Pregnenolone Steal Correction is a targeted clinical strategy aimed at resolving the preferential diversion of pregnenolone, the master steroid precursor, away from the synthesis of sex hormones (like DHEA, testosterone, and estrogen) toward the excessive production of cortisol. This “steal” phenomenon often occurs under conditions of chronic psychological or physiological stress, leading to simultaneous symptoms of adrenal fatigue and sex hormone deficiency. The correction seeks to rebalance the steroidogenic pathway.
Origin
The concept originates from the steroid hormone cascade model in endocrinology, where pregnenolone is the first product of cholesterol metabolism in the adrenal glands and gonads. The term steal is a clinical metaphor describing the shunting of this precursor down the stress-response pathway (cortisol) at the expense of the longevity and vitality pathways (sex hormones).
Mechanism
Correction protocols focus on two main aspects: reducing the chronic demand for cortisol and providing targeted support for the rate-limiting enzymes in the sex hormone synthesis pathways. Stress reduction techniques and adaptogenic herbs help downregulate the continuous activation of the HPA axis, thereby decreasing the need for high cortisol production. Simultaneously, ensuring adequate nutritional cofactors for the enzymes involved in DHEA and progesterone synthesis facilitates the flow of pregnenolone down the desired anabolic routes, effectively correcting the steal.
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