The therapeutic optimization of the relative concentrations between related hormones, focusing on the functional interplay rather than absolute levels alone. A prime example is balancing testosterone to estrogen ratios or the ratio of active T3 to reverse T3. This precision targets downstream receptor activity and mitigates undesirable side effects.
Origin
This practice evolves from recognizing that hormonal effects are determined by relative concentrations at the cellular level, not just absolute values in the blood. The ratio dictates the biological signaling dominance between competing or synergistic hormones.
Mechanism
Balancing is achieved by selectively supporting the production, conversion, or clearance of one hormone relative to another. For instance, optimizing 5-alpha reductase activity can improve the testosterone to DHT ratio, or managing aromatase activity balances estrogenic influence. This targeted manipulation ensures favorable downstream gene expression patterns.
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