Inherited metabolic defects that elevate MMA concentrations in serum and urine are a group termed "isolated methylmalonic acidemia"
Conditions such as Crohns, coeliac disease or previous gut surgery, and the autoimmune cause behind pernicious anaemia, all affect how well you retain B12
Wellness 14 July 2025 8 min read Injecting B12 into fat: the 4 body areas that work best By Alaiyka Parvez Owner, CoLaz Aesthetics Clinic The short version Injecting B12 into fat means placing it in the subcutaneous layer, the soft fatty tissue between your skin and muscle, rather than deep into a muscle
MMA rises when there is not enough B12 in the mitochondria (the cells energy factories) to process fats and proteins so that they can be burnt as fuel for energy
Scheduling: Semax injected in the morning
However, it does not cover insulin used with a disposable or non-traditional insulin pump