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Naturopathic strategies with the strongest evidence include targeted nutrient repletion (zinc in deficient individuals, methylcobalamin for B12, magnesium glycinate for neural stability), gut microbiome support via prebiotic fibre and probiotics, an anti-inflammatory dietary pattern, N-acetylcysteine (NAC) for cochlear oxidative stress, and structured mind-body approaches to reduce amplification of tinnitus perception through stress pathways

Repeating treatment should depend on a defined goal, response, risk, cost, and clinician reassessment

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