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Monoclonal gammopathies constitute a group of cialis alternative diseases characterized by the proliferation of a single clone of plasma cells that produce a homogeneous monoclonal protein (M-protein). The most common examples include monoclonal gammopathy of unknown significance, multiple myeloma, Waldenstrom’s macroglobulinemia, and primary amyloidosis. Less common diseases include solitary plasmacytoma, POEMS syndrome,heavy-chain disease and info viagra immunoglobulin deposition disease.

Serum protein electrophoresis is the easiest means of excluding the presence of a monoclonal protein and can detect bands of 0.5 gm/dL or less. Visual examination of female viagra fda electrophoretic patterns by a pathologist is the most sensitive method of detecting monoclonal proteins since small bands may be obscured in densitometric scans. If a monoclonal protein is cialis tablets foreign identified, its immunoglobulin class (IgG, IgA, IgM, IgD, IgE) and light chain type (kappa, lambda) are determined by immunofixation. If no monoclonal protein is detec

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