WEST BLOOMFIELD NURSING CENTER IS THE
HEALTH CARE FACILITY OF CHOICE
MYTH page 73
74..4. 011‘‘
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Dr. Nusbaum completes a patient's records.
feel less tired and more energetic.
"The point is DHEA is a
steroidal hormone and high lev-
els of DHEA may cause problems.
That's why I don't tell a patient to
purchase DHEA in tablets over-
the-counter. I usually write a pre-
scription for a pharmacist to
complete so that I know the pa-
tient is receiving the dosage I pre-
scribe, something you can't be
certain of in commercial products.
"Moreover, I regularly monitor
the blood level of those patients
who are taking the prescribed
dosage of DHEA to make certain
that problems don't occur and that
their levels don't get too high.
"I'm not looking to create su-
per-human patients. My goal is
to diagnose and discover ways to
treat a hormonal imbalance so
that my patients feel healthy and
enjoy a good quality of life."
Elizabeth Tam, outpatient di-
etician for the Garden City Hos-
pital and nutritional counselor,
sometimes recommends DHEA
for patients over 50, always ad-
vising that they first check with
their physician before they start
taking the supplement.
"DHEA has been used in Cana-
da and Europe as a supplement
for some time," says Tam. "In the
United States, I'm not sure what
the Food and Drug Administra-
tion (FDA) has in mind with the
supplements. Ten years ago, the
agency told companies to stop sell-
ing DHEA which was marketed
primarily for weight loss at the
time and the FDA classified it as
an unapproved new drug obtain-
able only by prescription.
"A few years ago, DHEA was
reclassified as a dietary supple-
ment allowing sales over-the-
counter."
Tam feels strongly that pre-
cautions be taken because DHEA
gets converted to estrogens in the
body.
"Women who are taking estro-
gen may have to alter their
dosage," says Tam. "Women who
are pregnant or nursing shouldn't
be taking DHEA and those who
are on other medications, such as
blood thinners, thyroid medica-
tions or antidepressants, need to
consult their specialists.
"What you don't want is too
high a level of DHEA. The ap-
pearance of acne can be an indi-
cation that a patient's dosage is
too high. Other side effects include
hair growth in unwanted places
for women, irritability or mood
changes, insomnia and fatigue."
Jude Timlin, personal trainer
at Power House Gym in West
DHEA: Myth, Reality
Aging prevention, No studies actually demonstrate length-
ened lives and DHEA may actually shorten lives.
Increases libido. Because the level of DHEA drops as people
age, it doesn't equate to a lower sex drive or that increased DHEA
will increase the sex drive.
Immunity to cardiovascular disease. This is based on a
small study in California in 1986 that did not demonstrate con-
clusive results.
Helps people lose weight without dieting. Myth repeated
on the Internet. There is no human data to show a change in body
fat.
Helps prevent cancer. No evidence shows that DHEA affects
the development or prognosis of breast cancer.
Prevents osteoporosis. Not proven.
Boosts the immune system. Study showed humans did not
produce any higher levels of antibodies while taking DHEA.
Can help treat Alzheimer's disease. No proof. A clinical tri-
al is currently testing DHEA on Alzheimer patients in California.
Provides relief from Lupus. This may be true. More results
are expected this year.