Are you Suffering from any of these symptoms as a result of Tinnitus? Free 15 Min Consultation.

    Mild to severe anxiety
    Insomnia
    Triggered fight or flight

  Depression
  Negative thinking
  Crying spells

  Hopelessness
  Suicidal thoughts
  Ringing in the ears

    Do you feel your family and friends don’t understand?
    Are you growing more isolated?
    Do you feel like life will never be the same?
    Are you refraining from activities that you enjoy?
    Are you fearful of losing your job?
    Do you find that your thoughts tend to be negative?

If you answered yes to 3 or more of these questions or symptoms, then we can help.
You may be a candidate for Tinnitus Cognitive Retraining Therapy, or TCRT.  Stephen Geller Katz, LCSW-R, with over 20 years of clinical experience, a New York University graduate, developed Tinnitus Cognitive Retraining Therapy and founded Tinnitus Cognitive Center in response to the growing number of Tinnitus sufferers coming to his private practice. He discovered that by helping people to retrain and reinterpret the thoughts around their Tinnitus, anxiety and depression symptoms began to improve. But even more important so did the Tinnitus.

Call us at (646) 213-2321 for a FREE consultation.


See our main site: www.tinnituscognitivecenter.com
Blog Posts are Below:


Monthly Archives: March 2014

Vitamin B-12 and Tinnitus

What is Tinnitus?

BestTinnitusReliefNYC1Tinnitus is a frustrating, chronic disorder that can – at times – make a person feel like they’re going mad. It can be related to a diagnosed medical condition or be completely idiopathic; and when the cause is unknown finding solutions is an exhausting process.

Nutrition and Tinnitus

Nutrition and dietary deficiencies can play a very real role in heath and the progression of disease. The herbal and vitamin market abounds with claims, both supported and anecdotal, for the benefits of supplementation. Vitamin B-12 has been getting a lot of press lately regarding tinnitus and it’s hard to make sense of all the new information.

What is a vitamin anyway?BestTinnitusReliefNYC4

It’s actually hard to define a “vitamin” as they’re classified by what they do in the body vs. their composition. They function as enzymatic co-factors; meaning they’re needed by an enzyme to do its job. Enzymes and their co-factors are not destroyed when they do their work, nor are they added to the final product, so they can be reused until they break down. Many vitamins incorporate a metal atom (cobalt in the case of B-12, A.K.A “cobalamin”). Some are water soluble while others are fat soluble. Some can be manufactured in the body, while others come only from food.

What is vitamin deficiency?

Vitamin deficiency is when the levels of available vitamin, as measured in the blood, are below a standard set by the medical and biochemistry community. Generally, these standards are based on the levels below which people begin to get sick. The recommended blood concentration of B-12 is between 200-900 pg/ml (picograms/milliliter). Being below this level for long-term can lead to symptoms including megaloblastic anemia and neurological symptoms like numbness in the hands and feet, gait disturbances (problems walking) and even changes to taste and vision.

One point of debate is whether the current markers for high and low are really sufficient for preventing disease. The aforementioned problems certainly arise when levels of B-12 are significantly low, for a long time. But some argue that more mild insufficiencies may contribute subtly to degenerative illnesses. Definitive answers on this are yet to come.

Why am I low in B-12?ringing ears treatment p01 b12

Vitamin deficiencies can arise from diet, metabolic problems or a failure to absorb a nutrient properly. B-12 can’t be manufactured by either plants or animals, and is actually formed by bacteria. It is stored in the foods we eat, and its absorption is a complex process.

The majority of dietary Cobalamin is found in meat, egg and fish products – and a diet low in these can make it difficult to keep B-12 levels normal. Vegans must pay special attention to ensure their diets have a full complement of nutrients including B-12. Cobalamin must be bound to protein during digestion, absorption and transportation through the blood. In the stomach, dietary B-12 is broken away from its ingested protein and re-bound to “R-binders” (A.K.A haptocorrins, A.K.A transcobalamin I).

These proteins carry it through to the small intestine where the haptocorrins are degraded and the B-12 binds to “intrinsic factor”. Pancreatic insufficiency or a high (basic) intestinal pH can lead to problems with this step. In the Ilium, intrinsic factor receptors bind the protein/B-12 complex and bring it into the enterocyte (intestinal absorptive cell) where B-12 then binds to transcobalamin II for transport through the blood. A transcobalamin II receptor is used by peripheral cells to take it from the bloodstream, with about 50% of B-12 ending up in the liver for storage.

A failure of any of these proteins or receptor complexes can result in a failure to absorb or transport B-12. It’s common for the production of intrinsic factor to diminish with age, which is why we hear so much about B-12 shots for the elderly.

