I have hand tremors. I have probably had them longer than I knew about the MGUS (2016) or maybe about the same time. However they just changed to a more intense tremor that is now affecting my job. They are evaluating for anti-mag and cryoglobulinemia but I have other symptoms as well like intense neuropathy and intense cold as well as ringing in my ears, balance issues and headaches. My IgM has been hanging out around 1100 right now and has been as low as 800 and as high as 1340 this year. It seems to be a moving target. My symptoms have significantly changed in the last few months. I am positive for myd88 l265p.