HPTA (hypothalamic-pituitary-thyroid-adrenal axis) names the brain-pituitary-thyroid-adrenal loop that sets metabolic rate and stress-hormone output. Endocrinology often splits this into separate HPA and HPT axes; Peat wrote about them as one stress-energy system.

When the diet has chronically contained more polyunsaturated fats than can be oxidized immediately or detoxified by the liver, the fat stores will contain a disproportionate amount of them... These PUFA stimulate the stress hormones, ACTH, cortisol, adrenaline, glucagon, and prolactin, which increase lipolysis, producing more fatty acids in a vicious circle. In the relative absence of PUFA, the stress reaction is self limiting.

The maladaptive sequence, starting from stress or hypothyroidism, would typically involve increased absorption of endotoxin, leading to interference with mitochondrial respiration, a shift to fat oxidation, inflammation, and the increase of a wide range of stress hormones.

Chronic Stress keeps thyroid output low and shifts cells toward glycolytic Lactic acid production in Peat's writing.[3] Intense exercise raised cortisol, prolactin, and estradiol acutely in athletes: interval running to exhaustion produced immediate post-exercise increases of 45% in estradiol, 38% in testosterone, and 230% in prolactin.[4] Aspirin blunted several exercise-related pituitary hormone spikes in a human RCT.[5] Recovery themes: adequate Thyroid, Progesterone, Glucose, salt, lower PUFA, Aspirin, niacinamide, reduced gut Endotoxin. See Cortisol, Hypothyroidism, Roadmap/06 - Activities, Harm reduction.

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