The Ultimate Human
Episode overview

Brandon Sawalich: On The Science of Hearing Loss, Dementia Prevention & AI Hearing Technology

The Ultimate Human · 4 June 2026 · 5 Egleze moments
Brandon Sawalich: On The Science of Hearing Loss, Dementia Prevention & AI Hearing Technology ▶

What happened in this episode?

On this episode of the Ultimate Human Podcast, host and human biologist Gary Brecka interviewed Brandon Sawalich, CEO of Starkey Hearing Technologies, in a groundbreaking conversation about hearing loss as a critical but overlooked longevity factor. The episode centered on a recent Lancet study identifying untreated hearing loss as the single largest modifiable risk factor for dementia, surpassing diet and exercise interventions. Sawalich revealed that 44 million Americans and 500 million people globally suffer from clinical hearing loss, with one in six teenagers now affected due to headphone use and loud music exposure. The discussion explored the physiological connection between hearing loss and cognitive decline, emphasizing that progressive hearing damage leads to social isolation, brain atrophy, and accelerated dementia risk. Sawalich detailed how modern AI-powered hearing aids have evolved far beyond simple amplification devices into multipurpose health monitors with 310 components, including six embedded sensors that track falls, heart rate, temperature, and gait while providing real-time translation across 78 languages. The technology includes automatic fall detection that alerts family members and can mask chronic tinnitus. Brecka shared his own experience testing the translation feature with his Portuguese-speaking housekeeper and discussed the stigma preventing millions from seeking treatment. The conversation covered noise-induced hearing loss from shooting sports, concerts, and sporting events, with both men emphasizing the irreversible nature of cochlear damage. Sawalich stressed that annual hearing tests should be standard practice and that people typically wait seven years after noticing symptoms before acting. The episode concluded with practical guidance on protecting hearing in high-noise environments and where listeners can access free hearing assessments.

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The Ultimate Human
Published
4 June 2026
Original episode
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5 moments from this episode

Source-linked · editorially selected
01
Health, Longevity & Biohacking

44 Million Americans Have Clinical Hearing Loss, Half Billion Globally

at 3:57 · Attributed speaker claim
44 million in the US, estimated 500— half a billion. Hearing loss. Clinical-grade hearing loss. And half a billion around the world.

Sawalich revealed that 44 million Americans and approximately 500 million people worldwide suffer from clinical-grade hearing loss. Most people wait an average of seven years after noticing symptoms before seeking treatment, during which isolation and cognitive decline accelerate. The VA represents the largest customer base for hearing aids.

02
Health, Longevity & Biohacking

Lancet Study Names Untreated Hearing Loss Largest Preventable Dementia Risk Factor

at 5:00 · Attributed speaker claim
They named untreated hearing loss as the single largest modifiable risk factor for dementia.

Gary Brecka and Brandon Sawalich discussed a peer-reviewed Lancet study identifying untreated hearing loss as the number one modifiable risk factor for dementia, surpassing diet, exercise, and other interventions. The study was a large-scale, double-blind, randomized controlled trial. This positions hearing health as a critical yet overlooked longevity intervention.

03
Health, Longevity & Biohacking

One in Six Teenagers Now Has Measurable Hearing Loss from Headphones

at 8:42 · Attributed speaker claim
You have 1 in 6 teenagers right now have hearing loss. It's a quiet pandemic because they're blowing out their ears, whether it's headphones and, you know, just loud music and a lot of reasons. Once you damage them, they don't come back.

Starkey CEO Brandon Sawalich revealed that one in six teenagers currently suffers from hearing loss, primarily due to prolonged headphone use and loud music exposure. He called it a 'quiet pandemic' with irreversible damage to cochlear hair cells. This represents a major unaddressed youth health crisis.

04
AI & Tech

AI Hearing Aids Now Detect Falls and Alert Family Members Automatically

at 21:42 · Attributed speaker claim
If somebody was wearing our product, falls, it detects a fall, it sends a text to 3 of their family members... I've had many letters thanking us for what we've done because it saved somebody's life.

New AI-powered hearing aids from Starkey include six embedded sensors that detect falls and automatically text up to three family members. The devices also track biometrics including heart rate, temperature, and gait analysis. Sawalich confirmed multiple instances where this feature has saved lives.

05
AI & Tech

Hearing Aid Technology Now Translates 78 Languages in Real Time via AI

at 23:07 · Attributed speaker claim
We were at 74 a year ago... 78. I didn't even know there were 78 languages.

Starkey's Genesis AI hearing aids now translate 78 languages in near real-time, effectively eliminating language barriers for wearers. Brecka tested the technology with his Portuguese-speaking housekeeper and described it as 'spy level' capability. The company has added 4 languages in the past year alone.