Methylmalonic Acid Test Overview A methylmalonic (meth-uhl-muh-LAHN-ick) acid test is a way to test for vitamin B12 deficiency. Your provider uses a sample of your blood or urine (pee) to look for high levels of methylmalonic acid (MMA). When you have low levels of B12 (also called cobalamin) or you aren’t absorbing B12 properly, your body makes more MMA. Why would I need an MMA test? Your provider might order a methylmalonic acid blood test: If you have symptoms of B12 deficiency, like feeling tired or weak, digestive issues (like diarrhea or abdominal pain), numbness or tingling in your hands or feet, or lack of appetite. At birth, to screen for methylmalonic acidemia (also called methylmalonic aciduria), a rare genetic disorder. Providers most often use an MMA urine test to monitor methylmalonic acidemia. It’s important to accurately diagnose B12 deficiency because it can be a sign of health conditions that can lead to nerve damage, like pernicious anemia and diabetes-related neurop...