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Clinical Concept

Melatonin

The hormone secreted by the pineal gland at night that regulates sleep-wake timing — downstream of circadian-active peptides.

Definition

Melatonin is a serotonin-derived hormone secreted by the pineal gland in response to darkness, entraining the sleep-wake cycle to environmental light. Its production declines substantially with age — by age 70 nocturnal peaks can be a fraction of youthful levels. Peptides that restore pineal function (Epitalon) indirectly support melatonin rhythm; direct melatonin supplementation is a separate intervention.

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