Questions asked by real people with tinnitus. Answered by tinnitus authority Barry Keate.

Arches Natural Products President, Barry Keate, understands the suffering caused by tinnitus. Having lived with tinnitus for over five decades, Barry is an expert on the condition and has made the recovery from tinnitus his life’s work.
NOTE: Ask Barry is pleased to be able to answer your questions based upon the information we have available. Our answers to inquiries are not substitutes for a physician’s advice nor are they reviewed by a physician. We encourage you to share any suggestions you have received from Ask Barry with your doctor.

May 2022 Ask Barry

Arches worked… but are there side effects?

Greetings Barry,

My ear, nose and throat doctor suggested I order your products. I’ve only been using them for about ten days… but I already have a decreased noticeable “quietness.” As early as this is, I kind of feel silly saying it’s worked this fast, but it has. Are there any side effects that your patients have experienced?

Thank you,
Chrisse C.

Dear Chrisse,

This is wonderful news. Some people do see a fast response to Arches Tinnitus Formulas, but only a few. Most people will need to use the product for 2-3 months before they see a significant reduction (This was my experience). You may have had a condition that was directly treatable by our product, such as decreased blood circulation within the ear. Ginkgo biloba increases blood circulation, especially in the capillaries that feed the eyes, ears and brain. I believe you will continue to notice increased improvement over time.

There are very few side effects from Arches Tinnitus Formula. About 0.05% of people have an allergy to Ginkgo biloba. This is usually expressed as stomach upset or rash. Both of these clear up after discontinuing the product. Also Ginkgo biloba can act as a blood thinner and should not be combined with prescription blood thinners without the knowledge and prior approval of the prescribing physician.

Other than these, there are no side effects from any of our products and can be taken with all other medications.

Wishing you quiet times,
Barry Keate

Sudden Hearing Loss with Tinnitus

Dear Barry,

I experienced sudden hearing loss in my left ear only on January 14th accompanied by tinnitus, aural fullness, and loss of balance (not too severe). I had no apparent prior illness or injury; and am a 73 year-old athletic female in generally good health. I currently have A-fib, which is under control.

I had taken a battery of steroids and antiviral meds, had an MRI, and audio tests conducted by and ENT. No success. Any suggestions?

Many thanks for any info you can assist with.

Louise D.

Dear Louise,

Sudden Sensorineural Hearing Loss (SSNHL) is a poorly understood condition for which there is no standard therapy. Researchers believe that a third of afflicted people will completely recover, a third will partially recover and a third will not recover at all. Current thinking among ENTs is that SSNHL is auto-immune or viral in nature. That is why you received treatment for those possibilities.

However, there is evidence that circulatory problems may also be part of the problem. SSNHL patients have been shown to have a higher level of homocysteine and lower folic acid in their blood. High homocysteine allows plaque build-up in the arteries which slows circulation. Vitamins B-6, B-12 and folic acid are effective in reducing homocysteine. Ginkgo biloba has also been shown to be helpful in patients with SSNHL by means of increasing circulation within the inner ear.

We published an article on Sudden Sensorineural Hearing Loss and possible treatment options. I urge you to read through this article and begin a treatment regimen with Arches Tinnitus Combo Pack which contain all the necessary B vitamins and a therapeutic dosage of our new Ginkgo Max 26/7. There is no certainty that it will help at this stage but there is a good possibility that it may.

Please let me know if this is helpful for you.

Wishing you quiet times,
Barry Keate

Face and Ear Disorders with Tinnitus

Hi Barry,

How do you account for tinnitus occurring with and Myofascial Pain Syndrome and Eustachian Tube Dysfunction?

John B.

Dear John,

Thank you for this excellent question. Myofascial pain is often referred to as Myofascial Dysfunction (MFD). This is a muscular disorder that is characterized by tight bands of contracted muscle, extremely sensitive trigger points, limited range of motions and sensory abnormalities such as tinnitus. It is closely related to somatic tinnitus, which we have discussed previously.

Trigger points in the sternocleidomastoid muscle (SCM) are commonly the cause for tinnitus. The SCM is the large muscle under the ear on both sides of the neck that acts to rotate the head. These trigger points can be treated through physical therapy, biofeedback, the use of a TENS unit for electrical stimulation, or injection with xylocaine. An Ear, Nose and Throat physician can administer the injections.

Another common trigger point is TMJ dysfunction. This occurs when the temporomandibular joint (TMJ) that connects the jaw with the skull is out of alignment. Typical treatment for this begins with a mouth guard which slowly realigns the jaw and the skull.

Eustachian Tube Dysfunction (EDT) is a common cause of tinnitus and should be investigated by an ENT physician. Common treatments include a prescription nasal spray such as Flonase and an antihistamine.

The good news about these conditions is they do not represent damage to the cochlea. When the underlying conditions are treated, the tinnitus should improve dramatically or completely resolve.

