Maybe her airway clearance could be optimized. In addition to what she’s doing, she could use an Aerobika and perhaps get a vibration vest

Also, her nutrition is very important. Is she supplementing at all with drinks or through a feeding tube? In addition, there are medications to increase her appetite. Have you thought about making an appointment at National Jewish? One of the nutritionists there who has done a dozen webinars for NTM info and Research, a not for profit, also does individual consultations.

Message me if you would like more information.

Warm regards,
Linda Esposito