The clinical process of implementing targeted interventions to reverse or significantly mitigate age-related or pathological decline across specific mental faculties, such as memory, executive function, attention, and processing speed. Restoration goes beyond mere maintenance, aiming for measurable improvement in cognitive performance and functional neurological capacity. This is a critical focus in hormonal health, as the brain is a highly hormone-sensitive organ. The goal is to enhance mental clarity and support long-term brain health.
Origin
This term arises from the convergence of clinical neurology, cognitive psychology, and endocrinology, acknowledging the neuroendocrine basis of cognitive decline. It reflects a modern clinical aspiration to not only prevent further decline but to actively reclaim lost neurological function, driven by advancements in neuroplasticity research. The concept is closely linked to the understanding of neurosteroids and their role in synaptic health.
Mechanism
Restoration is often achieved through optimizing the neurohormonal environment, particularly ensuring adequate levels of thyroid hormones, sex steroids like estradiol and testosterone, and neurosteroids like DHEA and pregnenolone, which are crucial for neuronal signaling and synapse formation. Interventions also target neuroinflammation reduction, enhancement of cerebral blood flow, and promotion of neurogenesis in regions like the hippocampus. These synergistic mechanisms work to improve neuronal network efficiency and reverse structural and functional deficits.
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