A clinically designed plan to mitigate the physiological decline associated with Somatopause, which is the age-related reduction in the secretion of growth hormone (GH) and its downstream mediator, Insulin-like Growth Factor 1 (IGF-1). This intervention aims to restore a more youthful somatotropic axis function to counteract the resulting negative changes in body composition, bone mineral density, and overall metabolic profile. The strategy is personalized and strictly controlled to ensure safety and therapeutic efficacy.
Origin
The term “Somatopause” refers to the cessation or significant decline of the somatotropic (growth hormone) axis, paralleling terms like andropause and menopause. The “Intervention Strategy” is the clinical response to this age-related endocrine phenomenon.
Mechanism
The intervention typically involves the use of Growth Hormone-Releasing Hormones (GHRH) or Growth Hormone Secretagogues (GHS) to stimulate the pituitary gland’s pulsatile release of endogenous GH. This avoids the supraphysiological dosing associated with exogenous GH replacement, which can lead to side effects. The goal is to elevate IGF-1 levels to a safe, mid-to-high physiological range, promoting lean body mass, improving lipid profiles, and supporting collagen synthesis.
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