When we use remote, would an amplitude of 5V have a different healing effect to an amplitude of 20V? Does 20V make programs / frequencies more powerful or effective? And which is best? 5V or 10V?

Yes it does, we by experience notice this. But most users like to use between 4v to 10v at max...usually very effective.

20v does not mean the program was more effective. 5v may be the best. This will vary depending on the individual's sensitivity. Some people need to have a low amplitude, while others need or prefer higher.

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