Pregnenolone in Men: Help determining proper dosage and frequency

Hi all,
I've been experimenting with pregnenolone for over a year now, with varied success. I seem to get benefits at 100mg (such as higher libido, more pronounced nighttime erections and better sleep); however, I don't get these results consistently. If I try to continue 100mg daily, the effects start waning by the second day (my theory for this is possibly progesterone elevating too high). I've also tried lowering the dose to 10mg, 25mg and 50mg; however, oddly enough, I only seem to get the benefits at 100mg. Extended use at the other doses eventually builds up and produces only negative effects. Anyway, I was wondering if anybody could clarify the half-life of pregnenolone, its sulfate derivative, and its conversion to progesterone and could offer any insight on dosing frequency.

By the way, I've experimented with just progesterone, but the benefits are less pronounced, and I become more susceptible to the negative effects.

(sorry for the long-winded ramble)

pregnenolone in men.webp

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Pregnenolone Supplementation in Men: Dosage, Effects, and Considerations​

This briefing document summarizes key themes and important facts regarding pregnenolone supplementation, primarily for men, drawing from discussions and articles within the "Excel Male TRT Forum." The information covers optimal dosing strategies, the hormone's metabolism, its potential benefits and side effects, and interactions with other hormones like progesterone and DHEA.

1. Pregnenolone Metabolism and Half-Life​

Pregnenolone is a precursor hormone, meaning it can convert into various other downstream hormones including progesterone, DHEA, allopregnanolone, and even cortisol. This metabolic versatility explains its varied effects.

  • Half-Life: Pregnenolone itself has a relatively short half-life of 3 to 4 hours. However, it is converted into pregnenolone sulfate, which has a longer half-life of 10–12 hours. This extended presence of its derivative allows for a more sustained effect in the body. (Nelson Vergel, Jul 27, 2021, #2)
  • Conversion Pathways: A significant amount of pregnenolone is broken down into progesterone. Progesterone can then be further converted into cortisol or allopregnanolone, a potent GABAergic neurosteroid. (Nelson Vergel, Jul 27, 2021, #2)
  • Liver Metabolism: Oral pregnenolone has high metabolism and low bioavailability, with significant conversion into other steroids occurring in the liver. (JA Battle, Jul 27, 2021, #4)

2. Dosing Strategies and Effects​

Individuals respond differently to pregnenolone, with optimal dosing varying. The goal is often to maximize benefits while mitigating potential negative side effects, primarily due to progesterone accumulation.

  • Individualized Response: The original poster, Sozzing, found benefits only at 100mg (higher libido, pronounced nighttime erections, better sleep), while lower doses (10mg, 25mg, 50mg) eventually led to negative effects. However, 100mg daily also saw effects waning by the second day, theorized to be due to elevated progesterone. (Sozzing, Jul 26, 2021, #1)
  • Progesterone Accumulation & Receptor Downregulation: High doses can lead to progesterone build-up, causing declining returns or negative consequences such as "tiredness, brain fog, mood swings." Strong doses might also "overstimulate neurosteroid receptors, hence lowering sensitivity over time." (Nelson Vergel, Jul 27, 2021, #2)
  • Recommended Dosing Techniques to Preserve Results: Pulsed Dosing: "Every Other Day or 2-3x Weekly pulsed dosing may help to prevent too high progesterone levels while still preserving the advantages at 100mg." (Nelson Vergel, Jul 27, 2021, #2)
  • Alternative Administration: "Sublingual or transdermal" methods avoid first-pass liver metabolism, potentially yielding "a more constant and predictable impact." (Nelson Vergel, Jul 27, 2021, #2)
  • Split Dosing: Breaking a large dose (e.g., 100mg) into "3x daily" smaller amounts may lead to "a more favorable ratio between pregnenolone sulfate, progesterone, and dhea." (JA Battle, Jul 27, 2021, #4)
  • Morning Low Dose with Occasional Higher Dose: "Try 10–25 mg daily then, once or twice a week, 100 mg." (Nelson Vergel, Jul 27, 2021, #2)
  • Typical Endogenous Production: An adult "roughly makes around 30mg per day" of pregnenolone. (JA Battle, Jul 27, 2021, #4)
  • Observed Benefits (Nelson Vergel): Taking 100mg twice daily (total 200mg/day) led to "deeper sleep and more fluidity in my speech." (Nelson Vergel, Jul 31, 2021, #12) His pregnenolone levels increased from "almost undetectable to 95 ng/dL" on 100mg/day, with a "normal" range for men being 10-200 ng/dL. (Nelson Vergel, Jul 31, 2021, #12)
  • Study Doses: Some studies have used significantly higher doses, such as 50mg twice daily ramping up to 250mg twice daily for depression in menopausal/perimenopausal women and up to 500mg per day for bipolar depression. One study even administered 400mg per day. (Nelson Vergel, Jul 31, 2021, #10, #11, #13)

