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28 notes in this shelf
Management
Evidence-aware ways to understand assessment, support, and day-to-day management choices.
Latest in Management
Sorted by publish date.
- 01Jul 15, 2026
Why is my tinnitus louder after earwax removal?
Tinnitus can feel louder after wax removal because hearing contrast changes or the canal is irritated. Pain, drainage, or hearing loss needs care. When to act.
Read note → - 02Jul 15, 2026
Why did my tinnitus spike after wearing earplugs?
Earplugs can reveal tinnitus by reducing outside sound, causing occlusion, or irritating the canal. They still protect hearing when used correctly. When to act.
Read note → - 03Jun 14, 2026
Best tinnitus supplements (2026): what the evidence actually shows
No supplement is proven to cure tinnitus, and none has passed an independent randomized trial. An honest, source-cited ranking of the ingredients and what the data say.
Read note → - 04Jun 14, 2026
Do tinnitus supplements actually work? What the evidence says
Do tinnitus supplements work, or are they a waste of money? The honest, source-cited answer: no supplement is proven to reduce tinnitus, with one narrow exception.
Read note → - 05Jun 14, 2026
Quietum Plus review: does it actually work for tinnitus?
An evidence-first Quietum Plus review. No independent trial shows it reduces tinnitus, and its sales claims exceed the evidence. What that means before you buy.
Read note → - 06Jun 14, 2026
Quietum Plus vs Tinnitus 911: an evidence-based comparison
Quietum Plus and Tinnitus 911 are the two most-searched tinnitus supplements. Neither has an independent trial. A side-by-side comparison and an honest verdict.
Read note → - 07Jun 14, 2026
Tinnitus 911 review: what the evidence says before you buy
An evidence-first Tinnitus 911 review. No independent trial supports its tinnitus claims. What to know first.
Read note → - 08Jun 14, 2026
Tinnitus cure scams: how to spot a fake tinnitus supplement
No supplement has been shown to treat or cure tinnitus, so any product promising to silence it permanently is overselling. A source-cited guide to the red flags and what to check before purchase.
Read note → - 09Jun 14, 2026
What vitamin deficiency causes ringing in the ears?
Low vitamin B12, zinc, and iron are the deficiencies most linked to tinnitus. When a deficiency is the cause, correcting it can help, which is why testing comes before supplements.
Read note → - 10May 22, 2026
Benzodiazepines and tinnitus: short-term benefit, long-term concern
Benzodiazepines reduce tinnitus distress short-term, but tolerance and withdrawal tinnitus complicate long-term use. Clinical guidelines and patient considerations.
Read note → - 11May 22, 2026
Bimodal stimulation (Lenire): the tongue-and-sound device explained
Bimodal stimulation pairs auditory tones with tongue electrical stimulation. The Lenire device received FDA approval in 2023. Evidence summary and patient eligibility.
Read note → - 12May 22, 2026
First tinnitus appointment: what to ask, what to bring
Preparation for your first audiology or ENT appointment. Symptom diary, medication list, exposure history, and the questions that often go unasked.
Read note → - 13May 22, 2026
Ginkgo biloba for tinnitus: Cochrane review verdict
Ginkgo biloba has been studied for tinnitus in multiple randomized trials. The Cochrane review verdict is no benefit beyond placebo. What the data show.
Read note → - 14May 22, 2026
Hearing aid features explained: directional mics to Bluetooth
Modern hearing aids have 8-12 channels, AI noise reduction, directional microphones, and direct Bluetooth streaming. Which features actually matter for tinnitus management.
Read note → - 15May 22, 2026
Minimum masking level (MML): the loudness needed to cover your tinnitus
MML measures the broadband noise level required to completely mask your tinnitus. A core part of psychoacoustic tinnitus assessment.
Read note → - 16May 22, 2026
Tinnitus Handicap Inventory (THI): the 25-question distress score
THI scores tinnitus distress from 0 to 100. Audiologists use it to track patient burden over time and gauge treatment response.
Read note → - 17May 22, 2026
Tinnitus tracking diary: what to log, for how long, why
A two-week structured tinnitus diary helps identify triggers and track treatment response. What to log, how to score, and which apps automate it.
Read note → - 18May 22, 2026
TMS for tinnitus: what 20 years of research has shown
Repetitive transcranial magnetic stimulation has been studied extensively for chronic tinnitus. Results are modest but real for a subset of patients. Current state and access.
Read note → - 19May 22, 2026
Vagus nerve stimulation for tinnitus: paired-VNS protocols
VNS paired with auditory tones aims to drive targeted neural plasticity. Clinical trial results, current device development, and where the science sits.
Read note → - 20May 22, 2026
When to see an audiologist: 7 specific triggers
Not every ear concern warrants an audiologist visit. The seven specific symptoms and situations where you should book one within 2 weeks.
Read note → - 21May 21, 2026
CBT for tinnitus: the evidence-backed psychological treatment
Cognitive behavioral therapy has the strongest evidence base of any tinnitus intervention. What sessions actually involve, who responds, and where to find a trained provider.
Read note → - 22May 21, 2026
Cochlear implants and tinnitus: when restoring input quiets phantom sound
Most cochlear implant recipients report reduced tinnitus in the implanted ear. The leading explanation is that restored auditory input downregulates central gain. Evidence and exceptions.
Read note → - 23May 21, 2026
Hearing aids for tinnitus: why amplification often quiets ringing
When hearing loss accompanies tinnitus, restoring environmental sound through hearing aids reduces perceived ringing. Combination devices add masking. Evidence overview.
Read note → - 24May 21, 2026
Mindfulness-based therapies for tinnitus: what MBSR can and cannot do
Mindfulness-based stress reduction does not silence tinnitus. It changes the relationship to the sound. Evidence summary from controlled trials of MBSR and MBCT for tinnitus distress.
Read note → - 25May 21, 2026
Notched music therapy for tinnitus: theory, evidence, and limits
Notched music removes a narrow frequency band centered on the tinnitus pitch. Lateral inhibition theory predicts this can reduce the auditory cortex's overactivation. What the trials actually show.
Read note → - 26May 21, 2026
Tinnitus and sleep: why nights are worst and how to break the cycle
Sleep deprivation worsens tinnitus and tinnitus worsens sleep. Cognitive, environmental, and behavioral interventions with the strongest evidence for breaking the feedback loop.
Read note → - 27May 21, 2026
Tinnitus retraining therapy (TRT): what it is and how long it takes
TRT combines counseling and low-level broadband sound to habituate the auditory system to tinnitus. Treatment timeline, evidence, and how it differs from CBT and masking.
Read note → - 28May 21, 2026
White noise machines for tinnitus: what masking actually does
White noise does not cure tinnitus. It changes the contrast between phantom sound and background, which makes ringing harder to notice. Mechanism, evidence, and how to choose a machine.
Read note →