MMA result

[Hollybushroad]

Hi allJust got medichecks result which shows high lMMA level: 34.8ug/l (less than 32)

Previous medichecks active B12 was 48.1 pmol/l (37.5-150) (they advised MMA test)

Intrinsic factor antibodies negative (mum had PA)

Does high MMA result indicate a functional b12 deficiency as opposed to dietary deficiency or PA? I find it all very confusing. Have alot of symptoms including neurological but been holding off self supplementing until all results back.

I am not going to go to my GP with my MMA result as she wouldn't understand it and I have no faith in her knowledge.

I know alot of people on forum buy their b12 injections from germany but has anyone ordered the B12 hydrox from Dr Sarah Myhills website?

Any advice much appreciated

[MindfulSquirrel]

I dunno but I did get two weeks of loading injections from my GP based on similar results (high MMA, normal B12 serum), backed up by the neurologist she consulted so it is possible to get treatment based on that. Is there another GP at your practice you can see?

Also what is your B9 like? Mine is borderline deficient and there’s there are people who say you need good B9 levels in order for your cells to take in the B12 from your blood. But you can’t treat the B9 deficiency without a plan to treat the B12 due to the risk of it masking B12 neurological symptoms.

Anyway, I’ve had 2 out of 6 loading injections, am on 5mg folic acid and also iron and vitamin D supplements (as I was low normal for both) and *something* is making an improvement. 🙂

[Hollybushroad in reply to MindfulSquirrel]

HiYes my folate is low too but I've been holding off supplementation for it also until I start b12 first.

I'm not going down the GP route for treatment. That's why I was asking if anyone had used Dr Myhill s website for ordering b12 injections

Thanks for your reply

[MindfulSquirrel in reply to Hollybushroad]

Are you aware of the B12 Wake Up group on Facebook? It seems very good and evidence based for a Facebook group. If you’ve not come across it, might be worth asking there if you don’t get an answer here?

[Hollybushroad in reply to MindfulSquirrel]

Yes I will look into that.Thanks for your help.

Glad you are making some progress with your b12 injections

[jade_s]

Raised MMA indicates B12 deficiency but not the cause. If Serum B12 is normal but MMA raised, that's functional deficiency but it can still be PA. Lots of overlap unfortunately 🤷‍♀️

In the end it all points to the fact that you probably need injections, and the frequency should be based on symptoms. If dietary, you should stabilize and be fine on tablets, but keep in mind if you eat meat / dairy, the cause will very likely not be dietary.

And with family history, very likely it *is* PA. The IF test is negative up to 50% of the time in people who truly have PA, so a negative test doesn't rule it out.

You might put up a new post to get feedback on Dr Myhill's B12, with that in the title - people will be more likely to notice your question

[Hollybushroad in reply to jade_s]

Thank you jade. I will do new post

[jade_s]

Highly recommended to get your first injection in a clinical setting due to (rare) risk of anaphylactic shock. Revivme, Get a drip, or any other health spa near you. You can google 'b12 injections near me'