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New to forum - diagnosed three months ago with MGUS

by Toni on Tue Jul 15, 2014 4:49 pm

Hello all,

I just joined a few days ago and realized I should introduce myself.

Three months ago I was diagnosed MGUS. My health has not been great for a while and this past year especially it has become more difficult to function on a daily basis. I was diagnosed hypothyroid when I was in my early 20s and finally put on Synthroid in my 30s. I've had pituitary microadenoma (prolactinoma). And about 15 years ago I was diagnosed with fibromyalgia. After years of enjoying great blood pressure, mine shot up a few years, ago so now I'm on a diuretic hypertensive drug.

Fortunately there's a little more awareness about fibromyalgia, so I've been on some newer medications for pain management, but in the past year and especially in the past 6-9 months, my pain has increased substantially. I've also noticed increased neuropathy. It's been difficult to walk. And I've had overwhelming fatigue. They checked vitamin D and mine was very low, so I took prescription vitamin D for two months this spring and I've continued on it. I've had a tendency toward anemia, but it seems to be iron deficiency anemia. That said, hemogloblin tends to be low normal (12) as is ferritin (13).

So in March we tweaked some medicines and my GP referred me to a neurologist who ordered an MRI of my spine from L-1 down. The EMG (?) showed nerve involvement so we did the MRI. I have degenerative disk disease (they say everyone will develop it). I have nerve root impingement on both sides in the lumbar area so the neuropathy and pain must come from that or from the fibromyalgia.

Just the same, the neurologist ordered other testing and that's when my M-spike was detected.

I've had three tests drawn since March: IgG gammopathy, M=spike 1.1; 0.9; and 1.0. My bone scan indicates no problems. Density test shows osteopenia. Most of my test results are normal, although my immunoglobulin M is a little low (35). WBC is trending down but normal range. Sed rate normal. Beta 2 microglobulin is normal at 2.1. Initially some of my liver enzymes were high, but they are coming back down to normal :-)

Guess I'm normal, right?

That said, I'm trying to learn as much as I can. My hem/onc seems to be unconcerned, which is fine, but hey, we're not statistics are we? We haven't yet done a bone marrow biopsy. He does not do them unless a patient has an M-spike of 1.5 or above, but I'm learning from here that I probably should have one done to accurately diagnose.

I have constant, but usually manageable, pain/aches. I frequently get sinus infections and middle ear infections, primarily fungal infections in the past 2-3 years. So with my regular symptoms, I wouldn't know if there's anything to "worry" about or that needs to get checked.

I had a friend, same age as myself, who was diagnosed with multiple myeloma just a few years ago. She courageously fought the battle but lost the war 2 years ago. I had no idea what multiple myeloma was until she became ill. I"m probably in a very low category for risk to progress to multiple myeloma, but perhaps learning more about this I can help another in some small way.

Wishing you all peace and good health.

Toni
Name: Toni
Who do you know with myeloma?: self - MGUS
When were you/they diagnosed?: April 2014
Age at diagnosis: 51

Re: New to forum - diagnosed three months ago with MGUS

by Nancy Shamanna on Tue Jul 15, 2014 11:12 pm

Thanks Toni for introducing yourself and explaining your health issues that have also recently included MGUS.

Your M spike is fairly high and you have osteopenia, so I would urge you to be careful with any lifting of heavy items for fear of fractures. Have you been placed on any bisphosphonate meds for the osteopenia? My first diagnosis before finding out I had myeloma was of osteopenia, and I was prescribed Fosamax [alendronate], which is fairly routine for post menopausal patients.

This was through my family physician. I was not under the care of an oncologist yet at that time. Later I took a much stronger bisphosphosphonate, Aredia [pamidronate]. It's something to be aware of!

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: New to forum - diagnosed three months ago with MGUS

by Toni on Tue Jul 15, 2014 11:50 pm

Nancy - Thank you so much for commenting on my post!

My father developed osteoporosis, he broke a lot of bones later in life, so I've been aware of it being something to look out for. I'm not yet menopausal so I was a little surprised there was any bone loss at all though.

With the back pain I have, I've been very cautious about lifting heavy things as it knocks me out to overdo it, but I certainly appreciate the encouragement to continue.

I was just reading tonight about myeloma patients being treated with bisphosphonates. This hadn't even occurred to me before. So much to learn. I may go back to my internist to discuss some of these things further.

One thing my hematologist/oncologist said that doesn't make sense is that MGUS is in 10% of the elderly population. Even if you look at 80 year olds, is that correct? And I'm 51 so I have a long way to go (I sure hope!!!) Anyway, I'm a little concerned that he's somewhat laissez-faire about it.

So thank you and I really appreciate all the information and dialogue on these forums.

Toni
Name: Toni
Who do you know with myeloma?: self - MGUS
When were you/they diagnosed?: April 2014
Age at diagnosis: 51

Re: New to forum - diagnosed three months ago with MGUS

by Nancy Shamanna on Wed Jul 16, 2014 8:25 am

Hi Toni, I think that it is good that you wrote in with your concerns, which seem very valid to me.

I would think that 51 is young to have osteopenia too! I was 57 when that was diagnosed, so it was sort of a grey area to me as to why I had it. Since osteoporosis is also known in my family, I thought that I just had that, even though I am fairly active, and have a fairly good diet. I had been referred however to an 'Osteoporosis Clinic' where I am sure I would have had the myeloma diagnosed, but there was a long wait to get in there, and in the meantime, other events unfolded that led to the diagnosis.

I have some friends about my age who have osteopenia, and I do see them at the gym lifting light weights to try to strengthen their bones. Weight bearing exercise is important. We are now in our sixties or older though. The unknown factor is to know how much weight is too much. I don't lift much over 10-15 pounds, and some myeloma doctors say only lift 5 pounds! That's not much really.

And you said you are tired, I am sure you must have had blood tests run, and hopefully are not becoming anemic. Seems to me like you could have caught this early, and hope you get the treatments if necessary to prevent further bone damage.

My friends who just have osteopenia have taken bisphosphonates too, although there is a recommended lifetime limit to taking them that our doctors follow many times. I am already over or at that limit, so wouldn't know how to advise as to when to start bisphosphonate treatment.

You should find a doctor you could discuss this with, just for the sake of your bone health, whether or not this is myeloma or SMM.

Hope that helps!

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: New to forum - diagnosed three months ago with MGUS

by Toni on Wed Jul 16, 2014 1:37 pm

Nancy - thanks again :-)

I have a tendency to get anemic, especially in the past few years, but I don't think my hemoglobin has ever gone under 12. My ferritin tends to be the problem. So they think it's iron deficiency anemia. I'm not that knowledgeable about anemia. But remember, so far I'm MGUS. Once I have a bone marrow biopsy, I'll be better informed if it's not. Some of my symptoms, as it seems is true for many MGUS patients, are similar to what multiple myeloma patients get, but they're from other causes.

Since this winter, I've had a very difficult time doing anything physical (I cling to the shopping cart at the grocery store!) But taking prescription vitamin D and doing physical therapy, plus changing my diet - high protein, as unprocessed as possible, low gluten/low grain and very minimal sugar (no processed sugar). It's been a huge change for me, but maybe all of this is a wake up call for me to take charge of my health. From reading these forums, it sounds like there's a lot of people in the same boat and start to follow a better lifestyle.

Since doing these things, I've been able to be a little more active. I can't go for long walks, but I can go for a good 5-15 minute walk!

Toni
Name: Toni
Who do you know with myeloma?: self - MGUS
When were you/they diagnosed?: April 2014
Age at diagnosis: 51


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