A clinical strategy focused on enhancing the body’s intrinsic production and release of its own native hormones by optimizing the function of the endocrine glands and their regulatory axes. This approach seeks to improve the signaling efficiency of the hypothalamic-pituitary-target gland feedback loops, rather than introducing exogenous hormones. Successful upregulation results in a sustained, natural increase in biologically active hormone levels.
Origin
The term arises from the clinical desire to support and restore natural endocrine function, contrasting with hormone replacement therapy. ‘Endogenous’ refers to production within the organism, and ‘upregulation’ denotes an increase in biological response or production rate. This strategy is rooted in the principles of preventive and restorative endocrinology, emphasizing physiological self-correction.
Mechanism
Upregulation is achieved by providing targeted nutritional cofactors and botanical modulators that support the rate-limiting steps of steroidogenesis or peptide hormone synthesis. For instance, interventions may enhance cholesterol transport into the mitochondria of adrenal or gonadal cells, or improve the sensitivity of pituitary receptors to releasing hormones. This mechanism works by removing inhibitory factors and supplying essential substrates, thereby increasing the overall secretory capacity of the gland.
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