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However, the main mechanism of this traditional Chinese medicine is still unclear

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doi: 10.1016/j.npep.2017.08.001 110 SpezaniRMarcondes-de-CastroIAMarinhoTSReis-BarbosaPHCardosoLEMAguilaMBet al

If I can, that may indicate a venous hum due to structural abnormalities such as sigmoid sinus dehiscence [SSD] or diverticulum, which needs further imaging and workup. An otoscopic exam of the ear canal can also potentially yield the diagnosis

Effectiveness depends on consistency, dose titration, and lifestyle factors including adequate protein intake