Functional Androgen Replacement is a personalized therapeutic approach to administering androgens, such as testosterone or DHEA, with the clinical goal of restoring hormonal balance and achieving optimal physiological function rather than simply correcting a pathological deficiency. This replacement targets the specific needs of the individual to enhance vitality, mood, body composition, and overall quality of life. It emphasizes the achievement of functional levels that support well-being, not just standard laboratory normalization.
Origin
This concept developed within the functional and anti-aging medicine communities, building upon traditional hormone replacement therapy. The term ‘functional’ signifies a shift in clinical focus from disease management to optimizing the endocrine environment for peak performance and health maintenance.
Mechanism
The mechanism involves administering bio-identical androgens, typically via transdermal or injectable routes, to supplement or replace diminished endogenous production. The exogenous hormones bind to androgen receptors in target tissues, promoting protein synthesis, erythropoiesis, and neurological function. Precise titration and monitoring are crucial to maintain the ideal free-to-bound ratio and prevent adverse effects from excessive conversion to estrogen or dihydrotestosterone (DHT).
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