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however, in patients with non-pulsatile bilateral tinnitus, with or without symmetric hearing loss, and an otherwise normal history and physical exam, imaging is not necessary

Compounded medications provide for customization of strengths and volumes, as determined necessary by the prescribing physician for the identified patient, that may not be available in commercial products

Furthermore, the inclusion of 10 mg of Vitamin B6 as Pyridoxal-5-Phosphate (P-5-P) provides the critical spark for this entire metabolic engine