The present disclosure provides systems and method for adjusting the audio output of a wearable device based on an audio gain profile of a user. The wearable device may receive an audiogram indicating one or more frequency ranges associated with hearing loss. The wearable device may determine the audio gain profile based on the audiogram. The wearable device may use one or more adjustment modules to determine a gain to apply to the audio output based on the audio gain profile. The adjustment modules may include an active noise control module, a hearing assistance module, and a transparency control module. The wearable device may determine the amount of gain to apply using a least mean square algorithm and/or a machine learning model.