Tinnitus is not a condition it is a symptom that something is wrong and has many underlying causes. Relegating it to a symptom often means that the devastating impact that it has on the sufferer's life is not really understood or taken seriously. However, this symptom should be taken seriously for it often is comorbid with the socially isolating hearing impairments and further, is often one of the first symptoms that those with subclinical dementia. often experience. In the early stages such degenerative diseases are reversible - indeed the nutrients which improve tinnitus and hearing impairment are often the same ones that are found to be deficient in neurodegenerative disease. Addressing one often addresses the more serious condition that tinnitus is a symptom of. Alongside tinnitus we have the generic hearing impairment with a well researched interconnectedness. As always, the author addresses these puzzling symptoms and conditions through bespoke nutrition, firstly investigating many of the causes of the above before applying bespoke nutrition. The author acknowledges that there are many devices that aid the above symptoms and conditions but argues that if the underlying cause is not corrected then any subclinical degeneration will eventually manifest itself and will be far harder, at that point, to reverse.