As others have said, with decent centerfire suppressors, you are reducing your exposure sans plugs from levels that immediately and permanently damage your hearing (~165dB at ear), to levels that, for a low number of total shots and low cumulative impulse duration, probably does not do significant damage (130 dB - 135 dB bolt gun at ear). The 140 dB limit for impulse noises and assessments of damage for cumulative impulse noises under that level are kind of soft in terms of there being a rigorous scientific basis, there are some newer assessment methods based on mathematical models of the ear that suggest 140 dB may be a bit conservative for some types of impulse sounds. DTIC has a lot of interesting papers on the subject although I've only had time to wade through a few so far.
I particularly like suppressors for hunting, they are already mounted and ready no matter how quick or surprising an animal's appearance is, sometimes you can get plugs in in time, sometimes not, depending on how you hunt. It's amazing how clear and loud the TWACK of a bullet crashing through an elk's chest is at 300 yds when there's no ringing or discomfort in your ears.
For range shooting I still use hearing protection with my cans, other than occasionally .22 LR. I always double up on earpro when shooting unsuppressed, when shooting suppressed, I can get equivalent or better NRR just from the can and plugs, which for me, is far more comfortable.
I do have a Nomad 30 in jail, but haven't had the opportunity to actually shoot it yet. I can say I found it to be shorter and lighter in the hand than I was expecting just from looking at pictures and specs. The Nomax is interesting from a pure performance standpoint and I may pick one up when they come out, I don't think the increased performance would really be worth the extra 2-3 inches and 2.5 oz over the Nomad (or Vox S) for my uses though, if I was only picking one.