Functional Blood Chemistry

010: Functional Blood Chemistry Sneak Peek: Understanding Vitamin B12, MMA and Folate

As an alternative healthcare practitioner, the more you know about blood chemistry, the more value you can add to a patient’s life.

And one of the most common markers we pay attention to is vitamin B12. But there are two other markers that need to be evaluated in conjunction with B12 –  methylmalonic acid (MMA), and folate. However, it may not be intuitive as to how these three markers relate to one another when reviewing your patients’ blood labs. If you use these three markers to guide your dietary, lifestyle and nutritional recommendations, you can help drastically improve patient outcomes.

Today’s podcast is a sneak peek from a recent blood chemistry seminar I taught for healthcare professionals. If you want a deeper understanding of how these vitamin B12, methylmalonic acid and folate work together along with tips for explaining them to your patients, this episode will give you a quick primer and is a great place to start.


Gold Nuggets

  • Why a B12 excess or deficiency on a blood test can indicate a number of potential conditions, many of which are treatable.
  • What MMA is, how it is linked to B12 levels, and how to interpret irregularities in MMA levels.
  • Why our bodies need folate, how it is linked to both MMA and B12 levels, and what both high and low folate levels mean for patients.
  • How common medications can interfere with B12, MMA, and folate levels.


There's a good amount of folate in avocados so I tell my pregnant mamas to make sure they eat guacamole every day. –@DrRondaNelson Click To Tweet



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Hi, I’m Ronda Nelson and I help wellness practitioners grow thriving, profitable practices that allow them to work with ease, live a life they love and make an income they can be proud of.


Resource Guide for B12, Methylmalonic Acid, and Folate Discrepancies

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