Hi, I am going on 58 years old, and have tinnitus for 25 years. A year and half ago, I briefly played my stereo too loud. three days later i had this immense tinnitus spike, and since then i have had several more spikes just from minor loud noise that should not do anything, such as clanging of dinner plates, any clanging sort of noise, car door closing, etc. - All the time, hope is like a cruel joke, when time goes by nothing seems to improve. I did do TRT in the past, but at the present moment, my ears have suffered from more noise related permanent nerve damage, and my life is living torture.