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Medical Forum / Diseases and Disorders / Tinnitus / July 2004

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Does Ginkgo Biloba help?

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francispoon - 20 Jul 2004 08:08 GMT
There are all sorts of naked oil pushers in the world. Ideologies,
religions...etc could also contain 'naked oil' elements.  But the more
relevant aspect is how an individual _feels or believes_ after taking
in the pusher.  The feeling could be 'imaginary' in nature or real in
terms of being 'scientific'.  Tinnitus sound could also be
'imaginary', otherwise so many TNT programs would not have surfaced to
help overcome this 'imaginary' sound.

I would suggest that as long as the consequences are REVERSIBLE, try
it.  I am taking a tablet of 500 mg of dried gingko leaf daily and
have found, by imagination or otherwise, they do help me.  These pills
are manufactured by 21 st Century of Arizona.  On the bottle, it is
writen 'dietary supplement'.  I don't think a company like 21 st
Century would run the risk of being sued for having produced a product
like that.

By the way, there is no shortage of studies ...and extensive studies
that one could find in the search engine of Yahoo. Some speak in favor
of while others against gingko.

If anyone experiences discomfort after taking gingko, just drop it
right away. I don't see how it could kill by such a brief encounter.
On the other hand, you might run into something that helps.

FP
WGRG3@webtv.net - 20 Jul 2004 08:52 GMT

Does Ginkgo Biloba help?  

Group: alt.support.tinnitus Date: Tue, Jul 20, 2004, 12:08am From:
fyfpoon@hotmail.com (francispoon)
There are all sorts of naked oil pushers in the world. Ideologies,
religions...etc could also contain 'naked oil' elements. But the more
relevant aspect is how an individual _feels or believes_ after taking in
the pusher. The feeling could be 'imaginary' in nature or real in terms
of being 'scientific'. Tinnitus sound could also be 'imaginary',
otherwise so many TNT programs would not have surfaced to help overcome
this 'imaginary' sound.
I would suggest that as long as the consequences are REVERSIBLE, try it.
I am taking a tablet of 500 mg of dried gingko leaf daily and have
found, by imagination or otherwise, they do help me. These pills are
manufactured by 21 st Century of Arizona. On the bottle, it is writen
'dietary supplement'. I don't think a company like 21 st Century would
run the risk of being sued for having produced a product like that.
By the way, there is no shortage of studies ...and extensive studies
that one could find in the search engine of Yahoo. Some speak in favor
of while others against gingko.
If anyone experiences discomfort after taking gingko, just drop it right
away. I don't see how it could kill by such a brief encounter. On the
other hand, you might run into something that helps.
FP  
--------------------------------------------------------------
The thing is, you do not really know, just how much Ginkgo is in the
product. There might be only a minute amount, or there may be too much,
or none at all. And the US Federal Government does not regulate dietary
supplements like this. So you are taking the companys word for it, that
what they say is in it, really is. I think Consumer Reports did a study
to see just how much of the Herb Ginseng was in all the products on the
market. Only a few actually had what they said they had in the pills.
Most of them only had a minute amount, or "none" at all. So unless you
go out, and test the Ginkgo product yourself, you really will not know
what is in the pills. And I really doubt that very many "Dietary
Supplement" companies get sued, it would be too hard to prove anything!
PaulS - 21 Jul 2004 16:39 GMT
> fyfpoon@hotmail.com (francispoon)
> There are all sorts of naked oil pushers in the world.....

Disgusting! They should  wear clothing.

PaulS
snap_crackle_pop - 21 Jul 2004 17:20 GMT
>>fyfpoon@hotmail.com (francispoon)
>>There are all sorts of naked oil pushers in the world.....
>
> Disgusting! They should  wear clothing.
>
> PaulS

And those crazy Jains in India, who respect life so much they wear masks
so they won't ingest insects, who practice Ahimsa.  If you harm others,
you harm yourself.  If you harm yourself, you harm others.  Do no harm.
 These loonies, after a long productive life, when all their
responsibilities are finished with, give away all their belongings, even
their clothing, and become naked priests, and travel by foot from
village to village accepting the charity of strangers, preaching soft
rules like Ahimsa.  Disgusting.

Oh, now that I've thought about it, that sounds like a pretty soft
life...  :-)
Patty - 22 Jul 2004 15:50 GMT
> > fyfpoon@hotmail.com (francispoon)
> > There are all sorts of naked oil pushers in the world.....
>
> Disgusting! They should  wear clothing.
>
> PaulS

LOL Paul.  You caught that to!
~Patty~
Susan - 22 Jul 2004 19:16 GMT
>LOL Paul.  You caught that to!

sh.t, I didn't know it was going around.  Better take some vitamin C.

Susan
PaulS - 22 Jul 2004 20:07 GMT
"Susan " <sufein@aol.comnospam> wrote in message

> sh.t, I didn't know it was going around.  Better take some vitamin C.

Susan, it still won't help the "naked" part ....or as they say in this here
parts - nekked ;-).

PaulS
Bruce/Seattle - 22 Jul 2004 22:45 GMT
> > > fyfpoon@hotmail.com (francispoon)
> > > There are all sorts of naked oil pushers in the world.....
[quoted text clipped - 5 lines]
> LOL Paul.  You caught that to!
> ~Patty~

Obviously none of you have ever tried to get that
oil out of your clothes. You wouldn't be so smug.

Bruce
Jennifer Bell - 22 Jul 2004 23:16 GMT
shutup Bruce you'll give yourself a nosebleed.
Bruce/Seattle wrote in message
<6f977e53.0407221345.71322f09@posting.google.com>...
>> > > fyfpoon@hotmail.com (francispoon)
>> > > There are all sorts of naked oil pushers in the world.....
[quoted text clipped - 10 lines]
>
>Bruce
Bruce/Seattle - 23 Jul 2004 04:03 GMT
> shutup Bruce you'll give yourself a nosebleed.

