Fatigue with NTM

Posted by bayarea58 @bayarea58, Mar 12, 2025

This is just a random comment but something I thought worth sharing at group level: I keep reading comments by those in this group (and similar groups) about being “asymptomatic” but with fatigue, sometimes extreme fatigue. I was listening to an NTM discussion recently and the doctors made the comment that fatigue is one of the most frequent systemic symptoms (along with weight loss), and the systemic symptoms are the ones most reflective of the degree of infection, more so than say coughing. I thought this was an extremely interesting comment given the way so many patients view being “symptomatic”. I think part of it is lung disease is generally associated with coughing, breathing challenges, etc. And fatigue can be a little nebulous, certainly for any woman post-menopause. But certainly for those evaluating whether/when to treat NTM, I think it is important to recognize the significance of the systemic symptoms and not think that because one doesn’t have a cough or SOB that one is “asymptomatic”, particularly where one is experiencing fatigue, and certainly where one is experiencing extreme fatigue. Hopefully people’s doctors are flushing this out with them, but I see the comment being made by fellow patients so frequently I thought it deserved a shout-out.

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

Profile picture for Mary @mjb24

@jessed I had severe fatigue before being diagnosed with MAC and mild bronchiectasis . It got much better once I started the antibiotics but lately it is back with a vengeance.

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@mjb24 I have BE, NTM, and asthma. I've experienced fatigue off and on since 2024. Last year, I started taking Chinese herbs which really helped but I switched to NMN and Coq10 supplements 1.5 months ago after my brother text me about clinical NMN studies and how they improve fatigue, strength, and endurance for the aging and/or chronically ill. My sister also chimed in. My brother is an anesthesiologist and my sister a geneticist (who ran medical research labs and wrote a book on aging), so good sources of information. I read a few studies and that was enough for me. The NMN and CoQ10 is a precursor to ATP (cellular energy)-which is what we need. Within 2 weeks of starting the NMN, I noticed a difference in my energy. A friend of mine started the 2 supplements last week, it will be interesting to see if she's noticed a difference. I also take Vitamin D3, which many of us with BE are deficient. I'm just happy I could stop the Chinese herbs; they worked but were very expensive and caused GI issues. The Eastern Medicine doctor had started me on 16 capsules/day (4 for energy and 4 for liver), I eventually cut it back to just 4 of the energy capsules but could never go off of them, now I don't need them anymore.

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Profile picture for loyse @loyse

@jessed I have fatigue a lot, and usually an elevated temp along with it when I have it. Not a clinical fever, but a fever of sorts for me, as in 99.6. It can be depressing, but it seems to come and go without a lot of rhyme or reason. I hope you are feeling less fatigued now.

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@loyse BTW, I also often present clinically, with a "normal" temp at 99. My normal temp is about 97.3. Anytime I run 99, I KNOW an infection is trying to kick up, in my case anyway. This has been going on for 20 years. Sometimes, I "kick" whatever is starting to fester, but sometimes, it just progresses into a full-blown infection. I had it explained to me once, that because of the MAC my body is always fighting, the opportunistic bacteria (that we all harbor) will and do come out to wreak havoc from time to time.

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Profile picture for Liz @ursala7

@loyse BTW, I also often present clinically, with a "normal" temp at 99. My normal temp is about 97.3. Anytime I run 99, I KNOW an infection is trying to kick up, in my case anyway. This has been going on for 20 years. Sometimes, I "kick" whatever is starting to fester, but sometimes, it just progresses into a full-blown infection. I had it explained to me once, that because of the MAC my body is always fighting, the opportunistic bacteria (that we all harbor) will and do come out to wreak havoc from time to time.

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@ursala7 Yes. That's it! "Because of MAC, our bodies are always fighting the opportunistic bacteria (that we all harbor) that will and do come out to wreak havoc from time to time." suffering comes more from not believing what is true. This is true.

May I accept it, stop kvetching and moaning, and stay with the program.

Today, I have > fatigue from just going to the bookstore last night with my hubby. I slept late and missed church. I have so much I want to do. Like get out and buy some mums. But first and foremost my airway clearance and exercise. Hoping it will help lesson my fatigue and help me get out. Best, Jessed

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Profile picture for kathyjjb @kathyjjb

@mjb24 I have BE, NTM, and asthma. I've experienced fatigue off and on since 2024. Last year, I started taking Chinese herbs which really helped but I switched to NMN and Coq10 supplements 1.5 months ago after my brother text me about clinical NMN studies and how they improve fatigue, strength, and endurance for the aging and/or chronically ill. My sister also chimed in. My brother is an anesthesiologist and my sister a geneticist (who ran medical research labs and wrote a book on aging), so good sources of information. I read a few studies and that was enough for me. The NMN and CoQ10 is a precursor to ATP (cellular energy)-which is what we need. Within 2 weeks of starting the NMN, I noticed a difference in my energy. A friend of mine started the 2 supplements last week, it will be interesting to see if she's noticed a difference. I also take Vitamin D3, which many of us with BE are deficient. I'm just happy I could stop the Chinese herbs; they worked but were very expensive and caused GI issues. The Eastern Medicine doctor had started me on 16 capsules/day (4 for energy and 4 for liver), I eventually cut it back to just 4 of the energy capsules but could never go off of them, now I don't need them anymore.

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@kathyjjb
I am interested in trying the NMN and CoQ10 to see if they help with my constant fatigue. Is there a trusted brand you use for these supplements? There are so many available, even one called Doctor's Best that has a combo of the two supplements.
Thank you.

