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deoxycholic acid bile secondary cholic chenodeoxycholic lithocholic ursodeoxycholic alcohol acetic generic medication deoxycholate emulsification fats intestine gallstones cholagogues critical micelle concentration phosphatidylcholine mesotherapy immunostimulant innate immune system macrophages inflammations metabolite metabolism biosynthesis cycle mechanism pathway path catabolism biosynthetic intermediate biogenesis substrate precursor synthesis derivative bioprecursor metabolic enzyme endogenous contractor 3d molecule molecular formula skeletal structural