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Methylcobalamin has also been shown to improve sleep quality by regulating melatonin production and modifying circadian rhythms, which could further enhance energy levels and reduce fatigue

Enhancement of fibroblast growth factor (FGF) activity by an FGF-binding protein

Tyrosine hydroxylase- and dopamine transporter-immunoreactive axons in the primate cerebellum

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Nature Reviews Neurology 11 (10): 597606

Its most well-characterized mechanism involves stimulating collagen and glycosaminoglycan synthesis in skin fibroblasts, which underlies its effects on skin elasticity, firmness, and wound repair