The administration of therapeutic agents, particularly hormones or modulators, at exact individualized quantities determined by real-time functional biomarker data rather than standardized population averages. This approach minimizes off-target effects and maximizes therapeutic window utilization for each patient. It is the application of quantitative science to pharmaceutical intervention.
Origin
Precision dosing is a direct evolution from mass-market pharmaceutical distribution toward personalized medicine, driven by advances in highly sensitive laboratory assays. The context is shifting away from treating symptoms with arbitrary doses toward achieving specific biochemical targets. This level of specificity is critical in endocrine management where small variations can have large effects.
Mechanism
The mechanism relies on pharmacokinetic and pharmacodynamic modeling specific to the individual, factoring in metabolism, receptor density, and transport protein dynamics like SHBG. For example, dosing testosterone based on achieving a specific free T level, rather than total T, ensures optimal receptor saturation without creating supra-physiological fluctuations. This fine-tuning minimizes negative feedback responses and enhances therapeutic stability.
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