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Antioxidants, categorized into enzymatic and non-enzymatic antioxidants, play a crucial role in counteracting oxidative stress by neutralizing free radicals and preventing cellular damage [9]

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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]