What’s your status with your Labs and treatment - have you finished Induction and on maintenance or still doing induction?

How’s your MSpike?

There’s some where induction can Not stabilize their Labs to normal with a low MSpike such as 0.3 or less and Ig levels that are normal or below normal (happens due to induction meds). Also there are those that relapse during induction. In those cases, going directly to a SCT is probably very important to do right away (seek your oncologist’s guidance).

When induction can get you to normal Labs, it’s mostly likely viable to postpone to regain your health to be strong enough to handle the burden of the SCT, if you choose to do it.

My Consulting Doc at Johns Hopkins told me Now or three years from Now wasn’t going to change my Overall Survival Rate (a special term regarding life expectancy). He made this statement due to me getting to normal Labs in 6 weeks from starting induction. At 12 weeks I transitioned to maintenance without a SCT. About 4 months later, I tested MRD Negative. The maintenance meds (lower dose less frequent) finished what induction started, without a SCT.

Though it was my choice at 12 weeks to Postpone my SCT, now at Negative, I have no need for a SCT unless future Labs indicate otherwise. Hopefully by then there will be better treatments like the bispecifics.

Trust your Labs and work with or Consult with a MM Oncologist Specialist to help you through this choice and process.

All the Best