Are there special factors you consider when selecting induction therapy for individuals diagnosed with high risk multiple myeloma (HRMM)?

Are there special factors you consider when selecting induction therapy for individuals diagnosed with high risk multiple myeloma (HRMM)?
What drugs are available in the induction setting? Is there an optimal induction therapy?
What recommendations do you have for myeloma patients that do not want to try a whole food plant based diet?
Should plasmacytomas be biopsied and tested genetically?