Protect & Improve Your Hearing & Brain Health | Dr. Konstantina Stankovic

Protect & Improve Your Hearing & Brain Health | Dr. Konstantina Stankovic

Huberman LabOct 13, 20252h 27m

Dr. Konstantina Stankovic (guest), Andrew Huberman (host), Narrator

Basic ear anatomy, mechano‑electrical transduction, and extreme sensitivity of hair cellsTypes of hearing loss (conductive, sensorineural, hidden) and diagnosticsNoise exposure, safe decibel limits, and behavioral protection strategiesTinnitus mechanisms, subtypes, and evidence-based treatmentsLinks between hearing loss, social isolation, depression, and dementiaCochlear implants, AI-driven hearing aids, and regenerative researchEnvironmental and drug-related ototoxicity, nutrition, and magnesium

In this episode of Huberman Lab, featuring Dr. Konstantina Stankovic and Andrew Huberman, Protect & Improve Your Hearing & Brain Health | Dr. Konstantina Stankovic explores protect Hearing, Protect Brain: Science-Backed Strategies To Prevent Dementia Dr. Andrew Huberman interviews otologist–neuroscientist Dr. Konstantina Stankovic about how hearing works, why it’s so fragile, and how hearing loss powerfully impacts brain health and dementia risk.

Protect Hearing, Protect Brain: Science-Backed Strategies To Prevent Dementia

Dr. Andrew Huberman interviews otologist–neuroscientist Dr. Konstantina Stankovic about how hearing works, why it’s so fragile, and how hearing loss powerfully impacts brain health and dementia risk.

They explain the ear’s extreme sensitivity, different types of hearing loss, and why “hidden” damage from loud noise and common drugs often goes undetected on standard hearing tests.

The conversation covers practical tools: how loud is too loud, how to use earplugs correctly, magnesium’s role in noise protection, what actually helps tinnitus, and why social isolation from hearing loss accelerates cognitive decline.

They also explore cochlear implants, AI-enhanced hearing aids, environmental toxins, and why preserving hearing across the lifespan is one of the most overlooked levers for protecting cognition and emotional wellbeing.

Key Takeaways

Even ‘temporary’ ringing or muffled hearing after loud events often reflects permanent inner-ear damage.

What used to be called “temporary threshold shift” is now known to sometimes leave lasting synaptic damage between hair cells and auditory nerve fibers (“hidden hearing loss”), even when the audiogram later looks normal. ...

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Follow clear decibel–time rules and use proper ear protection to prevent noise-induced hearing loss.

Rough guide: 80 dB is safe for ~8 hours. ...

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Hearing loss strongly increases dementia risk, mainly via social isolation and cognitive load.

Hearing loss affects 1. ...

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Magnesium intake appears to protect against noise-induced damage, but dosage and form are still being studied.

Controlled studies in conscripted military populations showed those given magnesium before loud artillery exposure had less hearing loss. ...

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Most supplements do not reliably help tinnitus; the two best-supported treatments are hearing aids and CBT.

Tinnitus is a brain-generated phantom sound, often triggered by reduced input from the ear, akin to phantom limb pain. ...

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Everyday drugs and environmental exposures can harm hearing; use them judiciously and reduce preventable toxins.

Regular use (≥2x/week) of NSAIDs like ibuprofen and related nonsteroidal anti-inflammatory drugs, some diuretics (e. ...

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Cochlear implants and AI-powered hearing aids show the brain can ‘recalibrate’ dramatically when peripheral input improves.

Cochlear implants bypass damaged hair cells to directly stimulate the auditory nerve and are now the most successful neural prosthesis in medicine, typically done as same-day surgery and covered by insurance for qualifying patients. ...

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Notable Quotes

The human organ of hearing in cross-section is the size of Lincoln’s upper face on a penny.

Dr. Konstantina Stankovic

This organ is the most sensitive sensory organ. It can detect displacements on the order of the diameter of a hydrogen atom.

Dr. Konstantina Stankovic

Hearing loss is a huge problem. It currently affects one and a half billion people, and disables half a billion of them.

Dr. Konstantina Stankovic

Now there’s mounting evidence for a strong link between hearing loss and dementia.

Dr. Konstantina Stankovic

Tinnitus is a phantom sound produced by the brain, typically in response to a reduced input. The more you think about it, the more you reinforce that circuit.

Dr. Konstantina Stankovic

Questions Answered in This Episode

You mentioned that 75% of cochlear implant recipients with tinnitus improve—what specific preoperative characteristics predict who is most likely to have their tinnitus fully resolve versus just partially improve?