I understand that's the terminology the big kids use in the
schoolyards in these times what with the liability laws as they are
now. The days of a boastful "I'll punch you in the nose"
are a thing of the past.
I know one kid who lost his complete Nintendo system in a lawsuit.
It was ugly.
They're offering insurance courses in elementary schools for those
who wish to become class bullies. There was 2nd grader who goes by
Ironballs Murphy LLC. Wouldn't have believed it if I hadn't seen
it myself while dropping off my son and his security companions
the other day.

Bruce
PaulS - 23 Jul 2004 02:11 GMT
"Bruce/Seattle" <EERIEWAX@yahoo.com> wrote in message

> Obviously none of you have ever tried to get that
> oil out of your clothes. You wouldn't be so smug.

How do YOU do it ;-)

PaulS

ps - good to see you back MagicMan!
francispoon - 23 Jul 2004 04:10 GMT
> Does Ginkgo Biloba help?  
>  
[quoted text clipped - 23 lines]
> The thing is, you do not really know, just how much Ginkgo is in the
> product.

That belongs to another issue or to the issue of fakery.  There are
faked epitors too but it does not mean epitor does not work in
reducing your cholestrol.

FP
===========================

There might be only a minute amount, or there may be too much,
> or none at all. And the US Federal Government does not regulate dietary
> supplements like this. So you are taking the companys word for it, that
[quoted text clipped - 5 lines]
> what is in the pills. And I really doubt that very many "Dietary
> Supplement" companies get sued, it would be too hard to prove anything!
Smarty pants - 20 Jul 2004 19:51 GMT
<snip>
> By the way, there is no shortage of studies ...and extensive studies
> that one could find in the search engine of Yahoo. Some speak in favor
> of while others against gingko.

<snip>
> FP

Tell us, Francis, how many of these are controlled, double-blind studies
involving large numbers of tinnitus sufferers?  After all, such studies
would be the only ones to yield meaningful results.  What were the results?
From what I find, there was only one such study and the results demonstrate
ginkgo to be neither more nor less effective than placebo.  Can you point us
to another such study that proved it's effectiveness?  If not, there is no
scientific basis for treating tinnitus with ginkgo.
snap_crackle_pop - 20 Jul 2004 20:12 GMT
> <snip>
>
[quoted text clipped - 13 lines]
> to another such study that proved it's effectiveness?  If not, there is no
> scientific basis for treating tinnitus with ginkgo.

Anecdotal Evidence.  The ancient grandmother of a friend suffered from
bursitis of the shoulder.  She was in constant, intense pain.  In agony,
one day, she prayed to the Lord Jesus, being a good Catholic lady.  She
prayed, "Lord, tell me what to do to lessen the pain."  She says she
heard a clear voice, the voice of Almighty God Himself in Jesus Christ,
and the voice said, "Try ice."

Well, she tried ice, and it worked!  Praise God!

Best,

scp
ENTconsult - 22 Jul 2004 05:13 GMT
>By the way, there is no shortage of studies ...and extensive studies
>>that one could find in the search engine of Yahoo. Some speak in favor
>>of while others against gingko.

You know they have been studying SERC - betahistine for Tinnitus for decades
and they still haven't a clue whether it works or not.
Evaluating anything for T is very very tough.

Murray Grossan, M.D.
http://www.ent-consult.com
Jim Chinnis - 22 Jul 2004 15:33 GMT
entconsult@aol.comnospam (ENTconsult) wrote in part:

>You know they have been studying SERC - betahistine for Tinnitus for decades
>and they still haven't a clue whether it works or not.

There's not much data from controlled studies. And what there is seems to
support little if any effect, even in cases of hydrops.

>Evaluating anything for T is very very tough.

Yes. But not impossible.

And a treatment that had a huge effect and came close to a cure should be
pretty easy to confirm in a relatively small, inexpensive study. The problem
with current pharmaceutical/herbal remedies is that they either have
relatively small or non-existent effects. It requires a very well-designed
study with a large number of patients to find those small effects, if they
exist.

(Xanax may be the only exception so far, and there the study showing a pretty
big effect wasn't blinded.)
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Jennifer Bell - 22 Jul 2004 15:46 GMT
what is betahistine ? I have never heard of it before?
Jim Chinnis wrote in message ...
>entconsult@aol.comnospam (ENTconsult) wrote in part:
>
[quoted text clipped - 20 lines]
>Jim Chinnis / Warrenton, Virginia, USA
>Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG
Jennifer Bell - 22 Jul 2004 15:47 GMT
Oh Serc..yes I have tried that..did nothing for me.
>what is betahistine ? I have never heard of it before?
>Jim Chinnis wrote in message ...
[quoted text clipped - 25 lines]
>>Jim Chinnis / Warrenton, Virginia, USA
>>Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG
Jennifer Bell - 22 Jul 2004 15:47 GMT
sorry just me again..what is Xanax? sound like an antidepressant.
>what is betahistine ? I have never heard of it before?
>Jim Chinnis wrote in message ...
[quoted text clipped - 25 lines]
>>Jim Chinnis / Warrenton, Virginia, USA
>>Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG
Jim Chinnis - 22 Jul 2004 16:00 GMT
"Jennifer Bell" <starwood@iprimus.com.au> wrote in part:

>sorry just me again..what is Xanax? sound like an antidepressant.

It's a drug usually prescribed for anxiety. it is not an anti-depressant.

Generic name is alprazolam. (Sorry I used the US trade name.)
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Glynne Gilmore - 22 Jul 2004 19:20 GMT
> "Jennifer Bell" <starwood@iprimus.com.au> wrote in part:
>
>>sorry just me again..what is Xanax? sound like an antidepressant.
>
> It's a drug usually prescribed for anxiety. it is not an anti-depressant.

Xanax (alprazolam) is a benzodiazepine like Valium (diazapam), but
unlike Valium, Xanax is metabolized quicker if taken at night and
doesn't give you that hangover feeling in the morning like Valium does.
All benzodiazepines are potentially addictive and tolerance to them
builds up quickly. People who take large doses of Xanax daily over a
long period of time will have severe withdrawal symptoms and should not
stop taking them cold turkey.

My personal experience is that Xanax (.5 mg) does help with my T at
night, but I don't like to depend on taking it to sleep. I just haven't
found an effective replacement for it.

