This co-designed provocation study in IEI-EMF volunteers evaluated whether perceived exposure and symptom reporting tracked actual EMF exposure under double-blind conditions. The abstract reports no consistent alignment between perceived exposure certainty or symptoms and true exposure status at the group level, with limited individual exceptions. Symptom reporting was related to certainty of being exposed for about half of participants, which the authors interpret as supporting a nocebo-type mechanism and motivating refinement of provocation protocols.