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A MyMyelomaTeam Subscriber asked a question 💭
August 25
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That's a really important question to be thinking about. The tricky part is that there's no single "first" symptom that everyone experiences — it can vary from person to person. However, there are common early warning signs to watch for.

When SMM progresses to active myeloma, symptoms can include:

- Bone pain — especially Show Full Answer

That's a really important question to be thinking about. The tricky part is that there's no single "first" symptom that everyone experiences — it can vary from person to person. However, there are common early warning signs to watch for.

When SMM progresses to active myeloma, symptoms can include:

- Bone pain — especially in the back, hips, ribs, or skull
- Extreme tiredness or fatigue
- Frequent infections — due to a weakened immune system
- Nausea or digestive issues
- Confusion or trouble thinking clearly Some people notice kidney-related symptoms as an early sign, such as:

- Swollen legs or hands
- Shortness of breath
- Weakness or unusual tiredness

It's also worth knowing that some people have no noticeable symptoms at first, and progression is only picked up through routine blood tests — which is exactly why regular monitoring is so important with SMM.

If anything feels "off" or new symptoms appear, reaching out to your care team promptly is always the right move.

August 25

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A MyMyelomaTeam Member asked a question 💭
Bronx, NY