The clinical practice of alternating periods of therapeutic anabolic hormone administration with periods of cessation or reduced dosage. This strategic fluctuation is intended to optimize the beneficial effects on tissue synthesis, primarily muscle and bone, while mitigating potential adverse effects associated with chronic, continuous high-dose exposure. The goal is to enhance the anabolic signaling pathways and potentially prevent receptor downregulation or hypothalamic-pituitary-gonadal axis suppression.
Origin
The concept stems from the historical and clinical use of exogenous anabolic agents, evolving from empirical bodybuilding practices into more structured, though still debated, protocols within hormonal optimization therapy. The term combines the physiological process of anabolism, which is the constructive phase of metabolism, with the concept of periodic dosing common in pharmacology. This practice is a clinical attempt to leverage physiological feedback loops for therapeutic benefit.
Mechanism
Cycling attempts to exploit the body’s natural homeostatic mechanisms and receptor physiology. During the on-cycle, supraphysiological levels drive protein synthesis and nitrogen retention within target tissues. The subsequent off-cycle allows the endogenous endocrine system to attempt recovery of its native hormone production. Crucially, this period also restores receptor sensitivity, which can become desensitized from constant, high-level stimulation, thereby priming the system for the next phase.
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