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Expiratory Flow Limitation, or EFL, is closely associated with hyperinflation and air trapping, particularly patients with COPD. Poor expiratory flow can also impact a patient's ability to clear their own secretions. In this study of COPD patients, almost all saw improvement in their EFL scores when treated with IPV therapy. See the evidence on IPV therapy: https://hubs.ly/Q02LjR0l0

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