and I find it insulting that docs or audiologists deny that it does in fact exist....I feel strongly that it is tied to hyperacusis or a form of H. In the beginning of my T, I had bells that rang alongside the ticking of a clock..That is reactive tinnitus imo..my reactive T is now bells or hissing that when exposed to say, driving in the car, it gets louder and turns into a screeching hiss..after quiet time or a nights sleep.it is back to baseline.. If that isnt reactive T, please tell me what is? My T spikes from foods..sodium, sugar and alcohol. I don't look at that as reactive but a spike. Just felt like bringing this up because I feel at a loss.on how to treat my T with TRT if it's reactive!