Good Bones

Thursday, May 1, 2014    Pomalyst Study Cycle 80:

IgG was higher today that it has been for years, though only slightly. Last month IgG was 1270 mg/dL, now 1340 this month. However, M-Spike was 1.1 g/dL last month, down to 1.0 this month. 1.0 is right in the middle of the range of M-Spike for the last five years or so. So what are we to to believe? Both of those changes are probably within the accuracy limits of the test, so let's call it a draw, my myeloma is still stable. For whatever it's worth, the Lambda and Kappa light chains didn't change too much either

I'm happy for another month, Pomalyst is still doing its job, 2 mg every night as a single agent. Six years and two months on that study, I love that little pill.

A month ago (end of cycle 79) we did a DEXA test, to assess bone density in the spine and hip. Bottom line: I have some osteopenia, though not osteoporosis. However, the actual bone density has not changed significantly (within the measurement error of the machine) since 2010. That's good. I do take Vitamins D3 and K2 every day, which may help. If you do this, though, please be aware that Vitamin K (full-spectrum, not K2) can affect clotting factors, which in turn could cause DVT's, heart attacks, and strokes. I use only K2, and I have also had clotting factors checked.

This month Dr. YLH and I discussed two issues: Most-Recent Test Results:

Test    Feb 06    Mar 06    Apr 03    May 01     Remarks
M-spike g/dL 0.9 1.1 1.1 1.0 \ Tumor marker
IgG mg/dL 1260 1300 1270 1340 / Tumor marker
Lambda mg/dL 2.70 3.51 3.26 3.38 L free light chains
Kappa mg/dL 1.03 1.29 1.37 1.39 K free light chains
Ratio 0.26-1.65 0.28 0.37 0.42 0.41 Kappa / Lambda
Calcium mg/dL 9.5 9.3 9.7 9.9 OK
Creatinine mg/dL 1.3 1.0 1.2 1.1 Kidney, OK
HGB g/dL 15.3 14.8 15.2 14.8 Hemoglobin, fine
RBC M/uL 4.54 4.33 4.41 4.17 Red cells, OK
WBC K/uL 4.3 4.4 4.3 3.8 White cells, OK
ANC K/uL 3.1 1.9 1.9 1.9 Neutrophils, OK

Related Links:

My Myeloma     A discussion of my myeloma, not very technical.
My Treatment History Not technical.
My Test Charts Graphic displays of several key test results over time.
My Test Result Table Somewhat technical. Best with a wide browser window.
My Supplement Regimen With links to where I buy them.