3. Interaction with Other Hormones and Conditions​

Pregnenolone's effects are intertwined with other hormone levels and can be influenced by exogenous hormone therapies like TRT.

  • Progesterone: Simply taking progesterone is "not as effective" as pregnenolone, as pregnenolone supports multiple metabolic routes, not just progesterone production. Direct progesterone bypasses the "upstream neurosteroid balancing," potentially causing imbalances. (Nelson Vergel, Jul 27, 2021, #2)
  • DHEA: Combining pregnenolone with 10–25 mg DHEA might help "offset the slow down caused by too much or low progesterone" because they share metabolic pathways. (Nelson Vergel, Jul 27, 2021, #2) However, Nelson Vergel personally does not take DHEA, stating "TRT has very little effect on DHEA and my levels are usually mid range. The data on DHEA and mood is all over the place. Not a strong believer." (Nelson Vergel, Jul 31, 2021, #16)
  • TRT and LH Hormone: For individuals on Testosterone Replacement Therapy (TRT), the absence of LH hormone can affect pregnenolone conversion. "Pregnenolone taken in one large dose will convert more heavily to progesterone and pregnenolone sulfate." This is "not reliable especially while on trt" because "LH is needed to ensure proper conversion of pregnenolone." hCG might spur conversion but in different ratios than natural pulsatile LH. (JA Battle, Jul 27, 2021, #4)
  • Estrogen (E2): Pregnenolone is "so far up in the cascade" that Nelson Vergel has "not seen any increase in E2" in his experience. (Nelson Vergel, Aug 8, 2021, #20)
  • NMDA Receptors: High doses, especially while on TRT, can lead to increased pregnenolone sulfate, which "agonizes nmda receptors." The negative symptoms experienced by Sozzing were similar to his experiences with glycine, which is also involved with NMDA receptors. (JA Battle, Jul 27, 2021, #4; Sozzing, Jul 28, 2021, #6)
  • Allopregnanolone and Emotion Regulation: Pregnenolone administration leads to elevated allopregnanolone, which is associated with "reduced activity in regions linked to the generation of negative emotion," "increased activity in regions linked to regulatory processes," and "enhancement of functional connectivity" in the brain. This can lead to "less self-reported anxiety." Allopregnanolone is a "potent allosteric modulator of the GABA(A) receptor with anxiolytic properties." (Nelson Vergel, Jul 31, 2021, #13, quoting a study)

4. Supporting Compounds​

To manage potential side effects, particularly those related to progesterone accumulation and GABAergic effects:

  • "Increasing your consumption of magnesium, taurine, or ashwagandha might help control GABA-related side effects if progesterone accumulation is causing unpleasant consequences." (Nelson Vergel, Jul 27, 2021, #2)

