IGF-1 Trajectory Management is the clinical practice of monitoring and strategically influencing the concentration of Insulin-like Growth Factor 1 (IGF-1) over time to maintain optimal levels for tissue health and longevity. IGF-1, a peptide hormone primarily produced in the liver in response to Growth Hormone (GH), mediates many of GH’s anabolic effects. Management focuses on balancing its regenerative benefits against the potential risks associated with excessively high or low long-term levels.
Origin
The concept is rooted in the neuroendocrinology of the Growth Hormone/IGF-1 axis and its well-established role in human development and aging. Trajectory emphasizes the longitudinal pattern of concentration, acknowledging that IGF-1 naturally declines with age. Management denotes the active clinical intervention to steer this decline toward a healthy, sustained course.
Mechanism
The liver releases IGF-1 upon stimulation by pulsatile GH secretion, and IGF-1 then acts systemically as a potent anabolic and anti-apoptotic factor. Management involves carefully adjusting lifestyle factors or GH-secretagogues to optimize the GH pulse amplitude and frequency. This fine-tuning ensures sufficient IGF-1 for muscle protein synthesis, bone turnover, and cognitive function without promoting adverse cellular proliferation.
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