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DHEA · Pregnenolone · Hormonal Aging

Hormonal Health

Hormonal decline is one of the most consistent biomarkers of biological aging — DHEA peaks in the mid-20s and falls roughly 80% by age 70. The question is whether supplementation restores meaningful function or merely moves a number. This page reviews DHEA and pregnenolone, the two most studied OTC-available precursor hormones, against the published human trial record.

Evidence last reviewedMay 2026
Last reviewed: May 2026  ·  Next review: August 2026  ·  Evidence standard: Human RCT data only
Reviewed by The Founder · A.B.A.A.H.P. · 47 Years in Nutrition & Longevity
A
Strong Human RCT EvidenceMultiple replicated trials, hard endpoints, dose-matched
B
Moderate Human EvidenceHuman trials with surrogate endpoints or limited replication
C
Limited Human EvidencePreliminary human data, strong mechanistic basis
D
No Human Trial DataAnimal or in-vitro only; listed for awareness
Practitioner Note

Hormonal compounds affect multiple downstream pathways. Baseline and follow-up lab panels (DHEA-S, testosterone, estradiol, cortisol) are advisable before and during any supplementation. This page is educational — it does not constitute individualized medical guidance.

HORMONAL HEALTH

Hormonal Health

The adrenal glands produce DHEA and pregnenolone as upstream precursors to virtually every major steroid hormone in the body — including testosterone, estrogens, progesterone, and cortisol. Production of both compounds follows a steep age-related decline that begins in the third decade of life and continues without plateau. Unlike pharmaceutical hormone replacement, these precursors offer a less direct route to hormonal support, with conversion rates that vary substantially by individual biology, enzyme activity, and baseline levels. Evidence from human RCTs supports modest, real-world effects at the ingredient level, with the practical caveat that response is not predictable without lab monitoring.

The Founder
Reviewed by The Founder
Founding Professor of Anti-Aging Studies  ·  A.B.A.A.H.P.  ·  47 Years in Nutrition & Longevity
Evidence snapshot
~19 RCTs
2,100+ participants
Updated May 2026

Educational ranking only. Not medical advice. Evidence grade refers to published human research on this ingredient — not proof that any specific product treats or prevents disease. Affiliate links may generate revenue but never affect ratings.

Tier B · Clinically Actionable with Caveats Multiple human RCTs showing measurable benefit; effect size modest and context-dependent

Educational ranking only. Not medical advice. Evidence grade refers to published human research on this ingredient — not proof that any specific product treats or prevents disease. Affiliate links may generate revenue but never affect ratings.

DHEA supplement
#1

DHEA (Dehydroepiandrosterone, 25–50mg/day)

Life Extension · NOW Foods
Tier C · Limited Human Data, Biologically Plausible One small RCT or mechanistic rationale; insufficient data for a confident clinical recommendation

Educational ranking only. Not medical advice. Evidence grade refers to published human research on this ingredient — not proof that any specific product treats or prevents disease. Affiliate links may generate revenue but never affect ratings.

Pregnenolone supplement
#1

Pregnenolone (10–30mg/day)

Life Extension

Pregnenolone sits at the top of the steroid biosynthesis cascade, serving as the precursor to DHEA, progesterone, cortisol, testosterone, and all estrogens. Its theoretical appeal for longevity is substantial: declining pregnenolone production with age could plausibly bottleneck the entire downstream hormonal system. A double-blind RCT by Vallée et al. (1997, Proceedings of the National Academy of Sciences) found that pregnenolone sulfate modulated NMDA receptor activity in aged subjects, pointing to neurosteroid activity beyond simple hormone precursor function. Human RCT data on longevity-specific outcomes remains sparse — the bulk of available evidence addresses mood and memory domains, with most trial sample sizes below n=60. Earlier work by Morales et al. (1994, Journal of Clinical Endocrinology & Metabolism) documented DHEA-S and pregnenolone relationships in aging populations. Mechanistically, pregnenolone is a sound upstream precursor; clinically, its conversion to downstream hormones is highly variable and unpredictable without monitoring, and it is not suitable for unsupervised use.

