I am going on two years now, following a protocol I stumbled onto, which is working remarkably well to manage my tinnitus.
In a nutshell, what you do is moderate the amount of Potassium in your diet and, paradoxically, supplement with Potassium tablets. I call it the "Potassium Protocol."
I wrote about the Potassium Protocol on this website back when I was first exploring it.
Try This: A Magnesium, Potassium, Calcium Protocol
I write again today (i) to report that, damn, this thing really does work and (ii) to refine the rules and tips I offered in those first posts.
Will this work for you?
I would not doubt, what works for one sufferer might not work for another. So, here's (i) what my tinnitus is all about and (ii) why the Potassium Protocol might still work for you even if you're not like me.
My tinnitus was brought on by taking the heart drug Digoxin. I early discovered that spikes were triggered by eating certain foods (soy, salicylates and others), and I was able to manage the noise somewhat by avoiding the food triggers. It was a hard diet to follow, and was only mediocre at controlling the ear buzz.
Your tinnitus is probably different. But I believe that potassium could well be the key to tinnitus management for many sufferers, for this reason: It was reading on this website about drugs that controlled tinnitus well, but had such dreadful side effects they weren't feasible, that got me to explore potassium: those effective drugs targeted the Potassium channels in the ears' hair cells.
In the rat trials for the Potassium-channel-targeting tinnitus drugs, tinnitus was induced in rats in two ways, by noise and by chemicals. (I figure, with my drug onset, I'm like the chemically induced rats.) The drugs worked on both kinds of rat tinnitus, both noise and chemical induced. Hence, managing Potassium, my Protocol, might just simply work, regardless of what caused or flares the condition for you.
A few simple rules
These are the rules for the Potassium Protocol.
1) Limit the amount of Potassium in your diet.
It is pretty easy to look up the Potassium content of various foods; since kidney patients must strictly limit their Potassium intake, you can google just about any food, including by brand.
2) When controlling the amount of Potassium in your diet, you have to do it by amount of Potassium relative to other foods in the same meal.
A handful of nuts by itself will trigger the buzz, but in a meal with many other low- or zero-Potassium foods, no problem.
Now, as a practical matter, this rule means that you need to include a fair amount of empty calorie carbohydrates (see, "How can this be integrated into a diet?" below). All protein has Potassium, and fats (so far as I observe) don't seem to count one way or the other. That leaves carbohydrates as the only food to use for balance.
Healthy forms of carbohydrates are high in Potassium, as are potatoes and other root vegetables. So, you do white rice, white bread, pasta, other white-flour-based starchy sides and yes, sugar. I'm a dessert eater, which no doubt was helpful in leading me to the Potassium Protocol.
3) Supplement with Potassium.
Paradoxically, while limiting Potassium from food, the next part is to supplement with Potassium pills.
Weird huh? By my very rough calculation, the supplements I consume more or less make up for the modest restriction I place on dietary intake, or maybe I'm a bit below the recommended 4000 mg daily. Kidney patients do fine on a very Potassium-restricted diet.
I started out the experiment by taking three 100 mg tablets with light meals, like breakfast or lunch, and five 100 mg tablets with dinner. It worked, so that's the dosage I've continued to do. You can always experiment with more or less, with taking additional pills if you have a third meal in the day, etc. I usually eat only one or two meals a day, so don't have personal experience to offer there.
4) Maybe limit Calcium too.
I'm not sure about this one, if a meal high in Calcium is a problem on top of the Potassium already often found in Calcium-rich foods. Observe your own reactions and adjust accordingly.
5) Maybe supplement with Magnesium.
When I first wrote up the Protocol, see link above, I included a recommendation to supplement heavily with Magnesium, which can best be done by slathering your body in a product called "Magnesium oil"; with the oil, you absorb the mineral through your skin, much more efficiently (and pleasantly) than by mouth.
I no longer think it is necessary to do big doses of Magnesium, once or every other week is sufficient. Whether you need to do Magnesium at all I don't know; since I do Magnesium oil anyway for other reasons, I've not experimented with foregoing it altogether. Others on this site have written that Magnesium oil by itself helps their tinnitus. Magnesium is critically important for the body to absorb and use Potassium, so I would not be surprised if it helped the Potassium Protocol. Check the link to my earlier posts for tips on using Magnesium oil.
