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A duty cycle of 60% in an Intense Super Pulsed emission context indicates that the laser is powered on 60% of the time during a given period and is off for the remaining 40%. This means that the laser is indeed activated more frequently than it is deactivated, allowing for effective energy delivery during treatments. The advantage of a 60% duty cycle is that it can facilitate therapeutic benefits while still allowing for cooling and tissue recovery between pulses, which can minimize potential tissue overheating and improve patient comfort.

In this scenario, the other options do not align with the concept of a 60% duty cycle. A statement about the laser being completely off during operation would contradict the definition of the duty cycle itself. Similarly, claiming that the laser operates at peak power continuously misrepresents how the duty cycle functions, as it specifically implies periods of activation followed by periods where the laser is off. Lastly, suggesting that the laser only operates at lower intensities does not accurately describe the mechanism behind a 60% duty cycle in the context of Super Pulsed emissions, where variations in power may still occur within the active time frame.