Comparison

Nerva vs Pulsetto Wellness

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Nerva

This app offers a personalized gut-brain therapy program to manage symptoms of IBS, FD, GERD, and other gut-brain disorders. It aims to retrain the nervous system and improve communication between the gut and brain through daily sessions and practical tools.

Highlights
  • Personalized gut-brain therapy program
  • Daily 15-minute retraining sessions
  • Flare-up management tools
  • Long-term symptom maintenance plan
  • AI-driven personalization
  • Evidence-based clinical research
Features
Read full description

Address the miscommunication between your gut and brain. Designed for people living with IBS, functional dyspepsia (FD), GERD, bloating symptoms, and other gut–brain disorders - as well as those seeking additional support alongside IBD care - Nerva is a personalized gut–brain program that supports symptom management through daily sessions, practical tools, and structured guidance. Target the root cause Many people spend years cutting out foods in an effort to calm their gut - a difficult path that can miss what’s really driving symptoms. In disorders of gut–brain interaction (DGBIs), the root cause is gut–brain hypersensitivity. After a trigger like illness, antibiotics, or prolonged stress, the nerves in the gut can become over-reactive. Even once the gut tissue heals, the nervous system may keep the alarm turned up. Normal digestion, gas, or movement are then misread as danger - leading to pain, bloating, reflux, urgency, constipation, or diarrhea. Diets and medications can reduce symptoms temporarily, but they don’t retrain this signaling system. That’s why symptoms often return or shift over time. Lasting relief means calming the nervous system and restoring healthy gut–brain communication - where the symptoms actually start. How Nerva helps Nerva is a structured gut–brain program that helps you practice brain-gut techniques shown to support a calmer response to gut sensations. Over the program you'll learn to: - Respond differently to uncomfortable gut signals - Practice calming the gut–brain stress response - Build daily habits that support digestive comfort Tailored to you No two guts are the same. Nerva adapts your program to your symptoms, triggers, and progress - using AI to adjust the coaching and guidance as you go. The sessions, the tools you receive, and the coaching you follow are all shaped around your experience. Evidence-based Unlike most apps, Nerva is built on clinical research. In a randomized controlled trial at Monash University, Nerva helped 81% of people significantly manage their gastrointestinal symptoms. Since then, more than 300,000 people have used Nerva, and over 11,000 healthcare providers recommend it. Features of Nerva - Daily 15-minute sessions designed to retrain gut-brain miscommunication - Flare-up tools for pain, bloating, constipation, reflux and diarrhea - Long-term maintenance plan to keep symptoms under control after the program - AI personalization to tailor the program to your selected triggers and progress Who is the team behind Nerva? Nerva was built by Dr. Simone Peters, GI psychophysiologist, together with clinicians, dietitians, and researchers. Many of us live with gut conditions ourselves. Member stories “Nerva has really worked for me. I’ve been using the app for several months now, and I’ve noticed that I’m experiencing less negative instances with my stomach. I would highly recommend to anyone - absolutely worth the subscription” Disclaimer: Nerva is a self-guided program that may help people self-manage and live well with a diagnosed disorder of the gut-brain interaction. It is not a substitute for professional medical care, diagnosis, or treatment, and has not been evaluated by the FDA, TGA, MHRA, or equivalent bodies. Do not change prescribed medication or treatment without professional advice. Some content is personalized or generated by AI for educational and wellness purposes only. It is not therapy or mental health care, is not from a licensed professional, and is not monitored in real time. If you are in distress or thinking of harming yourself or others, call your local emergency number right away. Subscription and trial 7-day free trial After the trial, your account is charged according to the plan you choose Subscriptions renew until cancelled Cancel anytime in iOS Settings, Apple ID, Subscriptions Terms of Use: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/ Privacy Policy: https://www.mindsethealth.com/privacy

About

Pulsetto Wellness

This app offers a unique approach to self-improvement and personal well-being. It guides users through a process to address personal challenges and foster positive habit changes. It emphasizes commitment to altering thought patterns for lasting results.

