A clinical strategy focused on counteracting the sustained state of catabolism, or tissue breakdown, which often accompanies chronic illness, prolonged stress, or advanced aging. Mitigation involves targeted interventions to shift the body’s metabolic balance back towards anabolism, promoting tissue synthesis and repair. This is a crucial goal in hormonal health to prevent sarcopenia and preserve functional capacity.
Origin
This term synthesizes concepts from metabolic physiology, endocrinology, and sports medicine, addressing the clinical challenge of reversing persistent negative nitrogen balance. “Catabolic inertia” describes the difficulty the body faces in escaping a breakdown state once it is deeply entrenched. The focus on “mitigation” highlights a proactive, rather than reactive, therapeutic approach to metabolic health.
Mechanism
Mitigation strategies primarily function by optimizing the anabolic hormone milieu, specifically enhancing the bioavailability and signaling of hormones like testosterone, growth hormone, and insulin-like growth factor 1 (IGF-1). This involves nutritional support and pharmacological agents that inhibit catabolic signaling pathways, such as those mediated by excess cortisol. The core mechanism is re-sensitizing cellular machinery to anabolic signals to drive protein synthesis and reduce proteolysis.
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