Anything special you did? Sorry it came back.
As in most cases I'd say it was mostly just time and my body healing naturally. I genuinely feel like 2 supplements may have made a real difference in my case. NAD and Astaxanthin.
The NAD definitely made my tinnitus volume quieter. Not like night and day but like .5-1 point lower. This didn't happen the first round of trying it.
When my tinnitus was much louder. After my tinnitus had already lowered in volume I could take it and tell a difference in general volume on a day to day basis. I still take it daily.
Astaxanthin would give me a warm ear feeling and I felt like whatever it was doing may have improved my ETD symptoms. However, I couldn't take it everyday. After a few days it would spike me noticeably. So I'd take it 1-2 days a week. I also started with a much higher dose of 12 mg and cut that back to 4 mg because the level of the volume increases seemed pretty dose dependent.
I also took Curcumin and fish oil a lot. I didn't get any physical sensations from them or volume changes, but they have anti-inflammatory properties so they could have played a part. I feel like my issues are heavily inflammation related.
I exercised a lot after the first year. Before that I was extremely depressed and suicidal. Mostly just lots of walking trails in quiet parks away from the city and if I had to do it at home I'd just walk in my garage in laps. Couldn't really walk my neighborhood. I live in a nice quiet cul de sac, but several neighbors are into DIY work in their garages with saws and things and yard work projects regularly.
I did physical therapy for my balance issues, but I was able to get them to do neck massage. This was at like almost 2 years in. I feel like I had healed a lot, but my middle ear reaction to sound was so entrenched it wasn't letting up and the regular massage helped that. I noticed an improvement in my ability to tolerate music that grew over several months. I felt like my startle reflex over general noises like silverware clanging and stuff improved too.
I tried starting it back recently when I had what I thought was cervicogenic vertigo going on, but I think currently my setback is not at a stage where it is having a positive effect with the massage. Too much inflammation is my guess. My vertigo actually ended up being BPPV this time around and after a few sessions with the Epley Maneuver it resolved. So I've stopped physical therapy for the time being as right now it was just another noise exposure area to my presently sensitive ears.
Sorry to kind of go off on a tangent, but wanted to explain the situational aspect of how I thought it was beneficial.
I will say as far as the reactivity specifically there was one very odd flukish like event, but it seemed to come out in my favor. My right ear was mostly my only reactive ear. It would spike to sounds like air purifiers, AC vent noise in the car, the smoke fan on my stove etc. So I slept in quiet and couldn't use sound enrichment pretty much.
One night I was laying in my Children's room when they were being difficult about going to sleep. My ear was screaming as their air purifier was running. After they fell asleep I ended up passing out in there even though my ear was screaming. When I woke up the next morning my ear was not having a reaction to that noise. Pretty much from that point forward those type of noises stopped giving the "struggle to match or overtake in volume whatever is triggering it" effect.
Now again this may have been situational. Not really sure how, but obviously like with noxacusis overexposure it could backfire and make things worse, so I'm not saying give it a shot. Could very well have made it worse for me. I was frankly shocked by the result and as I say it wasn't an intentional experiment, but that certainly specifically affected the reactivity.