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Nature 418 , 530–534 (2002)

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The binding of Pycnogenol ® constituents and the bioactive microbial metabolite 5-(3′,4′-dihydroxyphenyl)-γ-valerolactone to human erythrocytes was determined in an in vitro setting ( In a clinical study with 33 patients suffering from severe osteoarthritis 16 patients were allocated to receive 200 mg Pycnogenol ® per day over 3 weeks before a scheduled knee arthroplasty surgery ( ® constituents and metabolites were quantified in serum (see section “4.1 Absorption into plasma/serum and concentration profiles”), synovial fluid (see section “5.4 Distribution into synovial fluid”) and blood cells (Table 2)