Positives

• A patient on Mayo Clinic Connect reported the neck-worn tVNS wearable seemed to stimulate the bowel, helping with constipation, and considered it a low-risk add-on Mayo Clinic Connect.
  
  
• Some patients describe muscle tension melting away and measurable heart rate decreases after 5-10 minute sessions following stressful periods Health Rising.
  
  

Negatives

• A Mayo Clinic Connect user reported using the neck wearable for several weeks with very little definitive improvement in any Long COVID symptoms Mayo Clinic Connect.
  
  
• Patients report that the device hurts at usable intensities and that they regret the cost when symptom relief did not materialize Health Rising.
  
  

Hurdles & Side Effects

• The neck-worn tVNS wearable runs roughly $250-$470 with a paid app subscription for advanced programs, a meaningful out-of-pocket cost for unproven Long COVID benefit Mayo Clinic Connect.
  
  
• Patients describe needing to commit to daily 4-20 minute sessions for several weeks before drawing conclusions, which is difficult during PEM crashes Mayo Clinic Connect.