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A flow therapy apparatus may allow adjustment and control over characteristics of the gas flow, including flow rate, temperature, gas concentration, humidity, pressure, etc. The flow of respiratory gases can be adjusted based upon a detected breath cycle of the patient. A flow source may be controlled using a periodic waveform, which is adjusted to have a phase based upon that of the patient's breath cycle, such that flow is adjusted in response to the patient inhaling and exhaling. The method can comprise driving a blower motor using a control signal, the blower motor configured to generate an air flow to a patient. The method can further comprise detecting a breath cycle of the patient by receiving a first sensor input comprising one or more flow measurements from at least one flow sensor, receiving a second sensor input comprising one or more pressure measurements from at least one pressure sensor or one or more motor speed measurements associated with the blower motor, and generating a breath cycle waveform using at least the received flow measurements, wherein the breath cycle waveform can comprise a plurality of alternating inspiration and expiration periods by the patient.

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