
Hank’s Story

Hank is a vibrant and spirited 2-year-old whose infectious laughter and boundless energy light up every room he enters. From the moment he arrived in this world, Hank has brought joy and love to everyone fortunate enough to know him. Shortly after his birth, he was diagnosed with Methylmalonic Acidemia (MMA), a rare and complex metabolic disorder that impacts the body’s ability to break down certain proteins and fats.
While this diagnosis presented challenges, Hank has demonstrated an incredible spirit of resilience and determination. Through early detection and a carefully tailored treatment plan, Hank is not just coping—he is thriving. His days are filled with curiosity, playful adventures, and the kind of joy only a child can bring. Whether he’s giggling at a funny moment or exploring the world around him with wide-eyed wonder, Hank embodies the beauty of living in the moment.
The journey has not been without its hurdles, but Hank’s strength is matched by the unwavering support and love of his family, friends, and medical team. Together, they have created an environment where he can flourish, proving that with the right care and a positive outlook, even a rare condition like MMA doesn’t have to define a child’s future.
Hank’s story is one of inspiration and hope. It’s a reminder that even in the face of uncertainty, life can be filled with love, laughter, and endless possibilities. His courage serves as a beacon of strength for others, demonstrating that challenges can be overcome, and every day can be an opportunity for joy.

About Methylmalonic Acidemia (MMA)
Methylmalonic Acidemia (MMA) is a rare and inherited
metabolic disorder that affects the body’s ability to break down certain proteins and fats. This condition is caused by mutations in specific genes responsible for producing enzymes that help metabolize substances like amino acids, cholesterol, and odd-chain fatty acids. When these enzymes don’t function properly, toxic substances like methylmalonic acid build up in the body, leading to a range of health issues.
Types of MMA
MMA is classified into several types based on the specific genetic mutation and enzyme deficiency. The most common forms include:
Mut0 and Mut- MMA: Caused by mutations in the MMUT gene, leading to complete or partial deficiency of the enzyme methylmalonyl-CoA mutase.
Cobalamin-related MMA: Caused by issues in the body’s ability to process vitamin B12 (cobalamin), which is necessary for enzyme activity.
Symptoms
Symptoms of MMA can vary widely in severity and onset but often include:
Poor feeding and vomiting
Failure to thrive
Developmental delays
Lethargy and low energy
Breathing difficulties
Seizures
Severe cases can lead to metabolic crises, which may result in life-threatening complications if not treated promptly.
Diagnosis
MMA is typically diagnosed in infancy through newborn screening programs, which test for elevated levels of methylmalonic acid in the blood. Further genetic testing and biochemical studies can confirm the diagnosis and identify the specific type of MMA.
Treatment and Management
While there is currently no cure for MMA, early detection and careful management can significantly improve outcomes. Common treatment approaches include:
Dietary restrictions: Limiting intake of certain proteins to reduce the buildup of toxic substances.
Supplementation: Providing vitamin B12 (cobalamin) in cases where it can enhance enzyme function.
Medications: Using drugs like carnitine to support energy production and help eliminate harmful substances from the body.
Specialized care: Regular monitoring by a team of healthcare professionals, including metabolic specialists and dietitians.
In severe cases, liver or combined liver-kidney transplantation may be considered as a long-term treatment option.
Living with MMA
With early intervention, individuals with MMA can lead active and fulfilling lives. Advances in treatment and ongoing research continue to offer hope for improved therapies and outcomes. Families affected by MMA often find strength in community support, advocacy groups, and resources that provide guidance and encouragement throughout their journey.
Methylmalonic Acidemia is more than a medical condition; it is a testament to the resilience of those living with it and their families. Through awareness, early intervention, and dedicated care, the challenges of MMA can be met with courage and optimism.
Learn more about Methylmalonic Acidemia
Organic Acidemia Association Website
National Organization for Rare Disorders