5. Administration and Testing​

  • Administration Routes: Pregnenolone can be taken orally, subcutaneously, intravenously, intranasally, and topically/transdermally. Oral administration, however, has high metabolism and low bioavailability. (Nelson Vergel, Jul 27, 2021, #2, quoting "Pregnenolone and Progesterone for Men: Pharmacokinetics and Studies")
  • Testing: Blood tests for pregnenolone and progesterone are available to monitor levels and guide dosing adjustments. (Nelson Vergel, Jul 27, 2021, #2, provides links to discounted labs)
In conclusion, pregnenolone supplementation is a complex area requiring careful consideration of dosage, frequency, and individual metabolic responses. While it offers potential benefits for libido, sleep, and mood due to its role as a precursor to various neurosteroids, managing its conversion, particularly to progesterone, is crucial to avoid adverse effects. Consulting with healthcare professionals and monitoring hormone levels are essential for safe and effective use.
 
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How u feeling on the 200mg of pregnenolone? And positives or negatives to report? Do u take it in the morning or before bed, I forget

I take 200 mg right before dinner. I sleep a lot more deeply and feel much calmer during the day. I also feel like I can articulate things much better. I started with 100 mg for a month and then went up to 200 mg after I saw that most studies titrated up to 500 mg per day.
 
I take 200 mg right before dinner. I sleep a lot more deeply and feel much calmer during the day. I also feel like I can articulate things much better. I started with 100 mg for a month and then went up to 200 mg after I saw that most studies titrated up to 500 mg per day.
That’s awesome to hear Nelson. Are u still taking the form of pregnenolone that doesn’t increase progesterone? Ur last set of labs prog didn’t increase at all correct?

Do u mind linking the Pregnenolone supplement that u take? I’m gonna save it just incase I ever want to switch to oral preg. Gonna be experimenting with topical first
 
Hmm on Labcorp my pregnenolone is less than 10 but my progesterone is 0.5 with that being the top. Is the reliability of pregnenolone blood testing off ?
 
That’s awesome to hear Nelson. Are u still taking the form of pregnenolone that doesn’t increase progesterone? Ur last set of labs prog didn’t increase at all correct?

Do u mind linking the Pregnenolone supplement that u take? I’m gonna save it just incase I ever want to switch to oral preg. Gonna be experimenting with topical first

Please look at post #12 for product


I have not tested my progesterone on 200 mg per night dose of pregnenolone. On vacation until tomorrow. Will do so on Friday.

Taking that OTC product I bought on Amazon, my pregnenolone increased from undetectable to 95 ng/dL. Let's see if there is a lineal relationship between dosing and blood level!

I used the pregnenolone LC/MS test from Quest (the one I sell on Discounted Labs). Quest says normal range of pregnenolone for men is


Adult

22-237 ng/dL




Progesterone testing is more tricky when it comes to values and ranges and what company you are using.


Someone mentioned this before. The progesterone lab test range for either LC/MS or immunoassay suck for Labcorp and Quest.

Quest:

LC/MS:
Less than 0.2 ng/mL (milliliter, not deciliter)

Immunoassay:

less than 1.4 ng/mL

They also say "DHEA supplementation causes a false elevation of values in this standard Immunoassay method for progesterone."

Labcorp


LC/MS (no range provided)

Immunoassay
0-0.5 ng/mL


I think I will include 17-OH progesterone since it has precise ranges and it has been linked to testicular health and function. I have not used hCG in the past two weeks on vacation




As you can tell, testing for progesterone levels is confusing right now with either company!
 
@Nelson Vergel ive been using labcorp’s non-sensitive progesterone test while experimenting with exogenous progesterone, and even if it is unreliable, it will at least tell u if ur progesterone levels have been increased by using pregnenolone. It might not give u ur correct level, but it will definitely let u know if the pregnenolone is increasing ur prog levels at all. Their non-sensitive prog test has always showed my level at around the same very low level while on TRT without anything that increases progesterone levels, and it has gone up to around where I was expecting it to while on 2mg of injectable progesterone, and then when I cut the dose in half and was on 1mg of injectable progesterone my level came back a little below half of what it was on 2mg. So I still see plenty of value in their non-sens progesterone test, even if it isn’t giving u a completely accurate representation of where ur progesterone level sits.
 
