When I first got tinnitus I had no hyperacusis until about 3 months in along with eye floaters. That's when it got almost debilitating. It would fluctuate between not that bad and so bad that I was gently placing dishes in my cabinet and could not tolerate the sound of my toddler's toys. I went and had a experimental treatment on my ears that preceded some modest improvements in my overall tinnitus but not so much the hyperacusis. Then starting around this last summer my hyperacusis started getting a little better and then by late summer about, it was all but gone in my left ear and only some high frequency sensitivity in my right ear. I attribute the alleviation of my hyperacusis to daily use of curcumin/turmeric, either one seems to be about the same, and NAC and Glutathione. Then I tried the R. David Case Tinnitus Mix and after 3 nights of that my hyperacusis was gone. I did the Tinnitus Mix for about 25 nights and starting around the 20th night my tinnitus started spiking again and it could be because I wasn't doing it correctly and using the wrong headphones but after discontinuing it for 3 nights, I'm back to a very good low tinnitus/no hyperacusis situation.