Most lists of tinnitus triggers are rules written for everyone. TinnitusMe treats each one as a test for you. What a phone, a wearable or the weather can see is collected in the background and checked against your own normal. A few things only you know, such as a concert, a flight or a cold. You add those when they happen. Then the app compares your loud days with your quiet ones and says which, if any, matter for you.

Across 278 app users no shared pattern showed up at group level, yet most people had their own predictors of loudness and distress, some from the previous day.
Simoes et al., Front Neurosci 2022For each collected factor the app keeps a daily value, from your wearable, your phone, your food or the weather for your city. Once an hour it checks that value against two lines: a fixed threshold, and two standard deviations from your own 14-day baseline. If the value crosses either line, the trigger is added to that day once and marked as automatic. The check runs every hour, so a trigger can take up to an hour to show. Low values of things that add up through the day, such as steps or caffeine, are only checked in the evening, and your own baseline starts after seven days of data.
On days the background data noticed something, Home shows a Flagged today card: up to three items, such as short sleep, a loud evening, a pressure drop or a stress rise, each marked high, mild or low, with how many days it has been active. It is a list of what the app is comparing, not a score. Whether any of it matters for your spikes is what Insights works out over time. Flagged today is part of Premium.
No sensor knows you went to a gig or clenched your jaw all afternoon. Those are manual: loud noise event, concert or club, headphones long or loud, silence or a quiet room, stress spike, blocked or full ear, cold or flu, flight, neck or jaw tension, clenching or grinding and missed sleep. A Medicines group holds new medication, high-dose aspirin, ibuprofen or naproxen, daily paracetamol, a water tablet, quinine or tonic water, an antibiotic course, and an antidepressant or sleeping tablet that was started, stopped or changed. Add one from Quick Log on the day it happens, with or without a spike, or on the triggers page of the spike log.
Triggers you add by hand now and then are shown as a share of your spikes, because there are too few days to compare fairly. Collected factors have a value every day, so they get the stronger test: the days around a spike against all your other days.
Every collected factor has its own switch in Data, and Manage Items holds the full trigger list. Anything you switch off, or never grant a permission for, simply stays empty while the rest carries on.
Flagged today on Home shows up to three things the background data noticed today. The triggers page of the spike log and the Trigger tile in Quick Log hold the manual ones. Manage Items holds the full trigger list, Data holds a switch for every collected factor, and Monitor shows the daily numbers behind them.
A few optional permissions, each with a reason: location for weather and altitude, at city level only; the microphone for noise levels, and only the level is sent; on Android, usage access for screen time and sleep timing. The manual triggers are yours to add when they happen. Anything you skip simply stays empty. Flagged today and the verdicts in Insights are part of Premium.
The ones with a daily value: weather (pressure, temperature, humidity, UV, altitude and altitude change, plus pollen and air quality if you switch them on), sleep (bedtime, wake time, duration, stages, disturbances), body (stress, recovery, steps, heart rate zones, blood pressure, blood glucose), the noise around you, screen time (the whole day on Android, late evening on iPhone too), and nutrition from what you eat.
No. There is no rule that fits everyone. The app shows whether a factor went with your loud days, and when a pattern shows up, Insights suggests one thing worth testing for a week so the app can compare your days.
Location is used at city level only, for weather and altitude, never your exact address.