Instead of antibiotics, my doc has put me on a biologic because of exacerbations. It has been pretty good so far but now we are going to discuss switching biologics because of a side effect (aching joints that is worsening over time).

I was concerned about antibiotic resistance, potential hearing loss and heart issues which can be side effects of maintenance antibiotics.

The year before starting the biologic, I had 3 exacerbations and also blood eosinophils >300. Since starting biologic, no exacerbations! Inflammation levels as measured by blood tests appear a bit lower as well.