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The podcast episode discussed the genomics of high risk myeloma and smoldering myeloma. One key point addressed was the level of immunoglobulin transcription, which consistently decreases as the disease progresses from normal plasma cell to smoldering myeloma to multiple myeloma. Next-generation sequencing was highlighted as an important tool in analyzing the genetic features of these conditions. The experts also discussed the crucial role of deletion 17p and TP53 mutations in determining prognosis, emphasizing the need for accurate risk assessment in myeloma.