I haven't tried ginko biloba. I don't know if it will help. Maybe it
helps with certain types of T. My T is weird. Yesterday, I went to the
dentist for a routine cleaning, and last night, my T was much more
annoying than usual. I also had a headache so I might have just been
fatigued. After a good night's sleep, my T is less noticable. By the end
of the day, though, my T will be louder. That seems to be the pattern.

Glynne
Jennifer Bell - 22 Jul 2004 23:17 GMT
who anyone first timers going to try Ginko, I will tell you what my
nayuropath told me..it takes 6 weeks to have its full effect so dont just
take it 2 times and say it didnt work, stick it out a bit, as long as your
feeling ok with it,
>x-no-archive: yes
>
[quoted text clipped - 24 lines]
>
>Glynne
Smarty pants - 22 Jul 2004 23:30 GMT
> who anyone first timers going to try Ginko, I will tell you what my
> nayuropath told me..it takes 6 weeks to have its full effect so dont just
> take it 2 times and say it didnt work, stick it out a bit, as long as your
> feeling ok with it,

Sounds good to me.  How many bongs of ginkgo should one smoke in a day?  I
have a small bong, just a little bigger than my one-eee.
PaulS - 23 Jul 2004 02:14 GMT
"Smarty pants" <bushlies@whitehouse.now> wrote in message >

> .... I  have a small bong......

Sure glad this isn't alt.pictures.tinnitus :-)

PaulS
Glynne Gilmore - 23 Jul 2004 03:11 GMT
> who anyone first timers going to try Ginko, I will tell you what my
> nayuropath told me..it takes 6 weeks to have its full effect so dont just
> take it 2 times and say it didnt work, stick it out a bit, as long as your
> feeling ok with it,

I understand how natural-type remedies work. They do take a long time to
kick in. I'm taking glucosamine and chondroitin for osteoarthritis. I
had to take supplements for six months before I noticed a difference,
and I could get off prescription pain medication. I don't think the pain
magically disappeared. There must be something to the supplements -- or
else it's all in my head. Like the tinnitus: it's all in my head :-)

Glynne
Jim Chinnis - 23 Jul 2004 03:44 GMT
Glynne Gilmore <glynnegilmore@netscape.net> wrote in part:

>x-no-archive: yes
>
[quoted text clipped - 11 lines]
>
>Glynne

A difference is that controlled studies have shown that glucosamine and
chondroitin reduce pain of osteoarthritis. The same kind of studies found that
ginkgo doesn;t help tinnitus.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Glynne Gilmore - 23 Jul 2004 04:05 GMT
> A difference is that controlled studies have shown that glucosamine and
> chondroitin reduce pain of osteoarthritis. The same kind of studies found that
> ginkgo doesn;t help tinnitus.

Well, that's enough for me. I'll save my money.

Are there any controlled studies of taking anything that helps tinnitus?

Glynne
Jim Chinnis - 23 Jul 2004 15:25 GMT
Glynne Gilmore <glynnegilmore@netscape.net> wrote in part:

>x-no-archive: yes
>
[quoted text clipped - 7 lines]
>
>Glynne

Xanax (alprazolam). Not many things have been studied, though.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Glynne Gilmore - 23 Jul 2004 19:24 GMT
> Glynne Gilmore <glynnegilmore@netscape.net> wrote in part:
>
>>Are there any controlled studies of taking anything that helps tinnitus?
>
> Xanax (alprazolam). Not many things have been studied, though.

I'm not surprised.

Are the controlled studies on Xanax available to read online?

Glynne
Elly Byrne - 23 Jul 2004 21:04 GMT
>Are there any controlled studies of taking anything that helps tinnitus?

Yes.
Ask Assar to send you one.
http://www.yts.se/english/index.htm

Tinnitus is a pain in the neck
Elly's Tinnitus Resources
http://eebee.net/

For email: elly at eebee.cjb.net
Glynne Gilmore - 23 Jul 2004 23:00 GMT
>>Are there any controlled studies of taking anything that helps tinnitus?
>
> Yes.
> Ask Assar to send you one.
> http://www.yts.se/english/index.htm

Thanks. I just wrote to him.

Glynne
Jim Chinnis - 24 Jul 2004 03:23 GMT
Glynne Gilmore <glynnegilmore@netscape.net> wrote in part:

>x-no-archive: yes
>
[quoted text clipped - 7 lines]
>
>Glynne

Glynne, I thought you were referring to "taking" a drug or supplement, not
undergoing other sorts of treatments. There have been some controlled studies
done of tinnitus retraining therapy, cognitive behavioral therapy,
acupuncture, some surgical approaches, etc. You can actually find a number by
using PubMed.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Glynne Gilmore - 24 Jul 2004 05:55 GMT
[ ... ]

> Glynne, I thought you were referring to "taking" a drug or
> supplement, not undergoing other sorts of treatments. There have been
> some controlled studies done of tinnitus retraining therapy,
> cognitive behavioral therapy, acupuncture, some surgical approaches,
> etc. You can actually find a number by using PubMed.

I am interested in information about controlled studies that involve
taking a drug or supplement to treat tinnitus. You mentioned one
involving Xanax which I use on a low dosage basis to help take the
edge off. I was wondering if I could read about that particular
controlled study online and if there were any others that involved
taking medication or natural remedies like ginko which you said there
weren't. I wish that a magic pill existed to actually "cure" tinnitus
and proven in controlled studies, but I know that is a pipe dream.

Sorry about the confusion.

Glynne
Jim Chinnis - 24 Jul 2004 17:16 GMT
Glynne Gilmore <glynnegilmore@netscape.net> wrote in part:

>x-no-archive: yes
>
[quoted text clipped - 18 lines]
>
>Glynne

There is still confusion. There's been a very large controlled study of
ginkgo. See:

Effectiveness of Ginkgo biloba in treating tinnitus: double blind, placebo
controlled trial.

Drew S, Davies E.

