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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@trishagirl70

Thanks. I just had bloodwork via my primary, and everything was in normal range, so there’s no explanation for my tiredness. I just saw MGUS and was concerned. I appreciate your reply.

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@trishagirl70 We sometimes get our system run down without realizing it, and remember, we just went through the holidays! There can be stressors that affect us without us knowing.

Eat well, exercise moderately, rest as you need, reduce any stress inducers, and see if you feel better? Can you do that and let me know if it makes a difference, please?
Ginger

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@gingerw

@trishagirl70 Perhaps an appointment with your primary care doctor to run the "usual" bloodwork, and rule out infections, anemia, etc is in order? I know that the labs where my bloodwork is done, takes into consideration my age/gender/fasting or not.

If you haven't gone to the website for International Myeloma Foundation, yet, take a look there and it will discuss MGUS. The paraproteinuria is simply a definition of an abnormal protein being present. myeloma.org
Ginger

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Thanks. I just had bloodwork via my primary, and everything was in normal range, so there’s no explanation for my tiredness. I just saw MGUS and was concerned. I appreciate your reply.

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@trishagirl70

I was referred to a hematology oncologist after I had routine bloodwork last September. The only thing I was told about my tests was that I shouldn’t expect perfect bloodwork at age 74, and to come back for more bloodwork in a year. It wasn’t until I looked on mychart that I learned I have monoclonal paraproteinemia. I googled it, and MGUS popped up. I’ve read that there are no symptoms with MGUS, but I often feel extremely tired. I’m also fighting frequent sinus issues, and feel headachy and just blah. Is this normal?? Should I be concerned?

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@trishagirl70 Perhaps an appointment with your primary care doctor to run the "usual" bloodwork, and rule out infections, anemia, etc is in order? I know that the labs where my bloodwork is done, takes into consideration my age/gender/fasting or not.

If you haven't gone to the website for International Myeloma Foundation, yet, take a look there and it will discuss MGUS. The paraproteinuria is simply a definition of an abnormal protein being present. myeloma.org
Ginger

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@gingerw

@shannyd Welcome to Mayo Clinic Connect! It's very easy to get concerned when seeing results we weren't expecting. I agree with @loribmt to not go down the rabbit hole of Dr. Google. That's downright scary and can bring unwanted anxiety!

Here, sit with me at the table, a cuppa tea and a few cookies are set up for you. Let's talk about your fears and concerns. Take some time to write out what is most concerning. Come Tuesday, you'll be ready to calmly listen, and ask any questions.
Ginger

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I was referred to a hematology oncologist after I had routine bloodwork last September. The only thing I was told about my tests was that I shouldn’t expect perfect bloodwork at age 74, and to come back for more bloodwork in a year. It wasn’t until I looked on mychart that I learned I have monoclonal paraproteinemia. I googled it, and MGUS popped up. I’ve read that there are no symptoms with MGUS, but I often feel extremely tired. I’m also fighting frequent sinus issues, and feel headachy and just blah. Is this normal?? Should I be concerned?

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@careysuzi

I am an active 75 year old and I was diagnosed with anemia, than MGUS 6 months later and 18 months after, with Waldenstrom Macrooglobulinema (WH), a non-hodgkins lymphoma. My lab results are all over the place, high and low, but after bone marrow biopsy symptoms were definitive enough for diagnosis. I am on the watch and wait program with repeat of labs every 3 months. Mo treatment yet,

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@careysuzi Welcome to Mayo Clinic Connect! To get more information about your new diagnosis, I recommend you go to the Blood Cancer Support group, like you have, but in the search criteria box, type in Waldenstrom You can choose discussions and read what others have to say.

Please do this, and get some great information,
Ginger

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@loribmt

Hi @shannyd. You mentioned that your albumin/creatine ration is high. The protein in your urine, in this case, is albumin. It’s not the same protein that is found in patients with MGUS which stands for: monoclonal gammopathy of uncertain significance.

Sometimes, plasma cells can create abnormal proteins. These abnormal proteins are called M proteins, or monoclonal proteins or M spikes. This is not the same as albumin.

