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132 Another controlled trial that included 120 subjects with tinnitus and low cochlear blood flow related to Mnire disease found 150 mg of Pycnogenol per day for six months improved cochlear blood flow and reduced subjective measures of tinnitus compared with no treatment

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Kidney problems (e.g., change in urine output, blood in the urine, or leg swelling)

ALT, alanine aminotransferase

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This manifests as progressively worsening albuminuria and eGFR decline, with glomerular mesangial expansion, podocyte effacement, segmental glomerulosclerosis and tubular injury, which progress to diffuse glomerular and tubulointerstitial fibrosis [10]