The process of restoring the set points and functional responsiveness of the HPA or HPG axes following chronic perturbation or dysregulation. Recalibration involves guiding the central control centers back to their appropriate physiological operating parameters, often requiring time and supportive interventions. This aims to re-establish normal negative feedback sensitivity.
Origin
This phrase combines the anatomical HPA or HPG axes with the engineering concept of ‘recalibration,’ meaning adjustment to a new, accurate standard. It is clinically applied when long-term stress or deficiency has functionally altered central hormonal output.
Mechanism
Recalibration often necessitates reducing the external stressors that initiated the imbalance while simultaneously providing targeted support to normalize trophic hormone release. This may involve optimizing nutrient status or managing inflammatory inputs that interfere with hypothalamic GnRH or CRH neuron function. The mechanism relies on the inherent plasticity of these neuroendocrine centers to regain sensitivity to circulating hormone feedback signals.
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