@suzyq61 I started Breztri about two years ago. I thought it was a miracle drug. I felt great and kept on doing my daily activities and enjoying life. About a year later I got really sick. I would be out in the yard and would literally start vomiting phlegm. I did this for a couple of days and saw my Pulmonologist. She gave me steroids and antibiotics and a few days later I felt better. And then I noticed that Breztri wasn’t as effective. I think this is when my emphysema really increased where my body decreased. So I had a sample of Trelegy, which I never cared for the powder, tried it and it seemed to help me. Trelegy is once a day inhaler. So now my Pulmonologist subscribes both, and my insurance pays for surprisingly, and leaves it up to me on what I need. I know your not suppose to double up, but some days you can’t help it. BTW, there are Breztri commercials all over the tv and internet. Especially at night during the 6:00 news if you watch then. People act like they don’t have any breathing issues whatsoever.