Multiple Myeloma

Sign/Symptoms
Anaemia (Anemia) Fatigue Headache (Cephalgia) Infections Frequent Mind: Confusion Pain Back Pain Bone Pain Thorax

Drugs
Bortezomib Carmustine Cyclophosphamide Lenalidomide Melphalan Pamidronate Thalidomide

Treatments
Surgery Bone Marrow Transplant Stem Cell Transplant Medical Procedure Radiation Treatment Chemotherapy Supportive Treatment Alternative Medicine Vitae Elixxir No Recommendation Very Low Evidence Medical Therapy Chemotherapy Weakly in Favour Low Evidence Radiation Treatment Weakly in Favour Low Evidence Bone Marrow Transplant Weakly in Favour Low Evidence Stem Cell Transplant Weakly in Favour Low Evidence

Attributes
Incidence is approximately 1 in 25,000 people

Further Tests
Acid Phosphatase Concentration Acid Phosphatase (Increased) Angiotensin Converting Enzyme (ACE) Concentration Angiotensin Converting Enzyme (ACE) (Increased) Anion Gap Anion Gap (Excluding Potassium) (Decreased) Anion Gap (Including Potassium) (Decreased) Blood Human Chorionic Gonadotropin (hCG) Test Human Chorionic Gonadotropin (Blood hCG) (Increased) Blood Uric Acid Concentration Test Uric Acid, Blood (Increased) Calcium Concentration (Blood, Total) Calcium (Blood, Total) (Increased) Chloride Concentration (Blood) Chloride (Blood, Cl) (Increased) Coagulation Factor Assay (Blood Clotting Factors) Factor VIII (Antihemophilic Globulin, Percentage of Normal Value) (Increased) Creatinine Concentration (Blood, Serum Creatinine) Creatinine (Blood) (Increased) erythrocyte Sedimentation Rate (ESR) Erythrocyte Sedimentation Rate (Increased) Fetal Hemoglobin (Hemoglobin F, HbF) Concentration Fetal Hemoglobin (Hemoglobin F, HbF) (Increased) Fibrinogen Concentration test Fibrinogen (Increased) Heamatocrit (Hct) RBC Mass (Decreased) Hemoglobin (Hb) Concentration Hemoglobin (Hb) (Decreased) Low Density Lipoprotein (LDL) Concentration Low Density Lipoprotein (LDL) (Increased) Lymphocyte Immunophenotyping B Cells (CD19 Percentage) (Decreased) CD4 to CD8 Ratio (Decreased) Lymphocytes Count Lymphocytes (Increased) Magnesium Concentration (Mg, Blood) Magnesium (Mg, Blood) (Increased) Monocyte Absolute Count Monocytes (Increased) Phosphate Concentration (PO4, Phosphorus) Phosphate (PO4, Phosphorus, P) (Increased) Platelet Aggregation Test Complete Platelet Aggregation in Response to Collagen, Thrombin, Ristocetin (Decreased) Platelet Count Platelets (Decreased) Protein Electrophoresis (Blood, Serum Protein) Protein, Total (Blood, Serum) (Increased) Gamma Globulin (Blood, Serum) (Increased) Red Blood Cell (RBC) Count Red Blood Cells (RBC) (Decreased) Urine Albumin 24hr test Urine Albumin (Increased) Urine Amino Acid Concentration Alanine (Urine) (Increased) Alpha Aminoadipic Acid (Urine) (Increased) Alpha Amino N Buryric Acid (Urine) (Increased) Arginine (Urine) (Increased) Asparagine (Urine) (Increased) Carnosine (Urine) (Increased) Aspartic Acid (Urine) (Increased) Citrulline (Urine) (Increased) Cystine (Urine) (Increased) Glutamic Acid (Urine) (Increased) Glutamine (Urine) (Increased) Glycine (Urine) (Increased) Histidine (Urine) (Increased) Hydroxyproline (Urine Excretion Rate) (Increased) Isoleucine (Urine) (Increased) Lysine (Urine) (Increased) Methionine (Urine) (Increased) 1 Methylhistidine (Urine) (Increased) 3 Methylhistidine (Urine) (Increased) Ornithine (Urine) (Increased) Phenylalanine (Urine) (Increased) Phosphoserine (Urine) (Increased) Phosphoethanolamine (Urine) (Increased) Proline (Urine) (Increased) Taurine (Urine) (Increased) Threonine (Urine) (Increased) Tyrosine (Urine) (Increased) Valine (Urine) (Increased) Serine (Urine) (Increased) Urine Hydroxyproline Concentration Hydroxyproline (Urine Excretion Rate) (Increased) Urine Osmolality Urine Osmolality (Decreased) White Blood Cell (WBC) Count White Blood Cell (WBC) (Increased)

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Vitae Elixxir[1, 2, 3]:

Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present. Warning: Possible side effects of Vitae Elixxir include diarrhoea, pain, and a general worsening of existing symptoms.

Recommendation: No recommendation (Available evidence does not support claims that vitae elixir helps to treat multiple myeloma)

Grade of Evidence: very low quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:

1. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009

2. http://www.annieappleseedproject.org/vitaeelixxir.html

3. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/vitae-elixxir

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