Methylmalonic Acid (MMA) in Serum/Plasma
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.
["High MMA levels may signal metabolic disorders or vitamin deficiencies that need medical attention."]
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?
What does a high MMA level usually mean?
Can I eat or drink anything before this test?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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