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Mr Singh is a 72 year old man with a longstanding history of Chronic obstructive pulmonary disease (COPD). He has no other past medical history, and he is currently using Trimbow (Beclometasone 87 micograms/Glycopyrronium 9 micograms/Formoterol 5 micrograms) but reports ongoing symptoms.

Which of these is not an indication for referral for consideration of long-term oxygen therapy?

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