That is a great discussion to have with your pulmonologist when they have a new CT and lab results to compare with the previous set. I too neb once a day & do clearance (no vest), only moving to twice for a tight feeling, increased cough, when ill, etc. I also only add a levalbuterol neb as needed. Also, if I have an inflammatory flare in my body, I do more to keep it from settling in my lungs. My pulmonologist is fully supportive of my variable schedule.

I also use singulair daily, flovent, Mucinex 600 LA & N acetyl cysteine 600 twice a day.

Caution: I tend to push the limits. Right now that is safe for me as my Bronchiectasis is stable and my general health is as good as it gets. If anything changes, I leap into action.
Sue