Optimized Circulating Fractions refers to the ideal balance and bioavailability of hormones and other bioactive molecules present in the blood plasma, distinguishing between total levels and the biologically active, unbound portions. Clinical relevance often rests on the free or active fraction, which dictates receptor occupancy and downstream physiological effect. This concept is central to precise endocrine assessment.
Origin
This lexicon term derives from clinical endocrinology and steroid hormone analysis, where the distinction between total and free hormone concentration (e.g., testosterone, cortisol) is clinically significant. Optimization implies tailoring this ratio to maximize therapeutic benefit while minimizing potential side effects from excess binding proteins. It refines the interpretation of laboratory data.
Mechanism
The mechanism involves understanding and managing the binding proteins, such as Sex Hormone-Binding Globulin (SHBG) or Corticosteroid-Binding Globulin (CBG), which sequester hormones. Interventions that modulate the synthesis or degradation of these carrier proteins can directly alter the free fraction, thereby influencing the effective dose delivered to target tissues, even if total levels remain unchanged. This precision is vital for IGF-1 synthesis modulation.
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