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tetrahydrodeoxycorizol hormone hormonal therapy replacement function action endocrine endocrinology level prohormone analogue mineralocorticoid corticosteroid glucocorticosteroid steroid glucocorticoid receptor inflammation immune system autoimmune disease stress response carbohydrate metabolism protein catabolism anti-inflammatory steroid steroidal endogenous synthetic semisynthetic molecule molecular formula skeletal structural structure geometry cell biology biochemistry biomolecule bioactive biochemical 3d synthesis derivative bioprecursor metabolic