Pharmacology Department, Division of Neuroscience, University of Birmingham,
Birmingham B15 2TT, UK. s.j.drew@bham.ac.uk

OBJECTIVE: To determine whether Ginkgo biloba is effective in treating
tinnitus. DESIGN: Double blind, placebo controlled trial using postal
questionnaires. PARTICIPANTS: 1121 healthy people aged between 18 and 70 years
with tinnitus that was comparatively stable; 978 participants were matched
(489 pairs). Intervention: 12 weeks' treatment with either 50 mg Ginkgo biloba
extract LI 1370 three times daily or placebo. MAIN OUTCOME MEASURES:
Participants' assessment of tinnitus before, during, and after treatment.
Questionnaires included items assessing perception of how loud and how
troublesome tinnitus was. Changes in loudness were rated on a six point scale.
Changes in how troublesome were rated on a five point scale. RESULTS: There
were no significant differences in primary or secondary outcome measures
between the groups. 34 of 360 participants receiving active treatment reported
that their tinnitus was less troublesome after 12 weeks of treatment compared
with 35 of 360 participants who took placebo. CONCLUSIONS: 50 mg Ginkgo biloba
extract LI 1370 given 3 times daily for 12 weeks is no more effective than
placebo in treating tinnitus.

The study on Xanax is as follows:

Arch Otolaryngol Head Neck Surg. 1993 Aug;119(8):842-5.

Use of alprazolam for relief of tinnitus. A double-blind study.

Johnson RM, Brummett R, Schleuning A.

Department of Otolaryngology, Oregon Health Sciences University, Portland.

OBJECTIVE--To systematically test the effectiveness of alprazolam as a
pharmacological agent for patients with tinnitus. DESIGN--Prospective,
placebo-controlled, double-blind study. PATIENTS--Forty adult patients with
constant tinnitus who had experienced their tinnitus for a minimum of 1 year
and who resided in the Portland, Ore, metropolitan area. Twenty patients were
randomly assigned to the experimental group and 20 to the control group.
RESULTS--Seventeen of 20 patients in the experimental (alprazolam) group and
19 of the 20 in the placebo (lactose) group completed the study. Of the 17
patients receiving alprazolam, 13 (76%) had a reduction in the loudness of
their tinnitus when measurements were made using a tinnitus synthesizer and a
visual analog scale. Only one of the 19 who received the placebo showed any
improvement in the loudness of their tinnitus. No changes were observed in the
audiometric data or in tinnitus masking levels for either group. Individuals
differed in the dosages required to achieve benefit from the alprazolam, and
the side effects were minimal for this 12-week study. CONCLUSIONS--Alprazolam
is a drug that will provide therapeutic relief for some patients with
tinnitus. Regulation of the prescribed dosage of alprazolam is important since
individuals differ considerably in sensitivity to this medication.

The above are just the abstracts. I don't believe the full text of either
study are available (for free) on the web. You can find them in just about any
medical library.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Glynne Gilmore - 24 Jul 2004 17:45 GMT
> There is still confusion. There's been a very large controlled study of
> ginkgo. See:
[quoted text clipped - 56 lines]
> study are available (for free) on the web. You can find them in just about any
> medical library.

Okay. Thanks for the info. The only studies that involve taking a drug
or supplement have been done with Xanax and ginko. Is that correct?

Glynne
Susan - 24 Jul 2004 17:55 GMT
>Okay. Thanks for the info. The only studies that involve taking a drug
>or supplement have been done with Xanax and ginko. Is that correct?

I think there may be studies of lidocaine and/or steroids?

Susan
Jim Chinnis - 24 Jul 2004 18:39 GMT
Glynne Gilmore <glynnegilmore@netscape.net> wrote in part:

>Okay. Thanks for the info. The only studies that involve taking a drug
>or supplement have been done with Xanax and ginko. Is that correct?
>
>Glynne

Not exactly. There are a lot of "studies," but not many controlled studies and
only a handful of quality ones. Also, there are often studies aimed at hearing
loss, Meniere's disease, or some other problem that report effects of the
treatment on tinnitus. For instance, dexamethasone (a steroid) has been
studied in a prospective, double-blinded trial for Meniere's disease and
results (negative) were reported for tinnitus.

Acupuncture (a procedure) has been studied in some very careful controlled
trials and has been shown not to have an effect. Some low- to medium-quality
trials have looked at tinnitus retraining therapy and found positive effects
on tinnitus. (A much more extensive controlled trial should be reported this
Fall.) For that matter, the new neuromonics sound enrichment protocol has been
tested in a controlled trial (positive) and larger trials are planned or are
underway, I believe.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Susan - 24 Jul 2004 17:53 GMT
> CONCLUSIONS: 50 mg Ginkgo biloba
>extract LI 1370 given 3 times daily for 12 weeks is no more effective than
>placebo in treating tinnitus.

Which only tells us about this particular dose of whatever specific product was
used in this study, and that this may be too short a time for results to be
apparent.  
Maybe.

I seem to recall that Dr. Nagler said that those considering use of ginkgo
should use a brand called Ginkgold, since it was well documented as being
standardized and containing what it said it contained.

Susan
Jim Chinnis - 24 Jul 2004 18:41 GMT
sufein@aol.comnospam (Susan ) wrote in part:

>Which only tells us about this particular dose of whatever specific product was
>used in this study, and that this may be too short a time for results to be
>apparent.  
>Maybe.

Right. But there's no evidence that higher doses or longer periods of
medicating work.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Susan - 24 Jul 2004 18:45 GMT
>Right. But there's no evidence that higher doses or longer periods of
>medicating work.

Agreed.  No proof that it does, no evidence that it doesn't.

No reason to disbelieve those who say it helps them, at this point.

Susan
Jim Chinnis - 24 Jul 2004 21:48 GMT
sufein@aol.comnospam (Susan ) wrote in part:

>x-no-archive: yes
>
[quoted text clipped - 4 lines]
>
>No reason to disbelieve those who say it helps them, at this point.

I agree pretty much. Although when no effect whatsoever can be seen in a very
large trial lasting 12 weeks, a drug is not usually tested at higher and
higher doses in hopes of a sudden change. (Particularly when those doses have
a risk of cerebral hemorrhage.) The dose selected was actually the one
recommended by the manufacturer of the ginkgo used (Ginkgold, as I recall).

