@dmdinapoli81 , i have had SMM since May 7, 2025 with 20-30% plasma cells with a lambda restriction, 2.2 g/dl monoclonal protein and flc ratio less than 0.1 on bmb. Lambda is very high 631 and Kappa is very low 35.

My hematologist ordered a repeat serum flc this week and I have a repeat bmb on Christmas Eve. My last two MRIs showed 2 focal enhancements, 5 mm x 8 mm and 5 mm x 6 mm. There is a 3rd that us 4 x 4. None of these areas showed up on July PT CT scan. We are discussing start of treatment to slow progression after we see results of new tests.

@dmdinapoli81 Kappa is high at 227.9 mg/dL with ratio at 15.19 mg/L

@dmdinapoli81 I forgot to mention SMM is IgA Kappa.