Does B-12 Deficiency affect my tinnitus?

Whether a B-12 deficiency affects tinnitus is a question currently being studied. It is known that deficiencies in B-12 can cause neurological symptoms due to hypomethylation within the nervous system (resulting from an inability to recycle homocysteine to methionine and ultimately to S-adenosylmethionine). Neurological symptoms usually arise only after long-term, significant B-12 deficiency.

To date, there has been one formalized study showing that individuals already deficient in B-12 are more likely to suffer noise induced hearing loss with tinnitus after exposure to loud noise. While one study does not a scientific truth make, this is a good place to start the investigation. It should also be noted that the study did not address whether supplementing with B-12 is protective or restorative, or if deficient B-12 simply left the hearing more vulnerable. These are things that need to be researched.

BestTinnitusReliefNYC2What can I do about low B-12?

What to do about a B-12 deficiency depends on its cause. If your diet lacks cobalamin, improve the amount of B-12 rich foods you eat. If for some reason that’s not an option, vitamin pills are an effective alternative.

If the deficiency is an absorptive problem (which can be confirmed by your doctor), B-12 shots are a well recognized therapy. If the failure is with B-12 usage from the blood stream, there are lifestyle changes that can maximize the value of the vitamin that is being absorbed such as maintaining adequate cysteine in the diet.

It’s important to note that the liver stores enough B-12 to supply all the body’s need for 2 to 3 years. This is why symptoms of B-12 deficiency are slow to develop, and a single low blood test is not necessarily time to panic. While the journals report no evidence that taking excessive B-12 is hazardous, a person is concerned about B-12 should work with their doctor and a nutritional specialist to determine the concern, cause and the need to take action.

If you suffer from tinnitus, call our office today to schedule a consultation with the best tinnitus treatment center in NYC.

BestTinnitusReliefNYC5

Blood sugar, diet and tinnitus NYC

Can Diet and Blood Sugar Affect Tinnitus?

Tinnitus affects an estimated 50,000 Americans and can be a very real source of frustration and stress in their lives. When a medical treatment cannot be found, many turn to holistic and other lifestyle changes to help control the ringing. Recent research has identified some of the potential relationships between tinnitus and diet.

BestTinnutisTreatmentNYC2You hear what you eat – tinnitus and diet

Many people have had the experience of ringing ears and dizziness when fasting for long periods of time. Because the inner ear (especially the stria vascularis) is so heavily energy dependent, the assumption is that any reductions in blood flow, oxygen or glucose can result in disturbances to homeostasis resulting in tinnitus. Research has been progressing on this subject and has been coming to some surprising and some not-so-surprising conclusions.

Hyperinsulinemia and the inner earBestTinnutisTreatmentNYC4

One of the most common findings was a correlation between hyperinsulinemia (chronically high blood insulin) and inner ear disorders. Metabolic disorders have long been suspect in diseases of the inner ear, and some recent studies indicate that high levels of insulin may have a strong correlating factor. Of course, this must be taken with a grain of salt.

First, causation has not yet been identified. There is speculation amongst investigators as to whether high insulin is a direct cause of disease processes or just an indicator. But none have come to a consensus yet. Some believe the real culprit is chronic high or low glucose levels with insulinemia either leading to the fluctuations or resulting from it. Others think insulin may be the cause and better blood insulin control will be an effective treatment. Research continues to determine exactly how insulin, glucose and inner ear function are related.

Second, the correlation between insulinemia and inner ear problems is most strongly indicated in metabolic disorders that affect both hearing (auditory) and balance (vestibular). In one study, up to 25% of participants with insulinemia were also diagnosed with Meniere’s disease. It’s difficult to say if insulinemia is related in the same way to hearing loss and tinnitus alone.

BestTinnutisTreatmentNYC3Does diet affect tinnitus

Pró-Fono Revista de Atualização Científica did a direct study on the relationship of diet to tinnitus symptoms. Their suspicion was that triglycerides and cholesterol, as well as glucose and insulin, may have an impact on tinnitus and hearing. Data was collected from self-reporting patients with tinnitus. Volunteers were placed on a diet plan tailored for them individually which was intended to reduce serum cholesterol, triglycerides and maintain more consistent glucose levels. The control group (also with tinnitus) maintained their normal diet while self-reporting. The study was not blind.

In the experimental group, 71.5% of subjects reported an improvement in symptoms. The study also reported a statistically significant number of patients taking the cholesterol drug Atorvastatin showed improvements in tinnitus, although not an improvement in overall hearing levels.

