Feeling overwhelmed, stressed, or just not sleeping well? You’re not alone. More people are turning to vagus nerve stimulation (VNS) devices to help manage stress, improve mood, and even get better sleep. But with so many options out there, which device should you choose?
Discover the best vagus nerve stimulation devices in the US - Pulsetto
What Is Vagus Nerve Stimulation and Why Does It Matter?
The vagus nerve is a superhighway connecting your brain to the rest of your body. It helps control mood, heart rate, digestion, and even immune response. When it’s out of balance, you can feel anxious, tired, or just “off.”
Vagus nerve stimulation (VNS) uses gentle electrical pulses to activate this nerve, helping your body shift from “fight or flight” to “rest and digest.” This can mean less stress, better sleep, and a calmer mind.
Benefits of Vagus Nerve Stimulation Devices
Did you know?
How Do Vagus Nerve Stimulation Devices Work?
Most modern VNS devices are non-invasive-meaning you don’t need surgery or implants. Instead, they use gentle electrical pulses delivered through the skin (transcutaneous VNS or tVNS), often via the neck or ear.
You simply wear the device for a few minutes each day. Many users report feeling a pleasant tingling or vibration, nothing painful or uncomfortable.
Best Vagus Nerve Stimulation Devices in the US
1. Pulsetto: Best Vagus Nerve Stimulation Devices in the US
Pulsetto Fit: Wellness, Upgraded
Description (Pulsetto Fit):
Key Features of Pulsetto Fit
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Custom Fit: Comes with two removable magnetic paddings for different neck sizes, ensuring a snug, comfortable fit.
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New Pulsating Mode: A rhythmic, wave-like stimulation that syncs with your breath for deeper nervous system relaxation.
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20% Longer Battery Life: Offers about 1.2 weeks of daily use per charge.
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Enhanced Durability: Reinforced materials make it built to last through daily wear.
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Same Great App: Includes the same 5 programs and 30-day Premium trial as Lite, with identical sound library and add-ons.
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What’s Included: Device, two paddings, 60g gel tube, USB-C cable, user guide.
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Safety: FCC-certified, same ULRE tech as Lite. Consult a doctor if you have implantable devices.
Pulsetto - Your Peace & Better Sleep Partner
The Science Behind Vagus Nerve Stimulation
Pulsetto is a wearable device that uses vagus nerve stimulation (VNS) to promote relaxation and reduce stress and anxiety. By targeting the vagus nerve with gentle electrical impulses, Pulsetto can help induce a state of calm, making it easier to fall asleep and stay asleep.
Advantages of Pulsetto:
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Stress Reduction: Experience significant relief from daily stress by activating your vagus nerve and shifting your body into a "rest and digest" state.
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Improved Sleep: Pulsetto supports restful sleep by calming your nervous system, helping you wake up refreshed and energized.
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Enhanced Mental Clarity: By promoting relaxation, Pulsetto aids in sharpening focus and reducing brain fog.
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Boosted Heart Rate Variability (HRV): This device helps improve HRV, an important marker of heart health and resilience to stress.
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Digestive Health Support: Vagus nerve stimulation positively impacts the gut-brain connection, aiding digestion and reducing bloating.
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Chronic Health Support: Pulsetto offers support for individuals managing chronic stress, anxiety, and fatigue, helping to improve their quality of life.
What's Included:
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Pulsetto Vagus Nerve Stimulation Device
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USB-C Charging Cable
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User Manual
How Pulsetto Works:
Using Pulsetto is simple and takes just 4 minutes to start feeling the effects. Here's how it works:
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Apply a generous amount of gel to your neck.
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Place the device on your neck.
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Pair it with the Pulsetto app on your smartphone.
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Choose your desired program and start the device through the app.
The device creates a gentle, pleasant vibration or tingling sensation in your neck area. This stimulation helps activate your parasympathetic nervous system, leading to a calmer, less stressed state.
