Can someone with pacemaker use cold laser plug to the ears and receive treatment?

Yes. Laser may be used with pacemaker, as no current flows in the body.
The only caveat is if the laser causes some pathogen to add significant stress so the pacemaker is having a hard time controlling the proper rate.

You can find more information here: https://www.spooky2-mall.com/blog/are-all-the-spooky-subsystems-safe-for-pacemakers-other-electric-implants-or-metal-replacements/

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