What is your threshold to start triple therapy in mild to moderate asthma/COPD overlap with minimal functional limitation?

The question is vague as it does not define functional limitations.

If the patient has frequent exacerbations (not defined by the question), Triple therapy would be recommended. If she just has minimal SOB for instance an exercise induced type picture SABA/LAMA prn with LABA ICS (w/o LAMA) would be ...