Does anyone else have MGUS?

Posted by mjlandin @mjlandin, Jun 4, 2022

I was diagnosed with MGUS last October and although I've done a lot of research, I feel there's still so much I don't know. Does anyone else have MGUS?

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@juniperjgin

My own journey with MGUS started in 2014 when my neurologist recognized the ratio between proteins in bloodwork was “off” and ordered serum protein electrophoresis for me at the age of 43.

Though my IGg Mspike (κ light chain)
and bone marrow % have remained low, my numbers fluctuate a lot. Sometimes doctors have been hopeful that it will burn out and disappear. But then it will rise again, and maybe a few months later rise some more and then drop the next time we check.

They call this asymptomatic.

My intuition about my body and the myriad autoimmune symptoms/
manifestations and overall poor health, frequent difficult infections (and even with something like raging kidney infections requiring surgery did not create a rise in white blood cell counts), et cetera lead me to believe there is more happening in MY body.

I was diagnosed with vasculitis in 2022 and with IBD ulcerative colitis in 2023 (didn’t have typical symptoms; colonoscopy revealed disease.)

It is difficult to be be told or continue to read that this has “undetermined significance” and is asymptomatic when I am sick, fatigued, running fevers, aching, “crashing” after activities, and experiencing sensory neuropathy or numbness in hands, wrists, and feet, lower legs and have several autoimmune conditions.

SOMETHING insidious is going on and so far my blood work doesn’t show much beyond the MGUS and low levels of markers in several autoimmune disorder categories and that treatment with Synthroid relieved/improved
many hypothyroidism symptoms.

I wonder all the time what is really happening.

The work I was pursuing with a rheumatologist and dermatologist came to a halt with the arrival of SARS Co-V2 as “elective” appointments were kind of shut down.
Since then I lost my rheumatologist, neurologist, and hematologist with whom I had developed rapport and trust.

Starting over is difficult. So far I have not found great help in the specialist dept.

I have been reading some research regarding the effect rheumatological and autoimmune disease have on the progression of MGUS to MM or lymphoma.
(Risk statistics are increased.)

What I want to know is if there is something about MGUS that triggers the onset of these other, sometimes very debilitating, diseases.

How can a condition, MGUS, which even at a low level changes the chemistry of one’s blood, NOT affect the body? Plasma and blood health work to regulate so much of our health and functioning.

I post this not to frighten others nor to complain. It seems there is so much that is unknown. I just hope to find physicians willing to work on the puzzle pieces with me.

I wish you all good health and send virtual hugs with positive thoughts!

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@juniperjgin Yes, we know our bodies best. And what we present on one day may not be the same thing as we present on another day. Variances in temperature, our own moods, and other health issues can combine to pronounce or retard symptoms seemingly "at will". No wonder it can be difficult for our medical team to pinpoint what is going on. As someone who had MGUS that morphed into multiple myeloma seemingly in record time [they tell me I am an overachiever!], I also deal with comorbidities that can really affect how I feel on a given day, or even my blood results.

Perhaps keeping a journal of your symptoms, how you feel on a day-to-day basis, activity level, etc. will help both your and your doctors to come up with ideas of what is going on. Do you think that is worth a try?
Ginger

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@leslie2121

I’m so sorry you weren’t able to have continuity with your original doctor team. That’s frustrating and adds to your stress level, definitely.
It seems there’s an overarching disregulation in our bodies that is manifesting itself in different ways, and systemically. 🤔

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I do think there is more happening with some of us than the research or statistics show.

Looking at science, I can see that different groups of hematologists around the world have different views and thus different protocols.

Maybe the MGUS does NOT actually trigger much beyond the typical MM, Amyloidosis, Lymphoma, WM…

Yet, there are doctors around the world who do seem concerned about patients (not statistics) who seem to suffer more difficult infections, fatigue, neuropathy, as well as the fracture risk acknowledged by most.

Being “seen” and recognized for the debilitating issues that affect my life in dramatic ways is what I need from any physician.
If I have not been able to “fix” myself and I am unable to use my will or mind over matter to be healthier when I am doing all I know to do, I would appreciate some REAL help.

It’s very discouraging when we are left to suffer in pain, maybe it is treated but not quite managed well enough, and are told or hear insinuations that our insight is wrong because it doesn’t fit with the statistics available through the most predominant research.

Remembering to be brave and advocate for ourselves is always important.

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@juniperjgin

My own journey with MGUS started in 2014 when my neurologist recognized the ratio between proteins in bloodwork was “off” and ordered serum protein electrophoresis for me at the age of 43.

Though my IGg Mspike (κ light chain)
and bone marrow % have remained low, my numbers fluctuate a lot. Sometimes doctors have been hopeful that it will burn out and disappear. But then it will rise again, and maybe a few months later rise some more and then drop the next time we check.

