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Furthermore, the relationship between tinnitus loudness and the distress it causes appears to be stronger in the context of intense emotions, negative emotions, and high stress levels
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These include: Cigarette smoke Silica, a common mineral from the earth's crust found in sand, stone, concrete, and mortar Mercury Viruses including Epstein-Barr, herpes zoster, and cytomegalovirus Ultraviolet (UV) light Stress Medications that lead to lupus Some prescription medications such as hydralazine and procainamide can cause lupus