It can use at Lake Tahoe high altitude ?

Yes. This product can even be used while on a plane.

How many times does one have to use this product on an airplane to seek relief?

I never used it on an airplane, but works great at home.

How does this differ than the 'nose pinch and blow gently' method?

This device will put the air into your Eustachian Tubes to help them open and are good to use when pinching and blowing do not suffice.

Safety Information area states "Eustachi is a medical device”, disclaimer area states “not a medical device”. Which is true?

There is a correction. The Eustachi is in fact a medical device. Amazon is still working on correcting the information.

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NeilMed Eustachi-Eustachian Tube Exercise-Pop Blocked Ears Safely. Helps Relieve Ear Pressure

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