What are the indications for Pregnenolone supplementation?

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From the Research

Pregnenolone supplementation is considered for patients with adrenal insufficiency, cognitive decline, depression, fatigue, or hormonal imbalances, particularly in aging individuals with declining natural pregnenolone levels, with typical dosages ranging from 10-100 mg daily 1. The use of pregnenolone supplementation is not FDA-approved for any specific condition, but some healthcare providers may recommend it for certain patients.

  • Adrenal insufficiency is a potential indication for pregnenolone supplementation, as it can help alleviate symptoms of fatigue and hormonal imbalances 2.
  • Cognitive decline and depression are also potential indications, as pregnenolone has been shown to have neuroprotective effects and may help improve mood 1.
  • Hormonal imbalances, particularly in aging individuals with declining natural pregnenolone levels, may also be an indication for supplementation 3. However, evidence supporting the use of pregnenolone remains largely anecdotal or from small studies, and patients should be aware of the potential risks and interactions with other medications 4, 5. Before starting supplementation, individuals should undergo appropriate hormone testing and consult with a healthcare provider knowledgeable about bioidentical hormones, as self-supplementation without monitoring could lead to hormonal imbalances or mask underlying conditions. Key points to consider when recommending pregnenolone supplementation include:
  • Typical dosages range from 10-100 mg daily, though some practitioners may recommend up to 200 mg for specific conditions.
  • Pregnenolone serves as a precursor to many hormones, including cortisol, DHEA, progesterone, and testosterone, which explains its potential wide-ranging effects.
  • As a supplement, pregnenolone lacks standardized quality control and may interact with hormone-related medications.

References

Research

Neurosteroids and potential therapeutics: Focus on pregnenolone.

The Journal of steroid biochemistry and molecular biology, 2016

Research

Hormone replacement therapy - Current recommendations.

Best practice & research. Clinical obstetrics & gynaecology, 2022

Research

Management of perimenopause disorders: hormonal treatment.

Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, 2021

Research

Selective estrogen receptor modulators: an alternative to hormone replacement therapy.

Proceedings of the Society for Experimental Biology and Medicine. Society for Experimental Biology and Medicine (New York, N.Y.), 1998

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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