1) The m-band at 4.35g/L has improved with the present light regiment of Revlimid 10mg daily for 3 weeks and Dexa 20mg once per week for 3 weeks. Each cycle is 3 wks on and 2 wks off.
2) Zometa has been reduced from 3 monthly interval to 6 monthly (I was prepared for the infusion today but glad that it was not needed!). This is because Bone Mineral Density test showed improvement. BMD for the spine - from one year ago T at 0.0 to present T at 0.4, improvement of 4.7%. BMD for the hip - T -0.3 to -0.2, improvement of 0.6%
3) Cholesterol at 197, LDL 90, HDL 73, Trig 171 - are all within range. LDL at below 100 together with homocysteine at 9.41 (below 10) indicates the risk for clot is minimised.
4) Glycated HbA1C remains at ideal level 5.4 - this is great - I was concerned for diabetes risk due to the continuous steroids intake.
In general, my physical well-being is good with less fatigue than when I was on Revlimid at 15 mg (started with reduced dose of 10mg only 2 months ago) and especially with 2 weeks to rest and recover, helps. It shows that less is not bad.
MDS - according to doc, Vidaza has probably helped to control mds and allowed the medication to work on the myeloma.... so.... vidaza at 6 monthly interval. Looks like a concurrent treatment for both mm and mds is the course for me.
180511
|
220611
|
180711
|
060911
|
101011
|
|
M-band g/L
|
5.2
|
5.66
|
5.03
|
4.68
|
4.35
|
IgG
(6.5-16)
|
11.6
|
11.1
|
10.0
|
10.6
|
9.83
|
IgA
(0-7-3.8)
|
1.26
|
1.55
|
1.22
|
1.15
|
1.19
|
IgM
(0.5–2.0)
|
0.49
|
0.571
|
0.516
|
0.486
|
0.456
|
B2M
607-2454
|
1561
|
1273
|
1673
|
1634
|
1573
|
Album
(37 – 51)
|
40
|
41
|
40
|
40
|
39
|
WBC
(4 – 11)
|
2.95
|
2.88
|
2.13
|
4.16
|
3.44
|
ANC Neutr
|
1.56
|
1.296
|
0.958
|
2.288
|
1.857
|
RBC
(3.8 – 5.4)
|
4.46
|
4.48
|
4.29
|
4.34
|
4.04
|
HGB
(11.5 -16)
|
13.9
|
13.7
|
13.0
|
13.2
|
12.7
|
PLT
140 – 460
|
162
|
247
|
293
|
205
|
220
|
ALP Heat Stable
|
45
|
49
|
37
|
59
|
48
|
AST/SGOT
(0-40)
|
33
|
30
|
|||
ALT/SGPT
(3-40)
|
45
|
54
|
|||
Creatinine
(0.4-1.1)
|
0.73
|
0.72
|
0.84
|
0.8
|
0.8
|
Calcium
(8.4-10.4)
|
9.68
|
9.64
|
9.56
|
9.48
|
9.6
|
Vit D3
(18-78)
|
29
|
||||
HbA1c
|
5.5
|
5.4
|
|||
140708
|
121108
|
191009
|
181010
|
101011
|
|
BMD
hip
|
T-0.6
|
T -0.3
Z 0.7
|
T – 0.1
Z 0.8
|
T -0.3
Z 0.6
|
T-0.2
Z 0.7
|
BMD
spine
|
T-0.3
|
T -0.1
Z 0.5
|
T 0.0
Z 0.9
|
T 0.0
Z 1.0
|
T 0.4
Z 1.4
|
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