A personalized clinical approach focused on adjusting circulating and tissue-level concentrations of androgens, such as testosterone and dihydrotestosterone (DHT), to levels associated with peak health and function. The strategy extends beyond merely correcting overt deficiency to achieving an optimal hormonal milieu for vitality, mood, and body composition. It considers the necessary balance between androgens and other steroid hormones, like estrogens. This optimization is crucial for metabolic and sexual health.
Origin
This term emerges from the evolution of endocrinology, shifting the focus from treating pathology to maximizing physiological function, particularly in aging males and females. The understanding of androgen receptors and their ubiquitous presence across various organ systems provides the scientific basis for optimization. Modern clinical practice emphasizes achieving high-normal reference ranges for sustained well-being.
Mechanism
Optimization involves precise diagnostic testing to assess total, free, and bioavailable androgen levels, along with downstream metabolites and sex hormone-binding globulin (SHBG). Interventions may include bioidentical hormone replacement, targeted nutritional support for endogenous production, or aromatase modulation to control conversion to estrogen. The ultimate goal is to enhance androgenic signaling for improved metabolic function and neurological health.
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