Be well Tim. My husband is hanging in. His breathing capacity is 30%, and he is on hospice. On his trilogy 20 hours a day, but he has no pain and can eat and walk short distances with walker. He takes riluzole and protein shakes. Also on lorazepam and morphine as needed, to help breathing. He can’t do any weight exercises or bike anymore. It has been 24 months since his co2 levels increased, meaning his diaphragm started declining. Day at a time. Be well.