I could think of better things to try, all things considered.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Glynne Gilmore - 24 Jul 2004 22:55 GMT
> sufein@aol.comnospam (Susan ) wrote in part:
>
[quoted text clipped - 14 lines]
>
> I could think of better things to try, all things considered.

I've been toying with the idea of taking ginko, but I would not like to
take it in large doses. Ginkgo seems cost effective, though, IF it
worked. What kinds of better things would you suggest that would be
affordable and not time-consuming for the average tinnitus sufferer?

Glynne
Susan - 24 Jul 2004 23:13 GMT
>I've been toying with the idea of taking ginko, but I would not like to
>take it in large doses. Ginkgo seems cost effective, though, IF it
>worked. What kinds of better things would you suggest that would be
>affordable and not time-consuming for the average tinnitus sufferer?

Xanax, if you have an rx plan and don't mind a habit forming drug.  Or white
noise, or masking.  

Susan
Glynne Gilmore - 25 Jul 2004 07:05 GMT
> x-no-archive: yes
>
[quoted text clipped - 6 lines]
> Xanax, if you have an rx plan and don't mind a habit forming drug.
> Or white noise, or masking.

I don't have an rx plan, but alprazolam is inexpensive at Costco. My
internist prescribes it for me. He is not a "tinnitus specialist," but
he knows that alprazolam helps my tinnitus. Environmental masking, as
Jim mentioned, also helps.

Glynne
Jim Chinnis - 24 Jul 2004 23:29 GMT
Glynne Gilmore <glynnegilmore@netscape.net> wrote in part:

>I've been toying with the idea of taking ginko, but I would not like to
>take it in large doses. Ginkgo seems cost effective, though, IF it
>worked. What kinds of better things would you suggest that would be
>affordable and not time-consuming for the average tinnitus sufferer?
>
>Glynne

I could go on for hours... :-)

I don't think there's an average tinnitus sufferer. First you have to have a
competent medical review, which ain't easy. You need to find and treat any
treatable cause.

If you've done that, and you are still hurting, as most will be, what you can
do depends upon your own situation--your type of tinnitus perhaps, whether it
reacts to sound by ramping up, whether you have hyperacusis as part of it,
whether you have one or another type of hearing loss associated with it.

Options that seem to help most people, in my opinion, include:

    Time (more than anything else).

    Masking, either full or partial, worn or just environmental.

    Counseling.

    Tinnitus retraining therapy from a competent clinician.

    Xanax (alprazolam) under the care of a knowledgeable physician.

    Hearing aids, particularly those w high freq coverage, if needed.

    An antidepressant, in some cases.

    A cochlear implant when severe hearing loss is present.

In the maybe or too-new-to-say categories, I might include Tegretol and
Klonopin, and Neuromonics' ADP protocol and similar approaches that are
starting to appear.

I'm sure I've left out a few things...
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Susan - 24 Jul 2004 23:35 GMT
>I'm sure I've left out a few things...

You forgot EERIE WAX!!!

Susan <not yet a deale.. er, distributor>
Glynne Gilmore - 25 Jul 2004 07:05 GMT
> Glynne Gilmore <glynnegilmore@netscape.net> wrote in part:
>  
[quoted text clipped - 39 lines]
>
> I'm sure I've left out a few things...

Well, you answered my question. Thanks.

Glynne
Bruce/Seattle - 26 Jul 2004 07:19 GMT
From: sufein@aol.comnospam (Susan )  
Newsgroups: alt.support.tinnitus  

x-no-archive: yes

>>I'm sure I've left out a few things...

>You forgot EERIE WAX!!!

>Susan <not yet a deale.. er, distributor>

There has never been a study which has even suggested that EERIE WAX
is anything under 100% in effectivenesds among ALL users. Not one.

Bruce
the benevolent founder of
EERIE WAX, a tinniotus remedy

Ask for EERIE WAX by name. Remember:
If it doesn't say EERIE WAX on the label, then there
is a chance that you're not getting ripped off.
Susan - 26 Jul 2004 14:45 GMT
>There has never been a study which has even suggested that EERIE WAX
>is anything under 100% in effectivenesds among ALL users. Not one.

Well, I'm SOLD!  That's truly impressive proof!

Susan
Smarty pants - 26 Jul 2004 16:05 GMT
> x-no-archive: yes
>
[quoted text clipped - 4 lines]
>
> Susan

I tried the suppository form of EERIE WAX and for all the good it did I
could have shoved it up my a.s!

Dissatisfied user.
PaulS - 26 Jul 2004 22:28 GMT
"Smarty pants" <bushlies@whitehouse.now> wrote in message

> I tried the suppository form of EERIE WAX and for all the good it did I
> could have shoved it up my a.s!

"Could have"!!!  Bill, how did ya take it ;-)

PaulS
Smarty pants - 27 Jul 2004 01:03 GMT
> "Smarty pants" <bushlies@whitehouse.now> wrote in message
>
[quoted text clipped - 4 lines]
>
> PaulS

I put one in each ear.
Jim Chinnis - 26 Jul 2004 16:01 GMT
EERIEWAX@yahoo.com (Bruce/Seattle) wrote in part:

>There has never been a study which has even suggested that EERIE WAX
>is anything under 100% in effectivenesds among ALL users. Not one.

I have one being submitted now to the Journal of Irreproducible Results.
(Barring timely receipt of my overdue commissions, of course.)
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Elly Byrne - 24 Jul 2004 21:16 GMT
>CONCLUSIONS: 50 mg Ginkgo biloba
>extract LI 1370 given 3 times daily for 12 weeks is no more effective than
>placebo in treating tinnitus.

Absolutely. That dose is much too low.

Michael Seidman, M.D.
The study you are referring to was a nice study out of the United
Kingdom. Unfortunately, the dose that they tested was about 1/3 of the
dose that has been
shown to be of some benefit. I usually recommend 240 mg, two times per
day;

Tinnitus is a pain in the neck
Elly's Tinnitus Resources
http://eebee.net/

For email: elly at eebee.cjb.net
Susan - 24 Jul 2004 21:23 GMT
>Absolutely. That dose is much too low.
>
[quoted text clipped - 4 lines]
>shown to be of some benefit. I usually recommend 240 mg, two times per
>day;

Okay, so where's the evidence that the higher dose is more effective?  Just
saying it's too low isn't evidence that more would work.

