“…After absorption, further modi fication of the steroid may occur in the liver (89) . Research with steroid biotransformations by intestinal bacteria has emphasized the three major classes of steroids which pass through the GI tract; these are the bile acids (43,78,92,94,103), cholesterol (18,39,143,147), and steroid hormones (14,16,154). Although this review will almost exclusively deal with bacteria, it should be noted that protozoa and fungi can also play an important role in steroid biotransformations (21,60,121).…”