Hi Bob, There can be different stages of WM. Often in the early period of the disease patients don’t require treatment and are in active surveillance. As the M protein increases it can indicate a change in your condition.

I have a couple of informational links for you that might be helpful to learn more about the blood condition.
This from Mayo Clinic:
https://www.mayoclinic.org/diseases-conditions/waldenstrom-macroglobulinemia/symptoms-causes/syc-20359967
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International Waldenstrom’s Macroglobulinemia Foundation is a great source of information too!
https://iwmf.com/
Since you posted here in the CAR-T transplant discussion has your doctor suggested a transplant for you? Have you been diagnosed with Multiple myeloma?