1. Begin with the easiest resistance settings.

2. Inhale deeply and forcefully for 2 to 3 seconds feeling your abdomen expand. Pause approximately 1 second; then exhale with enough force in order to feel your abdominal muscles contract. NOTE: You should be hearing an audible flow of air for effective training requires a fairly intense level of effort, but not to the point of exhaustion.

3. Continue inhaling and exhaling approximately 6 - 10 times per minute. (This is one set.) Relax 1/2 - 1 minute. Limit daily training the first week to 5 - 6 sets, gradually increasing training to 10 - 20 sets.

4. After maintaining training level for approximately one week, increase the inhalation resistance from #1 to #2 setting.

5. Continue increasing the resistance. It may take many weeks, but check your tolerance by increasing the resistance's and trying it.
Note: For maximum benefit, it is often not necessary to train at the maximum resistances (#5, inspiratory; #4, expiratory), even for the athlete.

6. Practice "huff coughing" if you are congested or if you feel you accidentally or regularly aspirate ("swallowing down the wrong pipe"). NOTE A: A "huff cough" requires you to breathe in slowly and deeply, then flap your arms up and down as you exhale 2 to 3 smaller bursts of air creating a huffing sound. NOTE B: This form of coughing is often more effective and less tiring. NOTE C: If still congested, use the Breather for more "one to two minute" intervals, allowing adequate time for huff coughing.

Note: For complete set of directions, please see Instructions General under "Breather COPD."