Lenire — Bimodal Stimulation Treatment by Neuromod

[Piney]

You can be severely deaf in the highs but not the lows. I guess I figured 80 dB and up across the board. That seems weird to me, why wouldn't they post that before people travelled? I know it's subjective but still that just stinks of something. Maybe they can play around with the device, who knows?

 

[GlennS]

why wouldn't they post that before people travelled?

Here's your answer.

It's a startup. Startups are understaffed and inexperienced. Don't expect them to think of everything. This is all part of the growing pains.

 

[Stefaniie]

Here's Neuromod's response:

In the online booking assessment, information is provided about the hearing thresholds for which Lenire® can be configured. This information was added to the booking assessment approximately three weeks ago.

For question 9 of the booking assessment, if the answer is yes to: Do you have hearing loss? then the following advice is provided:

Please note that Lenire® can only be recommended for you if you have hearing level (AC pure tone audiometry) thresholds of no more than 40 db HL at 250 Hz, 500 Hz and 1000 Hz, and not more than 80 db HL at 2000 Hz, 3000 Hz, 4000 Hz, 6000 Hz and 8000 Hz in either ear at one frequency or more. You may want to consult your audiologist before accepting an appointment if you are unsure of your hearing level thresholds. If you have a copy of your Pure Tone Audiogram, please bring it with you if you accept an appointment with Neuromod Medical.

The following illustration may be informative; if a patient's audiogram dips below the red/blue lines at any point for either ear, then Lenire® cannot be configured for their hearing profile.

View attachment 31262


For question 8 of the online booking assessment, if the answer is yes to "Have you had your hearing tested by a qualified Audiologist?" it is advised "If possible, we advise that you bring a copy of your most recent audiogram to your appointment in Neuromod Medical"

The Neuromod Medical audiologist will review this audiogram, and using his or her expert audiological clinical knowledge will determine whether to conduct a hearing test at Neuromod Medical.

The Neuromod Medical website provides more information about the Tinnitus Assessment visit;

Neuromod Medical offers tinnitus assessments and treatment with the Lenire™ tinnitus treatment system, a breakthrough evidence-based home-use medical device from Neuromod Devices. At Neuromod Medical you will meet a dedicated team of professionals led by an audiologist specialised in tinnitus, who will conduct a thorough diagnostic assessment and provide recommendations on treatment options. For any treatment other than Lenire™, Neuromod Medical will be happy to refer you to an appropriate specialist.

What to expect when you visit Neuromod Medical

Full Diagnostic Assessment

An assessment visit to Neuromod Medical will take approximately 90 minutes and cost €250. Upon arrival, you will be asked to complete a number of medical history forms and tinnitus questionnaires in the waiting room. You will then meet the clinical audiologist, who will review your medical history, discuss your tinnitus and your treatment goals, and conduct a number of standardised clinical assessments. If Lenire™ is an appropriate treatment option for you, you will meet the fitting specialist who will demonstrate the device and thereafter a member of the administrative team will explain the cost of the treatment plan and organise a date for your first treatment visit (approximately 2 weeks later). If Lenire™ is not an option for you, we will be happy to suggest alternative options and refer you to another specialist outside of the Neuromod Medical.

Well, looks like I'm barely just unable to use Lenire. Lucky me. Oh well. All I can do now is pray my tinnitus doesn't get worse than it already is in the however many decades it takes for another treatment to come out. I'm going to assume the other devices like Lenire will have similar hearing requirements.

 

[spedgas]

I'm trying really hard to let the flow of information come in naturally from early lucky Lenire users. It's difficult. I'm extra curious if anyone else besides @Allan1967 has had any disturbing volume/sound changes. I'm convinced this is just going to part of the treatment for many individuals, but I'd also like to hear how many experience this.

 

[ChrisBoyMonkey]

I think I'm gonna qualify. It's been over 14 days since I completed my assessment and have just followed up with an email.

I plan to fly over there from the U.S. and declare a personal importation of the device, as allowed by the FDA.

 

[hopeful4future]

Well looks like I don't qualify, pretty disappointing. Hopefully they change the hearing requirements after a while.

