Systemic Stress Modulation refers to the clinical strategies implemented to attenuate the chronic, dysregulating activation of the body’s integrated stress response systems, particularly the Hypothalamic-Pituitary-Adrenal (HPA) axis. The objective is to mitigate the long-term catabolic and inflammatory consequences associated with sustained high allostatic load. This is essential for preserving endocrine balance.
Origin
This concept stems from psychoneuroendocrinology, recognizing the profound negative impact of chronic stress signaling on metabolic and hormonal health. Modulation implies bringing the system back into a state of regulated responsiveness rather than complete suppression.
Mechanism
Modulation mechanisms focus on restoring the appropriate diurnal rhythm of cortisol secretion and enhancing the sensitivity of peripheral tissues to glucocorticoid negative feedback. This normalization reduces chronic systemic inflammation and prevents the sustained suppression of anabolic hormone production, thereby protecting lean mass and metabolic function.
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