I’m into my 6th treatment from Nerivio so this is somewhat née to me. I feel the best way to use Nerivio is in a quiet setting preferably laying down with my eyes shut. If I’m working, it’s very difficult to use stop work and use Nerivio. Again, I’m still trying to figure out best means and methods. I’m also still trying to figure out the percentage of shock that I need for the best effectiveness. I feel if I do catch my migraine early and use Nerivio, the effectiveness is high which makes sense. Overall I will continue to use Nerivio. I do believe it helps reduce my migraine headaches and will do anything in my power to not use medication. On a more humorous note, my 9-year old daughter was totally wigged out when she saw my bicep pulsating like there was an alien inside ready to burst out.