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However, enzymatic inactivation can become saturated at extremely high levels of cortisol (such as in Cushing's disease), resulting in the development of sodium retention, fluid retention and hypertension

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doi: 10.1016/j.intimp.2024.111913 128 López-ArmadaMJFernández-RodríguezJABlancoFJ

carnitine and carbohydrate increases muscle carnitine content and alters muscle fuel metabolism during exercise in humans