Woman's World

Can Hearing Loss Be Reversed? What Works—Plus the Best Costco Hearing Aids

Rachel Cosma — Mon, 06 Jul 2026 15:02:37 +0000

If you find yourself cranking up the TV, asking friends to repeat themselves or dreading noisy restaurants, you’re in good company. About one in three people between ages 65 and 75 have some type of hearing loss, according to the NIH. Which brings us to the question so many women are wondering: Can hearing loss be reversed? The honest answer depends entirely on what’s causing it. But take heart—even if your specific form of hearing loss can’t be reversed, there are effective hearing aids at Costco that can help you hear better, and we’ve rounded up the best budget-friendly options.

Subtle hearing loss symptoms you might miss

Hearing loss rarely arrives with fanfare. Many of us compensate for years without realizing it, says Kara Houston, AuD, an audiologist with Rush University Medical Center. Common signs of hearing loss include:

Frequently asking others to repeat themselves
Turning the TV up louder than you used to
Struggling to hear across a room
Avoiding noisy places because conversation feels exhausting

When hearing loss affects just one ear, the signs get even sneakier. According to Patricia Gaffney, AuD, MPH, a professor at Nova Southeastern University, warning signs include aural fullness (that clogged-ear feeling), tinnitus (ringing) and dizziness.

What causes hearing loss?

Causes range from those that are easily treatable to more serious health conditions. Earwax buildup, middle ear infections and lingering fluid from a cold can all muffle hearing temporarily. Other culprits include otosclerosis (an abnormal bone growth more common in women in their mid-30s), acoustic neuromas (benign tumors on the hearing nerve) and sensorineural hearing loss from noise exposure, immune disorders or family history.

Note: Sudden hearing loss in one ear deserves urgent attention. “If you wake up one morning and suddenly can’t hear out of one ear, make an appointment with an ENT,” Dr. Gaffney stresses. “They can prescribe a steroid to recover as much of the hearing as possible.”

Can hearing loss be reversed?

Sometimes yes, sometimes no. Hearing loss caused by earwax, ear infections or fluid (aka conductive hearing loss) is often reversible with the right treatment. Safely removing wax, taking prescribed antibiotics or clearing congestion can reverse hearing loss surprisingly fast. These are the most treatable forms of hearing loss.

True age-related hearing loss and noise-induced damage, however, are typically permanent. Once the tiny hair cells in your inner ear are damaged, they don’t grow back. But permanent doesn’t mean hopeless. Smart lifestyle changes can slow the decline, and today’s hearing aids can transform your daily life.

Home remedies to help you hear better

These won’t reverse permanent damage, but they can protect what you have and improve day-to-day hearing.

Soften stubborn earwax safely. Skip the cotton swabs for excess earwax buildup. Heather Moday, MD, recommends placing three to five drops of baby oil or mineral oil in your ear, then flushing gently with warm water from a bulb syringe after 24 hours.
Try the Buteyko breathing method. If a cold has clogged your eustachian tube (a tiny tube that connects your middle ear to the back of your throat), sit upright, exhale, plug your nose and hold your breath until you feel the urge to breathe. Breathe normally for 10 seconds, then repeat five times.
Eat for your ears. Dawn Heiman, AuD, says research shows that sweet potatoes and other vitamin A-rich foods may lower hearing loss risk by 47 percent. Fatty fish like tuna lowered risk by 42 percent in one study, thanks to omega-3s that boost blood flow to the cochlea. And folate-rich foods (beans, eggs, broccoli) cut risk by more than 20 percent in adults over 60.
Move your body. University of Florida research on mice found sedentary animals lost 60 percent of their hearing over time, while exercisers lost only 40 percent.
Wear earplugs around loud noise, including when using a blow-dryer, which can hit 60 to 95 decibels.

Best Costco hearing aids for saving big

If you’re experiencing true hearing loss, schedule an appointment with an audiologist to be evaluated. You can also visit a Costco hearing aid center for a free hearing test. And if hearing aids are your next step, the warehouse club offers real savings. Prescription hearing aids typically run $2,000 to $7,000 per pair, while Costco hearing aids typically range from about $1,000 to $1,600 per pair. Free hearing tests are included for members.

Top Costco hearing aid brands include:

Jabra Enhance Pro 20 ($1,599.99 and up) for comfort and impulse noise reduction
Rexton Reach ($1,599.99 and up), with 34-hour battery life and multi-voice focus for group conversations
Philips HearLink ($1,599.99 and up) with a Tinnitus SoundSupport program
Lexie B2 Plus (around $979.99), budget-friendly, self-fitting hearing aids powered by Bose that don’t require an appointment

Can hearing loss be reversed? The bottom line

Whatever path you take, don’t put it off. Untreated hearing loss has been linked to higher dementia risk, so caring for your ears does more than just improve your quality of life—it supports healthy brain aging, too. The sooner hearing loss is diagnosed, the more treatment options you’ll have.

This content is not a substitute for professional medical advice or diagnosis. Always consult your physician before pursuing any treatment plan.

The Same Airpods Blamed for Hearing Loss Can Now Help With Screening and Treatment, Research Confirms

Allison Palmer — Sun, 05 Jul 2026 15:29:41 +0000

The same earbuds blamed for driving a global hearing crisis can now screen for and treat hearing loss too. That twist sits right at the center of Apple’s hearing aid feature for AirPods Pro, software that became the first over the counter hearing aid ever authorized by the FDA back in September 2024.

If you’ve been putting off dealing with your hearing, you’re far from alone. Adults who notice hearing loss wait an average of nine years before treating it. A 249 dollar pair of earbuds you may already own now offers a low pressure way to find out where you stand.

How the Airpods Pro hearing aid feature works

Apple’s official hearing health page confirms the Hearing Test and Hearing Aid feature run on both AirPods Pro 2 and the newer AirPods Pro 3, calling it the world’s first end to end hearing health experience built right into consumer earbuds. It’s part of a fast growing lineup of affordable over the counter hearing aids now reshaping how people access treatment.

Setup takes about five minutes. You run a built in hearing test through your paired iPhone, which creates a stored, shareable hearing profile. If the results point to mild or moderate hearing loss, your earbuds can then amplify speech and everyday sounds based on that personalized profile, no audiologist visit required.

What the FDA actually cleared

The FDA authorized the Hearing Aid Feature on September 12, 2024, through its de novo pathway, a route reserved for genuinely new, low to moderate risk devices.