Highlights
  • Self-improvement method
  • Personal challenge management
  • Habit change support
  • Thought pattern modification
  • User-friendly interface
Features
Read full description

Transform stress into resilience with the official app for the Pulsetto vagus nerve stimulation device. Pulsetto combines non-invasive vagus nerve stimulation, personalised wellness tools, and advanced insights to help you feel calmer, sleep better, and recover faster - all in just a few minutes a day. What you can do with Pulsetto: - Reduce stress and anxiety with guided vagus nerve stimulations - Improve sleep quality and recovery - Support focus, mood, and emotional balance - Build healthier daily routines with personalized wellness tools - Track your progress through wearable integrations and smart insights PREMIUM Features Unlock the full Pulsetto experience with Premium: - Personalized stimulations tailored to your needs - Personalized Stress Resilience building guidance - Guided meditations, breathing exercises, and soundscapes - Advanced sleep, HRV, stress, and recovery insights - Wearable integrations with Apple Health, Oura, Fitbit, WHOOP, and more - Wellness Assistant for personalized recommendations - Smart Wellness Insights Connect your favorite wearable and discover how your body responds to Pulsetto sessions through: - Personalized Stress Resilience score - HRV tracking - Resting heart rate trends - Sleep analytics - Stress and recovery monitoring - Personalised recommendations based on your data Designed for Everyday Use: - Sessions as short as 4-6 minutes - Beginner-friendly experience - Offline mode support - Apple Health integration - Easy-to-use stimulation controls Pulsetto helps you create moments of calm in a fast-moving world - whether you're dealing with stress, poor sleep, burnout, or simply looking to improve your daily well-being. Terms and conditions can be found under https://pulsetto.tech/terms-and-conditions/

Screenshots

Nerva4 screens
Pulsetto Wellness4 screens

Verdict

The call

Nerva and Pulsetto Wellness both sit at 4.7 stars, but that hides the real split: 72% of Nerva's written reviews are positive against 22% of Pulsetto Wellness's. On price, rating, ratings volume and update cadence there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Nerva sells 4 in-app purchases, starting at $99.00 per month and Pulsetto Wellness sells 20 in-app purchases, starting at $5.00 per month. Whichever you choose, the download price is not the number that matters.

ReceptionRating · Positive reviews · Number of ratings

On the App Store both sit at effectively the same score — 4.7 for Nerva against 4.8 for Pulsetto Wellness. Both are backed by a comparable volume of ratings — 15K and 7.5K respectively. Written reviews are what separate them: 72% of Nerva's written reviews are positive against 22% of Pulsetto Wellness's.

UpkeepUpdate frequency

Nerva ships an update every 8 days, Pulsetto Wellness weekly. Both last shipped on October 21, 2026.

Scorecard1 real difference · 10 level
Nerva versus Pulsetto Wellness: the parameters behind the verdict, then further details
ParameterNervaPulsetto Wellness
PriceFreeFree
Rating4.7 (15K ratings)4.8 (7.5K ratings) — better
Positive reviews72.4% of reviews — better21.8% of reviews
Number of ratings15K — better7.5K
Update frequencyEvery 8 daysWeekly — better
AdsNoNo
In-app purchasesYesYes
MonetizationFree with in-app purchasesFree with in-app purchases
Best chart rank#180#74 — better
DevicesiPhone, iPad, iPod — betteriPhone, iPod
Requires iOS15.1 — better15.6
Further details — not scored
Size138 MB186 MB
Age rating12+4+
DeveloperMindset Health Pty LtdUAB Pulsetto

Customer experience

Nerva

All ratings15,042 ratings
Positive93.1%
Neutral3.2%
Negative3.7%
Written reviews880 reviews
Positive72.4%
Neutral5.9%
Negative21.7%

Pulsetto Wellness

All ratings7,377 ratings
Positive93.8%
Neutral1.2%
Negative5.0%
Written reviews565 reviews
Positive21.8%
Neutral13.1%
Negative65.1%

