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After four weeks, those treated with Pycnogenol, at dosages of either 150 mg or 100 mg daily, had increased cochlear blood flow in the affected ear and reduced tinnitus severity, and the effects were more pronounced in those receiving the higher dosage

Meth-Cohn, Eds., Comprehensive Natural Products Chemistry

It helps synthesize acetylcholine, one of the major neurotransmitters responsible for important nervous system functions

However, in human systems the outcome of boosting NAD+ is complex and likely involves numerous pathways, from enhanced activity of sirtuins (implicated in longevity and metabolic control) to improved DNA damage repair, all of which are areas of ongoing investigation
With that said, I had more energy while on the injections and VLC diet than I did before starting HCG