 

[Stefaniie]

For the last year I've been banking so hard on Lenire. The thought of a potential treatment being available so soon helped me cope so much... and now I don't have that. I know there are other devices being worked on, but those will likely have similar hearing requirements. My tinnitus is on the higher end of moderate... I'm not sure how to cope now. It will be at least a decade until FX-322 comes out, assuming all goes well with the trials.

I'm just so crushed and depressed about this. I don't know how I'm going to be able to go back to college now. Or even get a job. I'm going to be stuck living with my parents and hiding in my room until a cure for this shit finally comes out. I'm going to be in my late 30s before I can start a life. What a waste.

 

[ajc]

For the last year I've been banking so hard on Lenire. The thought of a potential treatment being available so soon helped me cope so much... and now I don't have that. I know there are other devices being worked on, but those will likely have similar hearing requirements. My tinnitus is on the higher end of moderate... I'm not sure how to cope now. It will be at least a decade until FX-322 comes out, assuming all goes well with the trials.

I'm just so crushed and depressed about this. I don't know how I'm going to be able to go back to college now. Or even get a job. I'm going to be stuck living with my parents and hiding in my room until a cure for this shit finally comes out. I'm going to be in my late 30s before I can start a life. What a waste.

You shouldn't give up on Lenire, you are ALMOST within the threshold.

Can you take another hearing test and see if you can improve? Hearing tests normally vary 5-10 dB for every tested frequency, so another test can give you a better result.

Or you could forge your hearing test result, I'm sure Neuromod won't verify the results with your provider. If you bring them a recent hearing test, they won't do another one on you at the assessment appointment.

 

[Stefaniie]

You shouldn't give up on Lenire, you are ALMOST within the threshold.

Can you take another hearing test and see if you can improve? Hearing tests normally vary 5-10 dB for every tested frequency, so another test can give you a better result.

Or you could forge your hearing test result, I'm sure Neuromod won't verify the results with your provider. If you bring them a recent hearing test, they won't do another one on you at the assessment appointment.

I wasn't planning on trying Lenire until it came to America. Which is a good 1 to 2 years away I'd say... My hearing loss is partially hereditary, and likely to get worse in the 2 years it takes for Lenire to get here. Unfortunately, I think the Lenire ship has sailed for me.

I might take another hearing test when it gets here just to see... but I'm not hoping for anything.

 

[ChrisBoyMonkey]

For the last year I've been banking so hard on Lenire. The thought of a potential treatment being available so soon helped me cope so much...and now I don't have that. I know there are other devices being worked on, but those will likely have similar hearing requirements. My tinnitus is on the higher end of moderate... I'm not sure how to cope now. It will be at least a decade until FX-322 comes out, assuming all goes well with the trials.

I'm just so crushed and depressed about this. I don't know how I'm going to be able to go back to college now. Or even get a job. I'm going to be stuck living with my parents and hiding in my room until a cure for this shit finally comes out. I'm going to be in my late 30s before I can start a life. What a waste.

I really think FX-322 will be here a lot sooner than 10 years. I'm thinking 3. They're moving super fast. You should check out the thread.

Even so, yes the Michigan device might be out as soon as late next year. Its requirements might not be as bad. Even so, they may just be sticking to high standards for the initial rollout.

And you never know, OTO-313 or some other less talked about potential treatment might just surprise us. The full on cure might have already been found by the University of Arizona, and if true you won't need hearing for it at all because it will be a drug.

 

[Fabrikat]

I'm just so crushed and depressed about this. I don't know how I'm going to be able to go back to college now. Or even get a job. I'm going to be stuck living with my parents and hiding in my room until a cure for this shit finally comes out. I'm going to be in my late 30s before I can start a life. What a waste.

It is heartbreaking after waiting so long. But you and @hopeful4future are so borderline with your audiograms and within the plus or minus margin of error.

I still don't understand why a few dB's worth of assistance with a hearing aid would not enable a person to take up the treatment. I hope Neuromod can answer that for us at some point.

It wouldn't hurt to email those audiograms to them and see what they say, especially when you are so close and perhaps politely quiz them on those issues.

