Pulsetto Vagus Nerve Stimulator Review 2025: Can It Improve Sleep and Reduce Stress?
If you’re anything like me, you’ve tried everything to calm an overactive nervous system. Racing thoughts at bedtime, tight shoulders from stress, and that jumpy stomach feeling when anxiety peaks can make falling asleep and functioning at your best a daily challenge.
The Pulsetto vagus nerve stimulator has become one of 2025’s most talked-about innovations for these common problems. This wearable device stimulates the vagus nerve to improve sleep, reduce anxiety, and help you decompress after stressful days.
It’s non-invasive, easy to set up, and fits into a wind-down or quick “reset” break.
In this review, we’ll look at how Pulsetto works, what it feels like to use, setup and placement tips, real-world results, ongoing costs, and how it compares to other options on the market.
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Pulsetto VNS Review: Key Specs Snapshot
| Specification | Details |
|---|---|
| Device Type | Transcutaneous vagus nerve stimulation (tVNS) |
| Session Length | 4-20 minutes, 1-2 times daily |
| Size Adjustment | 32.5 cm to 49 cm neck circumference |
| Battery Life | ~1 week (Lite) to 1.2 weeks (FIT) with daily use; USB-C charging (1 hour) |
| Warranty | 2-year manufacturer coverage |
| Return Window | 30 days |
How Does Pulsetto’s Vagus Nerve Stimulation Work?
Pulsetto uses non-invasive vagus nerve stimulation to activate your parasympathetic nervous system—the physiological state that supports relaxation and recovery.
The neck-worn tVNS device delivers controlled electrical pulses through neck electrodes, targeting the vagus nerve that connects your brain to major organs and influences stress response, heart rate, and digestion.
Sensations range from gentle tingling to light muscle contractions.
You can personalize sessions by adjusting intensity to mid-range levels (5-7 is great to start with), to find a comfortable sweet spot that works for you.
Each session only takes between 4 and 20 minutes, depending on which mode you choose, and everything’s controlled through a smartphone app. It’s pretty straightforward to fit into your daily routine – you can do a session while reading in bed or just relaxing on the couch.
What’s the Difference Between Pulsetto Lite and Pulsetto FIT?
Pulsetto FIT offers several upgrades over the Lite model while sharing the core vagus nerve stimulation technology. The FIT features padding for smaller necks and a better fit (stays in place better during movement), and offers a more engaging wave-like stimulation pattern.
It also boasts longer battery life (approximately 20% longer than the Lite model), a sleek all-black design with medical-grade materials, and free lifetime updates.
Both models include the same app access, five expert programs, gel tube, charging cable, and 14-day Premium trial. The Lite provides all essential functions at a lower price point for those looking for a more affordable option. You can check it out here.
Pulsetto Benefits: Why Use a VNS Device?
Promotes Quick Relaxation Response
The Pulsetto vagus nerve stimulator activates your parasympathetic nervous system within minutes of use. By delivering gentle electrical impulses to the vagus nerve, it can help trigger the release of calming neurotransmitters like acetylcholine and serotonin.
This science-backed approach may help slow breathing, reduce cortisol, and quiet racing thoughts which is particularly beneficial before bedtime or during stressful moments.
Enhances Sleep Quality and Recovery
Regular vagus nerve stimulation with Pulsetto may support improved sleep patterns through its effect on your nervous system [1].
Customer results from Pulsetto’s survey have demonstrated that Pulsetto’s non-invasive vagus nerve stimulation can reduce sleep disruptions and improve overall sleep quality by 18% after just two weeks of consistent use [2]. The parasympathetic activation helps your body maintain longer sleep cycles with fewer disruptions.
Supports Mental Clarity and Focus
By balancing your autonomic nervous system, Pulsetto helps create optimal conditions for improved concentration and mental clarity.
The vagus nerve’s direct connection between brain and body makes it an ideal pathway for enhancing cognitive function. Many find the short sessions particularly beneficial as midday resets between demanding tasks or meetings.
Provides Stress Resilience and Balance
Pulsetto’s targeted stimulation helps strengthen vagal tone over time, potentially creating greater resilience to daily stressors.
The same customer survey indicate a 28% decrease in stress levels after two weeks of regular use. This improved vagal tone is associated with better heart rate variability (HRV), an important marker of autonomic nervous system health and adaptability.
Assists with Physical Comfort
The vagus nerve’s extensive connections throughout the body may help address physical tension and digestive discomfort.
Regular stimulation supports the gut-brain axis, potentially easing stress-related digestive symptoms. The same parasympathetic activation that helps calm the mind can also help relax tense muscles, particularly in the shoulders and neck where many hold stress.
Setting Up Your Pulsetto: Step-by-Step Instructions
- Place the pads on the pulse points along the sides of your neck (about an inch or two below the ears), not on the throat or near the thyroid.
- Smooth a tiny dab of gel onto each pad, then seat the band so it feels snug—not tight—in its adjustable 32.5–49 cm range. After each session, wipe the pads with a soft, dry cloth so they’re ready for next time.
