The clinical application of precise methods to introduce exogenous hormones into the body, ensuring pharmacokinetic profiles mimic natural, pulsatile secretion patterns as closely as possible. This delivery method is designed to maximize target tissue saturation while minimizing systemic fluctuations that can drive unwanted receptor desensitization. It is a critical component of advanced, personalized endocrinology practice.
Origin
This practice is an evolution from older, steady-state hormone replacement models, drawing on advances in pharmaceutical formulation and chronobiology principles. The term emphasizes the how—the route and timing—as much as the what—the hormone itself. It reflects a commitment to physiological realism in therapeutic intervention design.
Mechanism
Delivery mechanisms might involve subcutaneous implants, transdermal gels, or specific injection protocols designed to control the rate of absorption and clearance from circulation. The process aims to maintain receptor occupancy within the therapeutic window throughout the dosing interval, avoiding peaks and troughs. By optimizing the concentration-time curve, downstream receptor desensitization is mitigated, supporting sustained physiological effect over time.
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