I saw this news report and I am posting for others see. It came out today. Title: Elotuzumab Misses Mark Again as Frontline Treatment for Multiple Myeloma — No PFS benefit from adding the monoclonal antibody to standard therapy https://www.medpagetoday.com/hematologyoncology/myeloma/108823?xid=nl_mpt_DHE_2024-02-20&eun=g2146371d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%20Evening%202024-02-20&utm_term=NL_Daily_DHE_dual-gmail-definition

Is there anyone in this forum who has experience of fasting or a fasting mimicking diet (FMD) before melphalan and ASCT treatment? I am about to go through ASCT and have been reading allot about the supposedly positive effects of fasting before and during chemo. 48 hours water fasting before and 24 h after is frequently referred to as well as the alternative of FMD such as Prolon.

I was diagnosed with MGUS in 2009 and lambda IgG MM Jan 2023. I had fallen hard on a concrete floor Oct 2022 and broke my radius and ulna in my left wrist. Within a month, my ribs were hurting, followed by my back. A PET scan mid-Jan revealed multiple lesions on my ribs and a vertebral fracture and by the end of Jan 2023, I was hospitalized for four vertebral fractures. I was treated with kyphoplasty and then went through 9 months of D-RVd (although actually I went from 40 to 20 mg of dexamethasone in three months and quit dexamethasone entirely within 6 months.) I needed another kyphoplasty on another fractured vertebra in April. My M-spike has been reduced from 4.7 to 0.2 g/dL and has been stable since September. A PET scan in Oct showed I probably had had at least one more fracture in between April and Oct, but the scan showed all fractures and lesions and fractures were healed or healing. I have been trying to build strength carefully on my own, but I still need to lie down several times a day and still feel better with a lumbar support binder and a natural posture brace. It seems to me that there has to be others with MM who need special help with their backs. I would like some good PT, but I don’t want to just try someone blindly as I suspect the fractures after hospitalization were from PT, both rehab and after. My oncologist / palliative care team have been unable to recommend anyone specifically. Does anyone know of a good PT in the Chapel Hill / Durham area that they can recommend? Or a good spine doctor, familiar with MM?

"Should I be concerned about my health numbers? I'm not sure, but I don't have a great feeling or confidence in the doctor treating me. They missed my Lyme disease for 5 years until it really took hold. They said it's just MGUS, and nothing to worry about." KAPPA FREE LIGHT CHAINS Feb 13, 2024 -2.16mg/dL Nov 28, 2023 -2.33mg/dL LAMBDA FREE LIGHT CHAINS Feb 13, 2024 -9.83mg/dL Nov 28, 2023 9.1mg/dL KAPPA/LAMBDA RATIO Feb 13, 2024 0.22?

I am wondering if anyone can speak on tp53 mutation. I was diagnosed in August 2021 with MM and pathology indicated I am standard risk, no mutations/high risk. Fast forward to stem cell transplant Jan 2023 and relapse 10 month later. Started KDaraDex, failed and now adding Pomalyst. Biopsy of Lesion on l2 vertebrae indicates one test that is positive for tp53 and one that is undetermined. My oncologist is saying it is very unusual (but not unheard of- nothing is with Mm) that I would develop tp53 after diagnosis- it would have been there before and yet in my case it wasn’t. So my question, is anyone tp53 positive? If so was it found on initial diagnosis? And is there anyone out there that developed tp53 mutation as they progressed through treatments. Any info to share if you are tp53 positive will be helpful.