Optimized Physiological Setpoints represent the targeted, functional range for key homeostatic variables—such as hormone concentrations, body temperature, or blood pressure—that maximizes long-term health, resilience, and subjective well-being, often exceeding standard clinical reference ranges. These are dynamic targets personalized for the individual’s biology. We strive for peak operational efficiency, not mere absence of disease.
Origin
This terminology is adopted from control theory and systems engineering, applied specifically to endocrinology and metabolism. Setpoint refers to the desired equilibrium maintained by negative feedback systems. Optimization implies adjusting this setpoint based on comprehensive functional assessment rather than population averages.
Mechanism
Achieving optimized setpoints often requires precise exogenous or endogenous modulation of regulatory hormones to recalibrate the feedback sensitivity within the HPA or HPT axis. For example, optimizing thyroid hormone free fractions might require careful titration to improve basal metabolic rate and energy expenditure setpoints. This management requires continuous monitoring to ensure the system remains stable around the new, superior functional target.
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