Hypothalamic Setpoint Recalibration is the process of adjusting the internal regulatory thermostat, primarily located in the hypothalamus, that governs long-term physiological norms for variables like body weight, appetite, and core temperature. This recalibration seeks to establish healthier, more advantageous physiological targets than those dictated by chronic metabolic stress. It addresses the central control of energy balance.
Origin
The term derives from classic endocrinology concerning homeostatic control mechanisms, where the hypothalamus acts as the primary integrator for many visceral functions. Recalibration implies that the current setpoint is maladaptive, often driven by environmental inputs like chronic caloric surplus or persistent inflammation. It is an intervention aimed at the central control center.
Mechanism
This recalibration often involves sustained modulation of satiety signals, such as leptin and ghrelin sensitivity, which feed back to the arcuate nucleus of the hypothalamus. Successful adjustment may require reducing chronic inflammatory signaling that erroneously shifts the setpoint toward energy storage or hypercortisolemia. Interventions targeting gut microbiome balance can also indirectly influence these central regulatory signals.
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