Hi I am 59 years old and was diagnosed in March 2022. I am 2 1/2 years post SCT, and my numbers are starting to rise. My Lambda count is at 217. I am currently only on Lenalidamide 2.5mg for maintenance as I didn’t tolerate a higher dose, ended up in hospital with fever. My question is when do I start new treatments? When I was diagnosed, my Lambda was 1500 and I had fractured ribs and a lot of lesions in my back and hips. They are telling me I am high risk, because my cancer has come back so soon, so will have to go on ISA KD treatment. But this men’s weekly IV, so no more travelling. I’m wondering how high my numbers can go before I need treatment. Is anyone else here have a similar situation? Thank you