That clearance was based on a 118 person clinical trial registered at ClinicalTrials.gov under Apple’s Smartphone Enabled Hearing Study. Self fitted AirPods matched professionally fitted hearing aids on speech in noise performance and amplification accuracy, and no device related adverse events came up.

A separate peer reviewed study in the Yonsei Medical Journal tested the underlying technology on 35 adults with mild to moderate hearing loss and found it held its own against a validated personal sound amplification product, improving word recognition and speech clarity in noisy settings compared to going unaided.

The study’s authors called out hearing loss as one of the most easily modifiable dementia risk factors, which makes early action worth taking seriously.

Why so few people treat their hearing loss

About 75 percent of adults with age related hearing loss go untreated, according to Cleveland Clinic geriatrician Dr. Ardeshir Hashmi, who calls the condition “eminently treatable.” Cost and stigma top the list of reasons why, and it’s easy to see how both keep people stuck.

Prescription hearing aids commonly run well into the thousands per pair. At 249 dollars, AirPods Pro close that gap in a way that feels approachable rather than clinical.

Apple isn’t the only one in this space anymore either. Sony, Jabra and Bose, through its Lexie partnership, have all brought FDA cleared over the counter hearing aids to market, part of a wider shift Consumer Reports has tracked as more traditional players enter the affordable hearing space.

The irony of using headphones to treat hearing loss

The World Health Organization has flagged unsafe headphone habits as putting over 1 billion young adults at risk of permanent hearing loss. The very device behind that warning now doubles as a screening and treatment tool for the exact condition it can help cause.

That’s worth keeping in mind before you lean on this as a full fix. The AirPods feature isn’t a replacement for a professional exam once your hearing loss goes beyond mild to moderate, and the FDA clearance only covers AirPods Pro 2 and Pro 3. Standard AirPods and the original AirPods Pro don’t qualify.

Still, if you’ve been sitting on untreated hearing loss, this gives you something new. A low cost, low commitment way to see whether amplification actually helps before you decide if a dedicated hearing aid is worth it.

Untreated Hearing Loss Is Now Officially Tied to a 37 Percent Higher Risk of Dementia, Study Finds

Allison Palmer — Sat, 04 Jul 2026 19:02:04 +0000

Hearing loss has quietly become one of the most talked about risk factors in dementia prevention research. It’s now recognized as the single largest modifiable contributor, ahead of high cholesterol and smoking combined.

Yet people who first notice a change in their hearing wait an average of nine years before getting help. That gap is where most of the risk builds. New research from 2026 is also reshaping how doctors think about causes, treatment and who benefits most from acting early.

It’s a lot to take in, so here’s a breakdown of what the science actually says, what’s driving hearing loss in the first place and what you can do about it starting now.

The dementia risk hearing loss creates

The 2024 Lancet Commission on dementia prevention found that hearing loss and high LDL cholesterol are each responsible for 7 percent of dementia cases worldwide, making them the two biggest modifiable risk factors researchers have identified. A meta-analysis in that same report tied untreated hearing loss to a 37 percent higher dementia risk.

Addressing all 14 risk factors the commission flagged, hearing loss included, could prevent or delay up to 45 percent of dementia cases around the world. For readers who’ve been putting off a checkup, over the counter hearing aids have made treatment far easier to access than it used to be, which makes this an easier fix than most items on that risk list.

Why so many people wait years to get help

On average, people wait nine years after first noticing hearing loss before seeking treatment. There are two reasons this keeps happening. The change is usually gradual, so there’s rarely a clear before-and-after moment that pushes someone to act. And family members tend to compensate long before the person in the middle of it admits there’s an issue, repeating themselves or turning up the TV without ever naming what’s going on.

That nine year window is exactly where preventable damage tends to build, which is part of why researchers keep pointing back to early testing.

What’s driving hearing loss right now

Hearing loss isn’t one condition with one cause. The World Health Organization’s 2026 fact sheet found that more than 1 billion young adults are at risk of permanent hearing loss from unsafe listening habits, with loud headphone use topping the list. That cause is entirely preventable at any age, which makes it one of the clearest things a reader can act on today.

On the genetic side, a University of Miami led study in the Journal of Clinical Investigation identified rare mutations in the CPD gene that disrupt a pathway cochlear cells need to survive. It’s the first potentially treatable genetic cause behind some cases of inherited deafness, and it’s a reminder that hearing loss covers everything from decades of loud concerts to biology researchers are only beginning to map.

New research on hearing aids and dementia risk

Fresh findings presented at the European Academy of Neurology Congress just this June add an interesting wrinkle. Researchers from University Hospital Zurich and the University of Liverpool studied health records from more than 250 million patients and found that hearing aid use wasn’t linked to lower dementia risk in the general population.

But among adults who had both epilepsy and hearing loss, hearing aid users had a 23 percent lower dementia risk than those who skipped treatment.

The researchers believe this comes down to cognitive reserve, the brain’s ability to keep functioning despite strain. People with epilepsy often have less of that reserve to begin with, so removing one added burden, like unaddressed hearing loss, may matter more. It’s an early finding, but it’s a good example of how personalized this research is becoming.

Steps that make a real difference for hearing loss

A baseline hearing test in your 50s, even without symptoms, gives you something to compare against later, which makes it far easier to catch decline before that nine year delay has a chance to set in. Turning down headphone volume and taking listening breaks tackles one of the few entirely preventable causes researchers have flagged.

Getting hearing loss treated isn’t just about following conversations more easily. It’s tied to lower fall risk and lower dementia risk, which puts it right alongside the blood pressure and cholesterol checks you already have on your calendar.

The FDA Made It Possible to Buy Hearing Aids With No Prescription: Experts Say These Models Are Best

Allison Palmer — Fri, 03 Jul 2026 15:11:45 +0000

The average person waits nine years after a hearing loss diagnosis before doing anything about it. For millions of adults, that delay isn’t stubbornness. It’s sticker shock. The FDA’s 2022 ruling opening the OTC hearing aid category was built to change that math, and in 2026 the devices have finally caught up to the promise. Here’s what to know before you buy.

Do I actually need a hearing aid?

The early signs of hearing loss are easy to dismiss as someone else’s problem. But if you’re regularly asking people to repeat themselves, struggling to follow conversations in restaurants, missing parts of phone calls, turning the TV louder than others want it or feeling tired from straining to hear all day, those are recognized signs of mild to moderate hearing loss worth taking seriously.

