Speaker (Dr. Tabatha Barber) explains the "third phase" of hormone metabolism — elimination — meaning removal via urine and stool, and how liver processes (hydroxylation, methylation) plus gut bacteria and bowel transit time affect estrogen reabsorption. The speaker emphasizes that stool bacterial de-methylation and constipation can increase circulating estrogen and recommends the DUTCH test to reveal detailed hormone-metabolism patterns not visible in standard bloodwork.
Chapters
The third phase of your hormones is elimination. So that is getting them out in the urine and in the stool. Having them back up in the stool is a major problem. So say you are sending your estrogens down the good green pathway. Your liver is hydroxylating and methylating them. Everything's working well. The things get to your stool. But if you have the wrong bacteria in there, then that methyl group can be cut off and you can reabsorb your estrogens. And if you're constipated, then there's more time to reabsorb those. So all of these factors can affect how much circulating levels of estrogen you have in your body. So that is why I love this Dutch test, because you can see all these intricate details that you can't see in blood work and you can't get from just talking about symptoms, you know, with your doctor, you can't find out this information. And the cool thing is, there's so many things that you can do to intervene and change this situation. So it's super important to get yourself evaluated if you are having symptoms, if you are feeling imbalanced, and figure out exactly what is going on. You know, let's get all the pieces of the puzzle and figure that out.
