I was having lunch with a friend who also has T. I thought it must be mild but she told me that it's loud and she hears it whenever she thinks about it. She said she could hear it at that moment because we were talking about it. I hope to get to where she is. I've known her for 10 years and never knew she had T until I had my onset and she told me. We both work in very quiet offices so I asked her how she dealt with it. She said it never bothers her and if she does happen to hear it she just refocuses on what she's doing and she no longer hears it! She also eats whatever she likes, drinks red wine and takes Karate-- and is in her 60's! That's why I'm amazed. I do forget about mine for periods of time but they are short periods. I also can put it in the background and just carry on but I doubt I'll ever get to the point where I don't hear it. She's had it since 1998...so maybe I'll get there in 16 years.