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Pretoria, ZA
July 25
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What happens if a myeloma patient chooses not to have treatment?

This is an important question, and the honest answer is that myeloma is an active disease that generally needs continuous management. Without treatment, myeloma cells can continue to grow and spread, which can lead to worsening symptoms and complications over Show Full Answer

What happens if a myeloma patient chooses not to have treatment?

This is an important question, and the honest answer is that myeloma is an active disease that generally needs continuous management. Without treatment, myeloma cells can continue to grow and spread, which can lead to worsening symptoms and complications over time. Here's what is generally understood about going without treatment:

- Myeloma does not typically pause or stabilize on its own — it tends to progress
- Bone damage, kidney problems, and low blood counts can worsen without treatment keeping the disease in check
- Delaying or stopping treatment can raise the risk of the disease advancing more quickly
- Continuous therapy is considered important because myeloma doesn't respond well to long gaps in treatment

It's worth noting that some early-stage cases, like smoldering myeloma, may be monitored closely before treatment begins — but that's a decision made carefully with a medical team. If treatment side effects or other challenges are making it hard to continue, it's really important to talk openly with the care team. There may be alternative options, adjusted schedules, or supportive care approaches that can help. The decision about treatment is always personal, and a good care team will help weigh the benefits against the risks together with the patient.

July 25

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