Hi All, this is my first post in hopefully a long line of posts. I was diagnosed with Iga Kappa MGUS 4 years ago but 4 weeks ago found out that I now have high risk Smouldering Myeloma. With an abnormal Kappa/Lambda ratio and 15% plasma cell load (plus Iga papaprotein which has a higher risk of progression than other types of Myeloma) I am debating as to whether I should enter into early treatment. I live in Australia and at present first line treatment is still ” watch and wait” until some signs of end organ damage is present. I am wondering if anyone has gone down the early treatment course and what the results of this where.