Susan
Jim Chinnis - 24 Jul 2004 21:43 GMT
Elly Byrne <elly@eebee.cjb.net.noway> wrote in part:

>>CONCLUSIONS: 50 mg Ginkgo biloba
>>extract LI 1370 given 3 times daily for 12 weeks is no more effective than
[quoted text clipped - 14 lines]
>
>For email: elly at eebee.cjb.net

Dr. Seidman is a paid spokesman for Arches brand of ginkgo. It's a bit like
Michael J. Jordan recommending Nike running shoes!

Where are the data, Elly?
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Jennifer Bell - 25 Jul 2004 03:20 GMT
why is everyone trying so hard to discredit ginko? dont you think for the
people that are actually getting some relief from it, whether it be placebo
or not , that what your doing is cruel.
Like I have said before ginko is good for general health anyway...and in the
doses mentioned it isnt doing anymore harm, than taking a couple of aspirin.
I think it is just sour grapes from the people who dont get any releif from
it, well Im sorry you dont, but dont ruin it for thos of us who do..
Give it a rest will ya, and let us enjoy the peace.
Jim Chinnis wrote in message ...
>Elly Byrne <elly@eebee.cjb.net.noway> wrote in part:
>
[quoted text clipped - 24 lines]
>Jim Chinnis / Warrenton, Virginia, USA
>Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG
Jim Chinnis - 25 Jul 2004 03:37 GMT
"Jennifer Bell" <starwood@iprimus.com.au> wrote in part:

>why is everyone trying so hard to discredit ginko? dont you think for the
>people that are actually getting some relief from it, whether it be placebo
>or not , that what your doing is cruel.

Ginkgo is a scam. It has been discredited with large, well-done studies. It
makes obscene amounts of money for many people in the supplements business.

The data show that it does nothing for tinnitus sufferers except empty their
wallets.

Those who discontinue ginkgo will have the same tinnitus and larger bank
accounts.

I also object to your trying to restrain discussion in an internet forum. You
may be in the wrong place if you want protection from ideas that challenge
your or others' beliefs.

If you have evidence that ginkgo is valuable, present it. Maybe more research
funds should be devoted to it?
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Susan - 25 Jul 2004 03:56 GMT
>Ginkgo is a scam. It has been discredited with large, well-done studies. It
>makes obscene amounts of money for many people in the supplements business.

Whoa.  That hasn't been proven, and I don't believe it.  

>The data show that it does nothing for tinnitus sufferers except empty their
>wallets.

The data show that 12 weeks of 50mg does nothing for T sufferers.

>Those who discontinue ginkgo will have the same tinnitus and larger bank
>accounts.

Maybe yes, maybe no.

>I also object to your trying to restrain discussion in an internet forum. You
>may be in the wrong place if you want protection from ideas that challenge
>your or others' beliefs.

Yes, I agree, telling others what they can discuss, or what views are
acceptable for sharing is not cool.

>If you have evidence that ginkgo is valuable, present it. Maybe more research
>funds should be devoted to it?

Absence of evidence isn't evidence of absence.  The jury is out.  You have no
more authority for calling it a scam than others have for calling it an
effective treatment.  I think you just got too pissed off.

Susan
Jennifer Bell - 25 Jul 2004 09:52 GMT
the only evidence I have is that it works for me...this is an open
newsgroup..dont tell me what I can and can not say.
Jim Chinnis wrote in message ...
>"Jennifer Bell" <starwood@iprimus.com.au> wrote in part:
>
[quoted text clipped - 20 lines]
>Jim Chinnis / Warrenton, Virginia, USA
>Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG
Susan - 25 Jul 2004 16:06 GMT
>the only evidence I have is that it works for me...this is an open
>newsgroup..dont tell me what I can and can not say.

You did  that, not anyone else.

Susan
Susan - 25 Jul 2004 03:56 GMT
>why is everyone trying so hard to discredit ginko? dont you think for the
>people that are actually getting some relief from it, whether it be placebo
[quoted text clipped - 4 lines]
>it, well Im sorry you dont, but dont ruin it for thos of us who do..
>Give it a rest will ya, and let us enjoy the peace.

Uh, who, exactly is everyone?

We had a discussion here, in which research findings and opinions were shared.
IMO, that's a good thing.

I'm delighted that you've found relief, for whatever reason, while taking GB.
That doesn't mean that the use of this forum for discussion of its merits is
inappropriate.

Susan
Glynne Gilmore - 25 Jul 2004 07:06 GMT
> why is everyone trying so hard to discredit ginko?

I don't think everyone is trying to discredit ginkgo. I was interested
in learning about controlled studies involving taking something to treat
tinnitus. Since one study and maybe others used a low dosage of ginkgo
for a short period of time, and the recommended dosage is higher for a
longer period of time, I'm not sure the studies prove that gingko is
ineffective. I personally don't think ginkgo would help me, but if it
helps you or anyone else, I think that's great. Whatever works.

Glynne
Jennifer Bell - 25 Jul 2004 09:53 GMT
Thats what I fifgure Glynne
>x-no-archive: yes
>
[quoted text clipped - 9 lines]
>
>Glynne
Smarty pants - 25 Jul 2004 18:05 GMT
> x-no-archive: yes
>
[quoted text clipped - 9 lines]
>
> Glynne

I wish it were a matter of "whatever works", Glynne.  As we've seen in this
newsgroup, "whatever works" ranges from eating black beans to intravenous
injections of exotic herbs.  Yes, some treatments enhance one's tolerance
for their tinnitus but not without significant side effects and even risk of
addiction.  Tinnitus is so variable in perceived loudness, pitch and origin
as to make it difficult or perhaps impossible for an individual to associate
a change in perception with any concoction they might be taking.  Likewise,
habituation may evolve coincidental to some treatment, making it seem as
though the treatment is working.

