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Regulates serotonin and dopamine functions, possibly helping with mood

Effect and Safety of Adding Metformin to Insulin Therapy in Treating Adolescents with Type 1 Diabetes Mellitus: An Updated Meta-Analysis of 10 Randomized Controlled Trials

(2023), they describe a Dutch study which followed children taking melatonin for over 3 years found no significant long term negative effects on the children (including on puberty which was one of the concerns)