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The EtG Formula Explained

A deep dive into Ethyl Glucuronide: molecular structure, the glucuronidation process, and how your liver breaks down alcohol into detectable metabolites.

What is Ethyl Glucuronide (EtG)?

Ethyl Glucuronide (EtG) is a direct metabolite of ethanol (drinking alcohol). It's formed when your liver processes alcohol through a process called glucuronidation.

Molecular Formula

C8H14O7

Molecular Weight: 222.19 g/mol

Key Properties

  • Water-soluble compound
  • Non-volatile (won't evaporate)
  • Stable in urine samples
  • Detectable for 24-80 hours

Why It's Used for Testing

  • Direct biomarker of alcohol
  • Long detection window
  • Highly specific to ethanol
  • Can't be produced by fermentation

The Glucuronidation Process

Glucuronidation is your liver's way of making substances water-soluble so they can be excreted in urine. Here's how alcohol becomes EtG:

1

Alcohol Enters the Liver

After drinking, ethanol (C2H5OH) is absorbed into your bloodstream and transported to the liver for processing.

2

UDP-Glucuronosyltransferase (UGT) Enzyme Acts

The UGT enzyme family (specifically UGT1A1 and UGT2B7) catalyzes the attachment of glucuronic acid to ethanol.

3

EtG is Formed

The chemical reaction produces Ethyl Glucuronide, a water-soluble compound that can be filtered by the kidneys and excreted in urine.

4

Excretion in Urine

EtG is filtered by the kidneys and concentrated in urine, where it can be detected by laboratory testing for up to 80 hours after heavy drinking.

The Chemical Reaction

Ethanol + UDP-Glucuronic AcidEthyl Glucuronide + UDP

The EtG Calculation Formula

Our calculator uses a multi-step formula to estimate EtG levels:

Step 1: Calculate Peak BAC (Widmark Formula)

BAC = (A × 5.14) / (W × r) - 0.015 × H
A = Alcohol oz
W = Weight (lbs)
r = Widmark factor
H = Hours drinking

Step 2: Estimate Peak EtG

Peak EtG = BAC × 350,000

(Approximately 3,500 ng/mL per 0.01% BAC)

Step 3: Apply Decay Function

Current EtG = Peak EtG × e(-0.23 × hours)

Half-life of approximately 2.5-3 hours

Widmark Factor (r)

0.68
Male
0.55
Female

EtG vs Other Alcohol Metabolites

MetaboliteDetection WindowSample Type
EtG (Ethyl Glucuronide)24-80 hoursUrine, Hair
EtS (Ethyl Sulfate)24-48 hoursUrine
PEth (Phosphatidylethanol)2-4 weeksBlood
FAEE (Fatty Acid Ethyl Esters)Up to 6 monthsHair

EtG is the most commonly used biomarker for recent alcohol use due to its balance of detection window length and test accessibility.

EtG Half-Life & Decay Rate

Half-Life

2.5 - 3 hours

This means EtG concentration drops by 50% every 2.5-3 hours after peak levels are reached.

Example Decay

  • Peak: 10,000 ng/mL
  • +3 hours: 5,000 ng/mL
  • +6 hours: 2,500 ng/mL
  • +9 hours: 1,250 ng/mL
  • +12 hours: 625 ng/mL
  • +15 hours: ~312 ng/mL

Try the EtG Calculator

Now that you understand the science, use our calculator to estimate your personal EtG levels and clearance time.

Calculate Now