Tinnitus – Stop That Ringing

by | May 4, 2020

Nutrition can play a great part in contorlling ringing in the ears

Rarely, tinnitus is due to an actual sound, such as blood rushing through an enlarged vein—a problem that requires medical treatment. More commonly the problem is due to nerve irritation from an unknown source or an underlying ear problem often induced by noise damage. There are over 400 causes of tinnitus. The cause of tinnitus should be diagnosed by a doctor who is willing to investigate the cause.

What are the symptoms of tinnitus?

Symptoms may include hearing buzzing, roaring, ringing, whistling, or hissing sounds. These sounds may be intermittent, continuous, or pulsing. Tinnitus may interfere with normal activities and sleep, and there may be an associated decrease in the ability to hear conversation or other sounds in the environment.

Medical treatments

Treatment is typically directed at any underlying medical condition. In some cases, doctors recommend the use of a tinnitus masker, which is a hearing device that produces a sound that is more tolerable than the tinnitus. In addition, doctors may suggest the use of earplugs in the presence of loud noises to prevent damage to the ear.

Dietary changes that may be helpful

Ménière’s disease (a condition characterized by tinnitus, vertigo, and hearing loss) is reportedly associated with various metabolic abnormalities, including elevations of serum cholesterol and/or triglycerides and abnormal regulation of blood sugar. In one trial,
people with Ménière’s disease who replaced refined carbohydrates in their diet with foods high in fiber and complex carbohydrates frequently experienced an improvement or disappearance of their tinnitus.1

Nutritional supplements that may be helpful

Zinc supplements have been used to treat people who had both tinnitus and hearing loss (usually age-related). Of those who had initially low blood levels of zinc, about 25% experienced an improvement in tinnitus after taking zinc (90–150 mg per day for three to six months).2 Such large amounts of zinc should be monitored by a doctor. Two controlled clinical trials3 4 found no benefit from zinc supplementation (66 mg per day in
one double-blind trial) in people with tinnitus. However, participants in these studies were not zinc deficient. Preliminary research suggests that zinc supplementation is only helpful for tinnitus in people who are zinc deficient.5 A doctor can measure blood levels of zinc.
In a double-blind trial, melatonin supplementation (3 mg taken nightly) improved the symptoms of tinnitus.6 Although improvement did not reach statistical significance for all participants, the results were significant in those who reported more severe symptoms (such as two-sided vs. one-sided tinnitus). Among participants who had difficulty sleeping due to tinnitus, 47% of those who took melatonin reported sleep improvement
after one month, compared with only 20% of those who took placebo.
People exposed to loud noise on the job who develop tinnitus are commonly deficient in Vitamin B12.7 Intramuscular injections of vitamin B12 reduced the severity of tinnitus in some of these people. Injectable vitamin B12 is available only by prescription. The effect of oral vitamin B12 on tinnitus has not been studied.

Are there any side effects or interactions?

Refer to the individual supplement for information about any side effects or interactions.

Herbs that may be helpful

Lesser periwinkle(Vinca minor) contains a compound known as vincamine. Extracts containing vincamine have been used in Germany to help decrease tinnitus.8 Preliminary clinical trial data show that vinpocetine, a semi-synthetic version of vincamine, can help reduce symptoms in people whose tinnitus is due to poor blood flow.9 Because these extracts are not widely available outside of Germany, consult with a doctor knowledgeable in botanical medicine about obtaining them.

Ginkgo biloba has been used to treat tinnitus, with mixed results.10 The largest placebo controlled trial to date failed to find any effect of 150 mg per day of ginkgo extract in people with tinnitus.11 Two smaller, controlled trials have found that standardized ginkgo extract (120 mg per day, containing 24% flavone glycosides and 6% terpene lactones), was effective at relieving the symptoms of tinnitus.12 13 One trial failed to find ginkgo
beneficial, but used less than 30 mg of ginkgo extract per day, an amount unlikely to have any therapeutic effect.14 Holistic approaches that may be helpful

Acupuncture has been studied as a treatment for tinnitus in several controlled trials. Preliminary trials have reported improvement in symptoms of tinnitus following acupuncture treatment, but this relief was either not permanent or did not reach statistical significance.15 Most trials have shown no advantage of acupuncture treatment over placebo for the treatment of tinnitus.16 17 18 19 20 21 22 A review of clinical trials concluded that acupuncture is not an effective treatment for tinnitus.23

Join the comprehensive video presentation on TINNITUS on Zoom May 12, 2020 3:30 PM Pacific TIme.


