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Written by Chris Miller – Biomedical Engineer & Senior Editor
After exploring various ways to manage stress and while also improving mental & physical health, we turned to Vagus Nerve Stimulation (VNS).

With the market offering several options, we focused on Pulsetto, Sensate, and Nurosym, given their popularity and user testimonials.
Traditionally, stimulating the vagus nerve required surgical procedures, which involved implanting a device in the chest with wires that run to the neck to stimulate the nerve directly.1

This method was not only invasive but also carried risks associated with surgery and was costly, with procedures running into thousands of dollars.
Considering these factors, many are seeking more accessible alternatives. This has led us to explore at-home vagus nerve stimulation devices like Pulsetto, Sensate, and Nurosym, offering a non-invasive and more affordable way to achieve similar benefits without surgery or pricey medical bills.2
We tested these devices rigorously over six months, rating them based on effectiveness, ease of use, overall user experience, & price. Here are the results:
| Pulsetto | |
| Rating | 9/10 – 1st place |
| Price | $278 |

Pulsetto has quickly become a favorite for those needing quick stress relief. Its efficiency is remarkable, requiring only 4 minutes to take effect. This device is highly praised for its user-friendly use and adjustable settings, allowing individuals to tailor their relaxation experience.3
In our tests, we found Pulsetto not only convenient but also highly effective. It offers a quick escape from daily stressors, fitting seamlessly into any lifestyle. Perfect for busy professionals or anyone looking for a quick way to unwind and recharge.4
After careful consideration and thorough testing of various options, we confidently declare Pulsetto as the best overall choice for Vagus Nerve Stimulation.

In our thorough search for the most effective Vagus Nerve Stimulation device, Pulsetto stood out as the clear winner. Its ability to deliver results in just 4 minutes is unmatched. But it’s not just about speed… Pulsetto offers a variety of programs for stress, anxiety, sleep, pain management, and burnout, making it a flexible tool in any health routine.

The reason biohacking legends like Bryan Johnson and Dave Asprey are talking about Pulsetto is clear. Whether you’re a professional handling a busy schedule or seeking relief from pain, Pulsetto is designed to adapt to your life, providing quick and effective stress relief.
Experience why Pulsetto is the top choice in Vagus Nerve Stimulation, and join the ranks of those who have found a smarter, faster way to better mental & physical health.
| Sensate | |
| Rating: | 8/10 – 2nd Place |
| Price: | $299 |

Sensate offers a unique approach to stress relief, taking about 10 minutes to produce effects. This slightly longer activation time might suit users seeking a more gradual relaxation process. Its design, reminiscent of a large rock, gives it a distinctive look, different from conventional stress relief devices.5
While Sensate’s battery life is commendable, allowing for prolonged use, and its multisensory experience combining touch and sound is innovative, it may not be other choices for those seeking immediate results. Its sturdy build adds to its longevity, but the distinct design and longer session times might not align with everyone’s preferences or lifestyle.
| Nurosym | |
| Rating: | 7/10 – 3rd Place |
| Price: | $700 |

Nurosym offers an alternative to stress relief devices, with its effects noticeable after about 15 minutes. This duration may suit those who prefer a more extended relaxation period or are looking for a gradual easing of stress.6
The device’s appearance, similar to wired earpods with a controller, sets it apart in design, offering a more tech-oriented look. While this unique style might appeal to a tech-savvy audience, it could be less attractive for users seeking a more traditional or discreet device.
Nurosym’s performance in reducing stress is notable, but its longer time to effect and distinctive design may only be ideal for some. It presents an exciting choice for those who value a blend of technology and wellness, but there might be other options for quick stress relief or users favoring simplicity and speed.
6 sources
Vagus nerve stimulation
https://www.mayoclinic.org/tests-procedures/vagus-nerve-stimulation/about/pac-20384565
The Future Is Noninvasive: A Brief Review of the Evolution and Clinical Utility of Vagus Nerve Stimulation
https://focus.psychiatryonline.org/doi/10.1176/appi.focus.20210023
The science of vagus nerve stimulation
https://pulsetto.tech/science/
Reviewing the Pulsetto for Vagus Nerve Stimulation
https://www.drcarrierigoni.com.au/blog/reviewing-the-pulsetto-for-vagus-nerve-stimulation
SENSATE – A VALID MEDITATION PRODUCT?
https://www.wellprofessor.com/reviews/stress-less/sensate-review-of-the-evidence
The Mechanisms of Nurosym Neuromodulation
https://nurosym.com/pages/clinical-evidence
Thank you for your comment
I have a Pulsetto and so far so good.
No regret in purchasing Pulsetto
I purchased Pulsetto after several years of looking for the right vagus nerve stimulator. I had no problem installing the app and the device easily connected to bluetooth. The setup was easy and the first session felt good. I felt the tingling on the skin where the device was applied. The music was a bonus. I had been alert and working on my computer...
I purchased Pulsetto after several years of looking for the right vagus nerve stimulator. I had no problem installing the app and the device easily connected to bluetooth. The setup was easy and the first session felt good. I felt the tingling on the skin where the device was applied. The music was a bonus. I had been alert and working on my computer before starting the program. Started my first sleep session at 9:10 pm. I started feeling tired 5 minutes into the sleep program and a sense of relaxation came over me. After 10 minutes, I was feeling very relaxed and ready to go to bed. My breathing had slowed as well. It feels like I took a sleeping pill. I was so relaxed. Charging the pulsetto is easy. Just plugged into my c port of my computer and fully charged the device. Highly recommend you give it a try if you have trouble with adrenal exhaustion or fatigue.
I have tested it so far for more than 100 times. I use it to improve my sleep. It works for me.
I choose the Pulsetto. Easy to use and effective.
Best purchase made so far this year. After doing some research I’ve decided to try out the pulsetto device and it’s been a wonder to my stress relief routine. I always felt guilty that I bring home my “work stress” and my wife was very vocal about it, safe to say that we’re both living a much more peaceful marriage, thank you & my...
Best purchase made so far this year. After doing some research I’ve decided to try out the pulsetto device and it’s been a wonder to my stress relief routine. I always felt guilty that I bring home my “work stress” and my wife was very vocal about it, safe to say that we’re both living a much more peaceful marriage, thank you & my kindest recommendations.
Based on the review, I decided to go with Pulsetto, and it didn’t disappoint. It’s quick to work and really simple to use, which is perfect for my busy life. Really happy with my choice!
Pulsetto has been a fantastic addition to my wellness routine. The fact that it works in just 4 minutes is amazing for my short breaks. I love how it makes relaxation so accessible, no matter where I am or what I’m doing.
I got Pulsetto as a gift after seeing it recommended. I’m not usually one for wellness gadgets, but this is different. It helps me unwind after long shifts at the hospital, making it easier to enjoy my time off without the weight of the day’s stress.