Only one in four adults who could benefit from a hearing aid has ever used one, the NIH reports. Untreated hearing loss is tied to depression, social isolation, increased dementia risk and falls. That’s a heavier cost than most people expect from a problem they’ve been quietly managing for years.

When should I see a doctor instead of buying OTC?

Some symptoms need a medical evaluation before any device purchase. Skip OTC and see a clinician if you have fluid, pus or blood from the ear within the past six months, pain or discomfort in the ear, vertigo or severe dizziness alongside hearing changes, sudden or rapidly worsening hearing loss within 90 days, or hearing that has fluctuated between better and worse within six months. Those symptoms can point to treatable causes like infection or earwax buildup that no hearing aid will fix.

Even without red flags, NCOA recommends a professional hearing check before buying, since acute hearing changes aren’t always what they seem.

What exactly are OTC hearing aids?

The FDA created the OTC hearing aid category in October 2022 so adults 18 and older with self-perceived mild to moderate hearing loss could buy devices without a prescription, audiologist visit or professional fitting. They’re not for children, not for severe or profound hearing loss and not for anyone with complex audiological needs.

One distinction worth knowing: Personal Sound Amplification Products, or PSAPs, look similar but aren’t hearing aids. They’re consumer electronics for people without hearing loss and not regulated by the FDA as medical devices. They’re not a substitute for a real device, even though you’ll see them marketed alongside actual hearing aids online.

Are OTC hearing aids as good as prescription ones?

For mild to moderate hearing loss, the performance gap has closed significantly by 2026. The best OTC models now match prescription aids on AI processing, Bluetooth connectivity, app control and water resistance, according to independent lab testing. Prescription hearing aids averaged $2,694 a pair in 2026, HearingTracker reports, compared to $299 to $1,500 for OTC devices.

The feature that separates stronger OTC models from weaker ones is whether they’re self-fitting. Self-fitting devices are cleared by the FDA for safety, usability and effectiveness before they’re sold. Preset models don’t require that clearance, which makes quality more variable, especially at lower prices, Consumer Reports notes. Audiologists generally recommend self-fitting when the budget allows.

Speech-in-noise performance is the other key differentiator, and it’s worth leaning on independent lab scores rather than brand marketing. Most reputable brands offer 30 to 45 days risk-free.

Which OTC hearing aids are worth buying in 2026?

Here’s how the top performers break down by need and budget.

If you’re trying OTC for the first time on a tight budget, the MDHearing NEO XS starts at $297 with solid feedback cancellation, noise reduction and a 45-day trial, according to SeniorLiving.org.

If you want the strongest mid-range performance, the Elehear Beyond Pro at $599 is HearingTracker’s top-rated OTC device overall, ranking in the top six of all devices tested including prescription models. The Yeasound RIC800 at $699 scored in the top 5% of OTC devices in HearAdvisor Lab testing.

If you wear hearing aids all day, the Jabra Enhance Select 500 runs 24 hours on a single charge with another 12 hours from just one hour in the case, making it Reviewed.com ’s top pick for consistent wearers.

If you want premium sound with professional backup, the Jabra Enhance Select 700 starts at $1,195 and pairs strong sound quality with remote audiologist support, per SeniorLiving.org.

If lab-verified sound clarity is the priority, the Sony CRE-E10 scored 73 out of 100 for sound clarity and 76 out of 100 for speech in loud environments in Forbes Health lab testing.

Does Medicare cover OTC hearing aids?

Not yet, unfortunately. Original Medicare Part A and Part B exclude hearing aids entirely in 2026, including OTC devices. Some Medicare Advantage plans offer a limited hearing benefit. So, it’s worth checking your plan documents before assuming you’re paying everything out of pocket.

The Medicare Hearing Aid Coverage Act of 2025 was introduced to add hearing aid coverage to Part B starting January 1, 2026, but had not been enacted as of mid-2026. For now, out-of-pocket spending remains the primary route for most buyers. That’s precisely why the OTC category matters as much as it does.

Desperate for Tinnitus Relief? How To Quiet the Ringing in Your Ears

Rachel Cosma — Tue, 05 May 2026 01:30:39 +0000

If you’ve ever laid awake at night listening to a high-pitched ringing, buzzing or whooshing that no one else can hear, you know how much it can disrupt your life. More than 50 million U.S. adults live with the condition called tinnitus. And while it can feel maddening, doctors say real tinnitus relief is possible when you find the right combination of treatments. One Woman’s World reader even pieced together her own approach after years of being dismissed, and her story offers hope to anyone struggling with that stubborn inner soundtrack. Keep scrolling to discover the treatment options that really work.

What is tinnitus?

“Tinnitus is the perception of sound in the absence of sound, and the primary symptom is hearing something other people aren’t able to hear,” explains Hamid Djalilian, MD, an otolaryngologist, tinnitus specialist, chief medical advisor of NeuroMed Tinnitus Clinic and a professor of otolaryngology at the UC Irvine School of Medicine.

According to the American Tinnitus Association, tinnitus is an audiological and neurological condition that can be acute, temporary or chronic. It can occur in one or both ears, or seemingly inside the head. Beyond classic ringing, you might hear buzzing, whooshing, clicking or hissing. “In people with tinnitus, the sound may be noticed at night when things are quieter,” Dr. Djalilian adds.

Common tinnitus causes

Triggers of tinnitus can include:

Age-related hearing loss
Exposure to loud noises
Side effects of certain medications
Clogged earwax
Ear infections
Severe head injury

For women, midlife brings its own risk factors. “In women, tinnitus occurs more around menopause because hormonal changes can lead to an increase in brain sensitivity, which is a form of atypical migraine—a migraine without the headache,” Dr. Djalilian explains. Stress also triggers ringing in the ears. “Tinnitus tends to get worse in stressful environments,” adds Lachelle Lazarus, an audiologist at the University of Maryland Medical Center.

Tinnitus relief treatments that work

There’s no universal cure, but several science-backed approaches can dramatically reduce how loud and intrusive tinnitus feels. Here’s what experts say can help:

Mindful mornings

Licensed psychotherapist Reneé Zavislak suggests starting the day with a 15-minute grounding routine like journaling, meditation or breathwork, plus visualization: “Practice seeing yourself happily participating in your favorite activities while the tinnitus is active,” she suggests. ““In other words, picture yourself experiencing tinnitus and not reacting to it. By practicing this in your mind, you create a path in the brain that reinforces this behavior.”

