It supposed to "just work". I thought it was weird to because it looks like a plastic thing, put apparently it is breathable.
However, it doesn't work as much as you think. The filter works over time so if you have a lot of gas then it is going to seem like it isn't working.
And the paste, i hate it. I started using Eakin rings and I have never looked back. I do have some Adapt rings, but I never got around to trying them.
I use about 1/4 of the ring and apply it on the wafer around the hole that I cut out.
21 y/o male livin' in Georgia. Diagnosed with Left-Sided Colitis in 2002; re-diagnosed with Pancolitis in Nov. 2009.
June 2010 I beat UC by having surgery.
Drugs tried: Just about every 5ASA medicine, enemas, prednisone, turmeric, fish oil, Remicade, psyllium seed powder, Metamucil.
Temp Ileostomy and colon removal surgery - 6/2/2010
Takedown - Sometime next year; busy with job/school.