They call this asymptomatic.

My intuition about my body and the myriad autoimmune symptoms/
manifestations and overall poor health, frequent difficult infections (and even with something like raging kidney infections requiring surgery did not create a rise in white blood cell counts), et cetera lead me to believe there is more happening in MY body.

I was diagnosed with vasculitis in 2022 and with IBD ulcerative colitis in 2023 (didn’t have typical symptoms; colonoscopy revealed disease.)

It is difficult to be be told or continue to read that this has “undetermined significance” and is asymptomatic when I am sick, fatigued, running fevers, aching, “crashing” after activities, and experiencing sensory neuropathy or numbness in hands, wrists, and feet, lower legs and have several autoimmune conditions.

SOMETHING insidious is going on and so far my blood work doesn’t show much beyond the MGUS and low levels of markers in several autoimmune disorder categories and that treatment with Synthroid relieved/improved
many hypothyroidism symptoms.

I wonder all the time what is really happening.

The work I was pursuing with a rheumatologist and dermatologist came to a halt with the arrival of SARS Co-V2 as “elective” appointments were kind of shut down.
Since then I lost my rheumatologist, neurologist, and hematologist with whom I had developed rapport and trust.

Starting over is difficult. So far I have not found great help in the specialist dept.

I have been reading some research regarding the effect rheumatological and autoimmune disease have on the progression of MGUS to MM or lymphoma.
(Risk statistics are increased.)

What I want to know is if there is something about MGUS that triggers the onset of these other, sometimes very debilitating, diseases.

How can a condition, MGUS, which even at a low level changes the chemistry of one’s blood, NOT affect the body? Plasma and blood health work to regulate so much of our health and functioning.

I post this not to frighten others nor to complain. It seems there is so much that is unknown. I just hope to find physicians willing to work on the puzzle pieces with me.

I wish you all good health and send virtual hugs with positive thoughts!

Jump to this post

I’m so sorry you weren’t able to have continuity with your original doctor team. That’s frustrating and adds to your stress level, definitely.
It seems there’s an overarching disregulation in our bodies that is manifesting itself in different ways, and systemically. 🤔

REPLY
@juniperjgin

My own journey with MGUS started in 2014 when my neurologist recognized the ratio between proteins in bloodwork was “off” and ordered serum protein electrophoresis for me at the age of 43.

Though my IGg Mspike (κ light chain)
and bone marrow % have remained low, my numbers fluctuate a lot. Sometimes doctors have been hopeful that it will burn out and disappear. But then it will rise again, and maybe a few months later rise some more and then drop the next time we check.

They call this asymptomatic.

My intuition about my body and the myriad autoimmune symptoms/
manifestations and overall poor health, frequent difficult infections (and even with something like raging kidney infections requiring surgery did not create a rise in white blood cell counts), et cetera lead me to believe there is more happening in MY body.

I was diagnosed with vasculitis in 2022 and with IBD ulcerative colitis in 2023 (didn’t have typical symptoms; colonoscopy revealed disease.)

It is difficult to be be told or continue to read that this has “undetermined significance” and is asymptomatic when I am sick, fatigued, running fevers, aching, “crashing” after activities, and experiencing sensory neuropathy or numbness in hands, wrists, and feet, lower legs and have several autoimmune conditions.

SOMETHING insidious is going on and so far my blood work doesn’t show much beyond the MGUS and low levels of markers in several autoimmune disorder categories and that treatment with Synthroid relieved/improved
many hypothyroidism symptoms.

I wonder all the time what is really happening.

The work I was pursuing with a rheumatologist and dermatologist came to a halt with the arrival of SARS Co-V2 as “elective” appointments were kind of shut down.
Since then I lost my rheumatologist, neurologist, and hematologist with whom I had developed rapport and trust.

Starting over is difficult. So far I have not found great help in the specialist dept.

I have been reading some research regarding the effect rheumatological and autoimmune disease have on the progression of MGUS to MM or lymphoma.
(Risk statistics are increased.)

What I want to know is if there is something about MGUS that triggers the onset of these other, sometimes very debilitating, diseases.

How can a condition, MGUS, which even at a low level changes the chemistry of one’s blood, NOT affect the body? Plasma and blood health work to regulate so much of our health and functioning.

I post this not to frighten others nor to complain. It seems there is so much that is unknown. I just hope to find physicians willing to work on the puzzle pieces with me.

I wish you all good health and send virtual hugs with positive thoughts!

