Hormone Replacement Timing refers to the strategic scheduling of exogenous hormone administration to best mimic endogenous physiological secretion patterns. This is particularly relevant for hormones exhibiting strong diurnal or pulsatile release, such as cortisol or sex steroids, to optimize receptor saturation without inducing supra-physiological peaks. Precise timing supports better clinical efficacy and minimizes side effects.
Origin
This concept emerges from the clinical necessity of administering hormones when they are most needed or when the body naturally produces them, linking endocrinology with chronopharmacology. The “Timing” aspect acknowledges that hormone action is dependent not just on dose, but on when that dose is delivered relative to the body’s internal clocks.
Mechanism
The mechanism relies on understanding the half-life of the administered compound and the receptor dynamics of the target tissue. For instance, administering certain androgens or estrogens at specific intervals supports sustained receptor occupancy throughout the day or night cycle. Effective timing ensures that negative feedback mechanisms are respected while therapeutic goals are achieved.
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