My husband is also on Spiriva and Advair. He also has a recue inhauler. They are not working as well as they use to. I agree with mary59az, use of O2 may help with the breathing. Are you a diabetic? If so, your sugar level may be low, and you may need a boost. Try to eat more protein foods to boost your enegry level a bit. I know your illness only gives you limited mobility. I hope you feel better. I'll stop by again to check on you. May god bless you and watch over you..
IF YOU ARE ON OXYGEN USE IT WHEN YOU FEEL THIS WAY IT CAN BE YOU O2 LEVEL. I HAVE THE SAME PROBLEM AND I AM 59 YEARS OLD AND I HAVE WORKED IN THE MED FIELD FOR 20 YEARS. LISTEN TO YOUR BODY. I SOMETIMES USE A COMPUTER CHAIR WITH WHEELS, I HAVE CEMENT FLOORS. I AM ALSO ON THE SAME MEDS AS YOU. EAT RIGHT. LOTS OF FRUITS (BERRIES AND VEGGIES) THIS HAS WORKED FOR ME ALONG WITH GREEN TEA. GOD BLESS AND I HOPE YOU WILL FEEL BETTER.