The therapeutic process of influencing and stabilizing the body’s genetically and environmentally determined equilibrium points for key physiological variables, such such as body weight, core temperature, or hormone levels. Effective management aims to shift these setpoints toward a healthier, more youthful range, enhancing homeostatic control and metabolic function. This strategy is central to sustainable longevity and wellness interventions.
Origin
The concept originates from control theory in physiology, where a “setpoint” is the optimal value for a regulated variable, like blood glucose or thyroid hormone. “Management” adds the clinical and lifestyle intervention layer to actively influence this intrinsic regulatory system.
Mechanism
Management operates primarily through manipulating the feedback loops controlled by the hypothalamus and endocrine glands. For example, influencing the setpoint for body weight involves modulating leptin and ghrelin sensitivity in the hypothalamus, while thyroid setpoint management affects TSH regulation. The goal is to restore neuroendocrine sensitivity to allow the body’s internal thermostat to operate efficiently.
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