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Folate levels should be checked before or alongside B12 treatment

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4,7 The link between hearing loss and tinnitus has been suggested to be due to a compensatory effect: the brain compensates for decreased activation of the auditory nerve (which carries signals from the cochlea to the brain) by increasing gain or signal amplification in the auditory system of the brain, as well as decreasing auditory signal inhibition, which may result in tinnitus and possibly hypersensitivity to noise

B12 injections have been shown to support brain health by enhancing cognitive function, improving memory, and reducing the risk of neurodegenerative conditions like dementia and Alzheimers disease

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Progressive Tinnitus Management Level 3 Skills Education: A 10-Year Clinical Retrospective