Hoping someone might be able to help here! I was diagnosed with MM fall of 2021. IGG Kappa. Did induction therapy with ASCT March of 2022 and thankfully went into remission. Since then my Pet Scans have been negative, bone marrow path neg, no M spike, labs are all good MRD testing at facility is neg however the newer Clonoseq test does detect some cells. The # was 4 initially and on recent test was 52. I was put on revlimid after transplant, but could only tolerate 5 mg due to itchy rash and GI intolerance. I was taking it with Zyrtec everyday to alleviate symptoms. Unfortunately, after a little over 1 year taking it I had worsening GI symptoms. Initially I thought I was getting food poisoning, spending nights on the bathroom floor 1-2 times a month unable to get up (other than to toilet)for fear of passing out and having to run to bathrooms unexpectedly middle of the day. This went on for about 6-8 months when I had a thorough evaluation by GI doctor and they found no physical reason for my symptoms. At that point (April 24) revlimid was stopped. Then pomalyst was tried. Of course I broke out in hives and flat red rash with racing heart rate and headache, so that was stopped. My dr than advised that I go on monthly injections of darzalex faspro. Had this treatment one week ago. On arrival home I began coughing, wheezing and having trouble breathing. Went back to the doc, had albuterol treatment and it resolved. Since then I have been running low grade temps 99-100.7 and just generally feeling lousy. Many people in my support group went through ASCT years ago (before the clonoseq test). They went into remission and did not take any meds until their numbers went up. Going 7, 9 and even 20 years and counting without further treatment. I am seriously questioning whether I need to be receiving treatment right now one doc said that I could wait. The other doc pushes treating. Anybody with any thoughts on this? Sorry this is so long. I am 63 years old and otherwise in very good health. Physically active. Never took anything but vitamins. Thank you!