The more you follow the Protocol, the better it works
The very good news I discovered after a couple months successfully following the Protocol is, the longer and more faithfully you follow it, the better it works.
This means, the tinnitus control gets better: The buzz gets softer and less frequent.
This also means, the diet can get less strict: you can eat some high-potassium foods and not suffer consequences. When you're on a particularly good streak, it can actually become hard to keep track of what you can and can't eat. I will find myself thinking, well, I can have a piece of chocolate cake, a seed-rich bread, a fondue dinner—I ate that last week and didn't pay a price. And then I'll overdo it, and have to be stricter for a while, to get back to that sweet spot.
What to look for and expect
The tinnitus effects usually come the day after. Follow the Protocol and you can hope to have a good day tomorrow. Mess up, and the next day you'll hear from your ears. But! Get back on the wagon, and you can reasonably expect to have it under control again in a day or two.
Among other things, that means you don't have to abjectly deny yourself. If you have a celebration, or just a craving, you can enjoy an off-Protocol meal secure in the knowledge that you can get back on the wagon tomorrow, and the consequences will be short-lived.
How can this be integrated into a diet targeted at other issues?
Right off the bat, of course, the low-carb diets won't work. Those empty carbs are, sadly, crucial to success. Atkins, Keto, can't combine those with the Protocol.
It's also going to be hard to eat vegetarian and do the Protocol, as most non-meat-based proteins are high in Potassium—beans, soy, dairy, nuts, seeds. Beans (including soy), nuts and seeds are especially high in Potassium. But you can give it a try, by balancing with lots of empty carbs, and maybe leaning hard on eggs and dairy. A vegan diet would be even harder.
(Having said, oils from high-Potassium foods all seem to be completely Potassium-free. Thus soy is high, but soybean oil is zero; ditto coconut and coconut oil.)
Gluten-free also seems near impossible. All gluten-free flour/bread/pasta substitutes seem to be made from either nuts or legumes (beans) or seeds, and potatoes of course are high in Potassium. So far as I can see, to avoid gluten, that leaves you rice and maybe corn-based starches (corn is very high, tortillas in moderation seem ok, but might not provide the empty-carb balance you need for the other Potassium in your meal (you got to at least have a protein)).
The diet I follow for weight control is the Carbohydrate Addict's Diet. In this diet, you eat low-carb, Atkins-style for most of the day, and for one meal, you can eat whatever you want, so long as that meal (i) starts with a large salad, (ii) includes protein and a non-starchy vegetable (in addition to the large salad) and (iii) lasts no longer than an hour. Obviously, you can't do the no-carb part of this diet if you're following the Protocol.
After many years on the Carbohydrate Addict's Diet (this precedes my tinnitus onset), I came to a place where I'd have coffee in the morning, and usually just not be hungry til dinner. So—when I settled in to try to combine the Protocol with the Diet, I tried long and hard to find some morning beverage to take the place of the high-Potassium coffee. It just didn't work. So now, I try to have just the one big meal a day and nothing else.
Yeah, it can be hard to combine the Protocol with other diets.
For me then, I sometimes have to argue with myself to not give in to morning hunger, and now and then, I lose the argument and cheat on the Diet. Or I cheat on the Protocol. I'm still very grateful for both things in my life. There's still great benefit to both.
My suggestion for giving the Protocol a try
If you want to give this a try, my suggestion is, follow the diet I did when I first stumbled my way onto the Protocol. If that works, you can experiment further with a diet more to your taste.
For various reasons, I started by having a McDonald's egg McMuffin and small coffee (cream and sugar) for breakfast (three 100 mg tabs of Potassium). When I had early success with the ears, but saw it would take some work to fine-tune things, I continued to start each day with the McDonalds breakfast, to keep that piece of the experiment constant. I tried to duplicate the coffee and McMuffin at home, but it didn't work as well (perhaps because I was brewing real coffee, who knows).
