Thanks for posting this question. I'm grateful for all of the rich sharing.

My morning routine starts with daily meditation, then yoga, then my neb with saline. All 3 are best on an empty stomach, so I eat breakfast afterwards.

I rarely do a second neb, but sometimes I do multiple vials of saline in the morning. It can take awhile to get the little mucus plugs to come up. But when they do, I feel victorious.

The biggest trigger for me with aspiration is eating or drinking too much all at once. I have a hard time grazing and eating small meals. I'm working on it.

My doc wants me to gain weight as I lost a lot of muscle tone after skipping yoga for a time due to a flare-up followed by a shoulder injury. I'm happy to be regaining strength and feeling energized again.

Other than MAC, GERD, and Bronchiectasis, I'm super healthy and active. LOL My pulmonologist told me years ago that I'm doing more with lifestyle than they can do with western medicine, so I carry on.

Doing my best to be mindful about how I eat, exercise, and manage stress is key is to living a joyful, happy life.