The advanced clinical practice of administering exogenous hormones in a temporal pattern that closely mimics the body’s natural, endogenous secretion rhythms, particularly the diurnal or ultradian pulses. This strategy moves beyond static dosing to align replacement therapy with the body’s chronophysiology, aiming to maximize therapeutic efficacy and minimize the disruption of native feedback mechanisms. Synchronization is a key factor in restoring a more youthful endocrine function.
Origin
This term represents a refinement of traditional Hormone Replacement Therapy (HRT), integrating the principles of chronopharmacology and physiological endocrinology. The origin lies in the recognition that the timing of hormone delivery is as important as the dose for achieving true biological parity.
Mechanism
Synchronization primarily targets the hypothalamic-pituitary axes, attempting to maintain appropriate negative feedback signaling while providing the necessary peripheral hormone levels. For instance, mimicking the morning cortisol peak or the nocturnal Growth Hormone pulse helps sustain normal adrenal and pituitary function and prevents the suppression associated with non-physiologic, constant dosing.
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