Levo Tinnitus System Review (Revised March 2019)

Levo Tinnitus System

Tinnitus pitch matched in-ear sleep sound therapy used every night for three months. Manufacturer = Otoharmonics. Developed by team at Cedars Sinai Medical Center.

Levo app compatible with Apple devices
Costs ~ $4500 BP = $7500 Cdn = $5700 US
Normal hearing or sensorineural hearing loss ≤70 dB thresholds across hearing test frequencies (0.25-8kHz).
The available science on benefit by Levo employees/associates = 23 subjects (combined Otoharmonics studies).
In-ear sleep sound generators
Won gold at the 2017 MDEA Medical Design Excellence Awards.
Independent 2017 study found Levo pitch match or white noise in-ear sound helped subjects more than a bedside sound generator playing subject’s chosen ambient sound. 60 subjects.
Levo distress outcome measure = Tinnitus Functional Index. Difficult to compare to other tinnitus management approaches using Tinnitus Handicap Inventory distress outcome measure (e.g. Tinnitus Retraining Therapy, Progressive Tinnitus Management).
Fit by authorized sales distributor at hearing healthcare clinics, usually an audiologist.


A $5000 tinnitus pitch match CD on sale about 10 years ago died a quick death. Wouldn’t it still be available if it worked?

Just like other approaches, the Levo lowers distress for some with tinnitus. Levo benefit science now is limited, but clinical trials are still ongoing. If researchers all used the same distress outcome measure, data could be pooled. The more subjects in a data pool, the more reliable the findings.

I like the idea of in-ear sound generators for sleep, and trust Apple digital sound quality. But in my opinion, the Levo is too expensive for the tech it offers. I like products with more sound type options.

Some audiologists refuse to become sales distributors, and will not fit the Levo Tinnitus System.

Released February 2019

How does the Levo Tinnitus System compare to other treatments like mindfulness, Neuromonics, binaural beats, or Cognitive Behaviour Therapy for insomnia? Find out in Jan’s latest book. Click the cover at left to learn more.

Other Sleep Sound Therapy Options

Levo is not the only sound therapy option. When deciding what options to choose, consider factors like sound producing devices you already own like air purifiers, fans, relaxation sound CDs, personal preferences, local availability and what you can afford. There are also free sound therapy tinnitus apps for listening from reputable hearing aid manufacturers and other sources.

Many combination hearing aids with tinnitus sound therapy feature can be programmed to match a person’s tinnitus; these new products work for people with normal hearing or hearing loss. They also have extra sound options including personal music downloads.

Other options include docked phone with personal sleep sound choice set to repeat or smart TV plus YouTube video. Some videos on YouTube come with 8 to 12 hour darkscreen to use for sleep sound (e.g. play coloured noise, music, nature sounds, etc.) If using, start at lowest volume and slowly turn up to make sure it’s not too loud at first and sound quality is ok).

White noise, pink noise are proven options (e.g. like waterfall or air purifier noise). Fractal music is also commonly used. Lots of options available including at myNoise.net.

Bose has come out with a product called Sleepbuds. In-ear sound generators that cost about $250-$350. Pitch match isn’t a sound choice. But they play other relaxing sounds that can be used for sleep sound therapy.

More Science Needed

I still believe the choice of sound, especially current trend of people customizing their own sound mixes, hasn’t been studied enough.

I’m curious how bedside sound generator, or personal sound system, with pillow speaker, putting sound right near ear, would compare to Levo in-ear sound generator.

I’m curious how Levo compares to people using other approaches (e.g., Tinnitus Retraining Therapy, Progressive Tinnitus Management, Tinnitus Activities Treatment).

How does it compare to people using daytime sound, or other much less expensive mind therapy techniques that don’t use sound?

When will there be a universal distress outcome measure?

If the Levo is an option that interests you, check local pricing, request a long trial period, and find out ahead of time what the charges are if you return the system.

The Levo will not be in my tinnitus coping toolbox. It works for some people. But it’s a device that only produces one sound for one situation. I prefer multipurpose tools. Also, I think it’s way too expensive given the technology it offers. That’s just my opinion.

Jan L. Mayes

MSc, Aud(C), RAud

Author, audiologist, educator, quiet activist, playing with words.



