Thank you Patty! I appreciate the reply and suggestions!

I am getting a glucose monitor as well, which is new to me, but hopefully that will help me track hypoglycemia. Thus far I have felt less tired and more crisp, but I'm glad you mention it as I didn't really consider it getting too low.

I am an American living in Spain, so thus far I'm just trying to understand the new vocabulary my doctor mentions. Yes, Monoclonal Gammopathy = Monoclonal Gammopothia in Spanish, but when you're told you have that in Spanish, you are wondering what you have just heard. I'll have to determine in time whether we have a good relationship. The positive thing is that healthcare here is so affordable and I can use both a public and private set of doctors in parallel. I meet my public one today for the first time.

I'm glad you are low risk to progression, and it's promising to hear that you've held your numbers stable. I think I am unfortunately high risk, given a >1.5 M-Spike, my IgA and IgM are declining while my IgG is high (Immunoparesis), and I have abnormal free light chain ratio (Lambda) of .18, so I think I'm the Triple Threat! But I also feel very positive that I can make my life healthier and really slow the progression, and that should I get MM it does seem they have some promising therapies coming along with Car-T cell therapies etc.

Thanks again for your feedback and advice!