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I also experienced worsening of tinnitus from vaping. I think it's especially bad when combined with auditory damage. I think my most recent spike can be attributed to this. I have switched to patches and nicotine pouches. However, there are are pure VG mixes available. They require different...

The ear going muffled or deaf for a moment, and then accompanied by a new tone happens to me. It's quite infrequent, usually comes when hyperacusis is acting up a lot.