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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@lauraz

I have been falling a lot lately and actually hurting myself a couple of times. At first I thought I was just not being careful, then I realized to myself that it had to be more than that. Hearing other people having the same symptoms is comforting although sad that we have to go through it comforting to know you're not alone

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It’s sad to know there are many of us who are suffering and in my opinion suffering needlessly. I can’t help but believe if we could be treated for our MGUS, our lives would be substantially improved and at the same time our chance of progression to myeloma forestalled or never occur. But I am the voice in the wilderness as far as my myeloma doctor is concerned. I hope you stay safe.

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@carolesg

Reading other posts reminded me that MGUS has also given me peripheral neuropathy in more recent years. That has caused several nasty falls. When I hear people refer to MGUS as a benign stage of myeloma, I educate them that it is anything but benign,

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I have been falling a lot lately and actually hurting myself a couple of times. At first I thought I was just not being careful, then I realized to myself that it had to be more than that. Hearing other people having the same symptoms is comforting although sad that we have to go through it comforting to know you're not alone

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I was recently diagnosed and I am about to finish or rather complete a series of amyloidosis testing but have been diagnosed with it. I have so many problems it's hard to know what's causing what but recently had renal vein angioplasty and stunts put in due to kidney breakdown. I'm not certain of what all it's doing because I do have a lot of problems but hopefully these last few tests will help determine what exactly it's affecting

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@award

My husband was diagnosed end 2021 and I was diagnosed last week. He had a stroke early last year and, as I now know, we didn't ask enough questions about his diagnosis. We do not know which type he has and I have not had an opportunity to talk to anyone about my diagnosis, just got a letter! We are in the UK. AS you say I wish I knew what did this to us so I could avoid it or at least tell others about it, whatever "it" is.

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I’m very sorry to hear this 😔
I agree it would be super helpful to find out the details of diagnosis; I have a colleague who was Dx’d with IgM kappa who has some form of brain vasculitis - she had 3 strokes before they figured out what was going on, and that the vascular issues were related to her unique form of MGUS (there are other sub-categories that are specific to her, however those details are not known to me).
I am in Au, otherwise I would try to help you in some way.
Having said that, I hope there is a mechanism where you can speak with a haematologist directly, who is a specialist in myeloma and MGUS, who will at the least give you all the defining test results, but will go further to inform you of the likely associated symptomatology/things to watch out for according to each type.
Wishing you the very best.

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@allstaedt57

@mguspixi25 what a wonderfully informative and helpful post. I, we, use a Zero water filter and have done so for many years. Asheville's water is pretty exceptional, but I don't drink out of the tap ever. PFAS and benzene are two of my greatest concerns. You can run, but apparently not hide from environmental contaminants. I just wish I knew what it was so I could get away from it. Can't believe it might be my house, but not sure what else Steve and I had in common. I've changed my dental floss and toothpaste as it was the only other thing I could think of. Used to use Glide which we were told was Teflon coated (PFAS) by our dentist when we lived in San Luis Obispo for two years. Going to check out the links you mentioned above. Yeah, aren't we the lucky ones with the IgA sub-type - his was a Lamda and mine is Kappa. So much to learn.

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My husband was diagnosed end 2021 and I was diagnosed last week. He had a stroke early last year and, as I now know, we didn't ask enough questions about his diagnosis. We do not know which type he has and I have not had an opportunity to talk to anyone about my diagnosis, just got a letter! We are in the UK. AS you say I wish I knew what did this to us so I could avoid it or at least tell others about it, whatever "it" is.

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@allstaedt57

@mguspixi25 what a wonderfully informative and helpful post. I, we, use a Zero water filter and have done so for many years. Asheville's water is pretty exceptional, but I don't drink out of the tap ever. PFAS and benzene are two of my greatest concerns. You can run, but apparently not hide from environmental contaminants. I just wish I knew what it was so I could get away from it. Can't believe it might be my house, but not sure what else Steve and I had in common. I've changed my dental floss and toothpaste as it was the only other thing I could think of. Used to use Glide which we were told was Teflon coated (PFAS) by our dentist when we lived in San Luis Obispo for two years. Going to check out the links you mentioned above. Yeah, aren't we the lucky ones with the IgA sub-type - his was a Lamda and mine is Kappa. So much to learn.

