Hello. Thank you for asking at HCM. I went through your mother s history and would like make suggestions for her as follows: 1. Were I treating her, I would prescribe her regular montelukast in addition to seroflo inhaler. It will help her exercise-induced symptoms as well as improve control of asthma. 2. I would also make sure that her technique of using inhaler. This is the most important aspect as if it is not proper, adequate amounts of drug may not be reaching lungs. 3. If she also has allergic rhinitis (nose symptoms), sinusitis or gastroesophageal reflux disease (heart burn, regurgitation especially after hot/spicy foods), I would also treat them simultaneously as each of them can aggravate asthma. 4. If she needs to use levolin or nebulization more than twice a week, it means her asthma is not properly controlled and in that case i would increase her controller medications. 5. Personally I would suggest her allergy testing which will help her to identify the substances causing allergies and also to know the measures to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe her allergen specific immunothearpy which works on her immune system to reduce allergy symptoms gradually. 6. Regular breathing exercises (including Yoga & Pranayama) and a healthy diet rich in vitamins, minerals & antioxidants (i.e., adequate amounts of green leafy vegetables, fruits, sprouts, etc) will also improve her lung capacity and immunity respectively and will help her in a long run. 7. In general, I would suggest her to avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will helpful to her. Should you have any further query, please feel free to ask at HCM. Wish your mother the best of the health. Thank you & Regards.