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In addition, carnitine can also activate glucocorticoid receptor (GR) and regulate glucocorticoid- responsive genes through this mechanism, playing a role in glucocorticoid regulation [81], and reducing glucocorticoid-induced muscle atrophy in patients with pemphigus [82]

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"This means that anyone selling this product, including online, must ensure they are safe before placing them on the market." BBC News asked all the stores visited by reporters what steps they had taken to ensure their products met these regulation requirements