Sound therapy

External sounds—white noise, a fan, soft music—help disguise the inner noise people with tinnitus hear to provide some relief. “This helps cover up or mask the ringing sound so the brain pays less attention to it,” Dr. Djalilian says. “It allows the brain to calm down and not focus on the ringing.”

Natural supplements

A Spanish study found melatonin can reduce your chances of being bothered by tinnitus by 40 percent. Curcumin, the antioxidant compound found in turmeric, may also help deliver tinnitus relief by improving the body’s cellular-cleaning system, suggests a study in the International Journal of Molecular Sciences. This helps inner ear cells better process sound.

Hearing aids

Because hearing loss and tinnitus often travel together, amplifying outside sounds can drown out internal ones. “We often notice that when an individual with both hearing loss and tinnitus uses a hearing aid as amplification for the hearing loss, the tinnitus can subside,” Lazarus notes.

Cognitive behavioral therapy (CBT)

When it comes to treating tinnitus for lasting relief, a study in The International Journal of Psychiatry in Medicine found that eight weeks of CBT significantly reduced the severity, duration, frequency and discomfort of the condition. It even improved tinnitus-related sleep problems.

Craniosacral therapy

This gentle hands-on massage of the head, neck and back eases muscle tightness and calms the nervous system. That’s important because emotional stress is a strong indicator of tinnitus severity, according to research in Frontiers of Aging Neuroscience.

How one woman ‘cured’ her tinnitus and found lasting relief

After decades of being told her tinnitus was just her imagination, Woman’s World reader Patricia Hoadley de Graaff was diagnosed in 2012 with bilateral superior semicircular canal dehiscence (SSCDS), a rare inner ear disorder. She declined the recommended surgery—which may not have provided noticeable improvements and had a risk of side effects—and instead built her own toolkit for tinnitus relief.

First came a box fan running in the hallway outside her bedroom. “The humming of the fan made the internal noises a little quieter, and after using it for almost five years, I found I didn’t even need it anymore,” she says.

An acupuncturist also recommended Natural Vitality Calm Magnesium Citrate powder. Within about three weeks, “I noticed my tinnitus was quieter and my sleep greatly improved.” She added N-acetylcysteine (NAC) at night, though Dr. Djalilian cautions NAC “hasn’t yet been shown to have a specific effect on tinnitus.” Finally, talk therapy and nearly a year of weekly craniosacral therapy rounded out her routine.

“Although my tinnitus isn’t completely cured, the strategies I’ve tried have worked together to calm me,” Hoadley de Graaff says.” As a result, my tinnitus doesn’t seem as loud or irritating as it once did. The decrease in my tinnitus suffering has made me more focused and more satisfied with life overall. “

The path to tinnitus relief can start today

When it comes to tinnitus relief, there’s no one magic solution for everyone. Instead, a combination of lifestyle and behavioral modifications can make a real difference. Start small— try a fan tonight, talk to your doctor about natural supplements, build in a few quiet minutes each morning. Layer by layer, you can turn the volume down on tinnitus and turn the peace back up.

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This content is not a substitute for professional medical advice or diagnosis. Always consult your physician before pursuing any treatment plan.

I ‘Cured’ My Tinnitus at 55—What Finally Quieted the Ringing in My Ears

Rachel Cosma — Sun, 29 Mar 2026 15:00:20 +0000

I was about nine or 10 years old when I first became aware of a ringing in my ears—what I’d later come to learn was tinnitus—and it’s plagued me ever since. When you have tinnitus, you hear certain noises on a continual loop in your head. For me, these sounds range from a ringing, buzzing, pulsating or a whooshing, similar to the noise you hear when you hold a seashell up to your ear. But now, at 55 years old, I’ve finally managed to find a noticeable measure of relief. Here’s how I “cured” my tinnitus.

What tinnitus sounds like to me

At night when I’m in bed, I can often hear an amplification of my bodily sounds, such as a very loud heartbeat, the swishing of my eyeballs moving back and forth, the flow of blood running through my veins and a growling in my stomach. Having tinnitus makes me extra sensitive to external noises too. I often hear things no one else can. For instance, in high school, I recall being in a classroom that was near the boiler room, and I was the only one who could hear the hissing and rumbling noises coming from there.

Tinnitus took a heavy toll on my physical and mental health

Physically, the condition has caused me to experience migraine headaches, which often occur in people with tinnitus. It also affected my sleep, with the internal noises making it difficult to doze off. And when I finally did manage to sleep, it was fitful and sporadic. I was constantly tired. Physically, my body was sluggish, heavy and I was plagued with chronic pain. I almost always felt hungover, even though I don’t drink alcohol.

Emotionally, I was always irritable, constantly in fight-or-flight mode and short-tempered. The cascade effect from lack of adequate sleep caused the tinnitus to get louder, my brain more sensitive to the noises from within and from outside sources.

My mental health also suffered. I had difficulty focusing and experienced severe depression. Not being able to stop or quiet the noises I was hearing caused me extreme anxiety. Even when my tinnitus would quiet for a bit, I dreaded that it would come back full force any minute.

What doctors think caused my tinnitus

I’d visited numerous doctors over the years, but none could give me a solid medical explanation for my tinnitus. The physicians I saw characterized my tinnitus as hallucinations, my imagination and even malingering.

But by 2012, my tinnitus was so loud and high-pitched that it made my head feel numb and tingly—so much so I would have to pull over on the highway because I thought I was having a seizure or a stroke. After several trips to the emergency room, I was referred to an ear, nose and throat specialist (ENT), also known as an otolaryngologist.

The ENT diagnosed me with bilateral superior semicircular canal dehiscence (SSCDS), a rare inner ear disorder where the bone in your ear canal develops a hole or becomes too thin. SSCDS can lead to hearing loss, balance issues, heightened sensitivity to sound and hearing internal sounds.

The doctor explained I was likely born with SSCDS and recommended surgery. The problem: It’s a major procedure that could potentially cause significant hearing loss and might not get rid of my baseline tinnitus. My hearing hasn’t been affected too severely by my tinnitus and the risks felt too significant for me, so I opted out of the procedure.

My motivation for learning how to manage tinnitus

I’m a singer, songwriter and musician—I love what I do and wanted to keep doing it, so I pursued therapy to help manage the overwhelming symptoms of tinnitus. And after I got married and had my three children, my faith in God and knowing I had a family who counted on me kept me motivated to keep going in my search for relief. But it was an uphill battle.