I think tinnitus perception is far worse when the level of hearing is poor, because there is less ambient sound coming into the brain to distract you than those with better hearing.

People with poorer hearing are the very ones who deserve to be helped the most in my opinion and yet sadly Lenire excludes them.

 

[AfroSnowman]

Just want to give a shout out for those you giving a day by day description, both the highs and the lows, of doing Lenire. I am hanging on every post to read the first description of getting better. If they will ever get back in touch with me (two weeks, tick, tock), I hope to fly around the world for an appointment ASAP.

Speaking of flying around the world does anyone know what the 6 week and 12 week check-ins are for? Is it just a counseling, how is it going sort of thing, or do they adjust your therapy? For me I guess I would make the logistics work either way, but it would be infinitely easier and cheaper if I didn't have to return every 6 weeks.

 

[Dean Holloway]

Hi all. Unfortunately my hearing loss has ruled me out of my appointment in October with Neuromod because one ear dips slightly under 40 dB. I am having another test but I expect it won't change, although my tinnitus means I don't always hear sounds clearly!

 

[Candy]

Maybe contact Neuromod directly and explain to them that the tinnitus gets in the way of the hearing test?

 

[EDDTEKK]

Does anybody know how Neuromod developed the MuteButton / Lenire or bimodal stimulation?

I mean Ross O'Neill studied Biomedical Engineering and later on Business Administration.
Right after, he founded Neuromod.

How somebody with such education can investigate the neuromodular mechanisms of tinnitus?
Did he ever study tinnitus, had any practice at ENT clinics or brain institutes?

Anybody here who has some history or background information on this? I think somebody must have a lot of education and experience before being able to develop a treatment for the brain, don't you think so?

 

[Fabrikat]

Hi all. Unfortunately my hearing loss has ruled me out of my appointment in October with Neuromod because one ear dips slightly under 40 dB.

Have you actually shown Neuromod your audiogram? It falls out by the tiniest fraction. I cannot believe they could preclude you on such a small margin.

 

[Burnsie]

At the end of the day, they have RCT, which is good.

However, they say that the spike you might get during treatment is temporary, and has gone away with all participants....

So if temporary highs (spikes) reduce after treatment, I wonder why temporary lows (tinnitus level) do not then regress back to the mean???

 

[kelpiemsp]

Does anybody know how Neuromod developed the MuteButton / Lenire or bimodal stimulation?

I mean Ross O'Neill studied Biomedical Engineering and later on Business Administration.
Right after, he founded Neuromod.

How somebody with such education can investigate the neuromodular mechanisms of tinnitus?
Did he ever study tinnitus, had any practice at ENT clinics or brain institutes?

Anybody here who has some history or background information on this? I think somebody must have a lot of education and experience before being able to develop a treatment for the brain, don't you think so?

This is the man behind the science:

https://med.umn.edu/bio/ent-faculty-a-z/hubert-lim

He is probably the most totally qualified human on the planet right now to combat this issue.

 

[annV]

This is the man behind the science:

https://med.umn.edu/bio/ent-faculty-a-z/hubert-lim

He is probably the most totally qualified human on the planet right now to combat this issue.

Hubert Lim joined Neuromod only this year, but Neuromod was founded in 2010.

I don't think Ross O'Neill (Neuromod Founder CEO) consulted Hubert Lim in the early days of Neuromod/MuteButton.

You are giving this Hubert Lim guy too much credit...

 

[EDDTEKK]

Hubert Lim joined Neuromod only this year, but Neuromod was founded in 2010.

I don't think Ross O'Neill (Neuromod Founder CEO) consulted Hubert Lim in the early days of Neuromod/MuteButton.

You are giving this Hubert Lim guy too much credit...

That is what I mean... From where did Ross O'Neill get his inspiration?

It sounds so odd that he immediately founded the company and started with the development and first prototypes or proof of concepts. I would expect a neurosurgeon or brain researcher to do this, but with some former trials and experiences by a great team.

But to me (just my feeling) it looks like he acted like a business man without that background.
I can be totally wrong, and this is why I am asking.

