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It also increases growth hormone receptor (GHR) expression in fibroblasts, augmenting the anabolic healing response, thus improving tendon structure and biomechanical function, even in conditions impaired by corticosteroids or limited vascular supply [15, 53]

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Additionally, vitamin C influences the tricarboxylic acid (TCA) cycle by enhancing the activity of key enzymes such as aconitase, which contributes to efficient energy production [64]