The clinically defined range of circulating free and total testosterone concentrations that yields the maximal therapeutic benefit—including optimal mood, cognition, energy, and body composition—while simultaneously minimizing the risk of adverse side effects. This window is highly individualized, residing above the level required to resolve deficiency symptoms but below the supraphysiological range that triggers negative feedback and potential pathology. Precision endocrinology seeks to consistently position a patient’s levels within this specific therapeutic range.
Origin
This concept stems from the dose-response studies in pharmacodynamics and clinical endocrinology, which demonstrated that the relationship between hormone concentration and clinical benefit is not linear. The “efficacy window” acknowledges that more is not always better and that optimal outcomes depend on a precise, balanced concentration. This refinement of therapy is a key differentiator in advanced hormonal health practices.
Mechanism
Maintaining levels within the efficacy window ensures optimal binding to the androgen receptor without causing excessive receptor
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