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Research suggests that dehydroepiandrosterone (DHEA), a steroid hormone essential to the production of estrogen and testosterone) may enhance quality-of-life for people with lupusand increase testosterone production (see below). Other factors related to quality of life include sleep quality, the quality of food, and social interaction. However, individuals with lupus may have more severe symptoms that are generally worse than general populations do, and they are often underrepresented among physicians (6). Lupus is a potentially life-threatening chronic inflammatory disease with no recognized treatment. L-EFA, a metabolite of L-Ester, is one component of the active metabolite of DHEA responsible for DHEAT and DHT. It contains both the major and minor components (1)and (2), and is a precursor for the DHEAS (3). L-EFA is found in several types of fruits, such as bananas, apples, apricots, plums, and strawberries. While it is considered an essential nutrient for health, its exact balance in your diet is unclear to many people. Recent findings indicate an apparent link between the availability of DHEA from L-EFA and the occurrence of lupus (6). What Is Lupus? Lupus is a chronic inflammatory disease characterized by frequent, prolonged, sometimes severe (n = 2.9 million) and sometimes prolonged (n = 9 million) urinary tract infections (UTIs) that occur often, particularly in the middle to old age of the individual, affecting approximately 17% of the American population (12). About 1 in 6 Lupus patients have experienced chronic pain at some point prior to the onset of the disease. Lupus patients are often considered "poor people" (1). This label has not been entirely accurate. A 2007 study of adults with lupus who were treated in a community-based outpatient program in Minnesota found that 79% had no documented illness other than mild pain, and 90% had never been hospitalized for treatment of pain or other symptoms. Lupus may also present with an underrepresentation in the medical literature. An American Academy of Family Physicians editorial (25); American Congress of Family Physicians editorial (27), and the World Health Organization-sponsored World Health Organization Committee on the Law of Treatments on Cancer in 1998 recommended that "Lupus and the related disorders … be considered a disease with considerable scope, with significant morbidity, long-term mortality, and cost of the disease." The American Association of Medical Specialists and a National Alliance on Mental Illness (NAMI) document (27) provide evidence to support the recommendation. The American Related Article: