DHEA - oral vs transdermal - thoughts?
Below is an extract from an article by Dr Mercola - has anyone tried the rectal appn?
Why You Should AVOID All Oral Hormone Preparations
There are many ways to "naturally" address bioidentical hormone replacement but one of the most common mistakes is to use oral hormones.
But if you swallow steroid hormones you seriously distort their natural metabolism. Swallowed hormones encounter potent stomach acids, and the hormones that survive this assault then move to your liver where they will be further broken down. Your liver screens all molecules that enter your blood stream, passing some onward, modifying or detoxifying others, and rejecting a few.
This routing of orally swallowed hormones is in sharp contrast to the way nature intended them to be distributed to your tissues.
If you swallow hormones, only 10-15 percent will eventually reach the target tissues and you will need to take an oral dose that is 500 percent higher than you need.
Many different metabolites are created in your liver when you swallow a DHEA supplement and any of these can produce unwanted side effects.
So if you or anyone you know currently use an oral DHEA supplement or any other oral hormone, I encourage you to strongly consider phasing them out and instead using a DHEA cream preparation that you administer trans mucosally.
Best Way to Use DHEA Cream
The key mistake that many well-intentioned and knowledgeable doctors -- including myself -- have made is to advise using DHEA cream on your skin. While this certainly provides better results than swallowing the hormones, the method of delivery can still be improved.
The primary problem with topical skin application of the cream is that it's very difficult to determine the dose. Hormones also accumulate in fat tissue, so you may end up with far more than you need.
There is a relatively minor tweak you can make using the cream that avoids nearly all of the side effects of applying the cream on your skin.
If you apply the cream to your mucous epithelial membranes that line your vagina, you are able to obtain a virtually ideal administration system. Not only is absorption through these membranes more complete than through your skin, but hormones absorbed through your vaginal membranes also eliminate the production of unwanted metabolites of DHEA.
Men also require hormones and I myself take DHEA. Obviously men don't have a vagina to administer the cream, but we do have a rectum that has a similar mucosal epithelial surface. So for men, the ideal delivery system for DHEA is in cream form, through the rectum.