 

[kelpiemsp]

Hubert Lim joined Neuromod only this year, but Neuromod was founded in 2010.

I don't think Ross O'Neill (Neuromod Founder CEO) consulted Hubert Lim in the early days of Neuromod/MuteButton.

You are giving this Hubert Lim guy too much credit...

This Hubert Lim guy cured my tinnitus... so uhhh yeah...

 

[Bob den Hartog]

Have you actually shown Neuromod your audiogram? It falls out by the tiniest fraction. I cannot believe they could preclude you on such a small margin.

Also, I spoke to another forum member yesterday when he just returned from Neuromod, and he said he had *no* hearing loss according to Neuromod's measurement. I asked him about it since in an earlier measurement at his audiologist he did appear to have a dip at a certain frequency, and he said Neuromod's measurement (in a booth) is a lot more accurate. So it could be their reading is a lot more reliable.

 

[just1morething]

This Hubert Lim guy cured my tinnitus... so uhhh yeah...

Did he use the same concept as Lenire? Is the Hubert Lim device available to the general public? I'm from southern MN and was wondering who was eligible to see him. I'm seeing a TMJ surgeon today in Savage regarding my left TMJ.

I've been trying to use the oral appliance from MN. Cranial but not sure that is helping.

 

[Allan1967]

I'm trying really hard to let the flow of information come in naturally from early lucky Lenire users. It's difficult. I'm extra curious if anyone else besides @Allan1967 has had any disturbing volume/sound changes. I'm convinced this is just going to part of the treatment for many individuals, but I'd also like to hear how many experience this.

I'm in contact with others who have experienced the same however I can say that in the middle of the night I woke up and my ears were ringing a different tune almost. I fell asleep again, woke up to expect a noisy day, started that way but did my Lenire session early and today has been reasonably good, so as per Neuromod's advice, it does indeed fluctuate.

What I have noticed is I don't get that sudden switch in pitch... eeeeeeEEEEEEE.

If it does its increase it's gradual at the minute.

I'm mentally preparing for a downturn, but I'm inspired to push through.

My wife and @Cojackb's wisdom has help as has the forum here.

What's 12 weeks having had 22 years of this little turd floating around my head?

 

[GlennS]

I guess I better go ahead and get an audiogram after all. I seriously don't know how I'll be able to function if it invalidates me.

 

[Burnsie]

I have another question... Sorry if it's been asked.

The two testimonials on the website don't really talk about tinnitus becoming quieter, but instead they don't focus on it as much and "the intensity of the tone" has changed...

Does this mean pitch?

But it does reduce the tinnitus loudness level in some, yes?

 

[JayBowson]

Does this mean pitch?

But it does reduce the tinnitus loudness level in some, yes?

There were several of the videos which mentioned reduction in volume, removal of "spikes", reduction in intensity.

I honestly wouldn't put a great amount of stock in the testimonials. They seem to describe everything from a habituation device to an outright cure. As a younger Irishman my experience is the older Irish generation are particularly bad at describing any sort of technical detail. Instead relying on "Ah sure it's grand now"/"I don't hear it as much"/"Felt a bit better about it" <- These could mean literally anything.

You'd be forgiven for thinking several of the users were describing the device reversing their hearing loss!? Being able to hear the TV better was one of them.

I think for most people who do respond to the treatment it'll be somewhere in between but what that actually means will vary wildly depending on the individual...

 

[Nanny chocolate]

@ajc

I took my audiogram with me to Neuromod. It was still necessary to take their in house hearing test. I was refused the device based on my hearing loss.

Forging an audiogram!!!!!!!!!! Hmmmmm.

 

[JohnAdams]

Forging an audiogram!!!!!!!!!! Hmmmmm.

While clever, I wouldn't do that because they probably exclude certain levels of hearing loss for a good reason. They definitely want your money but I just think that they know this therapy doesn't work for certain levels of hearing loss.

 

[Atatatata]

Anyone been in contact with Neuromod about when they might start booking new appointments?

I applied on June 28th and was "accepted" on the 12th of July, but have been told they are holding off on new appointments for a while.

The ambiguous wait is killing me, I wish I had applied sooner : (