This clinical modality involves the administration of specific vitamins at dosages significantly exceeding the standard Recommended Dietary Allowance (RDA) to achieve a therapeutic effect, often leveraging their roles as cofactors or signaling molecules. This approach is employed to correct severe nutrient deficiencies, overcome genetic polymorphisms that impair cofactor utilization, or exploit pharmacological properties of certain vitamins. The intent is to saturate cellular pathways to optimize enzymatic reactions critical for metabolic and endocrine health.
Origin
The practice finds its roots in orthomolecular medicine and the study of vitamin dependency syndromes, where supra-physiological doses were found to correct certain metabolic errors. The rationale is based on biochemical principles, treating vitamins not just as essential nutrients but as potent pharmacological agents when administered at high concentrations. This is a targeted approach to correcting functional deficits.
Mechanism
Many vitamins, particularly B vitamins and Vitamin D, function as essential cofactors for enzymes involved in critical metabolic pathways, including the synthesis and breakdown of hormones and neurotransmitters. High-dose administration aims to drive these enzymatic reactions forward, overcoming kinetic limitations or poor binding affinities often present in suboptimal health states. This optimization supports processes like methylation, energy production, and detoxification, which are essential for overall hormonal homeostasis.
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