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Quest Diagnostics

Methylmalonic Acid

Quest Diagnostics

Sample type: Serum

Requires fasting: No

Phlebotomy required


Details

The Methylmalonic Acid (MMA) test is used in the diagnosis of acquired cobalamin (vitamin B12) deficiency in adults and to screen for inherited organic acidemia in neonates and infants. Elevated MMA in either blood or urine indicates vitamin B12 deficiency in adults, with MMA acting as a functional biomarker for vitamin B12 status. In neonates and infants, elevated MMA is associated with inborn errors of metabolism.


  • Methylmalonic Acid

Estimated days for results: Results should be available in 2 - 5 business days after the sample is collected

Methylmalonic Acid (MMA)
This test is crucial for diagnosing vitamin B12 deficiency in adults and detecting inherited metabolic disorders in newborns and infants. High levels of MMA in blood or urine signal a lack of vitamin B12 in adults, making MMA a key marker for this condition. In young children, high MMA levels may indicate metabolic issues present from birth.

Who needs this test?
Adults showing symptoms of vitamin B12 deficiency, such as nerve problems, unsteady movements, memory issues, mood changes, and anemia, should consider the MMA test. This is particularly important for older adults or those with gastrointestinal issues affecting nutrient absorption. In the U.S., newborn screening includes the MMA test to check for metabolic disorders early on.

High MMA Risks:
  • Peripheral neuropathy (nerve damage)
  • Ataxia (lack of coordination)
  • Memory impairment
  • Depression and behavioral changes
  • Anemia

What type of sample is required for this test?
2 mL serum.


3–5 business days


≤30 days                        87-580 nmol/L
31 days-11 months    62-377 nmol/L
12-23 months              55-347 nmol/L
2-59 years                    55-335 nmol/L
60-79 years                  69-390 nmol/L
≥80 years                      85-423 nmol/L

  • Metabolic function
  • Nutrition

Blood Draw Options with Fullscript
Fullscript offers several convenient phlebotomy options to complete your lab testing:

Quest Diagnostics Patient Service Centers (PSC)

  • Location: Visit a nearby Quest Diagnostics Patient Service Center.
  • Cost: $10 sample collection fee (paid during lab order checkout).
  • Scheduling: Schedule your appointment here. Appointments are recommended to reduce wait times. Walk-ins are accepted, but may experience delays. Aim to arrive 10 minutes before your appointment.
  • Collection Instructions:
    • Bring a valid ID.
    • Bring your digital or printed requisition form, available in the Labs tab of your Fullscript account.
  • Check-in: Scan the QR code from your confirmation email or follow kiosk instructions.
  • More Info: Quest Diagnostics blood draw guide

Getlabs Mobile Phlebotomy

  • Location: Sample collection at your home or office.
  • Cost: $85 sample collection fee (paid during lab order checkout).
  • Availability: Available in most locations enter your ZIP code during checkout to confirm.
  • Scheduling: Schedule your appointment here through your Fullscript account.
  • Collection Instructions:
    • Have your digital or printed requisition form and valid ID ready.
    • Your phlebotomist will contact you by phone to coordinate arrival.
  • More Info: Getlabs blood draw guide

 Specimen
  • Preferred Specimen(s): 2 mL serum 
  • Alternative: NA 
  • Minimum Volume: 1 mL 
  • Collection Instructions: NA 
 Storage and shipping instructions
  • Transport Container: Serum separator tube (SST) 
  • Transport Temperature: Room Temperature 
  • Specimen Stability
    • Room temperature: 4 days 
    • Refrigerated: 7 days 
    • Frozen: 10 months 
  • Reject Criteria: NA 

State restrictions:

Patient can't order this test if they are located in Hawaii, Puerto Rico, New Jersey, New York, or Rhode Island

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