The detection of the M spike is the concern, but not definitive, that is why there is no reference range on that
The totally protein is normal more or less.
The gamma globulin non-specific.
So, nothing definitive here.
Further testing to rule out multiple myeloma is what might happen...so calcium levels, renal function tests, urine to try to detect k and l light chains.
Your M spike however is less than three which implies a monoclonal gammopathy of unknown significance, so more than likely you do not have MM.j
If any question a bone marrow test, but doubt this will be necessary.
Even "smoldering" myeloma would generally have an M spike above three.
I am not saying don't follow with the heme doc, but you are probably OK