I have been using it for 10 years. I tried HRT for hot flashes and night sweats and hated the way my body felt and hated the potential damage I could be doing. Then I read about pycnogenol being good for hot flashes and tried it. It took a couple weeks to see a difference, but my oh my what a difference! Better than anything I had ever tried for hot flashes. I take 100 mg capsule at bedtime every night and never have a hot flash. Every couple of years I go off it to see if my body has changed, and the flashes always come back so I start on the pycnogenol again and the problem is solved.
It may be good for those other things you mentioned, hope so, but it is the only thing that stops my flashes. I've told several GFs about it, too, and they continue to thank me because it works for them also.
No act of kindness, no matter how small, is ever wasted. - Aesop