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Pharmacopsychiatry 40 , 149151 (2007)

Common causes include noise exposure, aging (presbycusis), infections (like meningitis), Menieres disease, vascular or autoimmune inner-ear disorders, ototoxic drugs, and acoustic neuromas

Noise intensity was monitored at the ear canal using a Brel & Kjr 3560-L PULSE Lite pocket analyzer through a Brel & Kjr 4133 -inch microphone and 2619 preamplifier

While many users tolerate lower doses (0.250.5 mg) well, higher doses may introduce unwanted effects especially when stacked with other stimulants or nootropics