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n4mdguidelines.
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canal, tumors of the nerves involved in hearing (acoustic neuromas), exposure to drugs such as aspirin that may damage the hearing mechanism (ototoxic drugs), metabolic dysfunction (hyper- or hypothyroidism, hyperlipidemia, zinc deficiency, or vitamin A and/or B deficiency), high blood pressure (hypertension) or high cholesterol and other cardiovascular diseases, skull fracture or closed head tra
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