@bluesplashgirl Hi Carolyn. So glad that you found our group; we really do help each other get through this disease. I am sorry to hear that your mac has returned. It is common for mac to return because the reason you got it in the first place hasn't changed. Most of the time the reason is having bronchiectasis, low immune system, immunodeficiency, CF, etc. Mac is usually a secondary condition brought on by a chronic primary condition. If you click on my picture icon,; my maintenance drug regimen should come up for you to read. Right now, I am on alternating monthly meds of tobramycin and ciprofloxacin. I have been on these since 2016. I know that if I go off of them for a length of time, mac or pseudomonas will probably come back. I have been doing very well in the last three yrs. My weight came back, energy improved mostly, no more coughing, and my appetite has been back. I live a lot more carefully now too. I do not get into pools or hot tubs, stay out of the stores in the winter for the most part, wash my hands a lot, avoid sick people, and I do not work in the garden soil anymore. Thank you for sharing your photo with your horse. Did you know that horses can get mac also?