![]() You may want to switch back and forth between Massage and Expression mode, especially if you find that your milk flow has slowed down. Never pump with the suction so high that it causes pain and/or damage. Slowly increase the suction level until you are comfortable. Slowly decrease your cycle speed while increasing the vacuum level. Once this happens, switch to Expression Mode starting on Cycle 54 / Vacuum 4 or 5 (or whatever level you were using in Massage Mode). It is generally recommended to start in Massage Mode on Cycle 70 / Vacuum 1 and slowly increase the vacuum until you have reached a letdown and the milk has started flowing (you may feel a pins and needle sensation or see the milk start to spray). Many prefer to turn on the pump first (to avoid that initial shocking jolt of a pump going full force), press the wavy line or “bacon” button to start the massage mode, and then attach the flange to their breast. It is important to note that S1s and S2s start in expression mode.
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