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Serum free light chain test shows normal kappa (8.7mg/dl), low lambda (3.80), high kap/lam ratio (2.31). Serum $ urine electrophoresis show no monoclonal protein, nor does serum immunofixation. Likely MGUS, myeloma, or admyloidosis? CBC/met panel ok.
Kappa/lambda FLC ratio high (2.75) w/ normal K(10.21mg/dl) & low L(3.68mg/dl). Hem-onc unsure if ratio implies K monoclonality since serum/urine IFE ok & neither chain is elevated. Could monoclonal K be suppressing L? IgA a bit high IgG &IgM a bitlow
Can stress cause higher serum light chain numbers? Kappa slightly elevated (21.5), lambda normal, k/l ratio normal. Kappa, lambda, k/l ratio in urine all normal. No M protein observed. I have stress and anxiety..just wondering if this could affect.
Will drinking a lot of water each day (96+oz) decrease kappa light chain levels? Electrophoresis normal with the exception of slightly elevated kappa in serum of 21.8 (normal in urine). Normal kappa lambda ratio?
What does it usually mean when your urine kappa/lambda light chain ratio is 9.48? Kappa uFLC 20.29 Lambda uFLC 2.14 with 3+ occult blood, uRBC went from 3-10 to 20-40/hpf in a month. beta globulins 46%?
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