Question: My protein eletrophoresis results continue to slowly decrease. My gamma globulin has been at .7 for over a year, my Immunoglobulin M has gone from a 44 to a 38 over the last year. My Kappa serum is 14.4 Lambda is 8.5, with a ratio of 1.69 my kappa urine is 1.24, lambda urine is 0.07 and the ratio is 17.71 do i need to be concerned?

I am 47 years of age. My H1C is 5.7. I I have been seeing a rheumatologist for about 15 years now. I was told last year that I have the genetic marker for Ankylosing Spondilitus. I do not have the inflamation markers for it. I have lots of tendon issues in my hands, elbows, and shoulders and groin. I have a standing weekly appointment with a chiropractor becasuse I can't seem to keep things in place. I have been diagnosed with fibromyalgia. I had a complete hystorectomy 5 years ago due to endometriosis. I had two tumors in the smooth muscle of my upper stomach that had to be removed about 5 years ago. My doctor has been checking my Kappa/Lambda serum levels for a while now, at least a year, maybe longer. This last time she ordered the urine test also. I was told due to some of the medications that I am on they want to keep an eye on my kidney and liver