Though the carb-heavy breakfast was obviously not in accordance with my weight-management diet, I continued to follow the Carbohydrate Addict's dinner rules.
So: If you want to duplicate exactly how I ate when I discovered the Protocol and was able to duplicate the success day after day, as a way of trying it out for yourself:
Have the McDonald's breakfast, with three 100 mg tabs of Potassium.
Have a dinner that starts with a large salad, includes protein and a vegetable like broccoli or asparagus, enjoy lots of empty-calorie carbs like bread and pasta and sugary, low-Potassium desserts. Five 100 mg tabs.
Err on the side of very low Potassium, when you are giving the Protocol the test drive.
If and when you discover that yes, this does work for you, then you can experiment with combining the Protocol with a diet that suits the rest of your life.
Some Potassium-avoiding tips
The most important tip is, look everything up til you know what is and isn't high in Potassium, and keep looking up--anything new, anytime you can't figure out a spike, etc. But here are some broad strokes I discovered, to speed you on your way:
Soups and stocks; cooking with wine. Any soup made with stock is an automatic no. Stock, even vegetable stock, is absurdly high in potassium, like 1500 mg per cup.
Add wine to the mix, and that's another dose, though you can probably get away with wine in a braise, go easy on the sauce.
Other soups likely have a tomato- or milk-based broth. Not as bad as stock, but still, things to enjoy only in moderation.
Also, beware of stock used in recipes. A small amount of stock- (and/or wine-) based sauce is probably ok, but if there's a lot of stock going on, it's probably best to pass. (This was an ah ha moment for me, explaining why, pre-Protocol, chicken paprikash always zoomed my ears up, despite having no salicylates or similar trigger foods. Ask yourself if your spikes are sometimes preceded by a meal high in Potassium.)
Beans/legumes. So very high in Potassium, I usually just pass on these dishes. Remember, soy is a bean (soy sauce is ok). Soy milk is out. Try the rice milk instead.
Nuts and seeds. Sadly, most nuts and seeds are also on the watch list. Many dishes have a sprinkling of nuts and seeds, and that's probably ok. But that seedy bread—keep it in moderation, and don't count on it to serve as the empty calorie balance your meal needs. Coconut is a nut.
Empty carb snacks. Look up all snacks by brand name. You'd think most crackers are ok, but in fact, very few are. Goldfish are ok, plain pretzels likewise, some mustard on the pretzels or flavored pretzels, maybe ok. Plain matzoh, of all things, has to be kept in moderation (ah, I see the label says it has malt).
Corn-based snacks. These I'm unsure of. Corn itself is high, but tortillas don't have a super-high count, and it often seems like I can get away with those chips. Popcorn not so much.
And always, look it up: You'd think an English crumpet is a perfect, empty calorie bread—turns out, it uses a Potassium-based thing as a leavening agent. Cornbread: oops, made with lots of buttermilk, on top of the eggs and cornmeal.
Potatoes. High in Potassium, of course, but you can mitigate it. Peel it, and boil it twice. This will reduce the amount of Potassium to where you can enjoy a potato with that entrée that really demands a potato; whether that potato is now so fully reduced to an empty calorie carb—so as to balance the meal—I do not know.
Tired of pretzels and want potato chips for your SuperBowl party? Go for the Pringles.
Onion rings instead of French fries.
Fruit. Berries are ok, apples (peeled) you can get away with. Most melons are high in Potassium. Citrus is usually listed as high, but I've been able to get away with an orange juice now and then, grapefruit, limeade; squeezes of lemon and lime are no problem.
Earl Grey tea. Don't drink this, it has an additive that—I forget why—is very Potassium-like. Who knew.
Alcohol. Wine is high in Potassium, some spirits are low or zero. That's not to say that you can never enjoy wine with your meal. Just watch the overall Potassium relative to the rest of the meal, adjust if the wine is causing spikes--and enjoy when you want to enjoy, confident that the consequences will only last a day or two.
Check out my earlier post. For additional suggestions and examples, link above.
Sometimes, you just can't see a reason. If the food seems to zoom your ears up, even if you can't see a good reason for it, just accept it and put it on the caution list.