Wishing you quiet times,
Barry Keate

April 2022 Ask Barry

Hormone Cream and Tinnitus

Hi Barry,

I am thinking about starting your formula for tinnitus. Before I start I need to know two things. My doctor put me on Premarin cream for a stage one prolapsed bladder and shortly afterward I got tinnitus. Could the hormone cream have started it and will your tinnitus formula still help me if I am on the hormone cream? By the way, I don’t approve of and have never taken hormone prescriptions before. I am 77 years of age.

Thank you so much,
Martha C.

Dear Martha,

A review posted at (Feb. 2021) compiled the details on side effects from 69,299 Premarin users, of whom 0.5% have reported tinnitus as a side effect. The incidence increases dramatically with the number of years on Premarin, and no one reported a recovery. Also, hormone changes are a known cause of tinnitus and it may well have brought yours about. It’s impossible for me to know. If your tinnitus started at the same time, Premarin should be suspected.

Whatever the cause, you might want to check out bio-identical hormones over Premarin and the like. The very name Premarin comes from Pregnant Mare’s Urine. It is a horse hormone and not intended for human consumption. Bio-identical hormones are plant based, they are identical to human hormones, and there are no side-effects. You can ask a compounding pharmacist how to obtain a prescription.

Arches Tinnitus Formula Starter Kit should be very helpful for you, especially since your tinnitus is early onset. All the clinical evidence shows that our products are helpful for most people but even more so for those who have experienced tinnitus for less than one year.

Wishing you quiet times,
Barry Keate

Tooth extraction and Tinnitus

Hi Barry,

I have read on the internet that many people get tinnitus after having wisdom teeth extracted. My 13 year-old is in the midst of orthodontic treatment and her mouth is very small. She needs to have both of her upper first bicuspid teeth extracted. Logically this seems to be the best option, and could possibly prevent her from having impacted wisdom teeth in the future.

Is there any evidence that having bicuspids extracted could cause tinnitus? Would I be correct in thinking that if she needs wisdom teeth pulled out in the future, there would be less of a risk of her getting tinnitus if they are not impacted versus impacted? Or does it not make a difference?


Dear Jane,

Some dentists say that an impacted wisdom tooth does not cause tinnitus, but many believe it can. An impacted wisdom tooth can add pressure on the jaw, causing or worsening TMJ (temporo-mandibular joint) dysfunction, a condition where the lower jaw does not hinge into the skull properly. TMJ dysfunction is characterized by popping and clicking sounds in the jaw, sometimes jaw pain, and frequently tinnitus.

So, in most cases, removing an impacted wisdom tooth should lower the possibility of TMJ dysfunction therefore reducing chances of tinnitus. However, I have read that in some cases, extraction of a wisdom tooth can injure nerves and cause tinnitus.

I have not been able to find a single reference to removing bicuspids as a cause of tinnitus. Perhaps this is because they are further forward in the jaw and farther away from the temporo-mandibular joint and the cochlea. I would think that removing the bicuspids now would be preferable to removing the wisdom teeth later.

Personally, I have not heard from anyone that removing teeth has caused tinnitus. I have had all four wisdom teeth removed along with several others. My tinnitus started long before the extractions and was not changed by them.

Wishing you quiet times,
Barry Keate

Breast Cancer Treatment and Tinnitus

Dear Barry,

I’ve had constant ringing, buzzing, hissing in my ears for at least six years, which really drives me crazy sometimes because the pitch of the ringing changes a lot. This happened around the time I was treated for breast cancer. I had four treatments of chemotherapy and radiation. I was told from my ear doctor that the ringing could be caused from the treatment. What is your opinion about Neuromonics? I can’t believe I have to deal with this for the rest of my life. I’m only 51. Do you have any hopeful advice for me?

Thank you,

Dear Lynne,

I’m sorry this happened to you. Many chemotherapy drugs are ototoxic and cause damage to the cochlea and a person’s hearing. I think I have some hopeful advice for you.

No single tinnitus therapy works for everyone. According to the company, Neuromonics works in reducing tinnitus in about 70% of a “select” group of patients. The word “select” is very important because it does not work for 70% of all patients. Neuromonics costs $3,500 – $5,000 for the device and the full treatment of 6 months. The goal of this treatment is not to reduce tinnitus but to desensitize the brain to the sounds of tinnitus and to reduce the patient’s annoyance with the sound.

Darius Kohan MD, a specialist in otologic surgery in New York, and a faculty member at several major medical centers, states regarding his patients with tinnitus due to sensorineural hearing loss: “Arches Tinnitus Formula doesn’t work with everybody, but works with about 75% to 80% of these patients. Arches Tinnitus Formula is a safe and benign treatment that we initiate for patients.” The total cost to find out how much of a reduction you will achieve will be $165 for a three month supply of our Tinnitus Combo Pack. This may be a good place to start.