It’s really challenging when you get blood results that are flagged and have no idea what they mean! Our minds take us to worst case scenario and often, to Dr Google. Right? ☺️ It this case, it will be better for you to wait until Tuesday to see what your doctor has to say. Have you had a UTI recently?

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Hi Lori, that is reassuring news! Thank you. No bacteria shows in my urine. Just blood and protein. I always have blood in my urine, for past ten years. I have had my bladder and kidneys checked and they can’t explain the blood. Never had protein in my urine before though. And my white blood cell count is high.

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@gingerw

@shannyd Welcome to Mayo Clinic Connect! It's very easy to get concerned when seeing results we weren't expecting. I agree with @loribmt to not go down the rabbit hole of Dr. Google. That's downright scary and can bring unwanted anxiety!

Here, sit with me at the table, a cuppa tea and a few cookies are set up for you. Let's talk about your fears and concerns. Take some time to write out what is most concerning. Come Tuesday, you'll be ready to calmly listen, and ask any questions.
Ginger

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Hi Ginger, thank you for your kind words. My results alarm me, and I’m trying to figure out why I feel so crappy all the time. I’ll have to just wait for my doctor to call and go from there I guess.

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@canadabob

I was wondering, while I wait for an appointment with a hematologist, if someone could help clarify one of my test results.

I'm in Canada and maybe reporting is a bit different, but this is how it shows on my labs.

*******************************************************************************

Protein Monoclonal Band 1 : 2.1 g/L ( *Note that this is per L not dL)

Known case of IgG kappa paraproteinemia.
A band persists unchanged in gamma region. Slight background gamma
suppression.

Light chains Kappa Free: 17.5 mg/L
Light Chains Lambda Free: 10.6 mg/L
Ratio: 1.65

******************************************************************************

Thoughts?

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I am new and learning and know little, but I have seen it mentioned in various places that >1.5g/dL is a higher risk category. You are well under that at .2 g/dL. Your ratio seems low to me as well. I think in some cases the m-spike is not always the most important metric as well, so I'm sure they will look at a range of factors. I'm sure your hematologist will clarify things and get further tests as necessary, but hopefully they say you land in a lower risk group, with a relatively low 1% chance per year of progression. I'm waiting on a better understanding of mine, but I am 1.6g/dL, with a 5:1 Lamba ratio so I suspect I'm in the higher risk category. On my first test though I was a 1.9g/dL so I want to understand how much variability there is, how it looks over time, etc, and in the mean time I'm just using it as motivation to get in much better shape via nutrition, lifestyle, vitamins, etc.

Let me know what they say and good luck!

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@oldladydebra1

I was just diagnosed with Monoclonal Gammathopy due to increased protein levels in bloodwork. I’ve researched this and am reading there is no treatment however, it can progress to blood cancer. Anyone who has or had this have it progress to cancer?

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I am an active 75 year old and I was diagnosed with anemia, than MGUS 6 months later and 18 months after, with Waldenstrom Macrooglobulinema (WH), a non-hodgkins lymphoma. My lab results are all over the place, high and low, but after bone marrow biopsy symptoms were definitive enough for diagnosis. I am on the watch and wait program with repeat of labs every 3 months. Mo treatment yet,

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@shannyd

I am new to this group. Hello to you all! I really appreciate reading all of your experiences and getting different points from you all. I have NOT been diagnosed with MGUS. However, I just reviewed my blood/urine results online and there were a few red flags on there; one of them being protein in my urine, which I have never had before. My white blood cell count is over and red flagged as well, and UR ALBUMIN/CREATININE RATIO was high. My doctor is supposed to call me on Tuesday to discuss my results. I am freaking out a bit. Wondering if it could be some type of blood disorder such as this one... Spike protein, isn't that what the COVID vaccine is? I could be totally wrong but curious...

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@shannyd Welcome to Mayo Clinic Connect! It's very easy to get concerned when seeing results we weren't expecting. I agree with @loribmt to not go down the rabbit hole of Dr. Google. That's downright scary and can bring unwanted anxiety!

Here, sit with me at the table, a cuppa tea and a few cookies are set up for you. Let's talk about your fears and concerns. Take some time to write out what is most concerning. Come Tuesday, you'll be ready to calmly listen, and ask any questions.
Ginger

REPLY
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