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dihydronandrolone dhn anabolic–androgenic steroid aas nandrolone metabolite skin hair follicles prostate gland androgen-dependent conditions acne excessive body growth scalp loss enlargement cancer agonist androgen receptor ar androgenic anabolic rendering metabolism biosynthesis cycle mechanism pathway hormone hormonal therapy replacement function endocrine level prohormone analogue biogenesis substrate precursor synthesis derivative bioprecursor metabolic enzyme endogenous contractor human metabolome database hmdb