That's it. Let me know any questions. I sure hope it helps you.
In a nutshell, what you do is moderate the amount of Potassium in your diet and, paradoxically, supplement with Potassium tablets. I call it the "Potassium Protocol."
I wrote about the Potassium Protocol on this website back when I was first exploring it.
Try This: A Magnesium, Potassium, Calcium Protocol
I write again today (i) to report that, damn, this thing really does work and (ii) to refine the rules and tips I offered in those first posts.
Will this work for you?
I would not doubt, what works for one sufferer might not work for another. So, here's (i) what my tinnitus is all about and (ii) why the Potassium Protocol might still work for you even if you're not like me.
My tinnitus was brought on by taking the heart drug Digoxin. I early discovered that spikes were triggered by eating certain foods (soy, salicylates and others), and I was able to manage the noise somewhat by avoiding the food triggers. It was a hard diet to follow, and was only mediocre at controlling the ear buzz.
Your tinnitus is probably different. But I believe that potassium could well be the key to tinnitus management for many sufferers, for this reason: It was reading on this website about drugs that controlled tinnitus well, but had such dreadful side effects they weren't feasible, that got me to explore potassium: those effective drugs targeted the Potassium channels in the ears' hair cells.
In the rat trials for the Potassium-channel-targeting tinnitus drugs, tinnitus was induced in rats in two ways, by noise and by chemicals. (I figure, with my drug onset, I'm like the chemically induced rats.) The drugs worked on both kinds of rat tinnitus, both noise and chemical induced. Hence, managing Potassium, my Protocol, might just simply work, regardless of what caused or flares the condition for you.
A few simple rules
These are the rules for the Potassium Protocol.
1) Limit the amount of Potassium in your diet.
It is pretty easy to look up the Potassium content of various foods; since kidney patients must strictly limit their Potassium intake, you can google just about any food, including by brand.
2) When controlling the amount of Potassium in your diet, you have to do it by amount of Potassium relative to other foods in the same meal.
A handful of nuts by itself will trigger the buzz, but in a meal with many other low- or zero-Potassium foods, no problem.
Now, as a practical matter, this rule means that you need to include a fair amount of empty calorie carbohydrates (see, "How can this be integrated into a diet?" below). All protein has Potassium, and fats (so far as I observe) don't seem to count one way or the other. That leaves carbohydrates as the only food to use for balance.
Healthy forms of carbohydrates are high in Potassium, as are potatoes and other root vegetables. So, you do white rice, white bread, pasta, other white-flour-based starchy sides and yes, sugar. I'm a dessert eater, which no doubt was helpful in leading me to the Potassium Protocol.
3) Supplement with Potassium.
Paradoxically, while limiting Potassium from food, the next part is to supplement with Potassium pills.
Weird huh? By my very rough calculation, the supplements I consume more or less make up for the modest restriction I place on dietary intake, or maybe I'm a bit below the recommended 4000 mg daily. Kidney patients do fine on a very Potassium-restricted diet.
I started out the experiment by taking three 100 mg tablets with light meals, like breakfast or lunch, and five 100 mg tablets with dinner. It worked, so that's the dosage I've continued to do. You can always experiment with more or less, with taking additional pills if you have a third meal in the day, etc. I usually eat only one or two meals a day, so don't have personal experience to offer there.
4) Maybe limit Calcium too.
I'm not sure about this one, if a meal high in Calcium is a problem on top of the Potassium already often found in Calcium-rich foods. Observe your own reactions and adjust accordingly.
5) Maybe supplement with Magnesium.
When I first wrote up the Protocol, see link above, I included a recommendation to supplement heavily with Magnesium, which can best be done by slathering your body in a product called "Magnesium oil"; with the oil, you absorb the mineral through your skin, much more efficiently (and pleasantly) than by mouth.
I no longer think it is necessary to do big doses of Magnesium, once or every other week is sufficient. Whether you need to do Magnesium at all I don't know; since I do Magnesium oil anyway for other reasons, I've not experimented with foregoing it altogether. Others on this site have written that Magnesium oil by itself helps their tinnitus. Magnesium is critically important for the body to absorb and use Potassium, so I would not be surprised if it helped the Potassium Protocol. Check the link to my earlier posts for tips on using Magnesium oil.
