Short answer: Pulsetto vs Truvaga: both are neck-based electrical wellness devices. Pulsetto costs about half as much ($239 Lite, $269 FIT), is worn hands-free and runs app-guided sessions. Truvaga Plus costs about $499, is held against the neck for two minutes, and comes from electroCore. Pick Pulsetto for value, Truvaga for the shortest sessions.

Already decided on Pulsetto? Skip the reading:

Free shipping · 30-day returns from delivery (buyer pays the return label) · Prices checked Nov 5, 2026 on the official offer page. A wellness product, not a medical device. Not for people with pacemakers or other implanted electronics.

Close-up of a man wearing a neck-worn vagus nerve stimulator
Both devices target the vagus nerve through the skin of the neck. The difference is how you hold them and what you pay.

How Do Pulsetto And Truvaga Compare At A Glance?

Pulsetto (Lite / FIT)Truvaga Plus
How it is wornCollar around the neck, hands-freeHeld against the side of the neck
Session lengthA few minutes, set in the app2 minutes
ControlsPhone app, 5 programs, adjustable intensityDevice buttons, app-enabled
Gel neededYesYes
Price*~$239 / ~$269~$499
BatteryAbout a week daily (Lite); up to ~12 days (FIT)Rechargeable
Returns30 days from delivery, original box, buyer pays return label30-day money-back guarantee
CategoryGeneral wellness productGeneral wellness product

*Sources: Pulsetto prices and FIT battery life from the official Lite and FIT offer pages (checked Nov 5, 2026); Lite battery life and the five app programs from the Pulsetto FAQ; Truvaga from truvaga.com and independent reviewers. Prices move with promotions; confirm the total at checkout.

How Is Each One Used?

Pulsetto goes around your neck like a collar, with an electrode resting over each side. You put gel on the electrodes, open the app, choose a program (stress, sleep and others) and set the intensity until you feel a tingle that is comfortable. Then you can lie back, read or work.

Truvaga is a small handheld unit. You apply gel, hold it against the side of your neck over the area where you feel your pulse, and run a two-minute session. Short, but your hand is busy.

Three phone screens showing the Pulsetto app with session programs and intensity settings
Pulsetto's app sets the program and timing, so you do not have to time sessions yourself.

How Much Does Each One Really Cost?

The gap is large: Truvaga Plus sells for roughly twice the price of a Pulsetto Lite. On the current offer, a second Pulsetto Lite brings the total to $358.50 for two (about $179 each), which makes the two-unit offer worth checking if two people will use it. Shipping is free, and qualified US buyers can pay with HSA/FSA funds through Truemed after a short health survey (eligibility is not guaranteed, so check with your plan). The free app covers the core programs; Premium is optional. With either device, budget a little for replacement gel.

Which Return Policy Is Friendlier?

Read these carefully, because they are not the same thing. Truvaga advertises a 30-day money-back guarantee. Pulsetto offers a 30-day return window from delivery: the device must come back in its original packaging, and the buyer pays the return shipping label. Neither is a problem if you know it before you order, so keep the box.

Who Should Pick Which?

Pick Pulsetto if price matters, you want to do something else during sessions, or you like an app guiding the routine. Pick Truvaga if you want the shortest possible session and are willing to pay more for a device from a company with a prescription product behind it.

Pulsetto in detail

Read our full Pulsetto reviews

Current pricing on the Lite and FIT, the bundle offers, the full return terms and who should not use it.

Also comparing a non-electrical option? See Pulsetto vs Sensate, or the full five-device comparison.

Ready to try it? Pulsetto ships free and has a 30-day return window.

Free shipping · 30-day returns from delivery (buyer pays the return label) · Prices checked Nov 5, 2026 on the official offer page. A wellness product, not a medical device. Not for people with pacemakers or other implanted electronics.

Frequently Asked Questions

Is Truvaga the same as gammaCore?

No. Both are made by electroCore, but gammaCore is a prescription device cleared for specific headache conditions, while Truvaga is sold directly to consumers as a general wellness product. The shared manufacturer is a point in Truvaga's favor for build quality, but the prescription device's clearances do not transfer to it.

Which is easier to use every day?

It depends on what "easy" means to you. Truvaga sessions are only two minutes, but you hold the device in place. Pulsetto sessions run a few minutes but are hands-free, so you can read, lie down or work while it runs. If you want to multitask, the collar fits better; if you want the shortest ritual, the handheld does.

Do both need gel?

Yes. Both are electrical devices that need a conductive gel between the electrodes and skin. Factor in replacement gel as a small ongoing cost for either one.

Is either one a medical device?

No. Both Pulsetto and Truvaga are sold as general wellness products and are not intended to diagnose, treat, cure or prevent any disease. Neither is suitable for people with pacemakers or other implanted electronics.

Can I use Pulsetto or Truvaga with a pacemaker?

No. Both manufacturers warn against use with pacemakers, implanted defibrillators or other implanted electronics. If you have a heart rhythm problem, epilepsy, low blood pressure or are pregnant, ask a doctor before using either device, and stop a session if you feel faint or dizzy. See our safety guide for the full list of warnings and the side effects people report most often.

Want to see today’s price and bundle deals?

Free shipping · 30-day returns from delivery (buyer pays the return label) · Prices checked Nov 5, 2026 on the official offer page. A wellness product, not a medical device. Not for people with pacemakers or other implanted electronics.

Daniel Whitaker, Wellness product researcher

Daniel Whitaker

Wellness product researcher · NoHype Wellness

I research direct-to-consumer wellness products: I read the official spec sheets, the written return policies, the safety warnings and the published research, and I check every package price on the official order page before I quote it. I am not a doctor or a medical professional, and nothing here is medical advice.

This article contains affiliate links. If you buy through them we may earn a commission at no extra cost to you. It does not change the prices, the return terms, the safety warnings or the criticisms above.