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42 Definition and Classification of Tinnitus Tinnitus is a common auditory perception that can substantially impair quality of life, particularly when coexisting with other medical or psychological conditions, and its heterogeneous presentation necessitates a comprehensive clinical evaluation that considers the full spectrum of contributing factors

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Several studies, including two double-blind, placebo-controlled (DBPC) studies (58, 59) and case reports (25, 37, 6063) have reported improvements in core and associated ASD behaviors with l-carnitine treatment