A clinical strategy focused on regulating the hypothalamic-pituitary-adrenal (HPA) axis to optimize the production and circadian rhythm of cortisol and DHEA. This management aims to restore the adrenal glands’ capacity to respond appropriately to physiological stress, moving away from states of chronic hyper- or hypo-cortisolism. It represents a personalized approach to modulating the body’s central stress response system. The goal is to achieve a stable, healthy hormonal baseline, thereby improving overall resilience and vitality.
Origin
The concept arises from modern functional and integrative endocrinology, building upon the established physiological understanding of the HPA axis and stress adaptation mechanisms. The term “setpoint” refers to the homeostatic ideal for adrenal hormone secretion, a concept borrowed from control theory in physiology. Clinical applications developed as practitioners sought better ways to address chronic stress-related fatigue and endocrine dysfunction.
Mechanism
Management involves targeted interventions, such as adaptogens, specific nutrient cofactors, and precise lifestyle modifications, which influence hypothalamic and pituitary signaling. These strategies work to re-sensitize or downregulate central stress receptors, promoting a healthier feedback loop within the HPA axis. The mechanism directly addresses the root cause of maladaptive adrenal function, shifting the body’s hormonal equilibrium toward its optimal setpoint.
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