Dr. ...

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In the studies where magnesium reduced noise-induced hearing loss in conscripts, what exact dosing regimen and formulation were used, and do you see any plausible downside in recommending a ‘magnesium loading’ protocol before concerts or loud events?

They explain the ear’s extreme sensitivity, different types of hearing loss, and why “hidden” damage from loud noise and common drugs often goes undetected on standard hearing tests.

Get the full analysis with uListen AI

Given that micro- and nanoplastics are preferentially taken up by hair cells in your experimental work, what are the most realistic regulatory or consumer-level changes that could meaningfully reduce inner-ear plastic exposure over the next decade?

The conversation covers practical tools: how loud is too loud, how to use earplugs correctly, magnesium’s role in noise protection, what actually helps tinnitus, and why social isolation from hearing loss accelerates cognitive decline.

Get the full analysis with uListen AI

For patients who have profound difficulty with speech-in-noise but near-normal audiograms, how do you currently differentiate between hidden synaptopathy, central auditory processing disorders, and early cognitive decline, and does that change your management strategy?

They also explore cochlear implants, AI-enhanced hearing aids, environmental toxins, and why preserving hearing across the lifespan is one of the most overlooked levers for protecting cognition and emotional wellbeing.

Get the full analysis with uListen AI

If birds can regenerate hair cells within weeks, and you’ve mapped the key pathways, what are the main technical and safety barriers that prevent a first-in-human trial of targeted inner-ear regeneration, and do you envision that therapy looking more like a one-time gene delivery or a repeatable drug treatment?

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Transcript Preview

Dr. Konstantina Stankovic

So now there's mounting evidence for a strong link between hearing loss and dementia. It's not that everyone with hearing loss will develop dementia. However, we are trying to identify who is at risk. Hearing loss is a huge problem. It currently affects one and a half billion people, and disables half a billion of them. And the World Health Organization estimates that another billion will be affected by 2050.

Andrew Huberman

Welcome to the Huberman Lab Podcast, where we discuss science and science-based tools for everyday life. I'm Andrew Huberman, and I'm a professor of neurobiology and ophthalmology at Stanford School of Medicine. My guest today is Dr. Konstantina Stankovic. She is a medical doctor and researcher, and the chair of the Department of Otolaryngology, Head, and Neck Surgery at Stanford School of Medicine. Today we discuss hearing and how to protect yours, as well as how to deal with common problems related to hearing, like tinnitus, or ringing of the ears, which is a very debilitating condition that many millions of people suffer from. Most of us don't think about our hearing very often, unless it's compromised, and yet we now know that our ability to hear clearly in many ways drives our ability to think and engage with the world, which is of course not to say that deaf people don't have excellent cognition and the ability to engage with the world, but they of course compensate for that hearing loss with the use of sign language and lip reading. Most people of course have the ability to hear, and yet don't know that even subtle deficits in hearing can lead to focus issues, mild cognitive impairment, and more serious hearing loss is directly related to dementia. And while until recently we thought about partial hearing loss as really something that accompanies aging, it turns out that for various reasons related to loud environments, the use of headphones, et cetera, progressive subtle hearing loss is occurring much earlier in people's lives, even as early as childhood. Today you're going to learn from one of the top experts in the world how your auditory system works. We'll talk about how it works from the time you were in your mother's womb, yes indeed, you could hear quite well even within your mother's womb, all the way through adolescence and into old age. And you're going to learn the specific things that you can do to protect your hearing. And I'm certain that you'll realize that some or many of the things that you're doing are subtly or not so subtly damaging your hearing, and fortunately, you can remedy that very easily. We talk about some of the behavioral protocols that are backed by science, as well as things like the use of magnesium to protect against hearing loss. And of course we talk about tinnitus, this very common condition of ringing in the ears and how you can remedy it. Thanks to Dr. Stankovic, this is both a fascinating and incredibly important conversation relevant to people of all ages. The information she shares is not covered in traditional public health announcements, but it absolutely should be, because it's not just about protecting your ability to hear, it's about protecting your brain function more broadly. So today's discussion is going to teach you about how your auditory system works, how to take care of it, how to remedy any partial hearing loss that you might have already experienced, and in doing so, how to take care of your brain health and cognition. Before we begin, I'd like to emphasize that this podcast is separate from my teaching and research roles at Stanford. It is, however, part of my desire and effort to bring zero cost to consumer information about science and science-related tools to the general public. In keeping with that theme, today's episode does include sponsors. And now for my discussion with Dr. Konstantina Stankovic. Dr. Konstantina Stankovic, welcome.

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