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Profile picture for clynnp @clynnp

@kathyjjb
I am interested in trying the NMN and CoQ10 to see if they help with my constant fatigue. Is there a trusted brand you use for these supplements? There are so many available, even one called Doctor's Best that has a combo of the two supplements.
Thank you.

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@clynnp I use the NOW brand ubiquinol, which is a more bio-available version of CoQ10. It's a bit more expensive, but I think it is worth it.

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Profile picture for loyse @loyse

@clynnp I use the NOW brand ubiquinol, which is a more bio-available version of CoQ10. It's a bit more expensive, but I think it is worth it.

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@loyse Thank you. I'll take a look at that!

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Profile picture for kathyjjb @kathyjjb

@mjb24 I have BE, NTM, and asthma. I've experienced fatigue off and on since 2024. Last year, I started taking Chinese herbs which really helped but I switched to NMN and Coq10 supplements 1.5 months ago after my brother text me about clinical NMN studies and how they improve fatigue, strength, and endurance for the aging and/or chronically ill. My sister also chimed in. My brother is an anesthesiologist and my sister a geneticist (who ran medical research labs and wrote a book on aging), so good sources of information. I read a few studies and that was enough for me. The NMN and CoQ10 is a precursor to ATP (cellular energy)-which is what we need. Within 2 weeks of starting the NMN, I noticed a difference in my energy. A friend of mine started the 2 supplements last week, it will be interesting to see if she's noticed a difference. I also take Vitamin D3, which many of us with BE are deficient. I'm just happy I could stop the Chinese herbs; they worked but were very expensive and caused GI issues. The Eastern Medicine doctor had started me on 16 capsules/day (4 for energy and 4 for liver), I eventually cut it back to just 4 of the energy capsules but could never go off of them, now I don't need them anymore.

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@kathyjjb Thank you for your input. I hope they help you. I have read up on CoQ10 before but never tried it. Before being diagnosed with MAC, BE & COPD I never took any medication, supplements or vitamins. I would take tylenol if I had an awful toothache but that was it. I lean more towards eating the right food and not eating the wrong food. I don't like taking any kind of medicine and although I am intrigued by the claims of some supplements, I still can't bring myself to take them. Unfortunately, I am now on 3 antibiotics, Arikayce, a daily inhaler, Vitamin D3 and a probiotic. Yikes! So I am really reluctant to add anything else. I will, however, research your suggestions more as it is intriguing.

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Profile picture for clynnp @clynnp

@kathyjjb
I am interested in trying the NMN and CoQ10 to see if they help with my constant fatigue. Is there a trusted brand you use for these supplements? There are so many available, even one called Doctor's Best that has a combo of the two supplements.
Thank you.

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@clynnp Currently, I'm taking Prohealth Longevity, Liposomal NMN Pro 300 and Qunol Ultra CoQ10. That's working good for me but after I'm done with that, I'm going to try Life Extension Optimized NAD+ NMN. I would stick with the Prohealth but my brother sent me the Life Extension brand-so a freebie, which I can't resist:).

That's interesting that Doctor's Best combined the NMN and CoQ10. The 2 work synergistically in ATP production. That said, I noticed an improvement in energy and endurance when I was taking just the NMN. I'll take a look at the Dr's Best as well. Life Extension NMN adds reveratrol, bio-quercetin, and fiestin-so another synergistic mix.

I hope it helps. There's always the placebo effect. In a few weeks, I will post my friends (she has BE, MAC, and COPD) experience-hopefully it will help her as well.

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Profile picture for kathyjjb @kathyjjb

@clynnp Currently, I'm taking Prohealth Longevity, Liposomal NMN Pro 300 and Qunol Ultra CoQ10. That's working good for me but after I'm done with that, I'm going to try Life Extension Optimized NAD+ NMN. I would stick with the Prohealth but my brother sent me the Life Extension brand-so a freebie, which I can't resist:).

That's interesting that Doctor's Best combined the NMN and CoQ10. The 2 work synergistically in ATP production. That said, I noticed an improvement in energy and endurance when I was taking just the NMN. I'll take a look at the Dr's Best as well. Life Extension NMN adds reveratrol, bio-quercetin, and fiestin-so another synergistic mix.

I hope it helps. There's always the placebo effect. In a few weeks, I will post my friends (she has BE, MAC, and COPD) experience-hopefully it will help her as well.

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@kathyjjb Thank you for sharing that information. I will take a look at everything you mentioned.

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Profile picture for Mary @mjb24

@kathyjjb Thank you for your input. I hope they help you. I have read up on CoQ10 before but never tried it. Before being diagnosed with MAC, BE & COPD I never took any medication, supplements or vitamins. I would take tylenol if I had an awful toothache but that was it. I lean more towards eating the right food and not eating the wrong food. I don't like taking any kind of medicine and although I am intrigued by the claims of some supplements, I still can't bring myself to take them. Unfortunately, I am now on 3 antibiotics, Arikayce, a daily inhaler, Vitamin D3 and a probiotic. Yikes! So I am really reluctant to add anything else. I will, however, research your suggestions more as it is intriguing.

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@mjb24 You are so welcome. I've tried a lot of supplements and never felt anything-at all. I would add the NMN before the CoQ10. Vitamin D3 is also so important for us with BE! I hear you loud and clear about not taking any medications and supplements "before". As I said, I have tried other supplements before but never felt any difference in comparison to what I have felt with the NMN-which is why I wonder if I'm experiencing a placebo effect, I read the studies and I'm feeling the same outcomes exhibited in the study results. I would suggest doing some exercise or endurance tests prior to starting and again at 2- and 4-week intervals and if there is no change - you have adequate NMN without the supplement. I did the sit stand timed test (or chair test) and noticed a significant improvement. Best of luck to you and please keep me posted. Kathy

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