Endogenous Hormone Simulation describes therapeutic strategies designed to mimic the natural, physiological patterns of hormone release and fluctuation produced by the body’s own endocrine glands. Rather than providing a constant, supraphysiological dose, this approach seeks to replicate the pulsatile or diurnal rhythms characteristic of healthy hormone secretion, such as that of LH or cortisol. The goal is to achieve functional efficacy while minimizing receptor desensitization.
Origin
This term unites endogenous (produced naturally within the body) with simulation (imitation of a process), rooted in advanced endocrinology seeking bio-identical therapeutic application. Historically, hormone therapy often involved steady-state dosing; simulation represents a refinement toward chronobiology and physiological fidelity. It acknowledges that how a hormone is delivered is as important as what is delivered.
Mechanism
The mechanism involves administering hormonal substrates or secretagogues in timed intervals that correspond precisely to the body’s natural secretory profile, often involving pulsatile pumps or complex pharmacokinetic matching. This precise timing ensures that target tissues are exposed to hormonal signals only when they would naturally occur, promoting appropriate receptor signaling dynamics. Successful simulation prevents the chronic receptor saturation that can lead to negative feedback or desensitization over time.
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