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we can't. it is assumed that it's not damage because there is no evidence of damage based on conventional audiological testing. this makes me curious about why Jastreboff disciples will tell you that only damaging levels of sound can worsen your hyperacusis. if there's no evidence of damage...

I'm not sure that hunter gatherers had hyperacusis or felt pain in their ears when they heard a sabertooth tiger creeping up on them. I believe what you've said here is false on many levels.