I have these two mutations. I've read that the 3849 mutation generally leads to being pancreatic sufficient. I'm just theorizing, but I believe that my normal nutritional status has helped me a lot. I've always been able to stay at a normal weight, and it seems like current research suggests that a BMI on the higher range of normal is best for us.<br><br>I have cultured pseudomonas since my early twenties, and have been pretty vigilant about keeping up with my treatments since then. My FEV1 still hovers around 60%. I nebulize albuterol, pulmozyme, hyperSal, and antibiotics twice every day, as well as using pharmaNAC regularly, which seems to help me keep down the inflammation. For me, reducing inflammation seems to be the key to avoiding those crisis periods.<br> <br>I struggle with my sinuses, and do saline and antibiotic rinses twice a day, along with several different nasal sprays. <br><br>I am on IV antibiotics usually twice a year. I can no longer use tobramycin because my vestibular system was destroyed by genta years ago. That has added a whole new disability to the mix. I feel a little more fragile as the years go by, but I'm 43 and I'm still here. Every day I wake up is a good day.<br><br>Martha<br><br><br>