How do you know when to run a program from the healing or killing remote? How do you know whether to use a healing or killing modality?

Both remotes can heal. Both remotes can kill.
The black (MN) remote has been shown to kill slightly faster, but has the potential for side effects when use for an extended period of time (longer than 4-5 days).

The white (BN) remote has been shown to heal slightly faster, and is more suitable for extended periods of use.

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