- Pair through the Pulsetto app (typically connects in under 30 seconds) and start with “Stress Relief” or “Sleep” programs at intensity 3-4. Gradually increase over a few days to find your comfortable range.
Pulsetto Design, Battery Life, and User Experience
Device Design and Build Quality
The Pulsetto features a clean, U-shaped, flexible design that wraps nicely around your neck without feeling bulky or restrictive during sessions. At just 12.31 ounces, it’s lightweight enough that you won’t feel weighed down during those relaxation sessions.
At lower intensity settings, the vagus nerve wearable produces gentle tingling sensations that feel subtle but present. Mid-range settings create more active muscle engagement that users describe as noticeable and effective without crossing into discomfort.
Evening wind-down routines work particularly well with this tVNS device. Many buyers pair sessions with breathing practice, reading, or meditation as part of bedtime preparation. Others integrate it into lunch break resets or post-work decompression windows when stress levels run high.
The app requires staying in the foreground throughout each session. Switching to other apps disconnects the device mid-session, which means you cannot browse, check messages, or multitask during the session. This limitation works fine for dedicated relaxation time but may be disappointing for users hoping to combine sessions with other phone activities.
Battery life runs 10-12 days with daily use depending on which model you choose. The FIT version offers slightly longer runtime between charges. USB-C charging completes in about an hour, and the compact travel case protects the device during commutes or trips.
Each 60g electrode gel tube lasts up to a month with regular use according to manufacturer guidance, and the gel wipes away cleanly with a soft, dry cloth after sessions.
App Interface and Program Options
The free Pulsetto app serves as the control center for the device, connecting via Bluetooth and offering five specialized programs:
- Sleep Program (4750 Hz): Helps you relax before bed by shifting your nervous system into a parasympathetic, sleep-friendly state.
- Stress Program (4500 Hz): Quickly releases tension by calming the sympathetic nervous system and helping lower cortisol levels.
- Anxiety Program (4750 Hz ): Soothes an overactive mind and reduces mental overthinking with calming stimulation patterns.
- Burnout Program (5200 Hz): Supports deeper recovery for people dealing with long-term stress and mental exhaustion.
- Pain Management (4900 Hz): Helps ease physical discomfort by activating the body’s natural pain relief pathways.
The app is simple and intuitive, with a minimal learning curve. It also tracks your usage and gives you basic progress updates. While there’s a premium version with extra programs and features, I’ve found that the free version has everything you need.
How Long Should You Use a Pulsetto?
Pulsetto advises that ‘there are no restrictions on daily device use. However, it is advised to use it 2-3 times a day and take a 45-60 minute break between sessions.’ Sessions typically last 4-20 minutes.
Pulsetto Price, Discounts & Total Cost of Ownership
Pricing changes frequently based on promotional offers and bundles.
The device is HSA/FSA eligible, which may allow purchase with pre-tax dollars through health savings or flexible spending accounts.
Ongoing Costs
Electrode gel: Each 60g tube lasts up to a month with daily use according to the manufacturer.
App subscription: Free tier includes five expert-designed stimulation programs (stress, anxiety, sleep, focus, and pain relief) which is sufficient for most users. Premium subscription ($129/year) adds three additional stimulation programs, 11 guided meditations, 54 breathing exercises, and 1,200 positive affirmations. A 14-day free trial of Premium comes with your purchase.
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What are the Side Effects of Pulsetto?
- Tingling and light muscle contractions are normal, try adjusting intensity if you want gentler or stronger sensations
- Temporary redness at contact sites fades within hours; persistent irritation suggests using more gel or lowering intensity
- Start at intensity 3-4 and increase gradually over several days
- Sensitive skin or nickel allergies may react—test at low settings with proper gel application
- Not recommended for individuals with active implantable medical devices (pacemakers, hearing aid implants, or other electronic implants)—consult your healthcare provider before use
- Not a medical device—follow manufacturer guidance and discuss with healthcare providers for underlying conditions
Pulsetto vs Alternatives: How Does Pulsetto Compare?
The consumer market for vagus nerve stimulators has grown quickly in recent years. Here’s where Pulsetto fits in:
| Device | What It Is | Price |
|---|---|---|
| Pulsetto | Neck-worn device with bilateral electrodes that directly stimulate both branches of the vagus nerve simultaneously | |
| Nurosym | Earlobe stimulation device that claims faster activation of the vagus nerve | £599.00 |
| Truvaga Plus | Single-sided handheld stimulator that requires manual positioning against the neck | $499 |
| Sensate | Uses chest vibrations and sound waves to indirectly stimulate the vagus nerve | $299 |
| Apollo | Wrist-worn device that uses vibration patterns to indirectly affect the nervous system | $349 |
Pulsetto offers dual-sided stimulation at a lower price point with no subscription fees on its core product—just occasional gel refills.
Devices like Apollo and Sensate use vibration patterns to support autonomic nervous system balance, while Pulsetto uses direct electrical stimulation of the vagus nerve.
The Bottom Line: Is Pulsetto Worth It?