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Yes, it’s incredibly tricky trying to avoid environmental contaminants, and there’s also individual susceptibility (so my haematologist says) which is also a factor.
I think having different light chains expressed is less significant than the fact you’re both IgA, insofar as the light chains are secondary to the fact you both had a rarer type of monoclonal production. Having said that, sadly it’s been investigated that lambda increases risk, whereas for you kappa is a lesser risk ❤️‍🩹
https://ashpublications.org/blood/article/130/Supplement%201/1780/79509/High-Risk-Myeloma-Is-Demarcated-By-Immunoglobulin
I’ve had considerable exposure to toxins as a kid and young adult, which may be what’s contributed to the development of MGUS? I know I was showing elevated proteins back 7 years ago now (when I was 43), which was unexpected for my gender/ethnicity, however the doc was hesitant to send me to haematology - and didn’t do so - for another 5 years, and it was 2 years ago a BMB showed IgG lambda. This is when I learned what this problem was called, and subsequently was able to undertake research. I had the second BMB today, because the new haematologist thinks I have amyloidosis/light chain deposition disease due to recent increases in Lambda/outside normal K:L ratio, and kidney disease, along with fibrosis in lungs and developing premature ventricular contractions (something I find very uncomfortable because an hour or so of this gives rise to feeling very weak with chest discomfort - very disruptive to sleep when it happens at night). I also have brain inflammation and peripheral neuropathy, so she’s hoping this BMB can give us some answers, along with a kidney biopsy early December. She also thinks I might have a condition called CVID (common variable immunodeficiency), because of a history of bad infections from childhood. The treatment for that is SCIg (subcutaneous immunoglobulin) from those lovely people whom donate blood (it’s a donor product), but that will not have an impact on MGUS/SMM, it will only help with increasing immunity against infection (I’m currently on two consecutive antibiotics for the last few months because I can’t shake an infection, so this may indeed help that underlying problem..the immunologist explained it as IgG has a few different subtypes, called IgG1, IgG2, etc, and I have significantly low IgG1, which apparently is associated with CVID. Then, having bad lambda that aren’t formed properly, they don’t ‘see’ the invaders, and pretty much ignore infections. So the test is, I go have a pneumococcal vaccine and then 6-8 weeks later see if I have a positive serum response: if not, I have CVID, if I have antibodies to the vaccine, then the low immunity is related to MGUS/SMM - especially with low IgA, which was found in the BMB 2 years ago). Anyway, I digress, however I thought it might be interesting to see the intersection of potential inherited or acquired (CVID can be both) concomitant immune deficiency, and the question of how these types of things can coexist, and maybe contribute to symptomatology 🙂

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@mguspixi25

Sorry to hear couples are Dx’d with MGUS/MM😔
I was just looking around and wondered if you’d found any info regarding environmental contributors to disease? I found https://www.nbcnews.com/news/amp/rcna52948
It’s recommended to use water filtration in areas of water supply contaminated with PFAS https://www.wral.com/story/epa-more-drinking-water-systems-across-nc-contain-toxic-forever-chemicals/21012971/#:~:text=In%20North%20Carolina%2C%20dots%20light,Orange%2C%20Johnston%20and%20Nash%20Counties.
There were other sites with statistical info on the incidence of myeloma across the US, which showed NC had a significantly higher incidence, however I’m reticent to paste it here because of the additional data sets that information includes.
I wonder if MGUS/MM occurs due to exposure to toxins, and I do find it particularly surprising that you’ve both had a less common IgA sub-type when considering the chance of this occurring.

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@mguspixi25 what a wonderfully informative and helpful post. I, we, use a Zero water filter and have done so for many years. Asheville's water is pretty exceptional, but I don't drink out of the tap ever. PFAS and benzene are two of my greatest concerns. You can run, but apparently not hide from environmental contaminants. I just wish I knew what it was so I could get away from it. Can't believe it might be my house, but not sure what else Steve and I had in common. I've changed my dental floss and toothpaste as it was the only other thing I could think of. Used to use Glide which we were told was Teflon coated (PFAS) by our dentist when we lived in San Luis Obispo for two years. Going to check out the links you mentioned above. Yeah, aren't we the lucky ones with the IgA sub-type - his was a Lamda and mine is Kappa. So much to learn.

