Who is overlooking your care and lab results. Every six months and your lab values seem to be normal according to Mayo. 2/20/20 except the bone marrow part would need to be done. Not sure how often they do them either MGUS. I have SMM and am considered low risk with 15% PC in bone marrow. There is some fluctuations in lab work results but if you are seeing a trend upwards maybe a bone marrow would be in order.