I recently had a second hearing test with no significant changes. Not loosing anymore of hearing has been a primary objective for me. I pay a lot more attention to hearing protection particularly in the shop. I haven't been to the shooting range in almost two years.
I also a pair of customer ear plugs made for the shop and yard. Ear muff style hearing protectors are just too damned hot for Texas and I don't use them as a result. And, my eye glass temples means I don't get a good fit with the muffs.