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Serum or plasma total vanillylmandelic acid (VMA) concentration

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

This test measures the total amount of vanillylmandelic acid, a breakdown product of certain neurotransmitter chemicals in your body.

Quick summary

["VMA helps assess adrenal gland function and rule out conditions like neuroblastoma in children."]

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

Key facts at a glance

LOINC
79922-1
Short code
TV ann a-prime Vmax TDI
Synonyms
TV ann a-prime Vmax TDI
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us-tissue-doppler
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

What Is VMA Used For?

Doctors may order this test to evaluate adrenal gland health, especially if you have symptoms like headaches, fatigue, or unexplained weight changes. It’s also used in diagnosing or monitoring conditions like pheochromocytoma (a rare tumor affecting hormone production) or neuroblastoma (a childhood cancer affecting nerves and adrenal glands).

How Is the Test Performed?

A blood sample is taken from a vein in your arm. The blood is then sent to a lab where it’s analyzed to measure VMA levels. The test can be done on either serum (liquid part of blood after clotting) or plasma (liquid part after blood is separated).

What Are Common Causes of Abnormal Results?

High VMA levels may suggest overproduction of certain hormones linked to adrenal tumors or neuroblastoma. Low levels could indicate adrenal insufficiency or other metabolic issues. Always discuss results with your healthcare provider, as they’ll consider your full medical history and symptoms.

What Do My Results Mean?

Your results will be compared to standard reference ranges provided by your lab. While these ranges can vary slightly, abnormal results may trigger further testing or follow-up to investigate potential underlying conditions.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

VMA (Serum/Plasma)

Frequently asked questions

Why might my doctor ask for this test?
Your doctor may order this test if you have symptoms like severe headaches, rapid heartbeat, excessive sweating, or unexplained weight loss. It’s also used in children with suspected neuroblastoma or other adrenal-related disorders. Always follow your healthcare provider’s guidance for interpretation.
How soon will I get my results?
Results are typically available within 1–3 business days, depending on lab processing times. Your doctor will contact you to discuss the findings once they’re ready.
Do I need to prepare for this test?
No special preparation is usually needed, but avoid eating or drinking anything (except water) for 8–12 hours before the test if instructed by your doctor. If you’re taking certain medications, let your healthcare provider know.
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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