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Why do I need to select a preset? If I just want to treat a condition all I do is pick the program.

The generator needs to know some settings, such as which waveform, what amplitude etc. and these things are most conveniently done in the preset.
The program contains the frequencies to play.

For more details, please check the link:
http://www.spooky2.com/forums/viewtopic.php?f=5&t=5902

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