A holistic clinical paradigm that treats the brain not as an isolated organ but as an integral, interconnected component of the entire body, whose function is profoundly influenced by systemic factors. This approach necessitates the simultaneous optimization of metabolic, endocrine, vascular, and immune systems to achieve optimal neurological function and resilience. It moves beyond a single-target approach to address the multi-factorial nature of cognitive decline.
Origin
This concept is an evolution of functional and integrative medicine, applying the principles of systems biology to neurobiology. It acknowledges that the brain’s environment is dictated by the health of peripheral organs, such as the gut, liver, and endocrine glands. The term advocates for a comprehensive clinical assessment that evaluates all major physiological systems contributing to brain wellness.
Mechanism
Optimal brain health is maintained by ensuring systemic conditions support neuronal function, including stable glucose and oxygen supply, low levels of circulating inflammatory cytokines, and a balanced neuroendocrine milieu. Interventions target upstream regulators like gut microbiome balance and insulin sensitivity, which directly impact the blood-brain barrier integrity and neurogenesis. The mechanism is one of creating a stable, nutrient-rich, and low-toxicity internal environment for the central nervous system.
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