Hi @shedan16, how are you? I sort of update where I am throughout the thread as I respond to people, which is basically that I'm doing great and only deal with a mild degree (compared to when this first started for me 12 years ago). The air hunger comes and goes, but it's not severe enough to limit much of what I do. There will be "flare ups" now and then mostly corresponding to sinus inflammation, but otherwise have been able to manage symptoms over the years.