Jump to this post

And I think you are right that there’s a connection but we don’t know yet what it is or how to fix it.
You know your body best. Can you tell what helps you?
Have you tried anti-inflammatory measures? Such as diet, sleep and stress reduction?
I’ve added curcumin and tart Cherry extract and it seems to have helped. It’s lowered my FLC - but could be a coincidence. I’ve not had any side effects so will continue those. Also omega 3 capsule daily.🤷🏻‍♀️

REPLY
@juniperjgin

My own journey with MGUS started in 2014 when my neurologist recognized the ratio between proteins in bloodwork was “off” and ordered serum protein electrophoresis for me at the age of 43.

Though my IGg Mspike (κ light chain)
and bone marrow % have remained low, my numbers fluctuate a lot. Sometimes doctors have been hopeful that it will burn out and disappear. But then it will rise again, and maybe a few months later rise some more and then drop the next time we check.

They call this asymptomatic.

My intuition about my body and the myriad autoimmune symptoms/
manifestations and overall poor health, frequent difficult infections (and even with something like raging kidney infections requiring surgery did not create a rise in white blood cell counts), et cetera lead me to believe there is more happening in MY body.

I was diagnosed with vasculitis in 2022 and with IBD ulcerative colitis in 2023 (didn’t have typical symptoms; colonoscopy revealed disease.)

It is difficult to be be told or continue to read that this has “undetermined significance” and is asymptomatic when I am sick, fatigued, running fevers, aching, “crashing” after activities, and experiencing sensory neuropathy or numbness in hands, wrists, and feet, lower legs and have several autoimmune conditions.

SOMETHING insidious is going on and so far my blood work doesn’t show much beyond the MGUS and low levels of markers in several autoimmune disorder categories and that treatment with Synthroid relieved/improved
many hypothyroidism symptoms.

I wonder all the time what is really happening.

The work I was pursuing with a rheumatologist and dermatologist came to a halt with the arrival of SARS Co-V2 as “elective” appointments were kind of shut down.
Since then I lost my rheumatologist, neurologist, and hematologist with whom I had developed rapport and trust.

Starting over is difficult. So far I have not found great help in the specialist dept.

I have been reading some research regarding the effect rheumatological and autoimmune disease have on the progression of MGUS to MM or lymphoma.
(Risk statistics are increased.)

What I want to know is if there is something about MGUS that triggers the onset of these other, sometimes very debilitating, diseases.

How can a condition, MGUS, which even at a low level changes the chemistry of one’s blood, NOT affect the body? Plasma and blood health work to regulate so much of our health and functioning.

I post this not to frighten others nor to complain. It seems there is so much that is unknown. I just hope to find physicians willing to work on the puzzle pieces with me.

I wish you all good health and send virtual hugs with positive thoughts!

Jump to this post

I agree that it’s a complex interaction between our immune system and so many other things that can cause symptoms and we don’t know yet what they all are. I remember first learning in college (nursing major) about the many diseases that are now understood to have autoimmune connections such as type 1 diabetes. How viruses can trigger autoimmune disease!
I’ve read in studies how Covid ( both infected and even healthy but vaccinated people) can have similar effects of inflammation that can resolve or sometimes persist.
That antigenic stimulation (again, either from viral or bacterial infections, and even allergies or vaccinations (rarely) might trigger things to get mistakes in coding. Then lead to different autoimmune disorders especially women tend to have more.
My very healthy mom was diagnosed with systemic scleroderma in her late 70s- no prior history for her or our family.
I think stress has a big role in our immune system too.
Bottom line we do what we can to be mentally and physically healthy and hope for the best!

REPLY

My own journey with MGUS started in 2014 when my neurologist recognized the ratio between proteins in bloodwork was “off” and ordered serum protein electrophoresis for me at the age of 43.

Though my IGg Mspike (κ light chain)
and bone marrow % have remained low, my numbers fluctuate a lot. Sometimes doctors have been hopeful that it will burn out and disappear. But then it will rise again, and maybe a few months later rise some more and then drop the next time we check.

They call this asymptomatic.

My intuition about my body and the myriad autoimmune symptoms/
manifestations and overall poor health, frequent difficult infections (and even with something like raging kidney infections requiring surgery did not create a rise in white blood cell counts), et cetera lead me to believe there is more happening in MY body.

I was diagnosed with vasculitis in 2022 and with IBD ulcerative colitis in 2023 (didn’t have typical symptoms; colonoscopy revealed disease.)

It is difficult to be be told or continue to read that this has “undetermined significance” and is asymptomatic when I am sick, fatigued, running fevers, aching, “crashing” after activities, and experiencing sensory neuropathy or numbness in hands, wrists, and feet, lower legs and have several autoimmune conditions.

SOMETHING insidious is going on and so far my blood work doesn’t show much beyond the MGUS and low levels of markers in several autoimmune disorder categories and that treatment with Synthroid relieved/improved
many hypothyroidism symptoms.

I wonder all the time what is really happening.

