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Do you know the recommended Spectra breast pump settings? Start High. End Low. For the first two minutes of pumping, you'll want to have the cycle (buttons on your left) set to 70. ​As for the vacuum setting (buttons on your right), go as high as you can as long as it doesn't hurt. As soon as you wince or feel uncomfortable, turn it down a level. When your timer hits the two minutes mark, you push the center button with the squiggly lines. You'll find your sweet spot of what setting yields the m