A clinical strategy focused on re-establishing optimal physiological concentrations and rhythmic secretion patterns of key male endocrine hormones, primarily testosterone, alongside appropriate balance of its metabolites and other related hormones like DHEA and pregnenolone. The goal is to alleviate symptoms of androgen deficiency, restore lean body mass, improve bone mineral density, and enhance psychological drive and vitality. Restoration emphasizes a return to a youthful, healthy hormonal profile.
Origin
The term combines ‘male hormone’ with ‘restoration,’ indicating a corrective, therapeutic action aimed at reversing decline. This practice evolved from early androgen replacement therapy to modern, nuanced endocrinology that considers the entire Hypothalamic-Pituitary-Gonadal (HPG) axis and individual patient biomarkers. It is a cornerstone of men’s health and longevity medicine, addressing the clinical syndrome of hypogonadism.
Mechanism
Restoration is achieved through various modalities, including bio-identical hormone replacement therapy (HRT), selective estrogen receptor modulators (SERMs) to stimulate endogenous production, or nutritional and lifestyle interventions to support precursor synthesis and reduce catabolism. The intervention aims to optimize circulating and free testosterone levels, ensuring adequate androgen receptor activation in target tissues such as muscle, bone, and the central nervous system.
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