> [Loratidine or pseydoephedrine for tinnitus?] Too much pseudoephedrine increases stress hormones, loratadine isn't good for the liver, and anything that irritates the intestine can cause tinnitus by increasing endotoxin absorption. > [Tinnitus and hand shakes a bit] Endotoxin can produce those effects. Keeping the digestive system free of [[inflammation]] often helps, and a daily raw [[carrot]] is sometimes enough, sometimes a supplement of [[thyroid]] or [[progesterone]] helps. The endogenous opioids can have one-sided effects, and they are increased by endotoxin. Having well cooked mushrooms every day, and avoiding green salads, unsaturated fats, [[grains]] and beans are other helpful things. A supplement of niacinamide and other B vitamins sometimes helps. [(Reference)](https://archive.ph/o/OJZkW/https://raypeatforum.com/community/threads/ray-peat-email-advice-depository.1035/page-11%23post-135108)