DUSQ is worn starting around four hours before bed. The nervous system's wind-down - the gradual withdrawal of sympathetic activity that makes sleep possible - needs to begin here. By the time you close your eyes, that shift should already be well underway.
Through the evening, DUSQ tracks your autonomic balance via the EDA signal behind your ear: how quickly sympathetic activity is withdrawing, how fully parasympathetic tone is establishing itself. This builds a live picture of your biological readiness for sleep.
If readiness is tracking low, the system acts. Targeted vestibular and vagus nerve stimulation sessions are delivered through the evening to support the shift - deepening parasympathetic dominance before it becomes a problem at the pillow.
When the readiness window opens and you are ready to sleep, stimulation shifts focus. Vestibular and vagus nerve stimulation continues - the vagus nerve directly supporting smoother sleep onset, the vestibular pathway sustaining the parasympathetic state built through the evening.
Sleep onset is a threshold. The evening's preparation builds toward it. The stimulation at bedtime helps the nervous system cross it.
In lab studies measured against the PSG record, subjects using this protocol showed measurably shorter sleep onset latency. Not self-reported. Tracked to the epoch against the clinical reference standard.
Once asleep, the system switches to protection. DUSQ continues reading the EDA signal. A rapid rise in conductance signals an Autonomic Surge - a subcortical arousal event that fragments sleep architecture without waking you. The average adult experiences 20 to 30 of these every night.
When a surge is detected, a brief vestibular and vagus nerve stimulation response is delivered. The vestibular component targets the arousal pathways interrupting deep sleep; the vagal response suppresses the underlying sympathetic activation. The aim is attenuation - shortening the surge before it propagates.
When each one is attenuated rather than left to run, the recovery the night was supposed to deliver is actually delivered. You wake up restored. Not just rested - restored.