The strategic oversight and modulation of sequential hormonal events, such as the Hypothalamic-Pituitary-Adrenal (HPA) or Hypothalamic-Pituitary-Gonadal (HPG) axes, to maintain systemic equilibrium. Effective management ensures that the progression of hormone release and effect follows a healthy, predictable trajectory. We aim to prevent dysregulation across the chain.
Origin
This term merges the concept of a ‘hormonal cascade,’ the sequential release of regulatory hormones, with ‘management,’ implying deliberate control over that sequence. It acknowledges that endocrine health is not about single hormone levels but the dynamic interaction between them over time. The origin lies in systems thinking applied to endocrinology.
Mechanism
Management involves identifying points of positive or negative feedback disruption within the cascade, often targeting upstream regulators like CRH or GnRH secretion. By optimizing nutrient status and reducing chronic allostatic load, we improve the sensitivity of pituitary and peripheral glands to their trophic signals. This stabilization allows for predictable downstream hormone production necessary for metabolic stability.
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