I have had a touch of it for a few years. I have been very careful to protect my hearing. Always listening to headphones on the lowest setting. Always wearing hearing protection while operating lawn equipment. I have been an amateur competitive shooter and always double up with plugs and muffs. Then in 2022, I had a terrible double ear infection the same week I competed in a local USPSA (IPSC) match and boom that was it. Ironically the ear doctor thinks it was the infection. I showed him the system I use for shooting. It doesn’t bother me anymore though it is always there when there is silence.