Good morning! As Sue accurately stated, this is definitely a situation each person has to figure out based on their own comorbidities, lifestyle, exercise level, etc., but I've been once a day for probably at least four years. Now, I am super active and do lots and lots of aerobic exercise. (We hiked up Mt. Leconte here in the Great Smoky Mountains yesterday, for example. 16 miles roundtrip and over 4300 feet of elevation, so I'm not a typical BE patient for sure.)

In my case, again, like Sue, I take precautions. Water heater at 135, Safe Water shower filters at home and our travel trailer. LARQ water bottle (even though reflux has been ruled out in my case). I keep a mask in my backpack and also in my pocket when out walking in case it gets dusty, landscapers are mulching, etc. I avoid high-risk activities but still live my life. I've been NTM clear for going on 3 years and off all meds for just shy of two years.

I get up and start the coffee pot, then go do my airway clearance, which includes my Monarch vest and also nebulized saline and Aerobika and rarely, if ever, skip a day, even if I'm doing a lot of exercising.

Best of luck!!