The medically supervised and precisely dosed introduction of exogenous hormones or their precursors into the body to correct a diagnosed deficiency, restore optimal physiological balance, or achieve a specific therapeutic goal. This clinical practice requires meticulous monitoring of biomarkers and symptoms to ensure the restoration of eugonadal or euthyroid status without inducing adverse effects. It is a cornerstone of modern endocrinology and anti-aging medicine.
Origin
The practice of hormone administration dates back to the early 20th century, following the isolation and synthesis of key endocrine compounds. The term “Therapeutic” emphasizes the clinical, disease-modifying intent of the intervention, distinguishing it from general supplementation. It is now a highly refined practice within the framework of personalized medicine.
Mechanism
Hormone administration works by elevating the circulating concentration of the specific hormone, which then binds to its cognate high-affinity receptors in target tissues. This receptor binding modulates gene transcription, leading to changes in protein synthesis and subsequent cellular function. The choice of administration route—such as transdermal, injectable, or oral—is critical for ensuring the desired pharmacokinetic profile and minimizing hepatic first-pass metabolism.
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