The clinical process of categorizing an individual’s unique hormonal profile into distinct functional groups or layers based on comprehensive laboratory data, genetic polymorphisms, lifestyle factors, and symptomatic presentation. This stratification moves beyond general reference ranges to define a highly specific, actionable hormonal blueprint that dictates the most appropriate, individualized intervention strategy. It is the foundation of precision hormonal therapy.
Origin
This advanced concept is a direct evolution of personalized medicine and quantitative endocrinology, where the limitations of population-based reference ranges are acknowledged. “Stratification” is a term borrowed from clinical trials and risk assessment, applied here to categorize biological states for tailored therapeutic decision-making.
Mechanism
The stratification process involves multivariate analysis of data, including total and free hormone levels, their metabolites, carrier protein concentrations (e.g., SHBG), and receptor sensitivities. For example, two individuals with the same total testosterone might be stratified differently based on their SHBG levels and androgen receptor gene variants. This detailed categorization ensures that interventions precisely target the individual’s unique bottleneck in the hormonal cascade, maximizing therapeutic efficacy and minimizing adverse effects.
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