@scoop Hi and thx for th suggestion. I certainly could try to arrange an early morning therapy, but after 5 - 6 hours of real sleep, when I do get up, I cough up anything that's obstructed me during the rest of the night, and I go make a hot drink and eat a little something because my blood sugar is low in the AM (not diabetic) so I'm watching that problem because it's been low since starting the meds. ID doc thinks I may be pre-diabetic, but more likely I'm just burning through that many calories and after 12 hours of fast, I'm just that low. But I realize the earlier I can move these neb sessions then I might align my sleep schedule to the early bird ways - but I will likely have the same issues, just timed differently.