Randomized clinical trial https://aja.pubs.asha.org/article.aspx?articleid=2661617

Otoharmonics studies:



Apple iTunes Levo app https://itunes.apple.com/ca/app/levo/id929852159?mt=8

28 thoughts on “Levo Tinnitus System Review (Revised March 2019)”

  1. Just got this most recent post in my email. Thank you again for the review of the facts Re: The Levo system. Just some of my experience. I called Portland, the home office of Levo; this is only a sales office and the folks cannot answer many questions; seems like they are only interested in talking with potential Drs. Offices interested in picking up their product. They were able to connect me with a few out of state offices that are starting to sell Levo….the closest to me…3 hrs away. I ditched this idea for now….sought out a psychologist and started practicing mindful meditation 2x/day for 5 minutes each time…..yes, 5 minutes and I have found significant relief….I have had T for 30 yrs with a recent exacerbation…..my next step is to see an ENT with an Audiology staff to be assessed to see if TRT would also be a benefit. I highly recommend trying mindful meditation….it trains your brain to slow down and to be less irritated and less anxious due to your T.

    1. Yes, mindful meditation has been shown to help with T, especially the more you practice it. Some people find books or info on coping with chronic pain are also helpful e.g. from the library, etc. Since coping with T is very much like coping with pain. That’s great the mindful meditation is helping you. TRT has a good scientific evidence base too. When a therapy has been around since the late 1990s that’s always a good sign. All the best!

  2. Hi, My Tinnitus is torture, It’s so loud. May 2013 it started from getting hit my a car and have brain surgery. Its only in my right ear. has been getting worse all the time, and rather ever a day where it is bareable, get very little sleep I’m currently saving up as no way they can charge you 5k and no results. That’s just stealing and surely you would sue the company and get a refund? Kind regards, Michael

    1. There should definitely be a refund if it doesn’t work. Not sure if it would be a full refund or not. You’d need to check. Have you tried listening to your tinnitus match yet to see what happens? e.g. at a hearing/audiology clinic. It could give you an idea how the Levo might be for you. Other relaxation sounds work too you could try in the meantime if you wanted. Coloured noise shhhhhhhh like a fan or air purifier have helped a lot of people cope better. There are tabletop sound machines around $200 for sleep that play different sounds and some have a pillow speaker so the sound is near ear for sleep (soundoasis is one but I’m not recommending, just sharing so you have an idea what I’m talking about). Some people download sounds onto their cellphone/smartphone to dock and listen to for sleep. SmartTVs can link to Youtube videos with relaxation sounds with 8 to 12 hour darkscreen so just the sound is on (e.g. coloured noise, nature, classical music, etc.). Some people try listening to different relaxation sounds online and see if there’s anything they find comfortable to have on in the background for sleep and then they decide what device might work best for them. All the best. I hope you end up with a sound therapy that helps you cope better. Jan

  3. I just browsing and came across your site. In regards to the Levo system, the uk price for this method is £4500.
    Personally, I cannot see how this method can command such a ludicrous price tag.
    By all means go to an audiologist to find the frequency that one hears. Yes, it can fluctuate but there are a few (free) sites on line to where one can re-test.
    I’m no computer geek so I took mine to a relative.
    He arranged the frequency to play in a 5 second burst per one minute over one hour and put it into iTunes. Wearing a Bluetooth ear piece, It numbed the intruder.
    He made 3 versions. 30sec, one minute and two minutes, plus a white noise mask if one has a bad day with a spike. It is not a cure but the temp relief is quite profound.
    Unlike the Levo system I have never tried this similar version while asleep. Probably because I’ve had enough throughout the day and want to switch off.


    Pps. Considering my nephew had never done this audio looping before…..it took him one hour to sort and load it on iTunes.
    Until then, Stem cell treatment is looking quite good on the horizon. Check “frequency therapeutics” based In the states.

