A micronized progesterone protocol dictates the administration of progesterone particles reduced to a small, uniform size to enhance absorption and subsequent bioavailability, typically via the oral route. This formulation strategy is often employed to achieve therapeutic effects, such as endometrial support or anxiolytic action, while minimizing undesirable systemic side effects associated with older delivery methods. Precise dosing is paramount in this protocol. It is a method for improving steroid absorption.
Origin
The term combines “micronized,” a pharmaceutical processing technique, with “progesterone,” the key endogenous steroid hormone. The protocol aspect denotes a structured, often cyclical, regimen designed to mimic or support natural luteal phase physiology. This refinement represents an advancement in steroid delivery technology for clinical application within hormonal health management.
Mechanism
Micronization increases the effective surface area of the progesterone particles, facilitating superior dissolution rates in the gastrointestinal tract, leading to more predictable plasma concentrations. Once absorbed, progesterone binds to the nuclear progesterone receptor (PR), modulating gene transcription related to uterine receptivity or central nervous system stabilization. The protocol manages the timing and dose to ensure receptor saturation without overwhelming hepatic metabolism or causing unnecessary peripheral effects.
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