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Here’s what I have found out is concerning. Kappa/Lambda Ratio over 100
Chloride over 110
IgG below 400
M Protein over 3.0
WBC at 1.0
RBC 7.0
Creatinine 1.0

July 4, 2025 (edited)
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Answer Summary

Members dove deep into understanding concerning lab numbers for multiple myeloma, sharing key markers like M-spike, Kappa/Lambda ratio,... Read more

Members dove deep into understanding concerning lab numbers for multiple myeloma, sharing key markers like M-spike, Kappa/Lambda ratio, creatinine, and ANC that their doctors monitor closely. Several members emphasized that doctors look at all numbers as a whole and watch for trends over time, while also highlighting helpful tools like MyChart portals, spreadsheets, and AI to track results. A recurring theme was the importance of self-advocacy, asking questions, and using trusted resources like myeloma.org and themmrf.org to better understand lab results.

A MyMyelomaTeam Member

If your facility utilizes a portal such as MyChart, you can see your numbers in graphical format; your numbers in relation to "normal high", "normal low", and trends over time.

That said their "normal" is for the general population, and we "MM patient's ain't normal" according to a good southern doctor.

The AI generated answer is pretty much right on. My doctor does not generally get excited about any individual number. He is looking at all of them as whole, and the direction the measured values are trending.

July 4, 2025
A MyMyelomaTeam Member

They definitely look at all the numbers as a whole and each individual person separately, but certain numbers like Creatinine are important all on their own for kidneys. I thought I was okay with a 0.95 for Creatinine , since other blood tests, the concerning number can be thousands higher or lower, but my Hematologist was “concerned.” The normal range they quote is for men, not women, whose normal number is lower. I think it’s good to know what the concerning numbers are for MM patients. We are not the norm. It helps me tamp down anxiety to know the truth. I thought my Kappa at 29 was sooo high, but now I know it can be in the thousands.
Paula🌹

July 4, 2025
A MyMyelomaTeam Member

@A MyMyelomaTeam Member,
I forgot to mention,y M-Spike went down to 0.4 from .06. Yay! Diet does work.
Paula🌹

July 8, 2025
A MyMyelomaTeam Member

My oncologist draws Myeloma labs monthly.
He looks at the results of:
*IgA
*Free Kappa/Lambda light chains
*Immuno electrophoresis (IFE)
*Protein Electrophoresis
*Lactate Dehydrogenase (LDH)
*C-Reactive Protein (CRP)
*Ferritin
*Magnesium
*Phosphorus
*CBC and CMP labs

July 5, 2025
A MyMyelomaTeam Member

I spreadsheet all my blood test results. It helps me stay on top of everything and is what we talk about the most when I meet with my oncologist. He is also great at educating me on different tests. The ranges for low and high results are unique for each doctor/clinic. I got them from my doctor. The cancer center has a portal with all the test results as well. And the doctors/nurses and print these out and explain them to me at any time.

July 8, 2025

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