How long you use V̇-Com is completely up to you.  There’s no need to remove it, it’s designed to make your PAP therapy more comfortable. Most people  will develop tolerance to the peak flows and pressures of PAP therapy over a period of weeks or months Once you can easily tolerate the peak flows and pressures, you can remove your  V̇-Com device.  If you feel you still need the V̇-Com device, simply re-install it until you are ready to try PAP therapy without it.