The systematic body of clinical and basic research dedicated to understanding the optimal use, physiological effects, pharmacokinetics, and long-term safety of administering exogenous hormones to restore physiological levels lost due to aging or endocrine deficiency. This science encompasses the study of bioidentical versus synthetic hormones, various delivery methods, and individualized dosing strategies. Its primary aim is to mitigate symptoms and prevent the adverse health consequences associated with hormonal decline.
Origin
Hormone replacement therapy (HRT) originated in the mid-20th century with the use of estrogen for menopausal symptoms, but the science has evolved significantly, driven by large-scale clinical trials and advancements in molecular endocrinology. The current focus is on precision medicine, using physiological endpoints and comprehensive biomarker analysis.
Mechanism
The therapy functions by supplying a specific hormone, such as testosterone, estrogen, or thyroid hormone, to bind with target-tissue receptors, thereby restoring the downstream cellular and systemic effects that were diminished by endogenous deficiency. This action re-establishes critical endocrine feedback loops, supporting metabolic rate, bone density, cognitive function, and cardiovascular health, contingent upon appropriate dosage and individual metabolic response.
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