Just found this board yesterday and saw the tip on the proper way to use the nasal spray. I can already tell a slight improvement. Thank you! My symptoms started last spring. I was taking 800 MG of ibuprofen 2x a day for Osteoarthritis. I think that may have caused the ringing and pulsating in my ears. On the bright side my osteoarthritis hasn't been bothering me at all this winter! My ENT is still testing etc. Have an appointment next week.