“So well” is a bit subjective. Some people can’t hear very well at all, because of all the wax, and they don’t realize it until they get it removed. Then they say “Oh wow, I can hear so much better now”.
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Ears aren’t normally full of wax. The sides of the canal leading to the eardrum is just coated with it to trap dirt. If overproduction, often as a result of infection, fills the canal with wax heating certainly does deteriorate and it often has to be washed out.
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