Absolutely — and you should. Patients on long-term home oxygen are not excluded from pulmonary rehabilitation; they are among the patients who benefit most from it. At Pulmovista Clinics, all exercise sessions for oxygen-dependent patients are conducted with supplemental oxygen titrated to maintain SpO₂ above 88–90% throughout. The exercise prescription is adapted to the patient’s actual capacity — beginning conservatively and progressing safely. I have Stage 4 COPD patients on 2–3 litres/min home oxygen who have achieved 6MWT improvements of 40–60 metres through the Pulmovista programme. Oxygen does not prevent rehabilitation — it enables it.