  1. Spencer JT Jr. Hyperlipoproteinemia, hyperinsulinism, and Meniere’s disease. South Med J 1981;74:1194–7.
  2. Shambaugh GE. Zinc and presbycusis. Am J Otol 1985;6:116–7.
  3. Paaske PB, Pedersen CB, Kjems G, Sam IL. Zinc in the management of tinnitus. Placebo-controlled trial. Ann Otol Rhinol Laryngol
  4. Paaske PB, Kjems G, Pedersen CB, Sam ILK. Zinc in the management of tinnitus. Placebo-controlled trial. Ann Otol Rhinol
    Laryngol 1991;100:647–9.
  5. Ochi K, Ohashi T, Kinoshita H, et al. The serum zinc level in patients with tinnitus and the effect of zinc treatment. Nippon
    Jibiinkoka Gakkai Kaiho 1997;100:915–9 [in Japanese].
  6. Rosenberg SI, Silverstein H, Rowan PT, Olds MJ. Effect of melatonin on tinnitus. Laryngoscope 1998;108:305–10.
  7. Shemesh Z, Attias J, Ornan M, et al. Vitamin B12 deficiency in patients with chronic tinnitus and noise-induced hearing loss. Am J
    Otolaryngol 1993;14:94–9.
  8. Weiss RF. Herbal Medicine. Gothenburg, Sweden: Ab Arcanum and Beaconsfield, UK: Beaconsfield Publishers Ltd, 1988, 181.
  9. Ribarti O, Zelen B, Kollar B. Ethyl apovincaminate in the treatment of sensorineural impairment of hearing. Arzneimittelforschung
  10. Ernst E, Stevinson C. Ginkgo biloba for tinnitus: a review. Clin Otolaryngol 1999;24:164–7.
  11. Drew S, Davies E. Effectiveness of Ginkgo biloba in treating tinnitus: double blind, placebo-controlled trial. BMJ 2001;322:1–6.
  12. Meyer B. A multicenter randomized double-blind study of Ginkgo biloba extract versus placebo in the treatment of tinnitus. In
    Rokan (Ginkgo biloba): Recent Results in Pharmacology and Clinic, ed. EW Funfgeld. New York: Springer-Verlag, 1988, 245–50.
  13. Morgenstern C, Biermann E. Ginkgo biloba special extract EGb 761 in the treatment of tinnitus aurium: Results of a randomized,
    double-blind, placebo-controlled study. Fortschr Med 1997;115:7–11.
  14. Holgers K, Axelsson A, Pringle I. Ginkgo biloba extract from the treatment of tinnitus. Audiol 1994;33:85–92.
    Page 4 of 4
    Provided in the public interest by Dr. Richard Brouse – www.sunnysidehealthcenter.com
  15. Furugard S, Hedin PJ, Eggertz A, Laurent C. Acupuncture worth trying in severe tinnitus. Lakartidningen 1998;95:1922–8 [in
  16. Nielsen OJ, Moller K, Jorgensen KE. The effect of traditional Chinese acupuncture on severe tinnitus. A double-blind, placebocontrolled
    clinical study with an open therapeutic surveillance. Ugeskr Laeger 1999;161:424–9 [in Danish].
  17. Vilholm OJ, Moller K, Jorgensen K. Effect of traditional Chinese acupuncture on severe tinnitus: a double-blind, placebocontrolled,
    clinical investigation with open therapeutic control. Br J Audiol 1998;32:197–204.
  18. Axelsson A, Andersson S, Gu LD. Acupuncture in the management of tinnitus: a placebo-controlled study. Audiology
  19. Nilsson S, Axelsson A, Li De G. Acupuncture for tinnitus management. Laryngoscope 1988;98:664–7.
  20. Thomas M, Laurell G, Lundeberg T. Acupuncture for the alleviation of tinnitus. Scand Audiol 1992;21:245–51.
  21. Marks NJ, Emery P, Onisiphorou C. A controlled trial of acupuncture in tinnitus. J Laryngol Otol 1984;98:1103–9.
  22. Hansen PE, Hansen JH, Bentzen O. Acupuncture treatment of chronic unilateral tinnitus—a double-blind cross-over trial. Clin
    Otolaryngol 1982;7:325–9.
  23. Park J, White AR, Ernst E. Efficacy of acupuncture as a treatment for tinnitus: a systematic review. Arch Otolaryngol Head Neck
    Surg 2000;126:489–92 [review]
Wholesome ~ Fresh ~ Delicious                                                                                                    A Cookbook From The Brouse House

Wholesome ~ Fresh ~ Delicious A Cookbook From The Brouse House

JENNIE BROUSE has a passion for making delicious, nutritious food, and has been practicing since she was a girl. Her dear mother instilled in her the wisdom of eating for health, growing and preserving food from their large garden, and cooking from scratch. This lifestyle continued while raising their children to today. Sharing her delicious meals with friends and family has been part of her “love language”. Jennie’s husband, Richard, has counseled many patients with nutritional advice for over 43 years. She has worked beside him encouraging them in their change to a healthier lifestyle, including eating habits. This cookbook has evolved from the many requests of patients and friends who want a few guidelines for more wholesome cooking. Thus, Wholesome-Fresh-Delicious has been created with recipes that have been favorites in the Brouse house. It is the authors’ hope that many will be inspired to seek out more wholesome food sources, embrace seasonal eating of fresh produce, and love cooking from scratch; all of which will encourage great health! https://www.brousehousecookbook.com/

Prevent Falling Down

Prevent Falling Down

The best ways to prevent falls! What do some medications, inner ear problems, foot pain, weight changes, blood sugar issues and vitamin D deficiency have in common? They can all affect your balance. And when you’re an older adult, being just the slightest bit off...

MetSys Wellness Evaluation

The MetSys program measures your current nutritional status and makes any suggestions to optimize your nutritional possibilities. With a comprehensive evaluation of your blood and urine profile, diet, and lifestyle symptoms, a report will be produced giving personalized recommendations.

Live Tele-Clinics

Join Our Free Tele-Clinics

Tele-Clinic are hosted weekly every Tuesday and Thursday 3:30 p.m. Pacific Standard Time, registration required. 

Dr. Richard Brouse Retd.

Dr. Brouse is a widely-recognized authority in the fields of nutrition and prevention of chronic degenerative diseases. He follows the practice of natural nutrition and lifestyle espoused by a number of pioneers in the field such as Linus Pauling, Abram Hoffer, Robert Cathcart, James Duke, and Evan Shute. He is an effective teacher with the ability to communicate scientific information in a manner that the general public can understand and apply.

Learn more

Office Hours

7:30am - 3:30pm PST
Tuesday and Thursday
Call Julie at 503.631.4184

Customer Hotline

Call (971) 978-9155 every Tuesday & Thursday 8:00 a.m. – 9:30 a.m. PST

Hot Line is complimentary service for clients currently on a program with Dr. Brouse.


All search results
Share This