Things I hoped would cure my tinnitus, but didn’t

In my search for something that would help manage my tinnitus and improve my quality of life, I was recommended to get hearing aids and wear them on the lowest setting for six months. Unfortunately, my insurance wouldn’t cover them. As an alternative, I tried AirPods with a built-in hearing aid function, but they didn’t provide the relief I’d hoped for.

It was time for me to seek out other more affordable and doable strategies, some of which were more successful than others. I tried doing vestibular physical therapy (an exercise program designed to treat inner ear disorders) for my dizziness and vertigo, but instead of alleviating it, it made things worse.

Other things I tried included chewing gum—which sometimes made that hollow whooshing sound go away—seeing a chiropractor who performed adjustments on my head and neck and acupuncture, none of which cured my tinnitus.

How I finally found relief from tinnitus

Disappointed but not defeated, I kept trying different things. To start, I began consistently running a box fan in the hallway outside of my bedroom to create white noise that would (hopefully) distract my brain while I slept. And it worked! The humming of the fan made the internal noises a little quieter, and after using it for almost five years, I found I didn’t even need it anymore.

I was still having migraines, and a neurologist suggested acupuncture again. It was the acupuncturist who told me about magnesium supplements, and in particular Natural Vitality Calm Magnesium Citrate powder, that might help with my headaches, sleep issues and anxiety. Over the course of using it for about three weeks, I noticed my tinnitus was quieter and my sleep greatly improved.

Along with taking magnesium, I began taking over-the-counter N-acetylcysteine (NAC) supplements (600 mg once at night). NAC is a form of the amino acid L-cysteine, which has potent antioxidant properties and may help with anxiety. I think it soothed my nervous system, so the tinnitus is either quieter or my calmer nervous system has helped the tinnitus not seem so loud.

More recently, talk therapy has been helpful. I’ve felt validated and have learned calming techniques and behavioral modifications to change how I think about and react to the tinnitus.

And finally, I’ve been going for craniosacral therapy for almost a year now, and it’s helped quiet my tinnitus. It’s basically a very light massage aimed at relieving tension and improving nervous system dysfunction. It helps by releasing restrictions in the soft tissue surrounding the brain and spinal cord. (Learn more about tinnitus treatment options.)

How these treatments can help manage tinnitus

Sound therapy includes listening to a fan, soft music, nature sounds or white noise machines. “These can all help make tinnitus less distracting,” says Hamid Djalilian, MD, an otolaryngologist, tinnitus specialist, chief medical advisor of NeuroMed Tinnitus Clinic, and a professor of otolaryngology at the UC Irvine School of Medicine in Irvine, CA.

Taking 200 mg to 400 mg of magnesium once or twice a day reduces stress, encourages better sleep and helps reduce the frequency and severity of atypical migraines (the one that don’t come with pain), thus lowering the volume of tinnitus, says Dr. Djalilian.

Craniosacral therapy or massage can also be helpful to relieve stiff and tight muscles in the neck, jaw and upper back, which can occur in those with tinnitus. “Patients often get relief because it relieves muscle spasms and calms the body, which reduces tinnitus,” Dr. Djalilian explains.

When it comes to NAC supplements, this treatment is used to treat acute loss of hearing but hasn’t yet been shown to have a specific effect on tinnitus, notes Dr. Djalilian. “The amount of NAC in over-the-counter supplements is quite variable. When we want to use NAC for an acute noise-induced hearing loss, we use a prescription one that comes in a liquid form.”

What I’ve learned about living with tinnitus

Although my tinnitus isn’t completely cured, the strategies I’ve tried have worked together to calm me and lessen the severity of my anxiety and depression. As a result, my tinnitus doesn’t seem as loud or irritating as it once did.

My advice: If your mental health is suffering because of tinnitus, seek out a cognitive behavioral therapist, specifically one who understands tinnitus. A good therapist can help you find a combination of things that work for you, as well as provide coping techniques. When it comes to tinnitus, I don’t think there’s one magic solution, but a combination of lifestyle and behavioral modifications that can bring relief.

The decrease in my tinnitus suffering has made me calmer, more focused and more satisfied with life overall. My singing and songwriting has never been better, and I have accomplished more this year with my music creation than I have in my entire life. I’m so grateful for how far I’ve come.

This content is not a substitute for professional medical advice or diagnosis. Always consult your physician before pursuing any treatment plan.

Ringing Ears? Try These Doctor-Backed Tinnitus Treatment Options

Rachel Cosma — Mon, 23 Mar 2026 23:00:57 +0000

Many people have experienced an annoying “ringing in the ears” sound on occasion. It may only last a few seconds or a minute, and typically it goes away pretty fast. But for some of us, that piercing noise doesn’t let up and becomes constant, affecting our quality of life. When this happens, it’s called tinnitus—and there are treatment options that can help.

What is tinnitus?

“Tinnitus is the perception of sound in the absence of sound, and the primary symptom is hearing something other people aren’t able to hear,” says Hamid Djalilian, MD, an otolaryngologist, tinnitus specialist, chief medical advisor of NeuroMed Tinnitus Clinic and a professor of otolaryngology at the UC Irvine School of Medicine.

According to the American Tinnitus Association (ATA), tinnitus is an audiological and neurological condition experienced by more than 50 million U.S. adults. The condition can be acute, temporary or chronic. It can occur in one or both ears, or seemingly inside the head. Besides hearing a ringing, buzzing or whooshing sounds, tinnitus symptoms may also include hearing clicking or hissing sounds, says Dr. Djalilian. “In tinnitus patients, the sound may be noticed at night when things are quieter.”

Potential tinnitus causes

While the exact cause of tinnitus isn’t fully clear, the condition has been linked to:

Age-related hearing loss
Exposure to loud noises
Side effects of certain medications
Clogged earwax
An ear infection
Severe head injury

Tinnitus tends to show up more as we age because we have more hearing loss, says Dr. Djalilian. “In women, tinnitus occurs more around menopause because hormonal changes can lead to an increase in brain sensitivity, which is a form of atypical migraine—a migraine without the headache,” he explains. “This can lead to increased attention to the tinnitus, and thus a greater perception of the sound.”

How tinnitus is diagnosed

If you suspect you have tinnitus, schedule a visit with an otolaryngologist (ear, nose and throat specialist). They will perform a physical exam and go over your medical history to find out if there’s an underlying issue first.

