What is Tetrahydrocortisol?
Tetrahydrocortisol is a major hepatic metabolite of cortisol, formed by 5α-reductase and 3α-hydroxysteroid dehydrogenase. It is excreted in urine conjugated as a glucuronide and represents a substantial fraction of daily cortisol metabolism, integrating both hepatic enzyme activity and total glucocorticoid turnover.