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@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.

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Replies to "@cholash Yes, after I posted it I thought that too. NTM is in water, soil, and..."

@jnmy all great questions and above my pay grade. Maybe others have seen studies?

@jnmy & @cholash Wow, predisposition is a great question, one I have been thinking about lately.
Here is a recent paper (I'm reading it now) on just that issue -
https://www.frontiersin.org/journals/tuberculosis/articles/10.3389/ftubr.2025.1735568/full
Do you want to read it too and discuss further (looks lots of good reference studies linked to it)?