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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.