There are other treatment options available. Please visit our Tinnitus Library which has over 150 articles on tinnitus treatments. Hopefully there should be a therapy that can help reduce your tinnitus.

Wishing you quiet times,
Barry Keate

March 2022 Ask Barry

Tinnitus Got Worse after COVID

Hi Barry

I contracted COVID on 1/23/21. Symptoms are gone, but my tinnitus has become a real problem. Is there any hope (even anecdotal) that a COVID induced flare-up will subside over time?

I realize there is not much I can do otherwise except stick it out. I’m about 75% thru the Starter Kit of your tinnitus formula. If there are suggestions you have to address the impact on tinnitus from COVID, I’d be interested in your thoughts.

Lee M.

Dear Lee,

The most recent study I am aware of was published March 2021, in the International Journal of Audiology, estimated that almost 15 percent of those with COVID-19 said they had tinnitus, often early in the course of the virus.

Thankfully many people with long COVID do eventually recover and most of them return to normal or near normal. I hope this is the case with your COVID-related tinnitus.

There is new research that shows that melatonin, also reduces the incidence of COVID-19 infection and may be therapeutic for those who already have the disease.

Melatonin has been shown to reduce tinnitus, especially in those with severe tinnitus and difficulty sleeping. There is new research that shows that Melatonin reduces the incidence of COVID-19 infection and may be therapeutic for those who already have the disease.

At the worst, you should sleep better. Start with maybe 5 mg an hour before bed. You can work up to 20 mg if needed, which is what I take every evening.

Hopefully, this will be helpful.

Wishing you quiet times,
Barry Keate

Scuba Diving with Tinnitus

Hello Barry,

I am a religious Tinnitus Formula consumer for the past 18 months. I’m happy to report that I only experience mild onsets of tinnitus less than half of every month, and other half of the month I experience no symptoms whatsoever. I’m a very active 65 yr. old male.

I am considering getting my scuba diving certification in the next several weeks. I am curious if in your dealings with thousands of tinnitus sufferers if any have indicated that scuba diving has exacerbated their tinnitus.

I do not wish to embark on an activity that could lead to worsening tinnitus or causing increased frequency of the tinnitus. I appreciate any information you might be able to offer on this subject.

Yours Truly,
Mark S.

Hi Mark,

Thank you for sending in your positive report. I’m very happy you’ve had such a good response to Arches Tinnitus Formula and I’m confident this will continue.

The combination of scuba diving and tinnitus is problematic. I searched some clinical reports on the subject but they were somewhat contradictory. I’ll send links to them so you can make up your own mind. A study from India suggests that some scuba divers can have middle ear barotrauma due to the contrast between water pressure and the air pressure in the middle ear. The barotrauma can lead to hemorrhage of the ear drum which would dramatically increase tinnitus and cause pain and vertigo.

A study in the Journal of the American Medical Association) showed no statistically significant reduced hearing levels in sport divers compared with a non-diving control group.

I’m sorry I don’t have anything more conclusive to report but surprisingly this is not a well studied area. My own feeling on the subject is to go slow and proceed with caution and monitor your depths closely. Hopefully, you’ll be able to enjoy this great sport without any further damage to your hearing.

Wishing you quiet times,
Barry Keate

Sound Sensitivity with Tinnitus

Hi Barry,

I have had tinnitus and hyperacusis for 4 months. I think it came from ototoxicity and then the hyperacusis came a couple weeks later. My mom had tinnitus too. Will this tinnitus formula possibly help me? It is a high shrill 24/7.

Deborah W.

Dear Deborah,

I’m sorry to hear about your tinnitus and hyperacusis. Hyperacusis is a condition of extreme sensitivity to sound. Ordinary sounds are experienced as being unbearably loud. Arches Tinnitus Formula should be helpful for both your tinnitus and hyperacusis.

We have published an article on Hyperacusis and Tinnitus. Our article is based primarily on Dr. Jack Vernon’s work with Hyperacusis. He developed a treatment for hyperacusis that is still being used at the Oregon Health Sciences University. He advises people to not try to protect their ears by avoiding unpleasant sounds as that will increase and reinforce the hyperacusis. He states that short-term hyperacusis can be resolved fairly quickly and recommends people with the condition join Dan Molcore’s Hyperacusis Network in Green Bay, WI.

I hope this information is helpful for you.

Wishing you quiet times,
Barry Keate

Ask Barry Questions Categories

Causes of Tinnitus & Related Conditions

View FAQ

Tinnitus Treatments & Related Medicine

View FAQ

Other Supplements for Tinnitus

View FAQ

Ask Barry Your Questions on Tinnitus

Do you have a question on tinnitus or our products? Ask Barry. Tinnitus expert Barry Keate will research and answer your questions on tinnitus.
Due to the high volume of questions sent to us, we ask that only one question be sent at a time.