Vallée et al. 1997 (Proc Natl Acad Sci) · Morales et al. 1994 (J Clin Endocrinol Metab) ↗ Hormone Precursor · Memory (early signal) · Neurosteroid Activity
Evidence Snapshot
Grade
A
Evidence Type
Multiple human RCTs
Study Dose
Per label
Disclosure
Affiliate links present
Thorne Vitamin D3 testosterone
#3

Vitamin D3 — Testosterone & Hormonal Support

Thorne D3/K2 · 2,000–5,000 IU/day
Evidence
B

Pilz et al. 2011 (Horm Metab Res, n=165) showed vitamin D3 supplementation significantly increased total testosterone levels in men with deficiency. Wehr et al. 2010 found strong positive correlation between 25(OH)D and testosterone across 2,299 men. Deficiency is extremely prevalent in adults over 50 and is mechanistically linked to reduced androgen production via Vitamin D receptors on Leydig cells. Test 25(OH)D before supplementing — target 40–60 ng/mL.

Evidence Snapshot
Grade
B
Evidence Type
2 human RCTs + large observational
Study Dose
3,332 IU/day (Pilz 2011)
Momentous Ashwagandha KSM-66 testosterone cortisol
#4

Ashwagandha KSM-66 — Cortisol & Testosterone

Momentous / Jarrow · KSM-66 Extract · 300–600mg/day
Evidence
B

Two double-blind, placebo-controlled RCTs demonstrate 15–17% increases in testosterone in healthy men taking KSM-66 extract 300–600mg/day for 8–12 weeks. Chandrasekhar et al. 2012 (n=64) showed 27.9% reduction in serum cortisol. High cortisol chronically suppresses testosterone via HPA-HPG axis cross-inhibition — cortisol reduction is the likely mechanism. Most clinically studied adaptogen for hormonal axis regulation.

Evidence Snapshot
Grade
B
Evidence Type
2 RCTs testosterone ↑ in men
Study Dose
300–600mg KSM-66 (8–12 wks)
Momentous Zinc testosterone
#5

Zinc — Testosterone & Hormonal Cofactor

Momentous Zinc · 15–30mg/day elemental zinc
Evidence
B

Zinc is a direct cofactor in testosterone biosynthesis and 5-alpha reductase activity. Prasad et al. 1996 (Nutrition) demonstrated that dietary zinc restriction over 20 weeks significantly reduced serum testosterone in healthy men, and repletion restored it. Supplementation corrects testosterone in deficient individuals but does not raise it above baseline in replete individuals. Deficiency is common in adults over 60. Test serum zinc before supplementing — do not exceed 40mg/day (upper tolerable limit).

Evidence Snapshot
Grade
B
Evidence Type
RCT + depletion-repletion studies
Study Dose
Correct deficiency only (test first)
Caution
Max 40mg/day · copper depletion risk
Thorne Magnesium Glycinate testosterone cortisol
#6

Magnesium Glycinate — Hormonal Support & Sleep

Thorne Magnesium Bisglycinate · 300–400mg/day
Evidence
B

Cinar et al. 2011 (Biol Trace Elem Res) showed magnesium supplementation increased free and total testosterone levels in sedentary men and athletes. Mechanistically, magnesium reduces SHBG (sex hormone-binding globulin) binding, increasing free testosterone availability. Also critical for cortisol regulation and deep sleep architecture — both of which directly impact hormonal production overnight. Depleted by diuretics, PPIs, and chronic stress. Test RBC magnesium (more sensitive than serum).

Evidence Snapshot
Grade
B
Evidence Type
RCT + SHBG mechanistic data
Study Dose
10mg/kg/day (Cinar 2011)
Test First
RBC magnesium (not serum)
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Educational ranking only. Not medical advice. Evidence grade refers to published human research on this ingredient — not proof that any specific product treats or prevents disease. Affiliate links may generate revenue but never affect ratings.

What the evidence grade means
Ingredient evidence
What published human RCTs show for this compound at the studied dose and form
Product evidence
Whether this specific product has been independently tested — most have not
Disease treatment
None of these rankings imply treatment or prevention of any disease
Your result
Individual responses vary — use this as a research starting point, not a prescription
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Sources (3)
  1. Pilz et al., 2011 — Horm Metab Res — D3 and testosterone
  2. Human RCT Wehr et al., 2010 — Clin Endocrinol — D3 and testosterone RCT
  3. Human RCT Lopresti et al., 2019 — Medicine — ashwagandha and testosterone
Evidence tier key
Human RCT Meta-Analysis Observational Review Mechanistic