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A MyMyelomaTeam Member asked a question 💭
Sarsota FL

Small amount Protein in urine showed up as a recent finding. What is the meaning in an MGUS patient

December 22, 2025
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A MyMyelomaTeam Member

They have to do a 24-hour urine for urine protein electrophoresis to see if it's monoclonal proteins from mgus/ myeloma or if you are spilling protein for some other reasons 🤔

December 25, 2025
A MyMyelomaTeam Member

Never thought about that in the last 5 years they haven’t even ask for a urine test.

December 22, 2025
A MyMyelomaTeam Member

Chris; I hope you stay " MGUS" and don't advance into full blown MM!! Happy Holidays🎄

December 22, 2025
A MyMyelomaTeam Member

Haven’t had a urine test in 4 years

January 5
MyMyelomaTeam

Why does protein in urine appear and disappear in MGUS patients?

In MGUS, abnormal plasma cells produce M protein, including light chains (also called Bence-Jones proteins). Your body eliminates extra light-chain proteins that aren't attached to heavy proteins through urine.

The appearance and disappearance of protein in Show Full Answer

Why does protein in urine appear and disappear in MGUS patients?

In MGUS, abnormal plasma cells produce M protein, including light chains (also called Bence-Jones proteins). Your body eliminates extra light-chain proteins that aren't attached to heavy proteins through urine.

The appearance and disappearance of protein in urine can happen because:

* The amount of M protein your abnormal plasma cells produce can fluctuate over time
* Light chain levels may vary, causing protein to show up intermittently in urine tests
* MGUS is generally a stable condition with low levels of abnormal protein, so levels may naturally rise and fall below detectable thresholds

Since MGUS typically involves much lower levels of abnormal plasma cells and M protein compared to multiple myeloma, the protein levels may not always be high enough to consistently appear in urine tests.

This is why doctors often recommend regular monitoring every 6-12 months with both blood and urine tests to track any changes in M protein levels over time.

December 22, 2025

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