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Adrenal System Stewardship

Meaning

This concept describes the active, informed management of adrenal function, focusing on maintaining glucocorticoid and mineralocorticoid homeostasis under physiological or clinical stress. It is the proactive clinical oversight ensuring the HPA axis responds appropriately without excessive allostatic load accumulation. Stewardship implies recognizing the critical role of the adrenal glands in metabolic regulation and immune modulation across the lifespan.