Diagnosed in 2016 with MGUS, still expect to ring in the New Year, during which I'll turn 87. I've had fatigue off and on but basically no change in numbers. Overweight all my adult life - in my early 30s 287. Mostly in the 195-230 range, with a big dip during the pandemic when I got into the 170s on a very determined keto diet. I do a fair amount of exercise and try to eat low-carb though I gain slowly but steadily if I'm not on keto, which I find very difficult - have v. little tolerance for carbs. Now 190s and trying to get to 170. My hematologist has never said a word about diet and MGUS, just that progression is rare. And I have been one of the lucky ones...