What is 2-Hydroxyestrone : 16α-Hydroxyestrone Ratio?
This ratio compares the protective, rapidly inactivated 2-pathway with the potent, slowly cleared 16α-pathway. A higher ratio reflects preferential 2-hydroxylation and has been hypothesised to reduce oestrogenic proliferative drive on breast and endometrial tissue. Diet, body fat, exercise, and genetic polymorphisms all influence the ratio.