IMHO, you are doing the right thing -- experimenting with what works best for you. I often say our journey with NTM/BE is as individual as our fingerprints, and so what works great for one person may not work at all for another.

My vest is a Monarch, so it uses magnets, not compression. After Dr. McShane's presentation, I split nebulizing apart from Aerobika and vest for a couple weeks. Then I did every other day in tandem or separately to compare and honestly didn't seem to have any difference in production. I do them separately whenever I feel I need to be a little more thorough, though, just out of an abundance of caution.

In my group, some people have more success with the Pari Trek and the cups that come with it over the Aeroclipse and Ombra. Some folks don't really clear until sometime after nebulizing and then by using postural drainage or cardio workouts. Keep experimenting and you'll find your solutions!

AFA albuterol, I don't necessarily notice any greater production either. But I keep it up, mainly because of that comment. I guess if my smaller airways are not compromised, they wouldn't necessarily produce more mucus, but I do want to keep them as bacteria free as possible!

Thanks! Hoping that my "drug vacation" is a very long one. 🙂

Laurel