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@jnmy it’s my understanding that NTM is in most water . It’s just not a problem for the average person . “Is there a biological cause ? “ At this point, I don’t know if it’s been studied . According to my NTM specialist , she’s had a lot of BE patients that never get MAC, and they don’t practice risk prevention . I think “ predisposition “, and what exactly that is, may be the million dollar question .

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Replies to "@jnmy it’s my understanding that NTM is in most water . It’s just not a problem..."

@cholash Yes, after I posted it I thought that too. NTM is in water, soil, and in the air we breathe. I agree, the predisposition, is the million dollar question.
Are there studies that demonstrate that certain other factors such as Gerd, Asthma, other lung disorders, COPD, maybe smoking etc make it somehow more likely to get infected with NTMs.

Do the structure / damage in the lungs and presence of earlier specific infections play a role? So many questions.