Poly(3-hydroxybutyrate) (PHB) derivatives are attractive for sustainable polymer production, yet their role in controlling radical polymerization kinetics remains underexplored. In this study, we compare the polymerization kinetics of methyl methacrylate (MMA) using two PHB-based macroinitiators: a macro chain transfer agent (PHB-macro reversible addition-fragmentation chain transfer (RAFT)) and a macroazo initiator (PHBai). RAFT polymerizations (PHB-R-PMMA) were conducted at 70 degrees C with PHB-macro RAFT in the presence of 2,2 '-azobis(isobutyronitrile), while conventional free radical polymerizations (PHBaiPMMA) were carried out using PHBai under identical conditions. The RAFT system exhibited a slightly lower overall rate constant (k = 1.11 x 10-4 L/mol<middle dot>s) compared to the azo-initiated system (k = 1.28 x 10-4 L/mol<middle dot>s). Both systems showed a gradual decrease in the PHB content over time, indicating effective copolymer formation with increasing MMA incorporation. Activation energies for PHB-macro RAFT and PHBai were calculated as 0.88 and 1.05 kJ/mol, respectively, demonstrating RAFT's superior control over molecular architecture. The resulting PHB-PMMA block copolymers offer promising applications in orthopedic surgery (e.g., bone cements), packaging, medical implants, drug delivery, and dental materials. This study provides the first direct comparison of PHB-based macro RAFT and azo systems for MMA polymerization, highlighting RAFT's advantage in achieving controlled polymer architectures and expanding biomedical and industrial utility.