Ultimately, something will need to change.
Is that cool? Nope.
Is making it worse avoidable? Yes.
Will you look back as a 70 year old with screaming tinnitus and think "yeah, gigging, totally worth it"? Only you can answer that.
For me, the joy of playing unprotected dissapears as soon as I realise that I have upped my Tinnitus by a notch.