I posted this standalone, but replying to you since you specifically asked about HAs in noisy environments.

The newest HAs have AI that helps in noisy environments. The ones I have are the Phonak Audéo Sphere Infinio I90s. I've worn HAs for 40 years. It's truly unbelievable in noisy environments. I know it's easy to think it's all marketing garbage, but some great demos on YT of the technology. I keep them in AI mode all the time when I have them on, and charging them for an hour at lunch is enough to get me the necessary runtime.

Sadly I can’t afford high end HAs. And from what I’ve read, you don’t really get HA prescriptions for stuff like APD with no hearing loss.

But it’s cool that this stuff is now integrated, hopefully those advancements will eventually trickle down further, from what I’ve now read, the AirPod Pro feature is a bit of that trickle.