Pulsetto vs Truvaga (2025): Which Vagus Nerve Stimulator is Right for You?

Struggling with stress, poor sleep, or anxiety? Pulsetto and Truvaga Plus are two popular, drug-free options using vagus nerve stimulation to help you feel better—naturally. We’ve analyzed hundreds of real user experiences to help you choose the right device for your needs.

Did you know? Up to 43% of adults experience stress-related sleep issues, with many seeking alternatives to medication. Both Pulsetto and Truvaga Plus are HSA/FSA eligible, which means you can save 30–40% using pre-tax dollars.

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Pulsetto Coupon Code: As a special thank-you for reading, enter SLEEPESSENTIAL at checkout to save 10% on your Pulsetto order.

Quick Comparison: Pulsetto vs Truvaga

	Pulsetto	Truvaga Plus
Price	$469 (See Latest Sale Price)	$499 on Amazon
Design	Collar-style, hands-free	Handheld, manual placement
Stimulation method	Dual-sided (both branches)	Single-sided (alternate sides)
Session length	4-15 minutes	2 minutes
Battery life	Up to 1 week depend on usage	Several days
Programs	5 specialized programs (Sleep, Stress, Anxiety, Burnout, Pain)	General wellness programs
Premium features	$15/mo optional subscription	All features included
HSA/FSA Eligible	✅ Yes	✅ Yes
Guarantee	30-day money-back	30-day money-back
Warranty	2 Years	Limited Warranty

Who Should Use a Vagus Nerve Stimulator Device?

If you’re dealing with chronic stress that disrupts your daily life, vagus nerve stimulation (VNS) may offer relief. Devices like Pulsetto and Truvaga Plus are popular options for easing anxiety symptoms, including racing thoughts and persistent worry.

Many people also turn to VNS to improve their sleep. Whether you have trouble falling asleep, staying asleep, or waking up feeling unrefreshed, consistent use may help regulate your nervous system and promote deeper rest.

In addition to mental benefits, some individuals experience reduced physical tension—especially in the neck, shoulders, and jaw. There are also reports of improved digestion and less menstrual discomfort over time.

If you’re ready to take control of your stress and sleep – without medication – Pulsetto and Truvaga Plus are two well-reviewed options worth exploring.

Pulsetto vs Truvaga Plus User Experience: What to Expect

Many first-time users wonder about the physical sensation of vagus nerve stimulation. Here’s what to expect:

Pulsetto User Experience

Pulsetto usage has been described as a gentle tingling at lower settings (1-3), with the dual-sided stimulation feeling balanced and natural across both sides of your neck. As you increase to higher settings (4-7), you’ll experience gradual muscle activation that becomes more noticeable but remains comfortable.

Users typically find their ideal comfort level within 3-5 days of consistent use, allowing them to gradually build tolerance. The hands-free design is particularly convenient since you can read, meditate, or relax during sessions without needing to hold anything in place.

Truvaga Plus User Experience

Many Truvaga Plus users report feeling more immediate stimulation—even at lower intensity levels—due to its single-sided vagus nerve stimulation design. This can feel more pronounced compared to Pulsetto’s gentler, dual-sided approach.

To ease into the experience, it’s recommended to start with 30-second sessions. Most people comfortably progress to the full 2-minute sessions within a week of consistent use.

For those seeking fast stress relief during a hectic day, the stronger sensation of Truvaga Plus could be more for you. Some users find that the noticeable stimulation helps quickly interrupt racing thoughts or anxiety spirals, making it a go-to tool for managing high-stress moments.

Vagus Nerve Stimulator Safety Tips and Side Effects

Start Slowly for Best Results

Both devices require an adjustment period, so always begin with the lowest setting and increase gradually over several days to avoid discomfort.

Users with anxiety, PTSD, or highly sensitive nervous systems should be especially careful, as the transition from chronic stress to relaxation can feel unusual or even overwhelming at first.

Proper gel application is crucial for both comfort and effectiveness – insufficient gel can cause skin irritation or reduce the quality of stimulation you receive.

Potential Side Effects to Know

Some users experience mild dizziness, tingling, or muscle twitching during their first few sessions, but these effects typically diminish as your body adjusts to the stimulation. Skin irritation can occur with improper gel application or if you have particularly sensitive skin, so always clean the device after use and test gel on a small area first.

Over-stimulation seems to occur more often when users jump to intensity levels that are too high too quickly, which is exactly why starting low and building up gradually is so important.