The work I was pursuing with a rheumatologist and dermatologist came to a halt with the arrival of SARS Co-V2 as “elective” appointments were kind of shut down.
Since then I lost my rheumatologist, neurologist, and hematologist with whom I had developed rapport and trust.

Starting over is difficult. So far I have not found great help in the specialist dept.

I have been reading some research regarding the effect rheumatological and autoimmune disease have on the progression of MGUS to MM or lymphoma.
(Risk statistics are increased.)

What I want to know is if there is something about MGUS that triggers the onset of these other, sometimes very debilitating, diseases.

How can a condition, MGUS, which even at a low level changes the chemistry of one’s blood, NOT affect the body? Plasma and blood health work to regulate so much of our health and functioning.

I post this not to frighten others nor to complain. It seems there is so much that is unknown. I just hope to find physicians willing to work on the puzzle pieces with me.

I wish you all good health and send virtual hugs with positive thoughts!

REPLY
@sandy4053

Thank you, Patty. I was seeing a hematologist because of anemia issues. He sent me to a nephrologist because he didn't like the kidney function (been on pain meds for many years due to back issues). Nephrologist ran tons of bloodwork. When I met with him, he pointed out the monoclonal ism lambda rate (03 g/dl) which I don't understand. His first word was it's probably MM and chemo treatments. I just freaked. I see the hematologist/oncologist on Monday. I've been a mess since getting this information. I feel much better after reading your answer here. I just felt like I'd been given a death sentence. I'm frustrated with the nephrologist making such a jump, instead of letting me just get back with the hematologist/oncologist and talking about this. I so appreciate your information. I hope I get a good report on Monday when I go back. Right now, I'm scared.

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Yeah who knows? There’s a reason doctors need to stay in their lanes. I think plasma cell disorders can be complex with subtle differences and you gotta know what you’re talking about.
I had a compression fracture from snow skiing and went for an X-ray at a well known ortho clinic for confirmation. I had just gotten the MGUS diagnosis and I guess the doc saw my other records and came in with a print out on MM. He started in on a spiel about how treatable this is now, blah blah blah.
I was able to explain it’s been fully worked up and not MM. He seemed very relieved. 😅

REPLY
@pmm

Hi @kbluegrass, you are taking the bull by the horns here. I think we all could feel better and have better outcomes if we ate healthier and exercised. There is a lot of information about the benefits and efficacy of nutritional supplements. If you are taking Turmeric or curcumin, they say it might reduce blood glucose and increase the risk of hypoglycaemia, especially if you are also taking Metformin. Maybe something to watch out for. I have read about that because of my type 2 Diabetes. Maybe it wouldn’t be a concern for you.
It’s so hard to process all of the information you read (Dr Google) as some of it is contradictory, and there is some just plain bad information floating around. I’m sure my hem/onc doc has met the sainthood criteria as I have lists of written questions when I see him. He’s very patient with me. I’m three years into my MGUS diagnosis and am now seen every six months, having been seen every three months for the first two years. My “numbers” have been very stable which is a good thing.
The hardest part for me after they started throwing words like “multiple myeloma, smoldering” and “Monoclonal gammopathy of undetermined significance” around was keeping my head from exploding with raw anxiety. Thankfully, the risk of progression is low.
Everyone who participates in this forum has a unique medical profile, some with comorbidities and nobody’s situation is exactly the same. Anxiety is common among us when this is new to us. It gets easier.
I hope you have found an experienced and thorough clinician to work with. It’s important to have confidence in that relationship and be able to ask questions and discuss strategies until the two of you have a plan. If not, keep looking.
I love your positivity and see that you are very proactive. Let us know how your bone biopsy turns out. Wishing you the best possible outcome.
Patty

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Thank you, Patty. I was seeing a hematologist because of anemia issues. He sent me to a nephrologist because he didn't like the kidney function (been on pain meds for many years due to back issues). Nephrologist ran tons of bloodwork. When I met with him, he pointed out the monoclonal ism lambda rate (03 g/dl) which I don't understand. His first word was it's probably MM and chemo treatments. I just freaked. I see the hematologist/oncologist on Monday. I've been a mess since getting this information. I feel much better after reading your answer here. I just felt like I'd been given a death sentence. I'm frustrated with the nephrologist making such a jump, instead of letting me just get back with the hematologist/oncologist and talking about this. I so appreciate your information. I hope I get a good report on Monday when I go back. Right now, I'm scared.

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@mascot

Slowly rising, 284 lambda now k/l quotient 0.04 now!
Still waiting thank goodness

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I am glad it is moving slowly.

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@leslie2121

Looks like they found the TP 53 mutation in only 9% of the cells. I don’t see anything else.
The significance of this small amount isn’t clear.

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Thanks Leslie! Appreciate your feedback. Amazing really that 9% of a type of cell being mutated is small, but I'll take it as a positive! 🙂

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