Hormone

Estrogen

More than a reproductive hormone. Estrogen affects brain, bone, heart, and metabolism— and its safe clearance depends on methylation, liver, and gut health.

Estrogen synthesis and metabolism pathways
E1, E2, E3
Three Main Forms
E2
Estradiol (Most Potent)
2-OH
Favorable Metabolite
COMT
Clearance Enzyme

💊 The Three Estrogens

Estrone (E1)

Storage form. Predominates postmenopausally. Made from fat tissue aromatization.

Estradiol (E2)

Most potent. Primary form in reproductive years. Made by ovaries.

Estriol (E3)

Weakest. Predominates in pregnancy. Considered protective.

🔄 Estrogen Metabolism Matters

How you clear estrogen is as important as how much you have. Phase 1 produces metabolites; Phase 2 conjugates them for excretion:

2-hydroxy (Favorable)

Weak estrogen activity. Easily cleared. Preferred pathway.

16-hydroxy

Still estrogenic. Not harmful but less ideal.

4-hydroxy (Risky)

Can become genotoxic quinones. Needs glutathione.

⚠️ Estrogen Dominance

High estrogen relative to progesterone, not necessarily high absolute estrogen:

Symptoms

  • • PMS, heavy periods
  • • Breast tenderness, fibroids
  • • Weight gain (hips/thighs)
  • • Mood swings, anxiety
  • • Endometriosis

Causes

  • • Obesity (fat makes estrogen)
  • • Poor liver clearance
  • • Gut dysbiosis (recirculation)
  • • Xenoestrogen exposure
  • • Progesterone deficiency

✅ Supporting Healthy Estrogen Clearance

DIM/I3C

Promotes 2-hydroxylation pathway

Cruciferous Veggies

Natural source of DIM precursors

B Vitamins

Support methylation (COMT needs SAMe)

Fiber

Binds estrogen in gut, prevents recirculation

Liver Support

Phase 1 and 2 detox capacity

Gut Health

Healthy microbiome, regular elimination

Estrogen Discussion