Considered by the ENTs the most effective over the counter solution to reduce ear ringing (survey data on file). No. 1 ENT Doctor recommended for tinnitus. Don't be fooled by imitators. Only Lipo-Flavonoid Plus: Contains the exclusive Tisina Complex, a proprietary blend of high potency ingredients, clinically shown to be important to functionality of the inner ear. Is supported by over 50 years of clinical use. Is the No. 1 recommendation of ENTs for their patients with ringing in the ears. The makers of Lipo-Flavonoid Plus do not manufacture any store brands.