A clinical strategy focused on stabilizing and optimizing the natural 24-hour rhythm of the stress hormone cortisol through targeted lifestyle and therapeutic interventions. Effective management aims to maintain the healthy diurnal curve, preventing chronically elevated or inappropriately flattened cortisol profiles associated with adrenal dysregulation and systemic stress. This is a foundational step in restoring hormonal balance.
Origin
This term is rooted in functional endocrinology and stress physiology, where the emphasis shifts from merely diagnosing pathology to restoring optimal hormonal rhythmicity. It acknowledges the profound impact of chronic psychological and physiological stressors on the HPA axis. Clinical tools often include salivary or dried urine testing to accurately map the diurnal curve.
Mechanism
Management techniques primarily work by influencing the upstream signals to the HPA axis and enhancing the feedback loops that regulate cortisol release. Interventions include chronobiologically timed light exposure, strategic nutrient intake to support adrenal health, and stress reduction practices that dampen the excessive secretion of CRH and ACTH. Restoring the appropriate rhythm improves sleep quality and metabolic function.
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