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Additional transformations, including oxidation and epimerization of hydroxyl groups at positions C3, C7 and C12, mediated by microbial hydroxysteroid dehydrogenases (HSDHs) from genera such as Eubacterium , Ruminococcus and Bacteroides , further diversify the bile acid pool and its receptor pharmacology [82]
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It is an unapproved drug and cannot be legally prescribed or sold over the counter
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