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The first indication I have is that I'm annoyed and apprehensive, just before hearing the sound. Whatever it is, is real.

Bugger me, you know what causes your tinnitus? What? Mine is really bad at the time. It drives me nuts!

Tinnitus is usually caused by damage to or pressure on the auditory nerve. Mine would trace back to explosions that went off near to my head in the war, but you can get tinnitus even by repeated exposure to loud sounds.

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