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Supplements & Hearing Health: What the Science Really Says


Many people ask whether supplements can protect their hearing, reduce tinnitus, or slow age-related decline. The internet is full of big claims, but the science is more nuanced.

Here’s a clear, research-based guide to what may help, what’s worth considering, and what you can safely ignore.


1. Magnesium --- The Most Useful for Noise Protection

Magnesium has some of the most consistent evidence for helping the inner ear during loud-noise exposure.


How it works

  • improves blood flow to the cochlea

  • stabilises nerve activity

  • reduces glutamate toxicity (linked to hair-cell damage)


Human studies, including military research, show magnesium can reduce temporary hearing changes after loud noise. Evidence for preventing permanent damage is mixed but encouraging.


Best forms

  • Magnesium glycinate (well absorbed, gentle)

  • Magnesium threonate (supports neural pathways)


If you attend concerts, use machinery, or experience regular loud noise, magnesium is worth considering.


2. Vitamin D --- Supports General Ear & Immune Health

Low vitamin D is associated with:

  • increased risk of age-related hearing decline

  • more frequent middle-ear infections (especially in children)

  • higher rates of tinnitus


Vitamin D doesn’t directly “improve” hearing, but correcting a deficiency supports long-term ear health.


3. Omega-3 Fatty Acids --- Helpful for Age-Related Protection

Large population studies show that people with higher omega-3 intake often have better hearing over time.


Why

  • improved blood flow to the inner ear

  • reduced inflammation

  • protection of auditory-nerve connections


Omega-3s benefit overall cardiovascular health, and the ears depend heavily on good circulation.


4. NAC (N-Acetylcysteine) --- Useful Around Loud Noise

NAC replenishes glutathione, the inner ear’s main antioxidant.


Research in military personnel, industrial workers, and musicians shows NAC can reduce noise-induced damage when taken before or shortly after extreme noise exposure.


It’s not something most people need daily, it’s a situational tool.


5. CoQ10 --- May Help in Specific Cases

Coenzyme Q10 can be beneficial when:

  • levels are low

  • tinnitus is linked to oxidative stress

  • used alongside medical treatment for sudden hearing loss


Evidence for everyday hearing protection is limited.


6. B-Vitamins (B12 & Folate) --- Important if You’re Deficient

Low B12 or folate levels are associated with:

  • tinnitus

  • difficulty hearing speech in noisy environments

  • high-frequency hearing loss


Correcting a deficiency can help symptoms. Supplementing normal levels does not provide extra benefit.


7. Zinc --- Only Useful When Low

Zinc does not directly improve hearing, but deficiency can contribute to:

  • weakened immunity

  • recurrent middle-ear infections

  • some tinnitus presentations


Only supplement if blood levels are low.


Supplements With Little or No Evidence

Despite heavy marketing, these supplements do not show reliable benefit for hearing or tinnitus:

  • Ginkgo biloba

  • Curcumin

  • Resveratrol

  • Quercetin

  • NAD⁺ boosters (NR, NMN, NMNH)

  • “Hearing antioxidant blends”


They may support general health, but they do not improve hearing.


What Supplements Cannot Do

Even the best supplements cannot:

  • reverse permanent hearing loss

  • cure tinnitus

  • regenerate damaged hair cells

  • replace proper ear protection

  • substitute for well-fitted hearing aids


Supplements support health, they don’t act as treatments.


The Real Foundations of Hearing Protection

Long-term hearing health is shaped mainly by lifestyle, not supplements:

  • keep listening volumes safe

  • use proper ear protection

  • maintain good cardiovascular health

  • manage stress and sleep

  • have regular hearing checks


These habits protect both the ears and the auditory parts of the brain.


Need Personalised Advice?


At Aurora Audiology, we provide practical, evidence-based guidance to protect your hearing, reduce risk factors, and support long-term brain and ear health.


If you’d like tailored advice based on your hearing, lifestyle, and medical profile, you’re welcome to book a consultation.


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