Very similar here however i am at 10mg. My gradient with Valsalva is 20. My septum is 1.9cm. 10 months on Camzyos and i try to bike 6 miles three times a week at about 12-13mph. I avoid hills. If i push too much I pay for it the next day. I feel frustrated as I am wondering if I am just kicking the can and if it's really more related to my diastolic dysfunction than the obstruction. However, I am guessing that the obstruction is greater with exercise. I certainly notice greater symptoms after I eat. Some have told me that they have had their Dr add Jardiance to the cocktail. This is something I am going to ask at my next visit. However, with HOCM we need to be careful with any sort of direretic as it can trigger obstruction. I worry that a septal reduction will not do anything for me- if they would even suggest it given my obstruction is now being controlled by Camzyos. I do remain a little confused and I am just staying the course-