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Methylmalonic Acid (MMA) in Serum/Plasma

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

This test measures the level of methylmalonic acid, a breakdown product of certain amino acids that your body uses to make energy. It helps identify conditions affecting metabolism, especially those involving vitamin B12 or folate deficiencies.

Quick summary

["High MMA levels may signal metabolic disorders or vitamin deficiencies that need medical attention."]

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

Key facts at a glance

LOINC
63072-3
Short code
MTB inhA INH low res mut Islt/Spm Ql
Synonyms
MTB inhA INH low res mut Islt/Spm Ql
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your doctor may recommend this test if you have symptoms like fatigue, weakness, neurological issues (such as numbness or tingling), or if they suspect a metabolic disorder. It’s often used alongside other tests to check for vitamin deficiencies or genetic conditions that disrupt normal metabolism.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for a few hours before your blood is drawn. Your doctor will explain any specific instructions for your situation.

What the Test Results Mean

Results are compared to a range of what’s considered normal for healthy adults. Elevated levels may indicate conditions like vitamin B12 deficiency, methylmalonic aciduria (a rare genetic disorder), or other metabolic issues. Low levels might suggest folate deficiency or other underlying problems.

Common Conditions Linked to MMA Levels

High MMA levels are often linked to vitamin B12 or folate deficiencies, which can cause anemia, nerve damage, or developmental delays in children. It can also be associated with inherited metabolic disorders or certain types of kidney disease.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

MMA Level

Frequently asked questions

Why might my doctor want to check my MMA level?
Your doctor may order this test if you have unexplained fatigue, neurological symptoms, or a family history of metabolic disorders. It helps diagnose conditions that affect how your body breaks down certain nutrients for energy.
What does a high MMA level usually mean?
A high MMA level often points to a problem with vitamin B12 or folate metabolism, which could be due to deficiencies, genetic disorders, or other health conditions. Your doctor will work with you to determine the cause and recommend treatment.
Can I eat or drink anything before this test?
Typically, you may need to fast for 8–12 hours before your blood is drawn, but always follow your doctor’s specific instructions to avoid any unnecessary stress on your 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