Bioidentical Hormone Treatment (BHT) describes the clinical application of hormones, chemically identical to those naturally synthesized by the human body, to address deficiencies or imbalances. This approach necessitates accurate measurement of endogenous hormone levels prior to therapeutic initiation. The goal remains restoring physiological concentrations rather than supra-physiological levels, supporting overall endocrine homeostasis.
Origin
The term ‘bioidentical’ stems from the chemical synthesis process ensuring the molecular structure precisely matches human hormones like estradiol or testosterone, differentiating them from synthetic analogs. Its modern application is rooted in endocrinology’s shift toward personalized replacement therapies based on individual molecular profiles. The system belongs firmly within the practice of restorative endocrinology.
Mechanism
The mechanism relies on the administered hormone binding to its specific nuclear or membrane receptor, initiating downstream genomic or non-genomic signaling cascades. Because the molecular configuration matches endogenous ligands, these hormones interact predictably with established receptor sites, promoting normal cellular response patterns. Successful treatment hinges on achieving target tissue saturation without causing receptor downregulation or adverse signaling pathway activation.
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