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DirectX gets closer to the hardware than VB does, hence it's much faster than any other API function. To integrate DirectX with VB, you need a type library (which can be downloaded from Microsoft's website).
Go to http://www.microsoft.com/directx for more information.
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the VB dll (its not a .tlb, its an .dll) comes with the normal DX7 download by the way, you dont have to get anything but DX7. Although you should get the docs, as they're v useful
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Uh, but I just installed DirectX7 and the type library was already there. Oh wait, you just said that... Never mind.