A comprehensive clinical plan designed to counteract and reverse sarcopenia, which is the age-related, progressive loss of skeletal muscle mass, strength, and function. The protocol integrates targeted interventions across hormonal, nutritional, and physical domains to restore muscle protein synthesis and improve neuromuscular function. Reversal is a critical objective in longevity medicine, as sarcopenia is a major predictor of frailty, metabolic dysfunction, and reduced quality of life.
Origin
The term sarcopenia was coined in 1989, and its clinical recognition as a major health concern has driven the development of specific reversal protocols. The modern approach is multidisciplinary, moving beyond simple exercise recommendations to incorporate the powerful anabolic signaling of the endocrine system. This protocol is a key strategy in maintaining functional independence throughout the lifespan.
Mechanism
The protocol’s mechanism centers on optimizing the anabolic hormonal environment, primarily by ensuring adequate levels of testosterone, growth hormone, and IGF-1, which are potent drivers of muscle protein synthesis. Resistance training provides the necessary mechanical stimulus to activate muscle stem cells and mTOR signaling. Nutritional interventions, such as optimizing protein intake and essential amino acid availability, supply the necessary building blocks, collectively leading to increased muscle fiber size and improved strength and power output.
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