I've been diagnosed with MGUS for 2 years after routine bloodwork showed an M-spike. Recent bloodwork has me concerned. I see my Dr in 2 weeks to discuss the results but I'm looking for clarity before my appointment. My lambda light chains have always been rising, and usually Kappa Light chains are slightly elevated too. This round has my lamda rising even more, and Kappa within normal range. My ratio is now low .08. My Dr has always reassured me that I am low risk, but from what I know these numbers are going in the wrong direction. What questions should I have for my Dr?