    1. I totally agree. Levo way overpriced and lots of other options including free especially if you have tech help. They’re doing studies on re-growing inner ear hair cells to cure deafness which is super interesting. What will it do for hyper ears, I wonder. Neuromodulation research big now. I’ve never seen so much research on T. It’s great. Have you seen this 2017 Review of Tinnitus Research? It’s a pdf from the British Tinnitus Association and their top experts e.g. Dr. David Bagueley. https://www.tinnitus.org.uk/Handlers/Download.ashx?IDMF=1894cbcb-e8dc-4186-bd9c-06408f76abd7 Cheers Jan

      1. Hi jan

        Thanks for forwarding the PDF from the BTA. I found it be most informative and heartening. In fact it was like a breath of fresh air to study an up to date evaluation and not that of the same pasted article on numerous domains.
        However complex, it’s awe inspiring to read how many scientists from university’s and pharmaceutical companies world-wide are
        dedicated in their research in finding a solution.
        That said, let us be clear, it is also an untapped multi-billion dollar market. In all avenues, technology is advancing at a much greater pace than all of our yesterday’s. Proof of that is where we can update on a product within a year or two of its purchase. A decade ago it would have been thrice as long. Mind boggling.

        Kind regards

        1. I’m glad you liked that PDF. The BTA is trying to get the word out. Great research happening. The issue with technology is that the devices are changing. But it hasn’t changed what sound types work, when to listen, what techniques help. Self-help is easier than ever, but most people don’t know the options. Most people don’t realize the beauty of current technology for tinnitus or hyperacusis; how many devices they already own that can easily be used without spending much if any extra $$. Marketing is scarier now than I’ve ever seen it; money, money, money. I agree: manufacturers are rubbing their hands with glee over the thought of billions of dollars to be made off people with tinnitus. Right now the marketing is so flawed most people don’t know what products or services are available or how they compare. Which are overpriced. Which are competitive. Manufacturers can’t even come up with a name for the product they’re selling. Calling the product by brand names so it seems like there are all sorts of different products, but they’re just the same product with different brand names. It’s like each manufacturer of toothpaste calls it by a different name. Scrubby gel. Brush goop. it’s all toothpaste. Anyway, I’m writing a lot about it in my updated book. I really want people to be educated, know what options are actually available and not feel like they have to spend thousands of dollars on things or if they do, know what they’re really getting. It’s really not as complicated as the marketplace makes it seem. Sorry for going on about this. I’d really like to see things change for the better. Kind regards, Jan

    2. Sorry, forgot to mention that sleep sound is what looks interesting. Levo uses it but also used for decades with other therapies. I didn’t want to use it way back when – as you say, I have enough sound thank you very much. But when I started using sound while asleep it definitely helped my T. What sound is best? Nobody knows. i use a fan or air purifier for white noise but iTunes has lots of relaxation sounds and Youtube has 8 to 12 hour darkscreen relaxation for sleep videos with various sounds. Again, lots of options that don’t cost thousands of dollars.

    3. Jan, you wasn’t going on about it. You were just releasing a voice of frustration of what many thousands, if not millions feel. The ATA or the BTA are are the only associations that actually tell you how it is. There’s no ulterior motive but to help, assist and donate to research.
      I agree there are so many ways one could help themselves on good sound therapies that have stood the test of time, without forking out £££££.
      If there was a magic tablet, containing whatever cuckoo ingredient that cures or calms by even 50%, the ENT departments within our national health would be dispensing them by the barrow load.
      I wish you well in the update of your book. Once done, I’ll purchase it.
      I am also writing a book. A first. But not in your field of expertise. Thriller. It helps to distract. It’s time consuming to say the least. In fact I have nothing but respect for all those that have either achieved there work being published (slim chance) or as an ebook.

      May need a few pointers, editing etc lol

      Kind regards Steve

      1. Sounds great. I also write fiction, mostly macabre horror dark humour. I self-publish and it is a lot easier than people make it seem. Again, can do a lot for free if you can do your own editing and formatting. Pointers anytime! 🙂 Take care, Jan

    4. PS
      The weather has been gorgeous. I live in Kent (the garden of England) spent last night with a few friends having a few pints and a grand meal outside in the gardens of a wonderful country pub.
      Had the ear piece in, worked like a treat and throughly enjoyed the whole evening. ????????????????????

  4. I have been using the Levo system for two months. I use it every night and sometimes during the day if my T is particularly bad. I have experienced maybe a 50% reduction in my T. I have had a few blissful days of silence and the volume of my T has decreased quite a bit. The really weird thing about the Levo system is that when I plug it in and hear the sound in the ear buds, the sound in my head stops. The same thing happened when the audiologist was matching my sound. As soon as she got it right, the sound in my head stopped. I will use this gizmo every night for the rest of my life if I have to. The Levo system is breathtakingly expensive – about 4K. I paid for it partially with money saved in my HSA.