Will changing my diet help tinnitus?

What effect blood levels of glucose, insulin, triglycerides and cholesterol will have on tinnitus is still unknown, however there’s a rising body of evidence that they may have an effect on hearing and balance. The initial research indicates that having healthier serum levels may improve symptoms of tinnitus. Improving one’s diet will certainly have a positive effect on blood flow and energy which is always a positive in any chronic health condition.

If you suffer from tinnitus, call our office today to schedule a consultation with the best tinnitus treatment center in NYC.

BestTinnutisTreatmentNYC1

Monthly Archives: March 2014

Vitamin B-12 and Tinnitus

What is Tinnitus?

BestTinnitusReliefNYC1Tinnitus is a frustrating, chronic disorder that can – at times – make a person feel like they’re going mad. It can be related to a diagnosed medical condition or be completely idiopathic; and when the cause is unknown finding solutions is an exhausting process.

Nutrition and Tinnitus

Nutrition and dietary deficiencies can play a very real role in heath and the progression of disease. The herbal and vitamin market abounds with claims, both supported and anecdotal, for the benefits of supplementation. Vitamin B-12 has been getting a lot of press lately regarding tinnitus and it’s hard to make sense of all the new information.

What is a vitamin anyway?BestTinnitusReliefNYC4

It’s actually hard to define a “vitamin” as they’re classified by what they do in the body vs. their composition. They function as enzymatic co-factors; meaning they’re needed by an enzyme to do its job. Enzymes and their co-factors are not destroyed when they do their work, nor are they added to the final product, so they can be reused until they break down. Many vitamins incorporate a metal atom (cobalt in the case of B-12, A.K.A “cobalamin”). Some are water soluble while others are fat soluble. Some can be manufactured in the body, while others come only from food.

What is vitamin deficiency?

Vitamin deficiency is when the levels of available vitamin, as measured in the blood, are below a standard set by the medical and biochemistry community. Generally, these standards are based on the levels below which people begin to get sick. The recommended blood concentration of B-12 is between 200-900 pg/ml (picograms/milliliter). Being below this level for long-term can lead to symptoms including megaloblastic anemia and neurological symptoms like numbness in the hands and feet, gait disturbances (problems walking) and even changes to taste and vision.

One point of debate is whether the current markers for high and low are really sufficient for preventing disease. The aforementioned problems certainly arise when levels of B-12 are significantly low, for a long time. But some argue that more mild insufficiencies may contribute subtly to degenerative illnesses. Definitive answers on this are yet to come.

Why am I low in B-12?ringing ears treatment p01 b12

Vitamin deficiencies can arise from diet, metabolic problems or a failure to absorb a nutrient properly. B-12 can’t be manufactured by either plants or animals, and is actually formed by bacteria. It is stored in the foods we eat, and its absorption is a complex process.

The majority of dietary Cobalamin is found in meat, egg and fish products – and a diet low in these can make it difficult to keep B-12 levels normal. Vegans must pay special attention to ensure their diets have a full complement of nutrients including B-12. Cobalamin must be bound to protein during digestion, absorption and transportation through the blood. In the stomach, dietary B-12 is broken away from its ingested protein and re-bound to “R-binders” (A.K.A haptocorrins, A.K.A transcobalamin I).

These proteins carry it through to the small intestine where the haptocorrins are degraded and the B-12 binds to “intrinsic factor”. Pancreatic insufficiency or a high (basic) intestinal pH can lead to problems with this step. In the Ilium, intrinsic factor receptors bind the protein/B-12 complex and bring it into the enterocyte (intestinal absorptive cell) where B-12 then binds to transcobalamin II for transport through the blood. A transcobalamin II receptor is used by peripheral cells to take it from the bloodstream, with about 50% of B-12 ending up in the liver for storage.

A failure of any of these proteins or receptor complexes can result in a failure to absorb or transport B-12. It’s common for the production of intrinsic factor to diminish with age, which is why we hear so much about B-12 shots for the elderly.

Does B-12 Deficiency affect my tinnitus?

Whether a B-12 deficiency affects tinnitus is a question currently being studied. It is known that deficiencies in B-12 can cause neurological symptoms due to hypomethylation within the nervous system (resulting from an inability to recycle homocysteine to methionine and ultimately to S-adenosylmethionine). Neurological symptoms usually arise only after long-term, significant B-12 deficiency.

To date, there has been one formalized study showing that individuals already deficient in B-12 are more likely to suffer noise induced hearing loss with tinnitus after exposure to loud noise. While one study does not a scientific truth make, this is a good place to start the investigation. It should also be noted that the study did not address whether supplementing with B-12 is protective or restorative, or if deficient B-12 simply left the hearing more vulnerable. These are things that need to be researched.