“For example, if you have earwax completely blocking your ear canal, that will cause a drop in the hearing and thus cause ringing at the brain level,” Dr. Djalilian explains. “Removal of the wax will then cure the tinnitus as it restores the hearing.”

However, Dr. Djalilian adds, “if the tinnitus occurs as a result of inner ear hearing cell loss, it’s rare that it can be cured in that we can’t make it completely disappear unless we see it in the early stages when the tinnitus is intermittent or less than three months from onset.”

If there isn’t an underlying reason for the ringing in your ears, your doctor will most likely have you see an audiologist, who will conduct a tinnitus matching test. During this test, the audiologist may play various sounds and ask the patient to match it up against the sound they hear internally, says Dr. Djalilian. Once you’ve been diagnosed with tinnitus, you can work with your doctor to explore some of the treatment options below.

Tinnitus treatment options to stop the ringing in your ears

Dr. Djalilian explains that tinnitus treatments focus on managing and easing symptoms. Some techniques that can help include:

Sound therapy

This involves using external sounds to help mask or distract the inner sounds in your head. These outside sounds can come in the form of listening to white noise (such as the whirring of a fan or the hum of an air conditioner) or playing ambient music. “This helps cover up or mask the ringing sound so the brain pays less attention to the ringing sound,” says Dr. Djalilian. “It allows the brain to calm down and not focus on the ringing.”

This treatment option may also be paired with counseling in what’s known as tinnitus retraining therapy (TRT), which involves helping your brain learn to tune out the ringing and any reaction to it.

Craniosacral therapy

This tinnitus treatment is a gentle, hands-on massage of the head, neck and back to help relieve muscle tightness in those areas and calm your nervous system, reducing tension. That’s important, since stress can trigger and exacerbate the ringing in your ears. According to a study in Frontiers of Aging Neuroscience, emotional stress worsens existing tinnitus and is seen as an important indicator of tinnitus severity. (Discover more stress-busting techniques.)

Wearing a hearing aid

Using hearing aids in people with noticeable hearing loss has also been shown to bring some tinnitus relief, since hearing loss and tinnitus often go hand-in-hand. With a hearing aid, you’re amplifying external sounds, and this can assist in drowning out those annoying internal sounds.

If you want to try going the hearing aid route, see an audiologist. They can evaluate and test you so they can determine the best hearing aid option for you. Some hearing aids even come programmed with sound therapy featuring static noises that might help improve your tinnitus treatment.

Cognitive behavioral therapy (CBT)

CBT is a goal-oriented, structured kind of talk therapy that focuses on changing unhealthy thoughts and behaviors, and it’s a treatment that has been shown to help people with tinnitus. According to the American Academy of Audiology, CBT can help you develop coping techniques and find solutions to better manage the ringing in your years.

And there’s evidence it works. One study in The International Journal of Psychiatry in Medicine found tinnitus sufferers who had eight weeks of cognitive behavioral therapy significantly reduced their tinnitus severity, duration, frequency and discomfort compared to the group that didn’t receive CBT. It even improved tinnitus-related sleep problems.

What to do if tinnitus treatments don’t provide enough relief

If you have very bothersome tinnitus and the treatments above haven’t helped stop the ringing in your ears, Dr. Djalilian recommends seeking out a clinic that specializes in tinnitus. “The treatment should involve controlling brain sensitivity that makes tinnitus loud and intrusive by using medication and directed supplements.”

In addition, these specialists can address stress, sleep problems and dietary factors that trigger the loud tinnitus with coaching, cognitive behavioral therapy and sound therapy, he adds.

“The important thing to know is that bothersome tinnitus is treatable medically and we have had great results when we approach it in a comprehensive manner,” says Dr. Djalilian.

This content is not a substitute for professional medical advice or diagnosis. Always consult your physician before pursuing any treatment plan.

How To Improve Hearing Naturally: 9 Easy Fixes an Expert Says Really Work

Alexandria Brooks — Mon, 23 Mar 2026 14:10:00 +0000

Constantly turning up the TV or asking loved ones to repeat themselves? About a third of us will deal with some degree of hearing loss by age 65, according to Harvard researchers—and that number climbs to 50 percent by the time we hit our mid-70s. The good news? Mild hearing loss doesn’t have to affect your quality of life. If you’re wondering how to improve your hearing naturally, these science-backed tips are a great place to start.

How to improve hearing naturally

You already know the basics like wearing hearing protection in noisy environments (like at concerts while mowing the lawn). But there’s so much more you can do to protect your hearing health. Here’s what works:

Schedule a hearing test

“The number one thing people can do to protect their hearing is get a hearing screening, which most people haven’t had since the third grade, and keep monitoring it,” reveals clinical audiologist Dawn Heiman, AuD. She suggests starting at age 40 to get a baseline, which can help you and your doctor better track—and treat—any changes as soon as they arise.

Skip the cottons swabs

According to the American Academy of Otolaryngology, earwax blockage is one of the most common causes of hearing loss, and it’s often caused by our attempts to remove wax with cotton swabs. While alternative remedies like ear candling may feel good, there’s no evidence they’re actually effective, Dr. Heiman notes. “There’s also a chance you could burn yourself,” she adds. “I recommend over-the-counter ear drops if you feel wax building up. They’re usually made with a mixture of hydrogen peroxide and mineral oil, and they’re very safe and effective.”

Open a window

Closing your windows to keep your home at a comfortable temperature puts you in close contact with household allergens. This causes the body to release histamine that clogs what’s known as the middle ears, the area of the ears where sound is processed. Instead of the added cost (and potential side effects) of using antihistamines, simply open a window.

Experts at Allergy & Asthma Centers S.C. note that opening your windows, especially after cleaning, allows airborne allergens to escape while ushering in fresh air. Also smart? Switching on an air purifier to whisk away indoor allergens. One option: The Coway Airmega Mighty2 AP-1512N air purifier.

Try hearing assistance earbuds

Hearing loss can make it difficult to listen and understand conversations, including those that occur over the phone. For those with sensorineural hearing loss, where the inner ear or auditory nerves are damaged, the issue is especially acute. A small study in iScience, however, suggests that smartphone-bundled earbuds can serve as hearing assistance devices for adults with mild-to-moderate hearing loss.