  5. Hello Jan , I have acquired tinnitus in my left ear about last week of March/2017 . Doctor told me it was earwax causing it . At that time it was still bearable and I could sleep . He said to soften it with eardrops and he will syringe my ear and I should be fine . Wrong! After the syringing the ringing got much worst . So distracting that I can’t sleep now . I am doing a lot of research to see what can help . Levo system has brought me to your website . Have you heard about Sound options out of Hamilton, Ont. and tinnitool from Switzerland ? If so , can you provide your opinion? Thanks .

    1. Hi Peter, I can’t diagnose or recommend anything specifically for you. In my opinion, it’s too soon to be spending money on tinnitus therapy or devices. There is no cure. This is some general information that is known about tinnitus. Earwax can cause T and syringing is loud so can make T louder. This type of thing usually goes away on its own if the person doesn’t listen to it or think about it. Yes, easier said than done. Listening to comfortable sound is a good idea. E.g. air purifier or fan turned on at night so its less quiet in bedroom. Some people might use a radio/music system/TV station with steady relaxing music turned comfortably loud at night? Use music or sound during the day if somewhere quiet. Something comfortably loud e.g. TV, radio, ipod, phone, tablet. Carry on as usual. Don’t change lifestyle for it. Try not to focus on it. Get mind on something else. e.g. hobby, gaming, going for a walk, naming all the capitol cities in Europe from A to Z. Count background from 100 by 7’s. or ???. Check local library for books on how to sleep better or insomnia. They’ll have other free ideas for sleeping better. This is just my general opinion for what its worth. And follow up with your doctor as they recommended. Hope it settles down soon. Jan

    2. Hope your tinnitus is better. There would be audiologists in Hamilton who specialize in hearing/ear/tinnitus testing/counselling/therapy if needed. Either doctor referred or private hearing/tinnitus clinic. Haven’t heard of tinnitool. There are all sorts of products out there. They each have their own sound(s) or approach and when/how to listen or use. There should be details on their mfg website. But there are definitely products/devices available in Canada. All the best, Jan

      1. Thank you Jan to your response to my inquiry , it sure is a big maze in the field of searching some workable solutions in the world of tinnitus and your help is welcomed .

    3. I am strongly considering the Levo System–just curious where you had your consult. I am currently in Ohio and will have to travel for my consultation. Thank you, Rella Rotondo

      1. I’ve had tinnitus since 1989 and became an audiologist. I’ve been following tinnitus sound therapy scientific research on clinical results for over 30 years now. I wouldn’t go for a Levo consult myself. Do you mind letting me know how much it costs in the USA? I know in the UK it’s over $5000 british pounds which would be around $8,000 in Canada. Very high priced for a product that plays one sound -tinnitus match – and doesn’t do anything else. There was a tinnitus match CD sold about 10 years ago, but back then it was around $5000 and consumers didn’t go for it. I’m still very curious why the manufacturer’s research has used a different distress outcome measure than previous products and therapies. So there’s no way to compare Levo benefit results with any other current tinnitus sound therapy option. I find that strange. Hope your consultation goes well. Kind regards, Jan

        1. I’m sorry, I thought my messages was going to Lisa Sowders comment…I don’t know how much it costs…I’m in the enquiring stage….thank you

          1. Good for you to check it out thoroughly. It’s very expensive based on current tinnitus sound therapy marketplace. I would just recommend keep inquiring, check out other sound therapy options. All the best, Jan

          2. Rella Rotondo

            Thanks Jan! I have had T for over 25 yrs. I stopped looking for treatment options long ago…I didn’t know there has been so much research done over the years. In your practice what kinds of therapy have you seen people have success? Thank you for you blog.

          3. There’s lots of coping tools. Sound therapy, mind therapy, body therapy, sleeping better, music protection, noise protection, alternative tools. I prefer free or low cost, if possible, tools that people can learn to use but are also multipurpose. To simplify things to the most basic, there are relaxation tools and distraction tools. The hard part is figuring out which coping tools to choose customized for you. That’s why I call it a toolbox. I started with an empty toolbox and had it for decades until I figured out how to start filling out. 1 tool at a time. I’m glad you like my blog. I feel a bit like a voice in the wilderness. 🙂

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