“…The naturally occurring estrogens, estrone (10), estradiol (47), and estriol (48), as well as the estrogens from mare urine, equilin (49), equilenin (50), and their 17-dihydro compounds, are of considerable importance in the treatment of menopausal symptoms (for structures, see Table 5) [161]. However, very high oral doses are required to elicit responses because these compounds are rapidly metabolized and inactivated in the liver.…”