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Idk, but I’d like to throw injectable progesterone into that comparison if anyone knows the differences between all of them, if there is any
 
Just to update; the experiment of splitting the doses up throughout the day was a bit of a bust, tried it for 2 weeks, but consistently felt worse. Seems like only the high dose all at once is able to give me benefits just, unfortunately, isn't consistent. I would like to add that I believe the success I do intermittently experience has more to do with pregnenolone’s ability to improve my sleep metrics as I get similar inconsistent results with l-theanine.
 
Is there any difference between oral and topical Pregnenolone use?
I personally do better on transdermal. In my case it may be from there being a lot of 5AR in the skin that might preferentially convert it to allopregnenolone. On oral, I just get anxious and irritable, which progesterone on the scrotum does to me as well. Progesterone came in a little high on my last blood test. Progesterone on the skin relaxes me.
 
Please look at post #12 for product


I have not tested my progesterone on 200 mg per night dose of pregnenolone. On vacation until tomorrow. Will do so on Friday.

Taking that OTC product I bought on Amazon, my pregnenolone increased from undetectable to 95 ng/dL. Let's see if there is a lineal relationship between dosing and blood level!

I used the pregnenolone LC/MS test from Quest (the one I sell on Discounted Labs). Quest says normal range of pregnenolone for men is

Adult

22-237 ng/dL



Progesterone testing is more tricky when it comes to values and ranges and what company you are using.


Someone mentioned this before. The progesterone lab test range for either LC/MS or immunoassay suck for Labcorp and Quest.

Quest:

LC/MS:
Less than 0.2 ng/mL (milliliter, not deciliter)

Immunoassay:

less than 1.4 ng/mL

They also say "DHEA supplementation causes a false elevation of values in this standard Immunoassay method for progesterone."

Labcorp


LC/MS (no range provided)

Immunoassay
0-0.5 ng/mL


I think I will include 17-OH progesterone since it has precise ranges and it has been linked to testicular health and function. I have not used hCG in the past two weeks on vacation




As you can tell, testing for progesterone levels is confusing right now with either company!

now that you have doubled the Pregnenolone, and I understand still using the same OTC brand, I would be very curios to see if Progesterone has increased at all. Please update us with this.
 
I'm eager to hear @Nelson Vergel results as well.
Sounds like he dropped his pregnenolone dose down to 100mg/ day again. Did he get his progesterone levels tested while on 200mg/ day? And wasn’t he on a form of preg that didn’t really effect progesterone levels? Pretty sure when he tested it on 100mg/ day of preg his prog levels didn’t budge right?
 
Sounds like he dropped his pregnenolone dose down to 100mg/ day again. Did he get his progesterone levels tested while on 200mg/ day? And wasn’t he on a form of preg that didn’t really effect progesterone levels? Pretty sure when he tested it on 100mg/ day of preg his prog levels didn’t budge right?

on oral OTC pregnenolone 100 mg per day: Pregnenolone went from undetectable to 95 ng/dL

on oral OTC pregnenolone 100 mg per day: Pregnenolone up to 153 ng/dL

Started a lower dose of preg again (100mg/day- from Empower) when I brought in 50 mg progesterone from Empower. I felt very tired during the morning for 3 days and stopped progesterone (I did not test for progesterone). I stay on 200 mg of pregnenolone every night from Empower now. Nightly pregnenolone helps me sleep better without a groggy feeling in the morning.

I am talking to Empower to see if they can make 25 mg progesterone capsules or to make tablets that we can break instead of capsules that we can't.

I have posted this somewhere but I need to do a better job at consolidating the multiple pregnenolone and progesterone threads that keep popping up. It is becoming confusing for all.

Continuing with my trial and error.
 
on oral OTC pregnenolone 100 mg per day: Pregnenolone went from undetectable to 95 ng/dL

on oral OTC pregnenolone 100 mg per day: Pregnenolone up to 153 ng/dL

Started a lower dose of preg again (100mg/day- from Empower) when I brought in 50 mg progesterone from Empower. I felt very tired during the morning for 3 days and stopped progesterone (I did not test for progesterone). I stay on 200 mg of pregnenolone every night from Empower now. Nightly pregnenolone helps me sleep better without a groggy feeling in the morning.

