@sueinmn is fortunate in her need to do less than daily airway clearance! I used to be able to do once a day but as I and my lungs have gotten older, I feel best with twice a day. The p.m. session is challenging and I'd rather be sleeping but it helps reduce nightly coughing. Plus I've had bronchiectasis for a while, which is mild but in more than 1 lobe, (no other pathogens at the moment 🙏) and working hard to keep those at bay.

So, @pamelasc1 I guess it really depends on how your lungs feel and sound. If they sound gunky and you cough a lot, 2x day clearance might benefit you. If you can go days between coughing and can sleep through the night (!) then maybe twice a day not necessary. The common denominator among us is that we have some degree of damaged lungs, and any other comparisons diverge from there.

What does your pulmonologist say?