This specialized field examines the profound and intricate bidirectional relationship between the endocrine system and all aspects of cognitive performance, including memory, executive function, and mood regulation. It clinically addresses how fluctuations and deficiencies in systemic hormones directly influence brain structure and neurochemical signaling. The practice involves using hormone optimization to support and restore neurological health.
Origin
This domain is a subspecialty emerging from classical endocrinology and neuroendocrinology, acknowledging the brain as a primary target organ for hormones like thyroid hormones, cortisol, testosterone, and estrogen. The field gained prominence with the recognition of age-related cognitive decline correlating with specific hormonal changes. It integrates neurobiology with the systemic control mechanisms of the body.
Mechanism
Hormones exert their effects on the brain by binding to specific nuclear and membrane receptors widely distributed throughout the central nervous system, particularly in the hippocampus and prefrontal cortex. These steroid and peptide hormones modulate gene expression, influence synaptic plasticity, and regulate the production of neurotrophic factors like BDNF. The overall mechanism is one of neuroprotection and neuro-modulation, sustaining the structural and functional integrity required for optimal cognition.
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