Systemic Stress Clearance is the physiological process and therapeutic goal of efficiently neutralizing, metabolizing, and eliminating the biochemical and hormonal byproducts generated by acute or chronic psychological and physical stress. This clearance involves the rapid detoxification of elevated stress hormones and the resolution of stress-induced metabolic and inflammatory markers. It is essential for preventing the accumulation of allostatic load and subsequent tissue damage. Efficient clearance is a measure of physiological resilience.
Origin
This term is a clinical construct combining “systemic,” affecting the entire body, “stress,” a state of threatened homeostasis, and “clearance,” the rate of removal of a substance from the body. It integrates concepts from endocrinology, toxicology, and metabolism, emphasizing the necessity of efficient recovery from stressful events. The body must efficiently process the metabolic cost of stress.
Mechanism
The mechanism primarily relies on hepatic detoxification pathways, which metabolize excess cortisol into inactive forms (e.g., cortisone and its metabolites) for subsequent excretion via the kidneys. Additionally, efficient clearance requires the rapid resolution of stress-induced oxidative species and inflammatory cytokines by antioxidant and immune regulatory systems. Enhancing liver function and ensuring adequate micronutrient cofactors are key strategies for optimizing this clearance process.
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