“…Several in vitro, animal and human studies have indicated the prophylactic and therapeutic effects of extracts from various pine species [ 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 , 128 , 129 , 130 ]. In a systematic review, published by the Cochrane Collaboration, which included 27 RCTs evaluating the effects of supplements containing pine bark extracts on 10 different chronic diseases: asthma, Attention Deficit Hyperactivity Disorder, cardiovascular disease and risk factors, chronic venous insufficiency, diabetes, erectile dysfunction, female sexual dysfunction, osteoarthritis, osteopenia and traumatic brain injury, it was concluded that small sample sizes, a limited number of RCTs, variability in outcome measures and poor reporting of the RCTs included, rendered it impossible to draw definitive conclusions about the efficacy or safety of supplements containing pine bark extract [ 108 ]. However, the aforementioned review did not take into account many other studies, including particularly interesting research on skin health and protection.…”