@1snotdoc: You're on a GLP-1, dropping weight fast. Suddenly your ear feels wide open. You hear your own breathing, your heartbeat, your voice booming in your head. That's a patulous Eustachian tube — and we're now seeing it linked to these medications. → Your Eustachian tube normally stays closed, only opens when you swallow → In a patulous tube, it stays open — sound travels straight to your eardrum (autophony) → GLP-1 weight loss shrinks Ostmann's fat pad that normally keeps the tube shut → A 2025 case series found this in Ozempic and Mounjaro users → Bariatric surgery patients: 25% developed it within 6 months SYMPTOMS: Hearing your own breathing, voice, heartbeat, or whooshing sound. Worse with exercise. THE TEST: Lie down or bend your head between your knees. Symptoms improve? That's the sign. TREATMENT: For most, it resolves on its own. Hydration, saline rinses, nasal drops, sometimes injections or grafts for stubborn cases. On a GLP-1 with new ear symptoms? See your ENT. It's annoying but not serious. Now you NOSE. Research is in the comments. Like, share, and follow for more. #GLP1 #ENT #OtolaryngologyEd #HealthContent #ear

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2026-09-03 22:03:30

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