Pulsetto delivers electrical pulses to the vagus nerve through 4-20 minute sessions, aiming to shift your body into a more relaxed state by activating your parasympathetic nervous system.
The idea is that this targeted stimulation may help with falling asleep faster by calming both heart rate and mental activity, support deeper sleep cycles so you wake feeling more rested, and create a steadier baseline when stress hits.
Some people also notice improvements in heart rate variability and relief from physical tension as their nervous system finds better balance. That said, individual responses can vary.
If you track HRV support in Oura, Whoop, or a sleep app, you can watch how consistent usage affects sleep patterns. However, do give it at least 2-4 weeks to get a clear read on how your body responds.
If you’re curious about trying Pulsetto, the device qualifies for HSA/FSA purchase and comes with a 30-day return window.
While nothing can replace good sleep routines, the Pulsetto is able to work seamlessly alongside them. If you want a practical vagus nerve wearable that helps you settle faster and reset during the day, check today’s offer and use code SLEEPESSENTIAL for an extra 10% off.
Frequently Asked Questions
Is Pulsetto the same as a TENS unit?
No, Pulsetto is not the same as a TENS unit. It is a vagus nerve stimulator (tVNS device) for neck placement. TENS units target muscles for pain relief and aren’t intended for the neck.
Does Pulsetto support HRV?
Some buyers tracking with Oura, Whoop, or similar devices see HRV changes alongside consistent use of the Pulsetto device. Results vary—tracking helps assess personal response.
Is Pulsetto adjustable?
Yes, both Pulsetto models adjust from 32.5 cm to 49 cm to fit different neck sizes comfortably.
Should I get Pulsetto Lite or FIT?
Pulsetto Lite provides all core features at a lower entry point. FIT adds extra padding for better fit on smaller necks, slightly longer battery life (~12 vs ~10 days), wave-like stimulation, and lifetime firmware updates. FIT works better for family sharing across different body types.
Where should the electrodes be placed on the neck?
Place electrodes on the sides of your neck where you feel a pulse. Avoid the throat or thyroid area. When unsure, consult a healthcare provider.
Will Pulsetto make my neck sore?
Pulsetto shouldn’t make your neck sore or uncomfortable. If you experience discomfort, lower the intensity or adjust electrode placement.
How often can I use Pulsetto?
Typically 1-3 sessions per day with 30-60 minutes between sessions. Most users do 1-2 daily sessions of 4-20 minutes.
Does Bryan Johnson use a Pulsetto?
Bryan Johnson, a biohacker focused on longevity, reportedly incorporates vagus nerve stimulation into his daily routine to support stress management and recovery, as seen in his Netflix documentary Don’t Die (2025). Devices like the Pulsetto are mentioned in connection with his practices
How does the Pulsetto compare to other vagus nerve stimulators?
The Pulsetto stands out for its dual-sided stimulation approach, stimulating both branches of the vagus nerve simultaneously. Many competitors offer only single-sided stimulation that must be manually held against the neck.
Can I use Pulsetto without a subscription?
Yes, you can use Pulsetto without a subscription. Pulsetto operates on a one-time purchase model without requiring ongoing electrode replacements or subscriptions (unless you wanted the premium options).
Do you have a Pulsetto coupon code?
Yes we do! – Simply use SLEEPESSENTIAL for 10% off at checkout.
Is vagus nerve stimulation scientifically proven?
Yes, vagus nerve stimulation has been studied extensively. Medical-grade VNS devices have FDA approval for conditions like epilepsy and depression. While consumer devices like Pulsetto use lower intensity stimulation, the fundamental mechanism of vagus nerve activation is scientifically established.
How long should I use Pulsetto each day?
Most users see benefits with 4-20 minutes of daily use. The app offers programs of varying lengths, with the Sleep program typically being longest. Some users prefer twice-daily sessions (morning and evening) for maximum benefit.
Do I need to apply gel every time?
Yes, the conductive gel is necessary for proper electrical conductivity between the electrodes and your skin. A small amount is sufficient, and each tube typically lasts about 30 days with daily use. After using Pulsetto, wipe away electrode gel with a soft, dry cloth. Don’t use water, alcohol, or cleaning solutions.
Can I use Pulsetto while doing other activities?
Yes, many users incorporate Pulsetto sessions while reading, listening to music, or meditating. The hands-free design makes it convenient to use during seated activities.
Does Pulsetto help with sleep, stress, or gut flutters?
Many buyers report calmer evenings, quicker sleep onset, and a steadier stomach during stressful periods when using Pulsetto consistently. The manufacturer notes response time varies by individual—some notice effects within a few days, while others may take several weeks of consistent use. Individual results vary.
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Health Disclaimer: This review is for informational purposes only and does not constitute medical advice. Pulsetto is a wellness device, not a medical treatment. It should not replace prescribed therapies, medications, or professional healthcare guidance. If you have underlying health conditions, implanted medical devices, or are pregnant, consult your healthcare provider before using any vagus nerve stimulation device. Individual results vary.