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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@gingerw

@cdeldeo MGUS is usually a "watch and monitor" treatment plan. That is, bloodwork is done every three to six months to monitor specific values. Getting adequate and restful sleep, keeping a good healthy diet plan for you, moderate exercise, and managing stress levels will all help to keep you as "on top" of your situation as you can.

From what I have discovered, having IgE MGUS is pretty rare, but the treatment plan is basically the same. I hope you have access to a large teaching hospital or good cancer center with a hematologist oncologist to monitor your condition.
Ginger

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I have MGUS my GP is doing nothing just tell me I’m a hypochondriac can anybody help please with advice

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@cdeldeo it is a bit frustrating, this watch and wait thing, isn’t it? You feel like you ought to be doing something to protect yourself. A healthy diet and regular exercise are good for all of us and that’s the kind of thing that my hematologist/oncologist recommends. I try to look at it with some positivity and remind myself that I probably get the best medical care of anybody I know. I get regular bloodwork, skeletal, scans, and an occasional CT scan on a regular basis. And it’s all diagnostic.
I try to keep my head in a good place about MGUS. Watch and wait is certainly the least intrusive intervention…!
Have a good week.
Patty

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@gingerw

@cdeldeo MGUS is usually a "watch and monitor" treatment plan. That is, bloodwork is done every three to six months to monitor specific values. Getting adequate and restful sleep, keeping a good healthy diet plan for you, moderate exercise, and managing stress levels will all help to keep you as "on top" of your situation as you can.

From what I have discovered, having IgE MGUS is pretty rare, but the treatment plan is basically the same. I hope you have access to a large teaching hospital or good cancer center with a hematologist oncologist to monitor your condition.
Ginger

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Mayo Clinic is 20 minutes away so I feel I am in good hands. Thanks for your reply...

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@cdeldeo

It is mind-boggling, to figure out this MGUS. I have IgE Mgus which is rare. I will get another blood panel in April but am unsure as to preventative measures or diets?

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@cdeldeo MGUS is usually a "watch and monitor" treatment plan. That is, bloodwork is done every three to six months to monitor specific values. Getting adequate and restful sleep, keeping a good healthy diet plan for you, moderate exercise, and managing stress levels will all help to keep you as "on top" of your situation as you can.

From what I have discovered, having IgE MGUS is pretty rare, but the treatment plan is basically the same. I hope you have access to a large teaching hospital or good cancer center with a hematologist oncologist to monitor your condition.
Ginger

REPLY

It is mind-boggling, to figure out this MGUS. I have IgE Mgus which is rare. I will get another blood panel in April but am unsure as to preventative measures or diets?

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@rhondalee89

I was diagnosed yesterday 2-15-24 with MGUS, the Hematologist/Oncologist just wants to watch it for 6 months and see what happens, I have had a kidney biopsy for protein in Urine and Blood work is all they have done. Is this the protocol for MGUS is just wait and see ? Any help would be greatly appreciated ! My Dad had Multiple Myeloma before he passed.

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I've had MGUS for 8 years so far without it progressing to any symptoms. I get bloodwork every 6 months and had a baseline bone marrow biopsy 8 years ago; I'll have another if my kappa/lambda numbers or proteins ramp up enough. It is a waiting game in which there is ~1% chance of it progressing to smoldering or MM. Other than getting more answers from your doctor, not a lot one can do other than healthy living with diet, exercise, destress, rest, and such.

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@rhondalee89

I was diagnosed yesterday 2-15-24 with MGUS, the Hematologist/Oncologist just wants to watch it for 6 months and see what happens, I have had a kidney biopsy for protein in Urine and Blood work is all they have done. Is this the protocol for MGUS is just wait and see ? Any help would be greatly appreciated ! My Dad had Multiple Myeloma before he passed.

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Same with my 83 year-old husband's hematologist/oncologist. Nothing new with it has come up in the past 2 1/2 years since MGUS diagnosis. He gets bloodwork done and has follow-ups with the doc every 6 months.

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@rhondalee89

I was diagnosed yesterday 2-15-24 with MGUS, the Hematologist/Oncologist just wants to watch it for 6 months and see what happens, I have had a kidney biopsy for protein in Urine and Blood work is all they have done. Is this the protocol for MGUS is just wait and see ? Any help would be greatly appreciated ! My Dad had Multiple Myeloma before he passed.

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@rhondalee89 Hello, Rhonda, welcome to Connect. It’s a lot to absorb, getting a diagnosis such as MGUS, isn’t it? I remember having so many questions and feeling overwhelmed. Then the doc explains that typically, you will be monitored at intervals to ensure that that M paraprotein in your blood doesn’t indicate that you are progressing from MGUS to Smoldering Multiple Myeloma or Multiple Myeloma. It was a relief to me that most MGUS patients will not progress to either.
Depending on what information your hem/onc doctor gleans from your blood analysis, he or she will develop a strategy for monitoring your health. Skeletal surveys, 24 hour urine analysis, regular blood tests and bone biopsy are some of the diagnostic tools he or she may use. The frequency of this testing will depend on how high a risk for progression you carry. It’s definitely a conversation worth having with your physician to get an explanation of the information he/she already has and plan for continued surveillance.
Try not to consult with Dr Google. Information is good, but first speak to your physician so you can weed out extraneous information that does not apply to you. If you don’t feel that you have a handle on what your physician is thinking, I would recommend that you not wait six months to have that conversation. Ask for an appointment or telemedicine consult with your physician, write down all your questions that you’d like to have answered, and make sure you feel comfortable with the plan.
If you’re like me, you will want to take some action to improve your health. Watch and wait seems like a benign response but remember, you have not been diagnosed with cancer.
Even with full-blown multiple myeloma, the advances in treatment methodology have improved tremendously in the past decade.
Have you found your physician is receptive to your questions and willing to explain your lab results to you?
I found this Mayo Clinic information helpful.
https://www.mayoclinic.org/diseases-conditions/mgus/symptoms-causes/syc-20352362
Let us know how things are going for you. Wishing you the best possible outcome.
Patty

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I was diagnosed yesterday 2-15-24 with MGUS, the Hematologist/Oncologist just wants to watch it for 6 months and see what happens, I have had a kidney biopsy for protein in Urine and Blood work is all they have done. Is this the protocol for MGUS is just wait and see ? Any help would be greatly appreciated ! My Dad had Multiple Myeloma before he passed.

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@anitalouise45

I have been diagnosed with MGUS this last month. I also have diabetes, heart failure, pulmonary fibrosis, stage 3 kidney failure, all from treatment I received in the 90's for Hodgkin's Lymphoma, stage 3. My biological father died of multiple myeloma, and I had 2 aunts on my Grandmothers side with Hodgkin's Lymphoma and some type of lukemia. My doctor says not to worry and it will be checked every so often. I do have some weird symptoms like a neurological jerking and burning all over my body at times that I can't explain. Just wondering if anyone else was dx. with MGUS after treatment for Hodgkin's?

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Hi @anitalouise45, late effects of treatment for Hodgkin's lymphoma can develop many years, even decades, after treatment and may include getting a secondary cancer. It sounds like there may also be a family diposition to blood cancers.

You have a number of chronic conditions that require constant monitoring. Does your GP monitor everything or do you see specialists?

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