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Protect & Improve Your Hearing & Brain Health | Dr. Konstantina Stankovic

Episode 250 Oct 13, 2025 2h 27m 20 insights
My guest is Konstantina Stankovic, MD, PhD, Professor and Chair of Otolaryngology at Stanford School of Medicine. She explains how hearing works and why hearing loss—affecting over 1.5 billion people—impacts people of all ages. We discuss how hearing loss impairs focus and increases the risk of cognitive decline, as well as the role of menopause and other biological milestones in hearing health. We share science-backed protocols to protect your hearing and highlight risks to avoid. And we discuss tinnitus—its causes and treatment options. AGZ: https://drinkagz.com/huberman Wealthfront*: https://wealthfront.com/huberman Our Place: https://fromourplace.com/huberman David: https://davidprotein.com/huberman Joovv: https://joovv.com/huberman LMNT: https://drinklmnt.com/huberman *This experience may not be representative of the experience of other clients of Wealthfront, and there is no guarantee that all clients will have similar experiences. Cash Account is offered by Wealthfront Brokerage LLC, Member FINRA/SIPC. The Annual Percentage Yield (“APY”) on cash deposits as of September 26, 2025, is representative, subject to change, and requires no minimum. Funds in the Cash Account are swept to partner banks where they earn the variable‭ APY. Promo terms and FDIC coverage conditions apply. Same-day withdrawal or instant payment transfers may be limited by destination institutions, daily transaction caps, and by participating entities such as Wells Fargo, the RTP® Network, and FedNow® Service. New Cash Account deposits are subject to a 2-4 day holding period before becoming available for transfer. Investment advisory services are provided by Wealthfront Advisers LLC, an SEC-registered investment adviser. Securities investments are not bank deposits, bank-guaranteed or FDIC-insured, and may lose value. 00:00 Konstantina Stankovic 03:27 Hearing Loss, How Hearing Works, Types of Hearing Loss 10:58 Sound Waves, High vs Low Frequency, Communication, Importance of Hearing 15:26
Actionable Insights

1. Protect Hearing for Brain Health

Protect your hearing not just for auditory function, but because there is mounting evidence for a strong link between hearing loss and dementia, and it protects your brain function more broadly.

2. Adhere to Safe Noise Levels

Limit exposure to loud sounds by following the rule that 80 decibels is safe for 8 hours, and for every 3-decibel increase, the safe exposure time should be halved (e.g., 83 dB for 4 hours, 86 dB for 2 hours).

3. Wear Earplugs in Loud Environments

Always wear earplugs at loud events like concerts, ensuring they provide adequate attenuation (e.g., 30 decibels for a 120-decibel concert) and are fitted correctly to protect against noise-induced hearing loss.

4. Take Magnesium Before Loud Noise

Consider taking magnesium, specifically magnesium threonate, before exposure to loud noise, as studies suggest it can protect against noise-induced hearing loss by supporting the cochlea’s ion balance.

5. Prioritize Healthy Diet for Hearing

Maintain a healthy diet rich in magnesium from sources like seeds, nuts, fish (especially salmon), and green leafy vegetables (like spinach), as good nutrition supports overall body health, including hearing.

6. Avoid Consecutive Noise Insults

If you experience ringing or a clogged sensation in your ears after noise exposure, be especially careful to avoid further high-threshold sounds, as two insults close in time can cause synergistic and irreversible damage.

7. Check Headphone Volume

Use the rule of thumb that if anyone standing near you can hear what you are listening to through your headphones, the volume is too loud and potentially damaging to your hearing.

8. Protect Children’s Hearing

Be extra cautious with noise levels for children, as their auditory systems are more vulnerable to damage than adults, meaning what’s comfortable for an adult may be too loud for a child.

9. Seek Professional Tinnitus Evaluation

If you experience tinnitus, seek a complete and thorough professional evaluation to rule out underlying conditions like tumors and to receive appropriate, evidence-based treatment, as self-supplementation has not been shown to be effective.

10. Manage Tinnitus with Distraction & CBT

If diagnosed with tinnitus, actively try to distract yourself from the phantom sound and consider cognitive behavioral therapy (CBT), as focusing on tinnitus can exacerbate the brain’s hyperactivity in auditory centers.

11. Communicate Effectively with Hearing-Impaired

When speaking to someone with hearing loss, face them directly, speak slowly, and minimize background noise, as this significantly improves their ability to understand speech compared to speaking louder or from another room.

12. Optimize Sleep Environment

Create an ideal sleeping environment that is quiet, dark, and cold, mirroring the conditions that bears use for hibernation, which are perfect for sleeping for months.

13. Use Earplugs for Better Sleep

Experiment with wearing earplugs while sleeping to block out ambient sounds, which can significantly improve sleep quality by reducing auditory input during rest.

14. Limit Regular NSAID Use

Avoid regular intake (at least twice a week) of non-steroidal anti-inflammatory medications like ibuprofen and acetaminophen, as studies show this increases the likelihood of developing hearing loss.

15. Avoid Heating Food in Plastic

Do not heat food in plastic containers in the microwave or store hot food in plastic, as this can release micro and nanoplastics that have been shown to be preferentially taken up by sensory hair cells in the ear.

16. Enrich Auditory System

Actively engage in activities that enrich your auditory system, such as listening to and playing music or learning new languages, as auditory training can enhance brain plasticity and improve its response to challenges.

17. Use Hands to Project Voice

If you need to project your voice over a distance without an amplification device, cup your hands around your mouth to create a makeshift horn, which helps to amplify and direct your sound.

18. Cup Hand to Ear to Hear

To better hear distant or faint sounds, cup your hand behind your ear to create a larger, temporary funnel that helps capture more sound waves.

19. Measure Ambient Sound Levels

Download a free decibel (dB) app on your phone to quantitatively measure sound intensities in your environment, helping you make informed decisions about safe exposure times.

20. Musicians’ Example for Earplugs

Observe that professional musicians, even in loud genres like rock and roll, consistently wear earplugs to protect their hearing, demonstrating that ear protection is a wise practice, not ’nerdy'.