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Can this be multiple myeloma???
I am a 48 y.o female who was being tested for signs and symptoms of hyperparathyroidism.  I had several repeat blood tests that came back with elevated calcium and protein but normal PTH.  My physician ordered a 24 hour urine and additional blood tests.  My results are as follows:  Protein / Creatinine ratio 294 (range is 21-161 and total protein of 42 (range is 5 -24).  My Vitamin D (OH) level was low at 17 (range 18 - 72).  With protein electrophoresis it showed Beta Globulins at 3.2 High (range is 0.8 - 1.4) and abnormal protein band 1 at 0.2 high (range should be none detected).  The interpretation read two possible monoclonal bands present.  Beta M-Spike = 2.1 g/dL and the second in the gamma region.  I have been told they are looking at possible multiple myeloma.  Would you agree and what additional tests will or should be performed?  Could this be something else?  Thank you in advance.
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