That 6:1 ratio it your testosterone/epitestosterone ratio. When testosterone is produced naturally another compound, epitestosterone, is produced in approximately the same quantity. Epitestosterone is identical to test except one carbon has a different chiaral configuration which renders it biologically inactive. When exogenous testosterone is taken and natural production is suppressed the approximate 1:1 T/E ratio is thrown off in favor of testosterone and the athlete would fail the test.