User reviews

Nerva

From 15K App Store ratings

What we love

  • 🚀 Effective for symptom reduction
  • 👍 Calming and relaxing sessions
  • 💡 Helpful for managing stress and anxiety
  • 👍 Positive affirmations and education
  • 🚀 Quick improvements seen by some users

Room to improve

  • 🔁 Repetitive nature of sessions
  • 💰 Expensive subscription cost
  • 🔍 Lack of customization options
  • 🐛 Technical issues with app functionality

Pulsetto Wellness

From 7.5K App Store ratings

What we love

  • 🚀 Calming sensation
  • 🚀 Noticeable health benefits
  • 🚀 Easy to use app

Room to improve

  • 🐛 App frequently crashes or freezes
  • 🐛 Connectivity issues between device and app
  • 🔋 Poor battery life
  • 🔒 Forced subscription model
  • 🤔 Questionable health claims

Bugs and requests

Nerva

Reported bugs

3 issues
  • App getting stuck on certain days
  • Difficulty accessing previous sessions
  • Inconsistent user experience across devices

Requested features

4 requests
  • More variety in guided visualizations
  • Ability to skip or replace certain sessions
  • Maintenance plan with reduced pricing
  • Offline access to recordings

Pulsetto Wellness

Reported bugs

3 issues
  • Login/password reset issues
  • Audio playback problems during sessions
  • Inconsistent app performance across devices

Requested features

4 requests
  • Dark mode option
  • Ability to customize session duration
  • Offline mode to use device without app
  • Better battery life indicator

In-app purchases

4 purchases

Nerva

Subscriptions4
  • Nerva IBS program (Monthly)7 Days trial$99.001 Month
  • Nerva IBS program (3 Month)7 Days trial$149.003 Months
  • 30% Off Nerva IBS (3 Month)7 Days trial$149.003 Months
Show 1 more
  • Nerva Full Access7 Days trial$199.001 Year
20 purchases

Pulsetto Wellness

Subscriptions20
  • Pulsetto Reactivation Offer 21 Month trial$5.001 Month
  • Pulsetto Reactivation Offer1 Month trial2 variants$17.991 Month
  • Monthly$17.991 Month
Show 17 more
  • Pulsetto Original$19.991 Month
  • Pulsetto Reactivation Offer$29.993 Months
  • 12 Months Xmas 2025$39.991 Year
  • 3 Months3 Days trial$39.993 Months
  • 3 Months7 Days trial$39.993 Months
  • 3 Months$39.993 Months
  • Pulsetto Premium 7 Day Trial 457 Days trial$44.993 Months
  • Limited Time Offer: -30% 12mo plan$59.991 Year
  • Pulsetto Reactivation Offer$59.991 Year
  • 2026 Valentine's Day - 12 Months$65.991 Year
  • Sale: 30% off Premium annual plan$69.991 Year
  • 6 Months$69.996 Months
  • 12 months3 Days trial$99.991 Year
  • 12 months7 Days trial$99.991 Year
  • 12 months$99.991 Year
  • Pulsetto Premium 7 Day Trial 1107 Days trial$109.991 Year
  • Pulsetto Premium 7 Day Trial 1307 Days trial$129.991 Year

Questions

Is Nerva free?
Nerva is free to download, with in-app purchases available.
Is Pulsetto Wellness free?
Pulsetto Wellness is free to download, with in-app purchases available.
Which has better reviews, Nerva or Pulsetto Wellness?
Pulsetto Wellness is rated higher. Nerva averages 4.7 out of 5 from 15K ratings, while Pulsetto Wellness averages 4.8 from 7.5K ratings.
Do Nerva or Pulsetto Wellness have ads?
Neither Nerva nor Pulsetto Wellness shows ads.
Which is updated more often, Nerva or Pulsetto Wellness?
Nerva ships an update every 8 days, and Pulsetto Wellness weekly. Most recently, Nerva was updated on October 21, 2026 and Pulsetto Wellness on October 21, 2026.
Which is more popular, Nerva or Pulsetto Wellness?
Nerva currently peaks at #180 in the App Store charts, and Pulsetto Wellness at #74. Chart position reflects recent download velocity rather than total install base.

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