Pulsetto vs Truvaga Plus Design: Hands-Free vs Handheld Comparison

Pulsetto’s Hands-Free Advantage

Pulsetto’s collar design wraps comfortably around your neck, allowing complete freedom during sessions so you can continue reading, working, or preparing for bed without interruption.

At 12.31 ounces, the Pulsetto device is slightly heavier than Truvaga Plus but distributes weight evenly across your shoulders, which most users find comfortable even during longer 15-minute sessions.

The adjustable sizing accommodates different neck sizes reasonably well, though some users with unusually larger or slimmer necks have reported fit issues that required careful adjustment.

Truvaga Plus’s Portable Design

Weighing only 8 ounces, Truvaga Plus is highly portable for travel and the handheld design gives you precise control over electrode placement for optimal nerve targeting.

However, you must hold the VNS device throughout each session, which prevents the full relaxation that many users seek and can be particularly limiting during bedtime use.

The compact size does make it easy to use discreetly in office settings or while traveling, which appeals to users who need stress relief in public spaces.

Best Vagus Nerve Stimulator for Sleep: Pulsetto vs Truvaga Plus

Pulsetto Sleep Results:

• Many people report falling asleep faster after using Pulsetto’s dedicated Sleep program, which runs at an optimized 4750 Hz frequency.
• Some users have noticed deeper sleep quality within the first week, others are sleeping 5-7 hours straight after years of interrupted sleep.
• The hands-free design fits seamlessly into your bedtime routine. Whether you’re reading, meditating, or listening to calming music, Pulsetto makes it easy to wind down naturally.

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Truvaga Plus Sleep Performance

• Truvaga’s quick 2-minute sessions help ease your mind and body before bed, making it easier to wind down after a long day. With unlimited sessions and no subscription fees, it’s a low-maintenance way to build a relaxing nightly routine.
• Several users note improved sleep quality, though results may take longer to notice compared to Pulsetto’s targeted approach

If you prefer shorter sessions and a straightforward experience, Truvaga Plus could be your ideal sleep companion. Grab yours from Amazon →

Vagus Nerve Stimulation for Anxiety and Stress Relief

Pulsetto’s Specialized Stress Relief Approach

Pulsetto features dedicated Stress (4500 Hz) and Anxiety (4750 Hz) programs designed to engage your nervous system in specific, therapeutic ways. Many users report feeling calmer during sessions, with cumulative benefits that improve focus, resilience, and stress management over time.

Professionals in high-pressure roles often use Pulsetto during work breaks to reset their mental state and reduce tension. Meanwhile, parents balancing family demands appreciate the hands-free design—perfect for evening routines when multitasking is a must, but self-care can’t wait.

Take Control of Your Stress – One Session at a Time

With targeted programs and a wearable, hands-free format, Pulsetto helps you build a calmer, more resilient nervous system—whether you’re on a break, winding down, or starting your day.

Truvaga Plus: Quick, Convenient Relief for Busy Moments

Truvaga Plus offers simple 2-minute sessions that fit easily into your daily routine. Whether you’re between meetings, managing a hectic day, or feeling overwhelmed, it’s designed to help you reset quickly with minimal effort.

Some say the stronger stimulation offers a more noticeable, immediate effect—helping to break anxiety spirals fast. That said, the relief may not last as long as Pulsetto’s slower, more gradual approach.

Its compact, handheld design also makes it easy to use on the go—whether you’re at work, commuting, or traveling.

Best Vagus Nerve Stimulator for Pain Management

Pulsetto and Discomfort Management

• Pulsetto includes a dedicated Pain program (4900 Hz), designed to support overall relaxation and nervous system balance. While individual results vary, some users have shared personal experiences of reduced physical tension and improved comfort.
• Anecdotal reports include relief from neck and shoulder tension, jaw tightness (such as TMJ), and general muscle fatigue. A few women have also mentioned feeling less pain during their menstrual cycles.
• Some individuals have noted improvements in how they manage occasional headaches or stress-related discomfort over time with consistent use.

As always, results are personal—and Pulsetto is intended as a wellness tool, not a medical treatment. If you have a specific condition or ongoing pain, consult with a healthcare professional before use.

Truvaga Plus Pain Applications

• While not specifically designed for pain management, users report general tension relief. The brief sessions work well for acute stress-related discomfort.
• Some users combine multiple 2-minute sessions for longer pain relief periods. The unlimited session capability supports daily use unlike its predecessor.
• The Truvaga Plus VNS device seems to work best for stress-related pain rather than chronic pain conditions.

Pulsetto vs Truvaga Plus App Reviews and User Experience

Pulsetto App Experience

The Pulsetto app includes five specialized programs right out of the box: Sleep, Stress, Anxiety, Burnout, and Pain. Each program uses research-based frequencies for optimal results.

