I did a bit of research and the LED chipset in the IR flashlight is a standard 5 watt array that can be purchased easily from many sources. The review from Amazon pasted below seems to explain it more - with the right power supply (maybe regular household electric service rather than batteries) it does pull 5 watts.
But even if it is not pulling the full 5 watts, it still is a 830 nm wavelength beam, which is the most critical factor. You can deliver more dosage at lower power by using it longer.
@WildMan seems to be getting a response with only about 10 minutes per ear twice a week, and I am guessing he is using just a regular AA battery. So that 10 minutes could be increased to 15 or 20 if someone wanted, and the LLLT dosage would be doubled.
Amazon review
https://www.amazon.com/gp/product/B01DDU0ILY/
3.0 out of 5 stars - only 1.5W with an Alkaline AA, need over 2.5v!
By Amazon Beeker on November 7, 2016
Verified Purchase
While the case is a nice feel and the circuit does use feedback circuitry, this unit does not run at 5W with a AA battery. Testing the input power vs voltage, this flashlight runs at about 1.5W at a full 1.5v, but quickly drops to about 0.7W at 1.2v.
The product description says a AA battery is used, but unless that's a mistake, this lamp is not the advertised 5W.
(I did a bit more testing with a lab supply, at around 2.5v it was pulling 5W and was a lot brighter, so I'm assuming you need a higher voltage battery for it to run full power" though I don't have the power at the 3-4.2v the 14500 runs at.