Before my Xen unit arrived, I thought it would be some nebulous "good vibes" generator.
I presumed it would require some sort of effort on my part, like trying to reduce stress levels through meditation.
I had already tried positive affirmations to reduce stress. Of course, I read articles on
stress management too.
After discovering the vagus nerve and vagus nerve stimulation in June of 2020, I was even doing multiple techniques like humming and gargling to stimulate my vagus nerve occasionally. Still, it didn't seem to make much difference for
my insomnia, so I stopped.
Testing Xen, I was worried that I would have to use some strange combination of imagination, good vibes, positive visualizations, clearing my mind, and a little gargling (for good measure) to benefit from the device.
I'm here to tell you that it's nothing like I was speculating.
Xensations (Sensations):
I will never forget that very first session of clearly feeling the electric pulses flowing into my ear and being so relieved that it was just as apparent as listening to music through earbuds.
You have never had to imagine musical vibrations through earbuds, and you will never need to do so for the Xen vibrations either.
It is a very tangible electric current touching the skin inside your eardrum.
The earbud gets spritzed on both sides with saltwater, facilitating the electrical conduction between Xen's electrical pulses and your ear.
The more saltwater helping transfer the current, the more intense it feels. If you don't feel a tingling sensation and the intensity is at a 10 to 15, it may be that the earbud is too dry to conduct the current to your ear. Simply, spritz it, and you're good to go.
Does it hurt to have an electric current pulsing in your ear?
Not a bit!
You adjust the intensity to a level that is comfortable for you. If you don't feel it with the default intensity setting of 5 out of 25, all you need to do is increase it, just like adjusting your music's volume.
I usually run my sessions on an 18 or 22 intensity out of 25, depending on the waveform and delivery pattern selected.
At the intensity I'm selecting, it feels a bit like cleaning my ears with a cotton Q-tip and sounds like a cross between radio static and a mini fan humming in my ear.
On milder settings, it feels like a warm intermittent breeze blowing in my ear.
Why Limit Vagus Nerve Stimulation to Only the Left Ear?
In canine studies, surgically-implanted, right-side, vagus-nerve stimulators caused the heart rate to slow down too much. Therefore, surgical VNS has only been approved by the FDA here in the States for the left vagus nerve.
Guess what I accidentally did once? How did you know?
Though not advised, I had no adverse effects from that one session in the right ear.
Here's the distinction between surgical-cervical VNS and transcutaneous-auricular VNS as noted in
"Critical Review of Transcutaneous Vagus Nerve Stimulation: Challenges for Translation to Clinical Practice," a
Frontiers in Neuroscience article on PubMed, "Therefore, unlike cervical VNS, tVNS circumvents the risk of directly and asymmetrically stimulating cardiac motor efferent fibers..."
Neuvana designed Xen's left-side current-capacity to be unmistakable with an "L" printed on the earbud and a white left cord. The right side is black with an "R" label, and it only plays music.
I appreciate the white and black design. I am often using Xen before bed with the lights out and blackout curtains. Yet, I can tell the cords apart with minimal light from activating the LED on my Fitbit. It is all the more apparent with the Xen app open on my phone or the illuminated logo on the Xen device.
The first few times I used Xen, it did seem a bit fiddly juggling the salt-water spritzer, earbud cords, Xen unit, and my cellphone with the Xen app.
Now, I use it lying down in the dark every night. I only need the light for a second to see which is the white cord earbud. From there, I can spritz that left earbud even though I can't see my hand in front of my face.
I can feel the hole in the spritz bottle to aim it at the sides of the earbud. I sense the mist on my fingertips surrounding the hard base of the earbud that connects to the cord while the flexible end that goes in my eardrum gets misted.
How Do You Know If You're Getting an Optimal Dose?
After reviewing many different studies on auricular vagus nerve stimulation (aVNS), I have learned that even low-to-mid intensity settings are highly effective. A moderate tingling is all that is needed.
NeuvanaLife.com recommends two sessions a day for 15-20 minutes each (discount code
ALEX saves you 15% when buying a Xen Box set!).
On my first day, I must have done a dozen sessions.
It may be a coincidence, but I noticed diminishing returns after the third back-to-back session.
I received ample benefits using Xen for between one to three 25-minute sessions spaced several hours apart throughout the day.
The app lets you select session lengths between 5-25 minutes in 5-minute increments.
The studies show that for effective treatment of some conditions, an aVNS treatment time of, "...3–4 stimulation sessions per day for in total 4–5 h, each session lasting at least 1 h" was most effective at managing pain and improving depression.
Breathing With the Waves and Peaks
According to
"Current Directions in the Auricular Vagus Nerve Stimulation II – An Engineering Perspective" in
Frontiers of Neuroscience, "...aVNS delivered during exhalation was more efficient in brain, cardiovagal, and pain modulation..."