BestTinnitusReliefNYC2What can I do about low B-12?

What to do about a B-12 deficiency depends on its cause. If your diet lacks cobalamin, improve the amount of B-12 rich foods you eat. If for some reason that’s not an option, vitamin pills are an effective alternative.

If the deficiency is an absorptive problem (which can be confirmed by your doctor), B-12 shots are a well recognized therapy. If the failure is with B-12 usage from the blood stream, there are lifestyle changes that can maximize the value of the vitamin that is being absorbed such as maintaining adequate cysteine in the diet.

It’s important to note that the liver stores enough B-12 to supply all the body’s need for 2 to 3 years. This is why symptoms of B-12 deficiency are slow to develop, and a single low blood test is not necessarily time to panic. While the journals report no evidence that taking excessive B-12 is hazardous, a person is concerned about B-12 should work with their doctor and a nutritional specialist to determine the concern, cause and the need to take action.

If you suffer from tinnitus, call our office today to schedule a consultation with the best tinnitus treatment center in NYC.

BestTinnitusReliefNYC5

Blood sugar, diet and tinnitus NYC

Can Diet and Blood Sugar Affect Tinnitus?

Tinnitus affects an estimated 50,000 Americans and can be a very real source of frustration and stress in their lives. When a medical treatment cannot be found, many turn to holistic and other lifestyle changes to help control the ringing. Recent research has identified some of the potential relationships between tinnitus and diet.

BestTinnutisTreatmentNYC2You hear what you eat – tinnitus and diet

Many people have had the experience of ringing ears and dizziness when fasting for long periods of time. Because the inner ear (especially the stria vascularis) is so heavily energy dependent, the assumption is that any reductions in blood flow, oxygen or glucose can result in disturbances to homeostasis resulting in tinnitus. Research has been progressing on this subject and has been coming to some surprising and some not-so-surprising conclusions.

Hyperinsulinemia and the inner earBestTinnutisTreatmentNYC4

One of the most common findings was a correlation between hyperinsulinemia (chronically high blood insulin) and inner ear disorders. Metabolic disorders have long been suspect in diseases of the inner ear, and some recent studies indicate that high levels of insulin may have a strong correlating factor. Of course, this must be taken with a grain of salt.

First, causation has not yet been identified. There is speculation amongst investigators as to whether high insulin is a direct cause of disease processes or just an indicator. But none have come to a consensus yet. Some believe the real culprit is chronic high or low glucose levels with insulinemia either leading to the fluctuations or resulting from it. Others think insulin may be the cause and better blood insulin control will be an effective treatment. Research continues to determine exactly how insulin, glucose and inner ear function are related.

Second, the correlation between insulinemia and inner ear problems is most strongly indicated in metabolic disorders that affect both hearing (auditory) and balance (vestibular). In one study, up to 25% of participants with insulinemia were also diagnosed with Meniere’s disease. It’s difficult to say if insulinemia is related in the same way to hearing loss and tinnitus alone.

BestTinnutisTreatmentNYC3Does diet affect tinnitus

Pró-Fono Revista de Atualização Científica did a direct study on the relationship of diet to tinnitus symptoms. Their suspicion was that triglycerides and cholesterol, as well as glucose and insulin, may have an impact on tinnitus and hearing. Data was collected from self-reporting patients with tinnitus. Volunteers were placed on a diet plan tailored for them individually which was intended to reduce serum cholesterol, triglycerides and maintain more consistent glucose levels. The control group (also with tinnitus) maintained their normal diet while self-reporting. The study was not blind.

In the experimental group, 71.5% of subjects reported an improvement in symptoms. The study also reported a statistically significant number of patients taking the cholesterol drug Atorvastatin showed improvements in tinnitus, although not an improvement in overall hearing levels.

Will changing my diet help tinnitus?

What effect blood levels of glucose, insulin, triglycerides and cholesterol will have on tinnitus is still unknown, however there’s a rising body of evidence that they may have an effect on hearing and balance. The initial research indicates that having healthier serum levels may improve symptoms of tinnitus. Improving one’s diet will certainly have a positive effect on blood flow and energy which is always a positive in any chronic health condition.

If you suffer from tinnitus, call our office today to schedule a consultation with the best tinnitus treatment center in NYC.

BestTinnutisTreatmentNYC1

Tinnitus Cognitive Center

Stephen Geller Katz, LCSW-R
19 West 34th Street
Penthouse Floor
New York, NY 10001


Call today for a consultation
646-213-2321