Brief Answer: not Myeloma Detailed Answer: Sir, before interpretation of any tests, we need to have background knowledge of the disease process, physiology of the body, pathological process going on and biochemical basis behind the test. No test can be interpreted as clinically significant unless clinical condition correlates with the test. You have not written why you underwent these tests. M spike is due to a clone of cells secreting the same protein. it is usually due to Myeloma. Coming to your questions 1) M spike too small to be quantified - that's not significant 2) Second question cannot be answered in isolation. It has no relevance 3) This is very important. Understand that diagnosis of myeloma is not made on electrophoresis alone. Tissue diagnosis is mandatory for multiple myeloma diagnosis. If your bone marrow is normal and there is no abnormal mass anywhere in your body (mean no plasmacytoma), then you need not think of myeloma. In brief, your reports are not conclusive of myeloma. But if your clinical condition warrants, further tests can be done, else you can forget about everything. Regards

---

Brief Answer: nothing to worry Detailed Answer: You need to understand the these proteins are normally present in our body and only when they are abnormally secreted, that is too much of one particular protein which is over and above the normal secretion, it is considered abnormal. since all your proteins are within the normal limits, there is nothing to worry about.

---