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Not get on a tangent here but the food industry in the United States has been poisoning us for decades. I’m a chef by trade and have worked for and fed the C Suite executives for companies like 3M, UnitedHealth Group and Macys for much of my career. They don’t eat the main stream foods that are promoted to the rest of society.
They eat clean, organic non-processed foods. Of course they don’t care what it costs as either the company or their extensive bank account can afford it.
The big 3 food companies that basically own the American food supply fill our foods with chemicals in the form of additives. If you travel abroad you can easily taste the difference in foods as most other countries ban these tactics and don’t allow these chemicals.
Decades ago food manufacturers removed fats (that are healthy) and replaced it with sugar. Sugar is cheap and addictive. Sugar also wreaks havoc on the body causing inflammation and and a ton of other complications.
Combine that with striping nutrients through over processed practices our food is no longer nutritious, it’s trash and filled with chemicals.
Look at Europe, they just banned many General Mills cereals due to chemicals.
Anyway, I’ll stop now. Eat as clean as you can.

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@carolesg

I was diagnosed with MGUS, IgG Kappa, in 2004. My free light chains have continued to increase but my Mspike has remained more or less constant at 0.4. MGUS is not benign. My immune system is non existent for example. I have gotten every COVID vaccine and my immune system doesn’t budge. Which means I now wear a mask every where I go.

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Reading other posts reminded me that MGUS has also given me peripheral neuropathy in more recent years. That has caused several nasty falls. When I hear people refer to MGUS as a benign stage of myeloma, I educate them that it is anything but benign,

REPLY
@allstaedt57

Hello @award .

At 65 I too was diagnosed with MGUS on 15 February 2023. It was incidentially due to slight neuropathy in my fingertips and toes. I have IgA Kappa MGUS – no M spike, 5-8% plasma cells in bone marrow. My husband passed from IgA Lamda Multiple Myeloma (MM) on 23 July 2022. I am hopeful because his course of development was a long one. I believe he was under diagnosed by the local hematologist / oncologist. I didn't know then what I know now. A MM specialist is a must. Steve ended up with one, but it was too late. I currently have two Oncologist who's practice is specifically MM / SM / MGUS – one for a whole food, plant-based study I am involved in out of Memorial Sloan Kettering in NYC and one that is in Boston. I live in North Carolina and will get an MM / SM / MGUS Specialist closer to home before too long. My local Hematologist / Oncologist is not the same as the neglectful one that professed to be an expert with Steve.

Prior to diagnosing me, my local Oncologist conducted a bone marrow biopsy, PET-CT scan, 24 hour urine analysis, and plethora of labs. I also had my Primary Provider, who found the MGUS due to my having mentioned experiencing some neuropathy and Steve's disease course, performed an updated bone density scan for my new baseline at 65 – had one many years ago and there were no changes.

Keeping your stress down, being physically active, eating well, and being proactive in your lifestyle are believed to be beneficial. The Mayo Clinic Connect is a very helpful forum as well.

So, yes, there are other couples out here, we were one of them. I ask the same question, "Why have we both gotten it?" We were married for 24 years before Steve passed, were together for like 26.5 years. Like yourselves have lived a healthy life style, been physically active, non-smokers, minimal drinkers, eaten organically, avoided chemicals, live in an older brick home which has hardwood floors, and low VOC paint. Something environmental is attacking us. Wish we could make a difference for others to discover what that could possibly be.

Best wishes to us all.

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Sorry to hear couples are Dx’d with MGUS/MM😔
I was just looking around and wondered if you’d found any info regarding environmental contributors to disease? I found https://www.nbcnews.com/news/amp/rcna52948
It’s recommended to use water filtration in areas of water supply contaminated with PFAS https://www.wral.com/story/epa-more-drinking-water-systems-across-nc-contain-toxic-forever-chemicals/21012971/#:~:text=In%20North%20Carolina%2C%20dots%20light,Orange%2C%20Johnston%20and%20Nash%20Counties.
There were other sites with statistical info on the incidence of myeloma across the US, which showed NC had a significantly higher incidence, however I’m reticent to paste it here because of the additional data sets that information includes.
I wonder if MGUS/MM occurs due to exposure to toxins, and I do find it particularly surprising that you’ve both had a less common IgA sub-type when considering the chance of this occurring.

REPLY
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