Yesterday, one of my MM Facebook pals suggested that Dom may be Nonsecretory this time around.
It sure would explain why he has no M-Spike! I need to pursue this with his Oncologist.
"Less than 5 percent of all patients with multiple myeloma have nonsecretory myeloma. Their disease cannot be diagnosed or tracked by the presence of monoclonal (M) protein in the blood and urine or immunofixation studies; however, it can be detected in the bone marrow or upon biopsy of bone lesions."
"Nonsecretory multiple myeloma is a rare form of myeloma in which a patient’s disease cannot be diagnosed or tracked by the presence of monoclonal protein in the blood or urine. This is not the case for most myeloma patients, who have “secretory” disease which can be tracked using lab results such as a patient’s “M-spike” or free light chain levels."