i had a blood test for A1c in which the results were totally out of whack with previous tests. i had it redone and it was normal. you will have to have that test redone before you can make any decisions on what to do and what to look into. The MMA results contradict the b12 results. The MMA results are abnormally low which would indicate a need to take b12.

The Jarrrow Methyl form of B12 that you just started my take of it. It's a more bio-available form in which your body does not need to convert in order to use it. You may not be able to convert B12 so it stays in your blood stream.

Do you have digestive issue? Inflammation/infections can be an issue.

Im taking both Jarrow and Enzymatic Therapy but now with these test results not sure if Im absorbing them. Literally just did this test and got results yesterday, not sure it would do any good to do the test again.

Digestive issues? not really, not that I know of, just acid reflux.

I'm not a B12 expert but logic tells me that if you have a high level of B12 in your blood, you are absorbing it but maybe not able to utilize it. There are others here with more knowledge on this.

Acid reflux....are you taking anything for it? Acid blocking drugs interfere with B12 absorption. Have you been checked for H-pylori bacteria? Do you take a good probiotic or eat cultured foods? Bacteria imbalance can cause problems.

You stated that you did not start taking the Jarrow methyl form until after the test so if it's a conversion issue, retesting in a month or so may be in order.

I control my acid reflux mostly with ACV and baking soda. Occasionally a tums and in the past zantac before I started using ACV.

My quest will continue.

Thank you for your replys!