The more you follow the Protocol, the better it works
The very good news I discovered after a couple months successfully following the Protocol is, the longer and more faithfully you follow it, the better it works.
This means, the tinnitus control gets better: The buzz gets softer and less frequent.
This also means, the diet can get less strict: you can eat some high-potassium foods and not suffer consequences. When you're on a particularly good streak, it can actually become hard to keep track of what you can and can't eat. I will find myself thinking, well, I can have a piece of chocolate cake, a seed-rich bread, a fondue dinner—I ate that last week and didn't pay a price. And then I'll overdo it, and have to be stricter for a while, to get back to that sweet spot.
What to look for and expect
The tinnitus effects usually come the day after. Follow the Protocol and you can hope to have a good day tomorrow. Mess up, and the next day you'll hear from your ears. But! Get back on the wagon, and you can reasonably expect to have it under control again in a day or two.
Among other things, that means you don't have to abjectly deny yourself. If you have a celebration, or just a craving, you can enjoy an off-Protocol meal secure in the knowledge that you can get back on the wagon tomorrow, and the consequences will be short-lived.
How can this be integrated into a diet targeted at other issues?
Right off the bat, of course, the low-carb diets won't work. Those empty carbs are, sadly, crucial to success. Atkins, Keto, can't combine those with the Protocol.
It's also going to be hard to eat vegetarian and do the Protocol, as most non-meat-based proteins are high in Potassium—beans, soy, dairy, nuts, seeds. Beans (including soy), nuts and seeds are especially high in Potassium. But you can give it a try, by balancing with lots of empty carbs, and maybe leaning hard on eggs and dairy. A vegan diet would be even harder.
(Having said, oils from high-Potassium foods all seem to be completely Potassium-free. Thus soy is high, but soybean oil is zero; ditto coconut and coconut oil.)
Gluten-free also seems near impossible. All gluten-free flour/bread/pasta substitutes seem to be made from either nuts or legumes (beans) or seeds, and potatoes of course are high in Potassium. So far as I can see, to avoid gluten, that leaves you rice and maybe corn-based starches (corn is very high, tortillas in moderation seem ok, but might not provide the empty-carb balance you need for the other Potassium in your meal (you got to at least have a protein)).
The diet I follow for weight control is the Carbohydrate Addict's Diet. In this diet, you eat low-carb, Atkins-style for most of the day, and for one meal, you can eat whatever you want, so long as that meal (i) starts with a large salad, (ii) includes protein and a non-starchy vegetable (in addition to the large salad) and (iii) lasts no longer than an hour. Obviously, you can't do the no-carb part of this diet if you're following the Protocol.
After many years on the Carbohydrate Addict's Diet (this precedes my tinnitus onset), I came to a place where I'd have coffee in the morning, and usually just not be hungry til dinner. So—when I settled in to try to combine the Protocol with the Diet, I tried long and hard to find some morning beverage to take the place of the high-Potassium coffee. It just didn't work. So now, I try to have just the one big meal a day and nothing else.
Yeah, it can be hard to combine the Protocol with other diets.
For me then, I sometimes have to argue with myself to not give in to morning hunger, and now and then, I lose the argument and cheat on the Diet. Or I cheat on the Protocol. I'm still very grateful for both things in my life. There's still great benefit to both.
My suggestion for giving the Protocol a try
If you want to give this a try, my suggestion is, follow the diet I did when I first stumbled my way onto the Protocol. If that works, you can experiment further with a diet more to your taste.
For various reasons, I started by having a McDonald's egg McMuffin and small coffee (cream and sugar) for breakfast (three 100 mg tabs of Potassium). When I had early success with the ears, but saw it would take some work to fine-tune things, I continued to start each day with the McDonalds breakfast, to keep that piece of the experiment constant. I tried to duplicate the coffee and McMuffin at home, but it didn't work as well (perhaps because I was brewing real coffee, who knows).
Though the carb-heavy breakfast was obviously not in accordance with my weight-management diet, I continued to follow the Carbohydrate Addict's dinner rules.
