They repeated my SPEP on November 9 2011. The results came today, November 15 2011. My M-Spike remains at 0.1 (IgG kappa). However, now I have “hypogammaglobulinema” listed on it also. I’m not sure if this is of concern or just part of recovering from stem cell transplantation. The report also lists: Mild elevated alpha-2 fraction (alpha-2 macroglobulin). Again, not sure what that means.