I am talking to Empower to see if they can make 25 mg progesterone capsules or to make tablets that we can break instead of capsules that we can't.

I have posted this somewhere but I need to do a better job at consolidating the multiple pregnenolone and progesterone threads that keep popping up. It is becoming confusing for all.

Continuing with my trial and error.
I bet now that you are using the micronized Pregnenolone from Empower, your Progesterone level increased as well.

25/50mg Progesterone capsule is way too much for men, 5 or 10mg max is a good dose, to my understating
 
on oral OTC pregnenolone 100 mg per day: Pregnenolone went from undetectable to 95 ng/dL

on oral OTC pregnenolone 100 mg per day: Pregnenolone up to 153 ng/dL

Started a lower dose of preg again (100mg/day- from Empower) when I brought in 50 mg progesterone from Empower. I felt very tired during the morning for 3 days and stopped progesterone (I did not test for progesterone). I stay on 200 mg of pregnenolone every night from Empower now. Nightly pregnenolone helps me sleep better without a groggy feeling in the morning.

I am talking to Empower to see if they can make 25 mg progesterone capsules or to make tablets that we can break instead of capsules that we can't.

I have posted this somewhere but I need to do a better job at consolidating the multiple pregnenolone and progesterone threads that keep popping up. It is becoming confusing for all.

Continuing with my trial and error.
So u take ur pregnenolone at night before bed?

Have u considered using injectable progesterone subQ?
 
@Nelson Vergel what pregnenolone test have u been doing? Is it just a serum pregnenolone test? Ive heard testing serum pregnenolone levels isn’t very reliable, but if ur level went up quite a bit while supplementing, sounds like it’s at least a useful tool to see if ur increasing ur levels or not. What’s ur thoughts?
 
@Nelson Vergel what pregnenolone test have u been doing? Is it just a serum pregnenolone test? Ive heard testing serum pregnenolone levels isn’t very reliable, but if ur level went up quite a bit while supplementing, sounds like it’s at least a useful tool to see if ur increasing ur levels or not. What’s ur thoughts?
I'm curious as well.

@Nelson Vergel I'm confused as to what the following statements meant, did it mean that two separate pharmaceutical preparations of preg. led to different level at separate blood draws?

"on oral OTC pregnenolone 100 mg per day: Pregnenolone went from undetectable to 95 ng/dL"

"on oral OTC pregnenolone 100 mg per day: Pregnenolone up to 153 ng/dL"


May I ask what level of pregnenolone you are trying to achieve? Possibly 75 percentile of the upper >237?

100mg of preg. usually increases progesterone 1.2ng/ml, supplementing 10mg of progesterone achieves a level of 3.2ng/ml. What level of progesterone are you trying to achieve on progesterone? If using doses beyond physiological or achieving levels beyond physiological ranges, are you concerned of the side effects or possible adverse effects?

I'll been taking 200mg of preg. the past three days. Subjectively, I feel an increase in energy and focus which is certainly welcomed but it also has increased anxiety if taken both morning and before bed (100mg bid). I may try one large daily dose taken prior to bed.

Thanks for your time!
 
What level of progesterone are you trying to achieve on progesterone? If using doses beyond physiological or achieving levels beyond physiological ranges, are you concerned of the side effects or possible adverse effects?
Progesterone blood testing sucks. I even used the LC/MS but the range is really non-specific. So, I don't have a clear picture yet on my progesterone at 100 mg/night of pregnenolone

I have not tried more than 100 mg per night of pregnenolone. I may go up since studies for mood improvements used 400 mg per day. The only thing I can say now is that I sleep a lot more deeply.

I tried 25 and 50 mg of progesterone from Empower in the past but I felt tired.
 

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