The profound, systemic alteration of an organism’s set point for various physiological functions, moving them from a state of age-related decline or dysfunction toward a more youthful, resilient, and high-performing state. This goes beyond simple symptom management, aiming for a fundamental change in metabolic, hormonal, and cellular homeostatic control. It is a clinical goal in longevity medicine, often requiring a multi-modal intervention strategy. This process implies the body’s capacity for deep, regenerative change.
Origin
The term is an extension of the cellular concept of “reprogramming” (e.g., induced pluripotent stem cells) applied to the whole organism. “Physiological” emphasizes the systemic nature of the change, encompassing all organ systems and their interactions. This conceptualization reflects the modern understanding of aging as a plastic process.
Mechanism
Reprogramming involves inducing large-scale, coordinated epigenetic and metabolic shifts across multiple tissues. This can include restoring a youthful pattern of hormonal pulsatility, enhancing mitochondrial biogenesis in muscle and brain, and reversing age-related DNA methylation drift. The result is a fundamental reset of the body’s internal operating parameters, leading to sustained improvements in vitality and healthspan.
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