My husband is also Bulbar, Fvc was 65 in Sept, 55 in March, and his swallow test done last week was great. No restrictions at all other than common sense. He does have PEG, just do not need to use it yet, and who knows, maybe he wont have to use it. The swallow doc said as much. With this !@#$% disease, every single person is different. Just be prepared in advance. Staying one step ahead is so much better than trying to catch up! HUGS Lori