@carlabaz Hugs to you as well. It is hard, not knowing what is coming and how it will affect us. I'd be glad to help where I can, and it would be good to get a detailed explanation from your oncologist on what all your numbers mean. I plan on keeping a journal of my treatment, reactions (tired days, good days,...). Doctors don't always cross check meds or supplements, to see if some are easier on kidneys or other organs during treatment. Here is a good site for MM info: https://themmrf.org/multiple-myeloma/ . For me, it is best to start treatment before it spreads (a risk with IgA Kappa light chain SMM, less for other varieties).