its more effective in combination with inositol, per Dr. Samshuddin. He's got a patent on the combination last time I checked, and those respecting Jefferson's contribution to the Constitution relating to advancement in the scientific arts will buy the bottle with Samshuddin's license or name on the bottle, and go with his recommendation since he'd studied the matter extensively.
Next step is to understand the mechanism for the synergy, which leads to further enhancement by inclusion of appropriate cationic species and carboxylates.
One cannot convey in words what most would consider un-believable, but suffice it to say, that I don't need a plane ticket.