A clinical methodology where therapeutic or lifestyle modifications are precisely determined and iteratively refined based on objective, quantifiable physiological measurements, or biomarkers. This approach mandates that all interventions, especially those impacting endocrinology, must demonstrate measurable efficacy through serial data analysis. It shifts practice from generalized protocols to data-validated personalization.
Origin
The term combines “biomarker,” a measurable indicator of a biological state, with “adjustment,” signifying a modification to a plan. Its prominence reflects the maturation of analytical biochemistry and functional endocrinology, allowing for granular assessment of internal milieu. We use hard data to guide the clinical trajectory.
Mechanism
The process initiates with baseline measurement of relevant analytes, perhaps sex hormone binding globulin or cortisol awakening response. Subsequent interventions, such as nutrient loading or hormone titration, are applied, followed by re-measurement to assess the magnitude and direction of the biological shift. This closed-loop system ensures that adjustments are only made when objective data confirms a deviation from the desired physiological set point.
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