Hi – as with so many myeloma related issues, it seems to be very individual as & when you cross the boundary from MGUS to Smouldering & then onto treatment. The more I read & research, the more I find ” grey” areas in terms of this.
I have moved from from MGUS to Smouldering although at my hospital they don’t use Smouldering generally as a category ( interesting approach I know!) They also don’t monitor light chains). However if you ask lots of questions they will acknowledge Smouldering status – their approach is to monitor/watch & wait the same. It was my bone marrow biopsy which tipped me into Smouldering but as my pp was 27 on diagnosis apparently I would never be have been returned to GP monitoring even if the bmb had come back below 10 per cent.
So in essence I would say it seems to be a numbers game unless you get CRAB symptoms.
I know your appointment is tomorrow so no doubt you are worried & anxious today about what that will bring – I will be thinking of you & have everything crossed for you.
Love & hugs,
C xxx