Setup is straightforward with guided instructions for proper placement and gel application. The app tracks your sessions and allows intensity adjustments during use.

Premium features are available for $15/month but aren’t necessary for core functionality. The basic programs provide comprehensive wellness support.

Setup and Learning Curve: The Pulsetto app is generally reliable, though occasional crashes on some Android devices have been reported. This isn’t unusual—many apps experience this, especially across different phone models. Keeping your device updated with the latest OS usually helps things run smoothly.

Most users complete setup within 5 minutes following the guided instructions.

Truvaga Plus App Limitations

Truvaga requires the companion app to adjust intensity, as the device has no manual controls. While the app generally works well, some users have experienced connectivity issues that were resolved by reinstalling the app or restarting Bluetooth—especially on older phones (pre-2020 models).

The app does request permissions like access to files and the camera, which some users find unnecessary for simple device control. In rare cases, connection issues have interrupted sessions, but these are typically easy to fix.

All features are included without subscription fees, though the program selection is more limited compared to Pulsetto’s specialized offerings. The learning curve is minimal once the initial setup is complete.

Pulsetto vs Truvaga Plus Cost Analysis: Which Offers Better Value?

Pulsetto Cost Analysis

• Taking into account the current sale price Pulsetto offers better initial value. The device includes five specialized programs and doesn’t require subscription fees for basic use.
• Gel replacement costs around $15 and lasts approximately one month with daily use. The rechargeable battery provides unlimited sessions.
• The 2-year warranty and responsive customer support add value, though some users report delays with replacement requests.

Return Process: 30-day money-back guarantee, but some users report delays in refund processing (2-4 weeks). Contact support early and retain packaging for returns.

Truvaga Plus Cost Considerations

• The $499 price point is significantly higher, though the device includes all features upfront. The unlimited session capability supports long-term use.
• Gel replacements cost $30-$45 and last 1-2 months with daily 2-minute sessions.
• Customer service generally receives positive feedback, though returns require ~$15 shipping that some find inconvenient.

Return Process: 30-day guarantee with an approximately $15 return shipping fee, which some find inconvenient. Ensure the device is in its original condition to avoid issues.

Vagus Nerve Stimulators for Medical Conditions and Health Issues

Menopause and Hormonal Changes

• Several women report improvements in menopause symptoms with consistent VNS use. Hot flashes become less frequent and intense.
• Sleep disruptions from night sweats improve notably with evening sessions. The calming effect helps manage the anxiety and mood changes common during menopause.
• Both devices can help, but Pulsetto’s longer sessions and Sleep program may provide more comprehensive support for hormonal sleep issues.

Chronic Conditions

• Users with conditions like Long COVID report mixed results. Some notice improvements in dysautonomia symptoms, while others see minimal change.
• Those with CRPS or chronic pain conditions should start very slowly and consult healthcare providers. Sensitive nervous systems may require modified approaches.
• PTSD sufferers may benefit from the gentle nervous system regulation, though professional guidance is recommended for trauma-related conditions.

Consumer vs. Medical-Grade VNS

Pulsetto and Truvaga Plus are wellness devices, not FDA-cleared for treating medical conditions like epilepsy or depression. If you’re managing a serious condition, it’s best to speak with your doctor about medical-grade options.

These consumer devices use gentler stimulation, designed to support stress relief and better sleep. They can complement medical care—but shouldn’t be seen as a replacement for it.

Pulsetto vs Truvaga Plus Durability and Build Quality Review

Build Quality and Durability

Users generally report solid build quality for both Pulsetto and Truvaga Plus. The main devices hold up well to daily use over several months. However, the adjustment strap on Pulsetto can feel a bit fragile, especially with frequent resizing—many users recommend handling it gently to avoid wear.

Charging ports and electrodes on both devices tend to maintain good contact with proper care. Regular cleaning goes a long way in preserving performance.

Battery Life and Maintenance

Pulsetto features a rechargeable battery that lasts up to approximately a week with daily sessions. A full charge via USB-C takes around 2 hours. To maintain optimal conductivity, it’s best to wipe the electrodes with a damp cloth after each use.

Truvaga Plus offers similar battery life—typically up to 5 days with multiple short (2-minute) sessions daily. It charges in about 90 minutes using the included USB cable. Routine cleaning helps prevent gel buildup on the electrodes and ensures consistent performance.

