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In my case, while my HA gave me no benefit in distinguishing speech, and only minimal help when lipreading, I got the most benefit from it helping me distinguish some environmental sounds. A door closing, a car honking, a fire alarm, some music (if it was loud enough) etc. Profound doesn't mean no residual hearing at all, but a db threshold of 90 or greater. Mine was 120 in both ears.
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