So: If you want to duplicate exactly how I ate when I discovered the Protocol and was able to duplicate the success day after day, as a way of trying it out for yourself:
Have the McDonald's breakfast, with three 100 mg tabs of Potassium.
Have a dinner that starts with a large salad, includes protein and a vegetable like broccoli or asparagus, enjoy lots of empty-calorie carbs like bread and pasta and sugary, low-Potassium desserts. Five 100 mg tabs.
Err on the side of very low Potassium, when you are giving the Protocol the test drive.
If and when you discover that yes, this does work for you, then you can experiment with combining the Protocol with a diet that suits the rest of your life.
Some Potassium-avoiding tips
The most important tip is, look everything up til you know what is and isn't high in Potassium, and keep looking up--anything new, anytime you can't figure out a spike, etc. But here are some broad strokes I discovered, to speed you on your way:
Soups and stocks; cooking with wine. Any soup made with stock is an automatic no. Stock, even vegetable stock, is absurdly high in potassium, like 1500 mg per cup.
Add wine to the mix, and that's another dose, though you can probably get away with wine in a braise, go easy on the sauce.
Other soups likely have a tomato- or milk-based broth. Not as bad as stock, but still, things to enjoy only in moderation.
Also, beware of stock used in recipes. A small amount of stock- (and/or wine-) based sauce is probably ok, but if there's a lot of stock going on, it's probably best to pass. (This was an ah ha moment for me, explaining why, pre-Protocol, chicken paprikash always zoomed my ears up, despite having no salicylates or similar trigger foods. Ask yourself if your spikes are sometimes preceded by a meal high in Potassium.)
Beans/legumes. So very high in Potassium, I usually just pass on these dishes. Remember, soy is a bean (soy sauce is ok). Soy milk is out. Try the rice milk instead.
Nuts and seeds. Sadly, most nuts and seeds are also on the watch list. Many dishes have a sprinkling of nuts and seeds, and that's probably ok. But that seedy bread—keep it in moderation, and don't count on it to serve as the empty calorie balance your meal needs. Coconut is a nut.
Empty carb snacks. Look up all snacks by brand name. You'd think most crackers are ok, but in fact, very few are. Goldfish are ok, plain pretzels likewise, some mustard on the pretzels or flavored pretzels, maybe ok. Plain matzoh, of all things, has to be kept in moderation (ah, I see the label says it has malt).
Corn-based snacks. These I'm unsure of. Corn itself is high, but tortillas don't have a super-high count, and it often seems like I can get away with those chips. Popcorn not so much.
And always, look it up: You'd think an English crumpet is a perfect, empty calorie bread—turns out, it uses a Potassium-based thing as a leavening agent. Cornbread: oops, made with lots of buttermilk, on top of the eggs and cornmeal.
Potatoes. High in Potassium, of course, but you can mitigate it. Peel it, and boil it twice. This will reduce the amount of Potassium to where you can enjoy a potato with that entrée that really demands a potato; whether that potato is now so fully reduced to an empty calorie carb—so as to balance the meal—I do not know.
Tired of pretzels and want potato chips for your SuperBowl party? Go for the Pringles.
Onion rings instead of French fries.
Fruit. Berries are ok, apples (peeled) you can get away with. Most melons are high in Potassium. Citrus is usually listed as high, but I've been able to get away with an orange juice now and then, grapefruit, limeade; squeezes of lemon and lime are no problem.
Earl Grey tea. Don't drink this, it has an additive that—I forget why—is very Potassium-like. Who knew.
Alcohol. Wine is high in Potassium, some spirits are low or zero. That's not to say that you can never enjoy wine with your meal. Just watch the overall Potassium relative to the rest of the meal, adjust if the wine is causing spikes--and enjoy when you want to enjoy, confident that the consequences will only last a day or two.
Check out my earlier post. For additional suggestions and examples, link above.
Sometimes, you just can't see a reason. If the food seems to zoom your ears up, even if you can't see a good reason for it, just accept it and put it on the caution list.
That's it. Let me know any questions. I sure hope it helps you.