I had NTM IN 2002 & was treated for 18 months. Developed bronchiectasis and had 8 exacerbations (pseudomonas infections) during 2024 & was treated each time with levaquin. I went to NJH in Aug 2025 for one week evaluation & was placed on brinsupri. Dr Goldstein explained that I should be treated with levaquin if pseudomonas infection causes problems. Even though it has colonized your lungs, You dont want it to overwhelm your system. When my mucus gets yellow & thick & I can feel my breathing is affected, I get a sputum sample checked to see if it is positive for pseudomonas - if it is I get treated with levaquin. There are times when the sputum will not reveal pseudomonas & then I dont get levaquin. I just have to be vigilant with nebulizing & clearing lungs