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Methylmalonic Acid (Serum/Plasma)

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

This test measures the level of methylmalonic acid in your blood, a compound that can help identify certain metabolic disorders.

Quick summary

["Methylmalonic acid levels may indicate vitamin B12 or folate deficiencies or genetic metabolic issues."]

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

Key facts at a glance

LOINC
71879-1
Short code
MetHgb MFr.DF BldV
Synonyms
MetHgb MFr.DF 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 This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like fatigue, weakness, or neurological issues, or if you have conditions such as vitamin deficiencies, kidney disease, or unexplained anemia. It’s also used to monitor metabolic disorders in newborns or those with inherited genetic conditions.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the test if instructed. Bring any medications you’re taking, as some may affect results.

How the Test Works

A blood sample is drawn from a vein in your arm. The sample is sent to a lab, where it’s analyzed using a specialized method to measure methylmalonic acid levels.

What the Results Mean

High levels of methylmalonic acid may suggest vitamin B12 or folate deficiency, kidney disease, or certain genetic metabolic disorders. Low levels are less common but could indicate other conditions. Your doctor will interpret results in the context of your symptoms and medical history.

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

When might I get this test?
Your doctor may order this test if you have symptoms like fatigue, numbness, or unexplained anemia, or if you have a history of vitamin deficiencies, kidney disease, or genetic metabolic disorders.
What does a high or low result mean?
A high result often points to vitamin deficiencies or metabolic disorders, while low results are less common and may require further evaluation. Your doctor will discuss findings with you based on your full medical picture.
Do I need to prepare differently if I’m pregnant?
No special preparation is needed during pregnancy, but always follow your doctor’s instructions. If you’re taking prenatal vitamins, let your healthcare provider know—some may affect test 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