For most, if not all, of us who have frequented this group over many years,
relief came after acceptance that this is a condition unlikely to go away.
That acceptance is a necessary step toward learning to live with it.  Yes,
it is possible to live with severe tinnitus, to such an extent that it is no
longer a factor in one's life.

The present ginkgo discussion is not unlike the ginkgo discussions that have
taken place at least annually for as long as I've been hanging around here.
By the time it ends, a few more people will have half-full bottles of the
stuff gathering dust on their shelves as do I.  As someone who successfully
habituated tinnitus and have watched many newbies pass through this group, I
feel duty bound to resist the establishment of false hopes that prolong the
habituation period.  We need to spend more time helping people accept their
condition and move toward habituation and less time dancing around the
senseless ginkgo, acupuncture, hyperbaric chamber and t-gone topics.
francispoon - 26 Jul 2004 05:01 GMT
"Smarty pants" <bushlies@whitehouse.now> wrote in message news:<tLRMc.553
snipped...
 We need to spend more time helping people accept their
> condition and move toward habituation and less time dancing around the
> senseless ginkgo, acupuncture, hyperbaric chamber and t-gone topics.

Could you provide controlled studies as to:
(1)only habituation helps and nothing else.
(2)there is no need for medical treatment of tinnitus even for
patients who are suffering from somatic discomfort together with the
tinnitus sound.
(3)all that 'useless' items you named above are (a)*totally* useless
and (b)totally useless for *all* patients.
(4)Those who claim to have benefited from some of the 'useless' items
are suffering from hallucination or imaginary feelings.
(5)Since the feeling in (4) is imaginary, any improvements which they
themslves have felt do not count as benefits.
(6)Since the feeling in (4) is imaginary, they should discontinue
whatever they are trying.  Upon discontinuation, any discomfort they
experience therefrom is also imaginary and therefore also does not
count.

FP
Smarty pants - 26 Jul 2004 05:52 GMT
> "Smarty pants" <bushlies@whitehouse.now> wrote in message news:<tLRMc.553
> snipped...
[quoted text clipped - 19 lines]
>
> FP
Francis, the ginkgo topic has been beaten to death.  Tinnitus habituation
doesn't cure tinnitus, and nothing else does either.  Tinnitus habituation
is an effective way of dealing with tinnitus.  It is free.  There are no
side effects.

You will never habituate your own tinnitus if you keep trying to associate
what your doctor prescribes for a vascular condition with the changes in
your tinnitus because tinnitus changes by itself.  Give yourself a break and
involve yourself with issues unrelated to your tinnitus.  You will discover
that the less often you think about it, the less often it will bother you.
It is important, Francis, that you not give others false hope because in
doing so, you only prolong their habituation.  As you have learned first
hand, Francis, the other treatments you promoted such as black beans,
intravenous injections, the kidney thing and hyperbaric treatments didn't
cure your tinnitus.  Your cure du jour is ginkgo, and that isn't going to
work either.  Should we now  dive into acupuncture and T-Gone or would you
rather simply get on with habituating your tinnitus?
francispoon - 27 Jul 2004 07:45 GMT
> > "Smarty pants" <bushlies@whitehouse.now> wrote in message news:<tLRMc.553
> > snipped...
[quoted text clipped - 36 lines]
> work either.  Should we now  dive into acupuncture and T-Gone or would you
> rather simply get on with habituating your tinnitus?

I don't think you have been listening what I have been saying all
along.  I am all for habituation but in order to do that one has to
take care of one's somatic discomfort, _if any_, first.  That is to
say, if a tinnitus patient does not have somatic discomfort but only
tinnitus sound, then by all means habituate and see the extent of the
treatment.  But if a person is suffering from somatic discomfort, he
should get himself treated _medically_ in the first place.  You seem
to want to provide a generalized answer to all the t suffers while in
reality such a recipee does not exist.  And you seem to have known
more about my conditions than my doctor who prescribed me treatments
as he sees fit.  Stop getting onto your high horse and start coming
down.  Each case is diferent!

FP
===========================================
Smarty pants - 27 Jul 2004 14:53 GMT
> > > "Smarty pants" <bushlies@whitehouse.now> wrote in message news:<tLRMc.553
> > > snipped...
[quoted text clipped - 52 lines]
> FP
> ===========================================

Here is the definition of "somatic":

Adjective
1. Affecting or characteristic of the body as opposed to the mind or spirit;
"bodily needs"; "a corporal defect"; "corporeal suffering"; "a somatic
symptom or somatic illness".

As you can see, "somatic discomfort" would include any bodily discomfort.
Right now I am treating an infection.  The pain from that infection has
nothing whatever to do my tinnitus or the habituation thereof.  They are
separate and distinct issues.
francispoon - 28 Jul 2004 02:37 GMT
> > "Smarty pants" <bushlies@whitehouse.now> wrote in message
>  news:<j60Nc.601$jz4.22480@news7.onvoy.net>...
[quoted text clipped - 74 lines]
>
> As you can see, "somatic discomfort" would include any bodily discomfort.

I am suffering from hydrop, which is associated to loudness.

FP
=================================

> Right now I am treating an infection.  The pain from that infection has
> nothing whatever to do my tinnitus or the habituation thereof.  They are
> separate and distinct issues.
Elly Byrne - 23 Jul 2004 21:03 GMT
>A difference is that controlled studies have shown that glucosamine and
>chondroitin reduce pain of osteoarthritis. The same kind of studies found that
>ginkgo doesn;t help tinnitus.

I thought you did not approve of controlled studies. Only double
blinded ones.

Tinnitus is a pain in the neck
Elly's Tinnitus Resources
http://eebee.net/

For email: elly at eebee.cjb.net
Jim Chinnis - 24 Jul 2004 00:16 GMT
Elly Byrne <elly@eebee.cjb.net.noway> wrote in part:

>I thought you did not approve of controlled studies. Only double
>blinded ones.

Huh? The question to be examined determines the type of study to be done.

