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Methylmalonic Acid in Serum or Plasma (Mass Concentration)

Published: August 9, 2026Updated: August 16, 2026

This test measures the level of methylmalonic acid (MMA) in your blood. MMA is a breakdown product of certain amino acids and fatty acids, and elevated levels may signal metabolic issues.

Quick summary

["Elevated MMA can indicate genetic disorders or deficiencies affecting vitamin B12 or folate metabolism."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
2617-9
Short code
MetHgb MFr BldV
Synonyms
MetHgb MFr BldV
Category
hematology
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
12
Ref high
17.5
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85018
SNOMED
900000000000003004
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why Might This Test Be Ordered?

Your doctor may request this test if you have symptoms like fatigue, weakness, neurological problems, or if you have a family history of metabolic disorders. It’s also used to monitor conditions like vitamin B12 deficiency or inherited disorders like methylmalonic aciduria.

What Does a Result Mean?

MMA levels can rise in conditions where your body struggles to break down certain substances properly. High levels may suggest genetic disorders, vitamin deficiencies, or kidney problems that affect how MMA is processed.

Sample Collection and Preparation

A blood sample is drawn from a vein, usually in your arm. The sample is sent to a lab for analysis. If you’re taking vitamin B12 or folate supplements, your doctor may advise stopping them before testing to avoid interference.

Common Conditions Monitored

This test helps diagnose or manage conditions like methylmalonic aciduria, cobalamin (vitamin B12) deficiency, or other inherited metabolic disorders. It’s also used in research or follow-up for patients with unexplained metabolic abnormalities.

Reference range

Adult males: 13.5-17.5 g/dL; Females: 12.0-16.0 g/dLN/A

Specimen: whole-blood

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

MMA (Serum/Plasma)

Frequently asked questions

What Are My Next Steps If My Results Are Abnormal?
If your MMA levels are elevated, your doctor may recommend further testing, such as vitamin B12 and folate levels, genetic testing, or additional metabolic studies. Treatment often involves addressing underlying deficiencies or managing the specific disorder.
How Often Should I Have This Test?
The frequency depends on your medical condition. If you have a known metabolic disorder, your doctor may schedule regular follow-ups. If this test is part of routine monitoring (e.g., for vitamin deficiencies), your schedule will be outlined by your healthcare provider.
Can I Take Any Supplements Before the Test?
Yes, your doctor may advise against taking vitamin B12 or folate supplements before testing, as they can affect MMA levels. Always follow your healthcare provider’s instructions for optimal results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy