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If it does not resolve, and other key findings are present, such as bounding, which denotes a high-intensity, forceful, and exaggerated pulse sensation that is synchronous with the heartbeat, then its likely arterial. Another key break point is whether I can hear the tinnitus through the ear canal when performing a simple auscultation, he said
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PMID: 12 SimpsonHLCampbellBJ
Most of the benefit arrives within the first year of treatment
van Can, J., et al
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