Long-Term Vagus Nerve Stimulation Results: What Users Report

Pulsetto Long-Term Results

Many users start noticing improvements in sleep and stress levels within 2 to 4 weeks of consistent daily use. Over time, the benefits often build—especially with continued sessions. After 3 months or more, some report lasting gains in anxiety management and sleep quality.

Pulsetto’s specialized programs appear to support more sustained nervous system regulation. Of course, individual results can vary based on personal habits and health factors.

Truvaga Plus Long-Term Results

Truvaga tends to deliver reliable, fast stress relief even after months of use. However, because the sessions are shorter, deeper wellness effects may take a bit longer to appear. Users who maintain daily use for 6 weeks or more have reported improved stress resilience and a more balanced mood over time. As always, outcomes can differ from person to person.

Which Vagus Nerve Stimulator Should You Buy? Final Recommendation

Best Vagus Nerve Stimulator in 2025: Final Verdict

	Pulsetto	Truvaga
Price & Value	★★★★★	★★★☆☆
Design & Comfort	★★★★★	★★★☆☆
App Experience	★★★★★	★★★☆☆
Sleep Improvement	★★★★★	★★★☆☆
Stress Relief	★★★★☆	★★★★☆
Pain Management	★★★★☆	★★★☆☆
Battery & Maintenance	★★★★☆	★★★★☆
Customer Support	★★★★★	★★★★☆
Overall (100 points)	4.5/5	3.5/5

Both Pulsetto and Truvaga Plus offer true vagus nerve stimulation with a range of reported benefits. That said, we believe Pulsetto delivers greater overall value and flexibility, especially for those focused on improving sleep and supporting long-term nervous system balance through targeted wellness programs.

Truvaga Plus is a solid option for quick, on-the-go stress relief and portability. However, its shorter sessions and higher price point may make it less ideal for those seeking deeper relaxation or structured routines.

When choosing between the two, think about your daily lifestyle, wellness goals, and budget. What works best for one person may not suit another.

And as always, if you’re managing a medical condition or taking medications that affect the nervous system, it’s smart to check in with your healthcare provider first.

Or Get Started with Truvaga Plus

*Remember to add code SLEEPESSENTIAL for 10% off Pulsetto at checkout

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Vagus Nerve Stimulator FAQ: Common Questions Answered

Which is better, Truvaga or Pulsetto?

Pulsetto is better for most people due to its hands-free design, specialized programs, and lower cost. Truvaga Plus works well for those wanting quick 2-minute sessions and maximum portability.

What is the best vagus nerve stimulator on the market?

Pulsetto stands out as the best overall choice thanks to its hands-free collar design, five specialized programs, and budget-friendly pricing with frequent discounts.

Does Truvaga really work?

Yes, Truvaga Plus has worked for many for stress relief and relaxation. Users report quick calming effects from 2-minute sessions, though benefits may be more short-term compared to longer VNS sessions.

Does Bryan Johnson use a Pulsetto?

Yes, Bryan Johnson uses the Pulsetto vagus nerve stimulation device as part of his longevity and wellness routine.

Which HRV device does Bryan Johnson use?

Bryan Johnson uses multiple HRV (heart rate variability) tracking tools, including the Oura Ring and other medical-grade monitoring devices, as part of his detailed health optimization protocol. He also uses vagus nerve stimulation devices like Pulsetto to actively support improved HRV and nervous system regulation.

Which vagus nerve stimulator is best for anxiety?

Pulsetto’s dedicated Anxiety program (4750 Hz) makes it superior for anxiety relief, especially combined with its hands-free design for deeper relaxation.

Can I use a Pulsetto without a subscription?

Yes, Pulsetto works without subscription. The free app includes five core programs. The optional $15/month premium adds extras but isn’t required.

Do vagus nerve stimulators work for sleep?

Yes, clinical studies confirm vagus nerve stimulation improves sleep quality by activating the parasympathetic nervous system.

How quickly will I notice results?

Many users report immediate relaxation during sessions, sleep improvements within 3-7 days, and cumulative benefits over 2-4 weeks of consistent use. Individual results may vary.

Related Articles

• Pulsetto Vagus Nerve Stimulator Review
• Vagus Nerve Exercises for Sleep

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Health Disclaimer: The information provided in this article is for general informational purposes only and should not be considered medical advice. Vagus nerve stimulators, such as Pulsetto and Truvaga Plus, are wellness devices intended to support relaxation and overall well-being. They are not designed to diagnose, treat, or cure any medical conditions. Always consult a qualified healthcare professional before using any wellness device, especially if you have pre-existing health conditions, are pregnant, or have concerns about how stimulation may affect you. Individual results may vary, and these devices should not replace professional medical care or treatment.