
Give lifestyle changes 2–3 months before expecting significant lab improvements. If levels remain elevated, seek medical evaluation to rule out underlying conditions.
Deliberate Wellness Studio in Vineyard, Utah offers comprehensive bloodwork panels, infrared sauna for stress management, and a full suite of recovery services that support hormonal health. Our physician team can review your labs and help create a plan tailored to your specific situation.
Book your session at Deliberate Wellness Studio in Vineyard, Utah. Walk-ins welcome. HSA/FSA eligible.
Book a Hormone PanelYes. Chronic stress is the most common cause of mildly elevated DHEA-S in otherwise healthy people. Your adrenal glands produce DHEA alongside cortisol in response to stress signals. Reducing stress through lifestyle changes (better sleep, sauna, meditation, reduced caffeine) often normalizes levels within 2–3 months.
Most people see measurable improvements in DHEA-S levels within 2–3 months of consistent lifestyle changes. If you're stopping DHEA supplements, levels typically normalize within 2–4 weeks. Severe elevations from underlying conditions may require medical treatment for faster resolution.
It depends on intensity. Moderate exercise (walking, yoga, light strength training) supports healthy adrenal function and can help normalize DHEA. However, excessive high-intensity training or chronic overtraining can actually increase DHEA and cortisol. If your DHEA is elevated, focus on moderate exercise with adequate recovery.
Mildly elevated DHEA-S is usually not dangerous but can cause uncomfortable symptoms (acne, excess hair growth, mood changes). Very high levels (more than 2x normal range) warrant medical evaluation to rule out adrenal tumors or other conditions. The symptoms of elevated DHEA are typically more bothersome than medically dangerous.
Deliberate Wellness Studio in Vineyard, UT offers comprehensive bloodwork and hormone panels that include DHEA-S testing. Our physician team can review your results and recommend next steps. We're minutes from Provo, Orem, and Lehi. HSA/FSA eligible.