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7a-thiospironolactone thiospironolactone 7a-ts antimineralocorticoid antiandrogen chemistry biochemistry mineralocorticoid carboxylic acid canrenone aldosterone lactone potassium sparing testosterone molecular formula deacetylspironolactone steroidal spironolactone androgen receptor 3d rendering chemical molecule structural structure skeletal hormone hormonal function action endocrine level prohormone steroid metabolite metabolism biosynthesis cycle mechanism pathway path synthesis derivative bioprecursor metabolic