The researchers found that these earbuds met four of the five criteria for personal sound amplification products. The researchers also found that in quiet environments with no background noise and when noise approached study participants laterally, those using earbuds showed similar improvements in speech recognition performance as those using premium hearing aids.

Hearing aids are now available over the counter and can be purchased without a prescription. If you’re an AirPods user, you may already have built-in support. The AirPods Pro include a feature called Hearing Aid designed to help folks with mild to moderate hearing loss.

Savor sweet potatoes

Whether roasted, mashed or baked into a pie, sweet potatoes may help improve your hearing naturally. They’re packed with vitamin A, which protects the cells in your inner ear from free radical damage that can lead to hearing loss. A study in the Journal of Nutrition, Health and Aging of more than 3,000 adults over 50 found that those with the most vitamin A in their diets had a 47 percent lower risk of hearing loss compared to those with the least.

Listen to music

“We don’t hear with our ears, we hear with our brains—and our brains love music,” says Dr. Heiman. “Research shows trying to learn a musical instrument at any stage of life improves our ability to hear background noise.” Simply listening to your favorite song may stimulate the parts of the brain that help you hear, she adds. “The entire brain lights up when music is playing.”

Enjoy a tuna melt

A study published in the American Journal of Clinical Nutrition found people who consistently ate at least two servings of tuna or other fatty fish per week as part of a healthy diet lowered their risk of hearing loss by 42 percent. And even a single weekly serving of fish had a significant protective effect. The omega-3 fatty acids in seafood boost blood flow to the cochlea, the part of the inner ear involved in hearing.

Sip a smoothie

Your favorite smoothie ingredients—milk, yogurt, bananas and berries—brim with magnesium, a mineral that may help improve your hearing naturally, according to research in the American Journal of Otolaryngology. Magnesium dilates blood vessels, boosting nourishing blood flow to the ear. Tip: For an added magnesium boost, stir Solaray Extra-Strength Magnesium Glycinate Powder into your smoothie.

Focus on folate

Folate, also known as vitamin B9, plays an important role in more than just your overall health. It also helps improve your hearing naturally. In fact, a Brigham and Women’s Hospital study found that people over 60 with higher folate levels were more than 20 percent less likely to develop hearing loss.

Folate helps prevent age-related hearing loss—one of the most common types of hearing loss—by supporting blood flow to the cochlea. Find it in foods like peanuts, beans, eggs and broccoli as well as fortified cereals, pasta and orange juice.

This content is not a substitute for professional medical advice or diagnosis. Always consult your physician before pursuing any treatment plan.

Free Hearing Aids for the Holidays? See if You Qualify

lmaxbauer — Tue, 11 Nov 2025 18:00:55 +0000

Money is tight, especially around the holidays. So we were excited to hear that hundreds of Americans with hearing loss can get access to free hearing aids over the next two months. It’s all thanks to donations from the non-profit Beltone Hearing Care Foundation. (Last year at this time, they gave out 1,250 free pairs!) Keep reading to learn how you can have a chance to hear those sleigh bells jingling a little better this season—for free—with this special giveaway.

Why Beltone gives away free hearing aids each holiday season

There are nearly 50 million Americans with hearing loss, according to recent estimates from the Hearing Loss Association of America. Tools such as hearing aids can be key to not only boosting people’s hearing health, but also their mental and physical wellbeing.

That’s especially true during the social winter holidays when you don’t want to miss hearing a word of the conversation from your loved ones or your favorite Bing Crosby Christmas tune on the radio. MJ DeSousa, Beltone audiologist and director of patient experience, says, “During my career, I have seen the life-changing power of hearing aids.”

Now in its third year, this annual giveaway is known as the “Hear for the Holidays” initiative. And in the last decade, the foundation has given away more than 8,300 hearing aids at no cost to recipients. This is all part of Beltone’s mission, which started 85 years ago, to help people hear more clearly.

How to enter: step-by-step guide to this year’s giveaway

Beltone is offering free hearing aids for giveaway winners through November and December 2025, so you don’t want to miss out on your shot to enter. All you need to do to be considered is fill out a short online form and then get a free hearing screening at a Beltone hearing center near you. (There are about 1,200 locations nationwide.)

People who have a minimum hearing loss of 25 decibels are eligible for a chance to receive free hearing aids. Hundreds of winners across the country will be notified by January 31st, and their free hearing aid fittings will take place in February. DeSousa says hearing loss can happen gradually and sneak up on people, so it’s important to get screened.

It’s easy to nominate yourself or someone you love for the chance to receive a free pair. To start the process to see if you can score free hearing aids, use this quick online nomination form. The giveaway ends December 31.

Tip: If you’re not one of the lucky winners, check out our tips on how to get low-cost hearing aids at Costco and what types might be best for your needs.

5 surprising ways hearing better boosts your health and happiness

“When people can hear clearly, they can engage fully,” said David Molella, President of Beltone North America. “Our goal is to make that level of connection more accessible in this highly social season, whether it’s hearing a grandchild’s laughter or being in on the punchline at the dinner table. Hearing aids help restore not only sound, but confidence and clarity.”

It’s no surprise that hearing better can lead to a gift of health benefits. Here are some more perks to using hearing aids:

It boosts your energy

Untreated hearing loss can lead to fatigue. “You have to work so hard. Having to ask to repeat things over and over or misinterpreting conversations can cause stress,” says DeSousa. “This can make everyday conversations exhausting.”

It lifts your mood

Clear, undisrupted hearing paves the way for more meaningful social interaction and reduced feelings of loneliness. DeSousa says, “When someone starts hearing clearly again, you can see their whole demeanor change. They’re smiling more and laughing more.”

Plus, there’s real brain science to it. World-renowned psychiatrist Daniel Amen, MD, shares, “You master your brain by controlling what goes into it, using your five senses.” For example, citing research from the Journal of Positive Psychology, he says, it’s a fact that “you can improve your mood and boost your happiness in just two weeks simply by listening to mood-boosting music.”

It strengthens confidence

Enhanced hearing ability can also empower people to speak up and participate in social situations. DeSousa says, “They’re jumping into conversations they used to shy away from. It’s amazing how people light up once they feel connected again.”

It’s safer

Better hearing strengthens our awareness of our surroundings and even improves our balance, reducing accidents such as slips and falls. DeSousa adds, “Being able to hear an oven timer, a car pulling up or someone calling your name makes a big difference in both independence and awareness of potential hazards.” In fact, regular, all-day use of hearing aids may cut the chances of having a fall by 50 percent, found 2024 research published in the Journal of the American Geriatrics Society.