Device Name |
Key Features & Description |
Best For |
Nurosym |
A medically certified transcutaneous auricular VNS device that clips onto the tragus of the ear. It offers multiple stimulation programs with adjustable intensity. Backed by clinical trials and positive user reviews, it's designed for at-home use and comes with a 30-day money-back guarantee. |
Clinically validated use for stress, sleep, and inflammation management. |
Truvaga |
A handheld device that stimulates the vagus nerve in the neck. Recommended for twice-daily use with two-minute sessions. It's designed to improve mood, sleep, and focus. The device is portable and user-friendly. |
Quick, portable sessions for mood and focus enhancement. |
Neuvana Xen |
Combines vagus nerve stimulation with music therapy. The device uses earbuds to deliver electrical pulses synchronized with music, aiming to enhance relaxation and mood. It's controlled via a smartphone app and is designed for daily use. |
Music-integrated VNS for daily relaxation and mood improvement. |
gammaCore Sapphire |
An FDA-cleared device for the acute treatment of pain associated with episodic cluster headaches and migraines. It delivers non-invasive vagus nerve stimulation through the neck and is used in clinical settings as well as at home. |
Clinically approved for migraine and cluster headache relief. |
Rezzimax Tuner Pro |
A handheld device that uses vibration and pressure to stimulate the vagus nerve. It's designed to reduce pain, inflammation, anxiety and improve sleep. Users have reported benefits for conditions like chronic pain and treatment-resistant depression. |
Holistic approach for pain relief and relaxation. |
What Does the Science Say?
FAQ:
1) What are the best vagus nerve stimulation (VNS) devices available in the US right now?
Start with the dedicated roundup: Best vagus nerve stimulation devices in the US. For a broader primer on options and science, see the Vagus Nerve Stimulation: Ultimate Guide and the explainer on Non-invasive VNS (nVNS).
2) How does non-invasive VNS actually work?
Get the big picture in Unlocking the Vagus Nerve: A Comprehensive Guide and the quick explainer Non-invasive VNS Explained. For applications beyond stress/sleep, see Expanding Applications of VNS and how VNS supports specific needs like Stress, Anxiety, and Chronic pain.
3) Which device is best for anxiety or stress?
See condition-focused pages:
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Broader gear lists like Best Wearable Device for Anxiety and Best Calming Device for Anxiety. For quick tools, check Tips for Instant Anxiety Relief.
4) Which device is best for sleep?
Start with Best Device for Sleep in 2025 and the hub on Top Neuromodulation Hacks for Sound Sleep. To build routines around a device, see the Role of a Pre-sleep Routine and the Science & Synergy of Pulsetto’s Sleep Program.
5) How does Pulsetto compare to other devices?
See side-by-side “VS” reviews:
Also see broader comparator articles like Sensate vs Apollo Neuro and Nurosym vs Pulsetto.
6) Is there evidence that VNS helps HRV?
Yes, start with the outcomes-focused pages:
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Device-specific HRV tips from experts (e.g., Bryan Johnson + VNS, Dr. Peter Attia’s supplement stack & recovery context)
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Wearable-based HRV improvement series: Apple Watch, Oura Ring, WHOOP, Polar, Garmin, Lief, HeartMath.
7) Is Pulsetto safe? Are there contraindications?
Review Pulsetto’s safety hub:
8) How do I set up and use a VNS device correctly?
Pulsetto’s step-by-step resources:
9) What benefits should I expect (stress, sleep, focus)?
Explore benefit-led hubs:
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Stress & resilience: The Vagus Nerve: Your Secret Weapon Against Stress, Ultimate Stress-Relief Protocol
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Sleep quality: Are You Missing Out on Deep Sleep?, Build a Relaxing Evening Routine
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Focus/productivity: Relaxation → Better Focus
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Immune & inflammation context: Relaxation Supports a Stronger Immune System, Ultimate Guide to Reducing Inflammation
10) Are there side effects?
See each comparison’s “Side Effects” section (e.g., Pulsetto vs Apollo Neuro) and the safety pages: Is Pulsetto safe? and Contraindications. If you ever feel discomfort, check Is it normal to feel pain during some programs.
11) How does VNS compare with other relaxation/sleep tools?
See curated “best” lists:
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Anxiety tools & biofeedback: Best Biofeedback Devices for Anxiety, Best Anxiety Tools for Adults
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Relaxation tech: Best Relaxation Devices, Best Relaxation Techniques for Sleep
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Sleep tools: Best Tools for Sleep and the many “alternatives” pages (e.g., Best Alternatives to Sensate 2, Best Alternatives to Therabody SmartGoggles).
12) Is VNS helpful for migraines or tinnitus?
See the condition pages:
13) What about gut health, inflammation, or long COVID?
Targeted explainers:
14) How do I choose between Pulsetto models?
See the comparison: Pulsetto Fit vs Pulsetto Lite. You can also browse real-world context posts like Pulsetto for Stress Relief & Sleep Aid and Unlock Next-Level Relaxation with Pulsetto Fit.