I use the Breyna inhaler twice every day, only add levalbuterol nebs during an exacerbation.

My lungs are (currently) quite clear, so I use saline 1-2 week, do airway clearance daily after exercise. All that goes back to twice a day nebs/airway clearance at the first sign of a respiratory infection or other exacerbation. Fortunately that only happenned in 2024 when I had Covid, otherwise I have been doing very well. My pulmonologist called me a "poster child" on how to pay close attention and change up my routine as needed.