The problem is that, for most of these compounds, scientific evidence in humans remains extremely limited
If the MMA levels are elevated that means you are deficient in Vitamin B12, but more specifically you are deficient in adenosylcobalamin which is a specific form of B12 for energy and mitochondria function so supplementation with methylcobalamin may not be the best way to improve this
Key Takeaways Location and Method Dictate Your Results : The injection sitebe it your arm, thigh, or buttocksand the technique used directly influence your comfort and how effectively your body absorbs the vitamin B12
I mean, this becomes medical to me

B12 has many functions in our body, so unfortunately a deficiency will give rise to a wide variety of symptoms, like brain fog, memory problems, cognitive impairment, insomnia, headaches, especially migraine, behavioural changes, learning problems, nominal aphasia, mood swings, irritability, depression, anxiety, hallucinations, delusions, psychosis, peripheral paraesthesia (pins and needles), numbness, neuropathic pains, poor balance, reduced vibration sense or proprioception (joint position sense), tinnitus, ataxia, taste impairment, sometimes myelopathy, fatigue, anaemia (either with larger red blood cells, or with normal size of the red blood cells when there is also iron deficiency), other reduction in blood cells, abdominal complaints, malabsorption, failure to thrive, weight loss, diarrhoea, hyperpigmentation, glossitis, (aphthous) stomatitis, infertility, urinary tract infections, joint and muscle pain, muscle weakness, spasticity, seizures, cardiomyopathy, urinary and/or faecal incontinence, postural hypotension/dizziness, erectile dysfunction, to name a few

This creates effects that translate into antidepressant, anxiolytic, and neuroprotective actions in animal models