I once tried timing my breaths with the "mountain peak" patterns by breathing out while I felt the most tingling and breathing in during the window of less tingling.
I didn't find it useful personally because of the timing of the patterns. It felt like an unnecessary layer of complexity to what is otherwise a very relaxing experience.
The free version of the app lets you choose "ocean waves" or "mountain peaks" for each session. The paid subscription option has many more options.
With the "ocean waves," it's a low-intensity feeling that gradually swells to a higher intensity and then smoothly decreases to the baseline over and over.
For the "mountain peaks" option, the baseline is imperceptible for roughly ten seconds. Then there is a noticeable rapid ramping up of intensity over about four seconds and then an even faster drop over a couple of seconds back to baseline.
What's Up With the Waveforms?
In the free version of the app, you can choose between "waveform A" or "waveform C." Naturally, the paid version of the app has many more waveforms available with more being added as new aVNS studies are published.
To me, A is like staccato pulses rapidly alternating between 100% on and 100% off a few times per second.
The C feels more like a humming variation alternating between 40% and 80% several times a second, so it has a smooth feel.
The A waveform with the mountain peaks pattern is the most rousing combination, which I like during the day. The C waveform and ocean waves pattern was the smoothest combination for using before bed to help me fall asleep quickly.
I found Xen sleep-promoting in the same way that soft background pink noise and long car rides put me to sleep.
What Would Further Improve My Experience Using Xen?
- The test units I received had some technical difficulties. The units available for purchase by consumers have had those issues resolved. It did delay the start of this experiment, prevent me from using it the third week, and have a considerable reduction of the intensity the fourth week. Neuvana's customer service department is always friendly and helpful.
- I would opt out of the login experience of entering my username and password each time I open the app if there was an option to "Keep me signed in." Since there isn't yet, I wish I had chosen a simple password with how often I'm entering it.
- Call me a curious cat, but I would love to know the parameters of each waveform. I'm sure A and C are waveforms commonly used in the studies. Still, I'm itching to find out the Hz and milliseconds of them all.
- It's so user-friendly to go down the list making all my selections, but forget to touch the Bluetooth icon. Incorporating that icon into the task-flow buttons would eliminate the pop-up alert all those times I forget to touch it to sync the app and unit.
- I hope NeuvanaLife.com will make extra-small (as well as extra-large earbuds) available to purchase since my eardrums are one-size-too-small. The small, medium, and large earbuds that are included are all true-to-size compared to earbuds for the iPhone and others. Thankfully, my left eardrum is a smidge bigger than my right. It works fine for me as long as I am being still. Walking, talking, or chewing makes it fall out.
- Adding a detachable lanyard to the protective case sold separately would be a handy, hands-free way to carry it since I'm reluctant to put the unit in my pockets. Sure, it would easily fit. I just wouldn't want to ever risk it falling out, getting forgotten, or sat on because it's so valuable.
My Top Favorite Benefits From Using Xen
- The way it makes my heart beat more smoothly day and night. I am so grateful for the improvement in my irregular heartbeats. My heart still acts up on me regularly, but there's been a marked reduction in the frequency, intensity, and duration of those funky-rhythm episodes.
- It eases emotional heartache. I still feel intense emotions such as waves of grief that ebb and flow from missing loved ones. Just as with my physical heart challenges, Xen gently reduces the frequency, intensity, and duration of those heartbreaking feelings.
- It has helped melt some of the chronic muscle tension in my trapezius muscles. I used to have prolonged, frequent, intense pins-and-needles sensations on the top edge of my left trap between my neck and shoulder. That is now uncommon, brief, and mild by comparison.
- One type of ringing in my ears improved. I used to have two types of ringing in my ears 24/7. The low-pitched buzzing is now rare and lasts only a few seconds. The high-pitched ringing remains unchanged.
- I've had a frozen left shoulder for two years following an acute injury that failed to heal completely. Since Xen, I have noticed an improvement in range of motion and less shooting pain. For example, my chiropractor wants me to stretch it by interlacing my fingers behind my head which always a slow, painful struggle. Now I can do that relatively quickly and with just a dull ache which is a big improvement.
- My work performance seemed positively impacted by using Xen (BTW, discount code ALEX saves 15% when you buy a box set HERE). My typing speed increased 8%, I was named employee of the month for January, and I set a new record in accuracy among our team.
Xen Dramatically Improved My Irregular Heartbeats
Biostrap recordings graph your second-by-second changing heartbeats during a 5-minute window to capture not just the average heartrate but all the various highs and lows during that timeframe.
