@sueinmn Thank you, Sue.

I understand what you are saying with regards online groups, and am not taking their input on its own.

I have an open mind, and my specialist agreed I could take Spiriva if I found it helpful, but left it up to me. I don't find any obvious improvements in the short term...maybe a reduction in mucus, but at what cost?

I checked AI in case it may provide some long term improvement that I am not aware of, and on that basis decided to start taking it, after having it on hand for months. (I had taken it some years back, without obvious side effects). However, I am aware that it can cause problems by drying mucus into plugs (although I am not aware of ever having any) and is associated with dementia (which I do not need additional leverage towards!), along with other suspected issues. I had forgotten the LM stance towards it, and the long list of reasons...which I suspect have some merit, so....on the balance, I have decided for now to stop taking it, since it was left to myself and there seems no immediate benefit. I was simply interested in other's experiences. So many possibilities...difficult to navigate at times when at a reassessment point in health treatment...and it seems so often left to make the decisions ourselves.