“…Note in this context that bioavailability and metabolism of phytoestrogens in their response variability is also a topic needing further investigation (de Cremoux 2010) Isoflavones modulate steroid receptors status (ER, PR, and AR) according to their administration dose, as well as their duration of action, which may be transient and extremely rapid or maintained for a long period (Kampa et al, 2007, Pritchett et al, 2008, Zhang et al, 1999. In this regard, genistein, which at low concentrations enhances ER-dependent proliferation of ERa-positive cells in breast cancer in vitro models in an estrogen response element (ERE)-dependent manner, (Seo et al, 2006),, in vivo and in the presence of low levels of circulating estrogen, acts in an additive manner to stimulate tumor growth, suggesting interactions with multiple estrogen sites (Bentrem et al, 2003). Whatever could be the underlying mechanism, this observation indicates that consumption of products containing genistein may not be safe for postmenopausal women with estrogen-dependent breast cancer.…”