Fatigue with NTM

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.