Before Xen, during my first 32 Biostrap 5-minute recordings, from December 17th to January 3rd, my lowest heartrate was a quick dip down to 22bpm. My highest was a brief spike to 241bpm.
After starting Xen on January 19th, that range of brief dips and spikes soon narrowed down to between 35 to 177bpm during the 32 recordings taken January 22nd through 31st.
Comparing the averages, before Xen, the average across the first 32 readings of the experiment was a low of 50 and a high of 124bpm.
Xen changed the average range to between 50 to 89bpm!
This screenshot is a recent, typical example of the improvement since beginning Xen on January 19th. I chose this particular recording report because it shows that the struggle is real but significantly improved!
It was a huge relief to see these changes for the better!
As you can see in the last graph, I still struggle with irregular heartbeats. Yet comparing the range on this graph's minimum of 56bpm to spikes of up to 106bpm against my pre-Xen average low of 50 and high of 124bpm with the post-Xen average low of 50 to high of 89bpm. It's a huge relief!
I am so thankful for Xen helping me with this lifelong challenge with my irregular heartbeats.
The aVNS group self-administered 30-minute session delivered to the red dots touching the parts of the ear innervated by the VN at home both morning and 30 minutes before bed, 5 days in a row, then 2 days off for a month with intensity selected by the recipient.
The non-VNS control group was identical except the electrical stimulation was delivered to the blue dots connected to the parts of the ear innervated by nerves other than the vagus nerve.
Both groups kept sleep diaries and a log of treatment sessions and reported improvements in insomnia across the board.
Perhaps, it's because some of the vagus nerve endings received some indirect stimulation or else the nerves on the outer edge of the ear may also be positively influenced by stimulation. Either way, it's a win/win and the variables will be elucidated as more studies are conducted.
My aVNS-Experiment Results Were Also Inconclusive In Some Areas
Due to technical difficulties that caused significant interruptions in using Xen the second half of the four-week experiment, I may not have had enough exposure to aVNS through Xen to notice a change in these areas:
- Cognifit testing of brain performance (I was focused as usual.)
- resting heart rate during sleep (A winter snowstorm in February and other unexpected events reduced my amount of daily exercise, which may have interfered with my RHR.)
- fasting blood glucose (Hardly any outdoor exercise may have been a factor.)
- weight, waist circumference, and BMI (Same as above. I didn't venture out in the cold.)
- duration of sleep (Ironically, in my unbridled enthusiasm, I stayed up later during the experiment running tests before, during and after using Xen at bedtime which may have made me miss my sleep gates.)
- HRV (I think my irregular heartbeats were causing excessively high HRV before Xen.)
- perceived stress levels (I had some significant and unexpected stressful events arise during the experiment. I believe Xen helped take the edge off what could have been worse.)
- mood (I often had happy childhood memories pop up spontaneously the first couple weeks using Xen. I felt interested in doing a variety of activities and learning new things. Yet, the aforementioned stressors did impact the experiment significantly.)
Finishing Thoughts: Why Vagus Nerve Stimulators Can Be Life-Changing!
I was asked what I wanted to review and immediately jumped at the chance to experience a device that supports vagus nerve health.
All the latest scientific advancements in VNS are so fascinating to me.
It also seemed like my vagus nerve had gotten worn down from my cumulative life stressors.
I saw the awards Xen has won and the fact that it uses the very same auricular vagus branch as in the aVNS studies with the icing on the cake of being user-friendly, attractive, and convenient. The stars aligned the day I discovered Xen, and it was love at first sight!
With the heart of an idealist visionary and a biomedical-research-scientist-inventor-wanna-be brain, Xen struck a chord with every fiber of my being, especially my vagus nerve.
Before Xen came into my life, there was a gap akin to the that on the periodic table of elements before those last few were found. Scientists predicted the properties of the undiscovered elements. Sure enough, when those turned up, they fit the pattern perfectly.
That gap in my life was something to effectively support my vagus nerve, beyond all the other good health habits that hadn't been quite enough to help my funky heart rhythms.
Xen is that missing puzzle piece for my heart!
As my heart function improves, the flow-on benefits will most certainly improve my sleep which will boost my energy which will help me exercise more, and burn fat and those upgrades will help optimize my memory, emotional intelligence, neurotransmitters, and hormones which will support my overall health and capacity to serve others.
I'll update this article as I notice additional benefits from using Xen since I hope to use it for the rest of my life.
I'm filled with awe and gratitude over the opportunity I was given by Neuvana, Alex Fergus, and our team manager Bart Wolbers to enjoy benefitting from Xen. Thank you from the bottom of my heart!
Curious to learn more about the benefits humans experienced from aVNS devices similar to Xen? I have summarized the science highlights below with quotes and findings from my favorite PubMed aVNS meta-analysis: