The creation of an individualized therapeutic regimen for exogenous hormone administration, determined by comprehensive biomarker analysis, physiological response monitoring, and patient-specific pharmacokinetics, rather than population averages. This strategy aims to replicate the body’s most optimal, youthful endocrine fluctuations for maximum functional benefit while minimizing side effects. It requires iterative adjustment based on patient feedback and periodic laboratory assessment.
Origin
This methodology arises from the recognition that every individual possesses a unique metabolic fingerprint, meaning standard dosing protocols often result in suboptimal or adverse outcomes for a significant portion of the population. “Personalized” emphasizes tailoring the intervention to the individual’s receptor sensitivity and clearance rates. It is the application of precision medicine to hormone replacement therapy.
Mechanism
The strategy operates by first establishing target free hormone levels and physiological ratios based on baseline data, often factoring in SHBG concentration. Dosing frequency and route of administration are then selected to mimic natural pulsatile release patterns as closely as possible, thereby avoiding the peaks and troughs associated with less nuanced protocols. Continuous monitoring of downstream markers, like hematocrit or estrogen conversion, guides necessary titration to maintain the desired homeostatic state.
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