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Interestingly enough, I have never heard at 20 or 40 db aided. I think the best results I've ever seen on my audiograms with HAs is about 50-60 db. I'm not sure why that is, but it's always been that way for me. I do hear a lot of environmental sounds, but not at 20 or 40 db so I'm not sure what exactly I've been missing out on. But I've always lip-read and do so well at that, that I haven't felt the need for maxed-out HAs (even though I didn't realize I potentially could have better HAs than what I have now.)
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