It protects your memory

“When your brain is constantly working overtime to fill in the gaps, it can take a toll,” says DeSousa. “Research consistently shows that safeguarding your hearing supports brain health.” She adds, “With so many dementia risks beyond our control, treating hearing loss through the use of hearing aids can be an empowering step to reducing the risk of cognitive decline.”

This content is not a substitute for professional medical advice or diagnosis. Always consult your physician before pursuing any treatment plan.

Tired of Tinnitus? 7 Ways To Help Stop the Ringing in Your Ears Fast

Isabelle Paquette — Mon, 30 Jun 2025 15:30:35 +0000

Ringing in the ears, also called tinnitus, affects millions each year. This puzzling condition can start suddenly and range from mild annoyance to constant disruption. To help you find relief, we asked experts for tips on how to stop the ringing in your ears—or at least significantly reduce it—using simple, science-backed remedies.

What causes ringing in your ears?

“Tinnitus is the perception of sound when there is no external source of that sound,” says Lachelle Lazarus, an audiologist at the University of Maryland Medical Center. “It can be perceived as a ringing, roaring, hissing or humming.” Symptoms vary from person to person.

“Tinnitus can be consistent or come and go, and the volume can vary a lot—sometimes it’s barely noticeable, while other times it can be loud and distracting,” adds Raj Dasgupta, MD, an ABIM quadruple board-certified physician and medical reviewer for NCOA. “Many people find it frustrating, especially if it disrupts their daily life or sleep.”

As for what triggers ringing in the ears, “there are many factors that can cause and exacerbate tinnitus,” says Lazarus. “Some of these factors include hearing loss, being exposed to [loud] noises and certain medications. Stress can also have a significant role in the bothersome nature of tinnitus.”

Because tinnitus is often tied to age-related hearing loss, your risk of developing this condition can increase over time (though it’s important to note that age itself is not a risk factor).

How to stop ringing in your ears: 7 easy tips

Most of the time, tinnitus cannot be cured. “There are no home remedies that can cure tinnitus itself,” says Lazarus. “However, there are ways that individuals can manage the condition.” Here’s how to make tinnitus less noticeable and help stop the ringing in your ears.

Start your day with calm

The connection between tinnitus and tension means that reducing stress can help stop ringing in your ears. “Stress management is also beneficial to help alleviate the bothersome nature of tinnitus, as tinnitus tends to get worse in stressful environments,” says Lazarus.

Licensed psychotherapist Reneé Zavislak recommends developing a calming daily morning routine. “Choose one thing that is good for you and that takes less than 15 minutes to do, and then do it every morning before you do anything else,” she advises. “Any grounding, calming activity will do. By attending to our nervous systems first thing in the day, we set the tone, making it much easier to maintain the sense of peace as the action of the day kicks in.”

Journaling, meditating, drawing or doing breathwork are all good options for starting the day off on the right foot. Getting in movement throughout the day can extend that sense of calm.

“That doesn’t have to mean exercise in the punishing-workout sense,” Zavislak says. “Dancing around the house is my favorite recommendation, as the combination of movement and music is profoundly soothing to the nervous system. Both exercise and music both help lower cortisol, our primary stress hormone. Plus, music activates the brain’s pleasure center, lowering feelings of anxiety and depression.”

Try a noise machine

“Using sound from a fan or a noise machine when the tinnitus is distracting can be beneficial, as it helps the brain become accustomed to the tinnitus,” Lazarus says.

Research in Therapeutic Advances in Chronic Disease suggests that many different forms of noise can be useful—from white noise to pink noise to brown noise—so experiment to find what works best for you.

Tip: Some audiologists can provide customized sound stimulation, which is white noise with frequencies and tones catered to your specific tinnitus symptoms. Talk to your doctor about this option if regular white noise isn’t working for you.

Consider curcumin

An Italian study suggests that curcumin, a potent compound in turmeric spice, may help stop the ringing in your ears by improving the body’s cell-cleaning system. This soothes tinnitus symptoms by helping cells in the inner ear canal better process sound.

Practice mindfulness

One of the most effective ways to help stop the ringing in your ears is by managing your own reaction to the bothersome sound, says Dr. Dasgupta. “Mindfulness practices, such as meditation and deep breathing, can help you feel calmer,” he says.

One mindfulness technique Zavislak suggests for people with tinnitus is visualization, or imagining yourself coexisting peacefully with your tinnitus.

“Practice seeing yourself happily participating in your favorite activities while the tinnitus is active,” Zavislak says. “In other words, picture yourself experiencing tinnitus and not reacting to it. By practicing this in your mind, you create a path in the brain that reinforces this behavior.”

Do a ‘sensory scan’

Zavislak also recommends using a technique called “sensory scans” to train your brain to lean into other senses for relief from the ringing in your ears.

“Spend one minute hyperfocusing on one piece of stimuli for each sense, omitting sound,” Zavislak explains. “Choose one thing that you see, and then to look at it as if you have never seen it before, focusing as hard as possible only on that one piece of visual stimuli for one full minute or more. Then repeat that with touch, taste and smell.”

Tip: “If those don’t do the trick, you could try cognitive behavioral therapy (CBT), which helps change how you react to the sounds, or tinnitus retraining therapy (TRT), which combines sound therapy with counseling,” Dr. Dasgupta advises.

Take melatonin

Ringing in your ears can disrupt sleep. And in a cruel twist, common sleep aids like benzodiazepines can make tinnitus worse. To the rescue: Melatonin. This natural sleep hormone not only helps people fall asleep faster and stay asleep longer, according to Yale research, but a Spanish study found it can reduce your chances of being bothered by tinnitus by 40 percent.

Ask about hearing aids

If your tinnitus is tied to hearing loss, getting fitted for hearing aids may help stop the ringing in your ears. “We often notice that when an individual with both hearing loss and tinnitus uses a hearing aid as amplification for the hearing loss, the tinnitus can subside,” notes Lazarus.

How to stop ringing in your ears: The bottom line

“Tinnitus often brings along feelings of anxiety or irritation,” Dr. Dasgupta says. “Consulting with an audiologist or an ear, nose and throat doctor (ENT) can provide more personalized tinnitus treatment options and support to improve your situation.”

This content is not a substitute for professional medical advice or diagnosis. Always consult your physician before pursuing any treatment plan.

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