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Due to the electrical impulses therapy, when you use it you may have a feeling of pricking by a needle, which is caused by the insertion fit of the electrode plates (the season changes, the degree of skin moisturization, and the penetration rate are different). Here are some instructions you can follow when using the machine to get more comfortable experience. 1. Use gel paste which can be used 10 times or 3 days usage period. 2. Put a wet towel on the surface of neck for 10-20 seconds before use. 3. Apply a little moisturizer, cream or other moisturizing products on the electrode pad before use. 4. When turn on the machine, please avoid choosing the higher level of intensity at the beginning. Please start with lower level and then the upper one according your situation. 5.Do not use it when there is an implantation of pacemakers and avoid hair and jewellery touch metal electrode pads during use. Please feel free to contact us first if you have any other questions when using.