Temperature can be a factor in your breathlessness – with the onset of the cooler weather at present your early morning paper pick up is probably going to be more comfortable an hour later as it warms up. On the flip side be aware of the drop on the end of the day and rug up sufficiently. Shower temperatures in the extreme can also have an impact so don’t be tempted to overuse the hot water water now its cooler. The resulting steam will necessitate good ventilation to ensure comfort and not exacerbate your symptoms.