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Sulfates are the foremost circulating conjugates of ethinyl estradiol and glucuronides predominate in urine. The first oxidative metabolite is 2-hydroxy ethinyl estradiol, shaped with the CYP3A4 isoform of cytochrome P450. A part of the very first-go metabolism of ethinyl estradiol is believed to come about in gastrointestinal mucosa. Ethinyl estra