The clinical and nutritional strategy aimed at therapeutically modulating the circulating concentration of Sex Hormone-Binding Globulin (SHBG), the glycoprotein responsible for transporting and regulating the bioavailability of sex steroids, particularly testosterone and estradiol. Effective calibration seeks to maintain SHBG levels within an optimal range to ensure adequate free hormone availability for target tissues. This is a key intervention for optimizing hormonal action.
Origin
This term is rooted in clinical endocrinology and the study of hormone transport dynamics, recognizing SHBG as a major determinant of hormonal action rather than just a passive carrier. ‘Calibration’ implies a deliberate intervention to fine-tune this regulatory protein to enhance biological effect.
Mechanism
SHBG synthesis is primarily hepatic and is influenced by numerous metabolic and endocrine factors, including thyroid status, insulin levels, and dietary components. Chronic hyperinsulinemia, for instance, can suppress SHBG production, increasing free hormone levels, while high estrogen or thyroxine levels can increase it, decreasing free hormone. Strategic nutritional and lifestyle adjustments can be employed to modulate these upstream signals, thereby calibrating SHBG and optimizing the free-to-bound ratio of androgens and estrogens.
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