Looking for advice: Could this be MGUS, because of low m-spike?

Honestly, hematology is such a complicated area no one but a specialist can tell you those answers and interpret your lab findings.
It could be MGUS, but the bone pain, weight loss, night sweats & extreme fatigue is a little concerning. Have you met with a myeloma specialist to discuss those?
I know we often get results on the portal before the appointment which can cause a lot of anxiety while we wait.
Let us know what you find out, okay? Leslie

The low RBC could be due to blood in the urine; perhaps a urinary tract infection. Any fever?

"Extreme pain in pelvis, lower back and right ribs" could also indicate kidneys.

Are you diabetic?

I would get scans asap

Thank you for responding. I have two different doc appointments with hematologist/oncologist on two weeks.
Thank you so much for responding!

I was a fit 42 yr old CrossFitter. Not diabetic. Had a hysterectomy so not blood from menses. No UTI. They did all the tests to see if I had low iron. I do not. I had a kidney disease as a kid and this is a deep bone pain, not kidney pain. I

And thank you for responding to me.

"And thank you for responding to me"

For sure. I was just pointing out some of the obvious potential issues. You might consider a bone marrow biopsy if you haven't already had one. I pray that you find a workable resolution. Blessings :^) IR

Thank you!! I haven’t had a bone marrow biopsy yet. Thinking that’s the next step.

@oliviahutson Welcome to Mayo Clinic Connect. I'm glad to see some members have already stepped up and answered your concerns. It's always difficult when we don't know what might be happening with us, and trying to cobble a variety of symptoms together can be confusing.

May I suggest you keep a journal of the symptoms you experience. Include time of day, before/after meal/activity, intensity. Write down any questions that come to mind; don't rely on your memory. While your hematologist/oncologist may not be able to give you something definite right away, any helpful notes you take will be a key to getting things figured out!

As an LEO wife, you probably are aware of the thought process to look at everything, and not jump to conclusions until all the facts are in. The same goes here. Do you have any questions I can help you with?
Ginger

Thank you so much! My husband has encouraged me to write down everything (detective/LEO mind) lol.
I am trying to bring everything to the table whne I meet with my two hematologist/oncologist next week. I have a tendency to over look symptoms. Maybe because I am used to being uncomfortable from CrossFit for years. Lol

I guess now, I need to recognize and write down.

Thank you for your support Ginger! God bless all of you! Grateful