Yes, people are born with Tourette, though the severity of its manifestation may be influenced by environmental issues.
The vast majority of people with Tourette Syndrome have inherited it. When a person has Tourette, they have a 50 percent chance of passing it on through their genes. It is often difficult to tell whether someone has Tourette, because the disease manifests itself differently in each person - so some traits may never be noticed as they lie close enough to normality, or be without symptoms entirely.
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yes, if you have TS you are born with it, but you often don't know you have it until it manifests itself. usually between the ages of 2 and 18