I am over a year in too and have found that it comes and goes and it really doesn’t seem to matter what protocols I use. The mucus I cough up has changed from clear and frothy to white, thick and sticky. Trelegy seemed like a miracle cure for about 6 weeks, then the cough and fatigue came back with a vengeance. This week I am starting a steroid pill along with twice daily nebulizer breathing treatments, once a day Trelegy and cough syrup and albuterol as needed. I take a Benadryl at night. I am so done with this.