Drugs/herbs/supplements, etc. that do not provoke identifiable signs or
symptoms can be easily tested in a double blinded study, and certainly should
be. Some can't be, because they give themselves away. Xanax is an
example--subjects given Xanax know they didn't get a sugar pill. There are
ways around this problem to some degree with different types of study designs.

Many procedures can also be studied with controlled blinded designs, but
seldom completely double-blinded.

And many physiology, biology, etc. type studies aren't blinded, can't be, and
have no need to be.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

francispoon - 23 Jul 2004 07:54 GMT
> who anyone first timers going to try Ginko, I will tell you what my
> nayuropath told me..it takes 6 weeks to have its full effect so dont just
> take it 2 times and say it didnt work, stick it out a bit, as long as your
> feeling ok with it,

The gingko pills my doctor prescribed for me were bought from a
boutique shop in England.  They worked almost immediately.  After
running out of the 7 tablets he sold me, I went out to buy the ones
made by 21st Century from Arizona.  But I found the later to be less
effective and take almost a week and half before I began to experience
the impact.  The mosquitoes attacks became less frequent with the
American ones.  Then i went back to the doctor again and asked him to
sell me the ones made in England.  He did that finally but at twice
the price with which I could buy the American ones. Frankly, the
British ones are better.

In case you are interested, the website is www.gandgvitamins.com.
This shop is supposed to be 'organic'.  My doc is adament about using
dried gingko leaf as opposed to extract.  He simply does not like the
chemicals put into the process of extraction.

FP
===========================================

> >x-no-archive: yes
> >
[quoted text clipped - 24 lines]
> >
> >Glynne
Susan - 22 Jul 2004 19:16 GMT
>sorry just me again..what is Xanax? sound like an antidepressant.

Xanax is in the family of benzodiazapenes that are commonly used for anxiety
and/or pain.  Valium and Xanax also work on the nervous system and help with
balance problems and tinnitus.

Susan
francispoon - 23 Jul 2004 07:40 GMT
> entconsult@aol.comnospam (ENTconsult) wrote in part:
>
[quoted text clipped - 3 lines]
> There's not much data from controlled studies. And what there is seems to
> support little if any effect, even in cases of hydrops.

I have been on betahistine for the past 5 months and I could tell
something about how it works.

(1)It makes people asleep.
(2)It does releases head pressure caused by what supposingly is the
hydrop thing.  As a result, the t sound becomes softened a bit.
(3)Napping under the influence of betahistine is less punishing than
doing it without betahistine.

I went to HongKong today and visited 3 large pharmacist shops.  I
asked each one what most people in this area use for tinnitus.
Bymeniere, they all replied, which is the brand name for betahistine.
Hong Kong is an international city of about 7 million people.  I would
imagine that the market demand for this product can tell you something
or could be at least be entered into the equation of a controlled
study about this product.

FP
=====================================

> >Evaluating anything for T is very very tough.
>
[quoted text clipped - 9 lines]
> (Xanax may be the only exception so far, and there the study showing a pretty
> big effect wasn't blinded.)
Elly Byrne - 22 Jul 2004 21:13 GMT
>>By the way, there is no shortage of studies ...and extensive studies
>>>that one could find in the search engine of Yahoo. Some speak in favor
[quoted text clipped - 6 lines]
>Murray Grossan, M.D.
>http://www.ent-consult.com

Thank you Murray. So much for studies.

Tinnitus is a pain in the neck
Elly's Tinnitus Resources
http://eebee.net/

For email: elly at eebee.cjb.net
Jim Chinnis - 22 Jul 2004 22:12 GMT
Elly Byrne <elly@eebee.cjb.net.noway> wrote in part:

>>>By the way, there is no shortage of studies ...and extensive studies
>>>>that one could find in the search engine of Yahoo. Some speak in favor
[quoted text clipped - 8 lines]
>
>Thank you Murray. So much for studies.

Yep. Worthless. What we need are more testimonials.  :-/
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

francispoon - 23 Jul 2004 04:20 GMT
> >By the way, there is no shortage of studies ...and extensive studies
> >>that one could find in the search engine of Yahoo. Some speak in favor
> >>of while others against gingko.
>
> You know they have been studying SERC - betahistine for Tinnitus for decades
> and they still haven't a clue whether it works or not.

I have been using betahistine for the past 5 months.  It has not cured
my tinnitus but makes my head less uncomfortable when i experience
something like what you describe to be the 'hydrop' pressure.

FP
======================


> Evaluating anything for T is very very tough.
>
> Murray Grossan, M.D.
> http://www.ent-consult.com
francispoon - 23 Jul 2004 04:15 GMT
> <snip>
> > By the way, there is no shortage of studies ...and extensive studies
[quoted text clipped - 6 lines]
> Tell us, Francis, how many of these are controlled, double-blind studies
> involving large numbers of tinnitus sufferers?

I am not into the business of doing surveys.  Gingko was discovered by
the Chinese through EXPERIENCE that it helps blood circulation in the
head.  Thus if bloood circulation were the cause of your tinnitus,
then using gingko would be of a logical help.  Now, can you show me
studies that proved gingko does NOT help blood circulation in the
head?

FP
=========

After all, such studies
> would be the only ones to yield meaningful results.  What were the results?
> From what I find, there was only one such study and the results demonstrate
> ginkgo to be neither more nor less effective than placebo.  Can you point us
> to another such study that proved it's effectiveness?  If not, there is no
> scientific basis for treating tinnitus with ginkgo.
Smarty pants - 23 Jul 2004 04:41 GMT
<snip>
> I am not into the business of doing surveys.  Gingko was discovered by
> the Chinese through EXPERIENCE that it helps blood circulation in the
[quoted text clipped - 4 lines]
>
> FP
<snip>
You show me yours, I'll show you mine.
snap_crackle_pop - 23 Jul 2004 20:30 GMT
> <snip>
>
[quoted text clipped - 9 lines]
> <snip>
> You show me yours, I'll show you mine.

I think Francis is trying to say since Gingko helps blood circulation in
the head and Gingko has not show to lessen tinnitus in controlled
studies, that the blood circulation to the head theory of tinnitus is
unproven.

A valuable contribution to our debate.  Thank you, Francis.

scp

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