Is there anything to help stop or slow progression of MGUS?
I am wondering if there is anything anyone is doing to stop or slow the progression of MGUS. I m recently diagnosed and have a lot to learn. My oncologist said there is nothing that can be done. Also could some of you share how long you have had MGUS. I am like I’m sure like all of you very concerned about my MGUS processing. Thank you.
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@dondi2101
Hi Dianna!
All good questions. The chance of progression to MM or SMM is low, so while I don’t worry a lot about it (diagnosed in 2020) much of the reason I don’t worry is that I get medical care from an established Cancer treatment organization with a great reputation. It’s really important to find a treatment provider who treats Multiple Myeloma. You don’t have MM, and we hope you never will, but you want someone who treats patients within the spectrum every day. Think of getting a colonoscopy. You’d want somebody that does two or three a day rather than somebody who does two or three a year, right?
So my first question is why your clinician is sending out your labs? Mayo is the gold standard, so while they do a great job, I wonder why your provider isn’t equipped to process and review those lab results? You definitely need information and to get your questions answered.
Some of our members who live in rural areas have to travel to get a good diagnostic and follow up work up. It’s a pain, but it’s reassuring to get all your questions answered.
Another advantage of being seen in a large, well-established setting is that you have the availability of Ancillary services. Whenever I start a new medication, I always ask for a pharmacy consult so that they can look at any combination of the medication that I’m already taking with the new medication. This includes any over-the-counter supplements that I take. It’s been quite helpful to get their considered opinion. There are many medications that have the potential to impact kidney or liver function. You definitely want your physician to be on top of that and along with your MGUS testing. If there is a pharmacist connected to the hematology/oncology provider, then they are well-versed in this.
I also receive periodic scans to make sure that there are no bone lesions because that indicates progression.
I always feel sad when people can’t get the information that they need from their treatment provider. When you see someone once a year and you get lab results, which are not explained to you that is insufficient and unacceptable. Can you call your provider and ask for a telephone call return or, a telemedicine appointment?
I did a quick search and I did find this about certain medications and multiple myeloma. Nothing specific to MGUS.
https://www.mymyelomateam.com/resources/can-certain-medications-raise-the-risk-for-developing-myeloma
Do you mind sharing a little more about your provider situation? Are you close to a teaching hospital? Cancer treatment center?
I’m really glad you found this group because I always learn from our experienced members I hope there will be an information that is useful to you.
@dondi2101, I'm bringing @pmm into this discussion too.
Getting results from a different lab may result in variations of testing. It sounds like the Mayo lab results were very thorough. What did your doctor say about the test results? When will you have the next round of lab work done for comparison?
I have a gammatonie monoclonale. I have osteoporis since 30 years and i take medis, biphosphonats, prolia and so on. I take this medis since 30 years, then it gets better and after not taking medis it’s bad again. Infeel sick, but nobody is so terribly interested. I would like to do no more anything a live as long as i live!
My IgE was 90000..no one knows why??
I was diagnosed with MGUS fall 2015. This was accidentally found in a blood test when the hematologist was looking for the reason I was having unexplained roving pain - basically all over the body. My rheumatoid factor was quite high but the rheumatoid doctor said I didn't have rheumatoid arthritis after he examined he; thus being referred to a hematologist. Since then, I have annual monoclonal protein study tests sent to the Mayo Clinic in Rochester. This year's test was a bit different from all the past tests. Have they changed the way testing is done. My main question is did you find taking antihistamines and antacids had an affect on MGUS? My IgA was 87 in Oct '24. My IgG Lambda is .385 which is high. I don't see this type test in previous testing.
Diana
I’m doing the plant based and in 6 months my IgG kappa came down O.6 better than before constantly going higher however my IgM still is below normal. My Hem-Onc dr told me no chemo until kappa lambda ratio is above 50 since the drugs can cause lymphoma. Is that why aj you were told not to treat yet? If you are symptomatic you might need treatment though the bones might be an indicator do you get alkphos blood test and X-ray of bone? That might help. I do feel the plant based is better.
MGUS is monoclonal gammopathy of undetermined significance, so I imagine that is your diagnosis. Other parameters mostly in normal range is good. Did the doctor tell you what brand of MGUS you have? Mine is IgA Kappa MGUS (almost sounds like a Greek sorority). I'm not a doctor of medicine. Do your beta numbers refer to microalbumin or some other inflammatory of other marker? It would be good to get an explanation of your bloodwork from your doctor(s). As others have mentioned, MGUS stays as MGUS for most people.
Most MGUS' do not progress any further. Some, of course, do to Smoldering (Asymetric) Myeloma (SM) and an even smaller percent to Multiple Myeloma (MM). Doctors in general rarely recommend treatments for MGUS and SM as the treatment effects and aftereffects would be worse than symptoms people are experiencing. Please be aware that much money and research has and continues to go into studying and developing treatments for MM and the life expectancy continues to increase. Get a good hematologist/oncologist, one who is well versed in the disease and willing to communicate and work with you.
What parameters are relevant?
View Translation
MGUS
Gammapathie monoclonale
Beta 1 5.5
Beta 2 7.6
The other parameters are more or less range!
Thank you for an answer!