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MGUS - Multiple Myeloma - Low a/g ratio?
I have a history of M-spike with Alpha 2 elevations, IgG Kappa type Monoclonal Gammopathy.

We are doing the "watch and wait" approach every six months to watch M-spike. Right now it is at 2.0.

My question is though, my A/G Ratio is always low on my PCP CMP that he does and keeps dropping. For my lab 1.3-2.5 is the normal range and I am now down to 1.0.....

The PCP dismisses it - however, it has been low the last two years and keeps dropping. Shouldn't the a/g ratio be taken into consideration along with the SPEP?

I also have low Calcium and Low magnesium.

What does that mean?

Thank you!!
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