When I was diagnosed with an M-spike 2 years ago which turned out to be IgG MGUS. I checked with a retired oncologist friend who told me to make sure that I used a doctor associated with a major medical center. He did not have confidence in the local hematologists/oncologists when it came to dealing with multiple myeloma because they didn't see much of it. I followed his direction; and after speaking with other patients using local doctors, I am glad that I did. My numbers continue to climb slowly. My hemotologist/oncologist checks my bloodwork every 3 - 4 months. I receive iron infusions as necessary. He will start treatment if/when my "bad cells" reach 10%. At my last appointment, my light chain ratio was nearly twice what yours is, but I don't let it keep me down. I slow down/take breaks when I need to, and keep a positive attitude. I try to avoid sick people because of my lowered immune system. I have a little pain in my bones, but I treat with a turmeric & ginger tea, and/or an OTC pain reliever. I am now due for a bone scan. We will see if anything turns up. My advice: Make sure that you get a good doctor who is WELL INFORMED about Multiple Myeloma. Don't panic. Don't think this is the end of the road. You've got a long way to go yet, and it may not ever turn into full-blown MM. Just be sure to live your life in a way that is as good and as satisfying as you can make it. God bless!