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Reference Guide
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MMA
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Methylmalonic Acid

What's 
MMA
?
Methylmalonic Acid (MMA) is a substance created in your body during the breakdown of certain proteins and fats. It plays a vital role in keeping your body functioning properly. One of its main jobs is to help produce energy within your cells, especially in the mitochondria, which are often called the cell's powerhouses. Additionally, MMA is closely connected to vitamin B12, as this vitamin is needed for the proper processing of MMA. As a result, the amount of MMA in your body can offer valuable information about your overall metabolic health and your body's vitamin B12 levels.
If Your Levels Are High
Elevated MMA levels might mean that something is off with your body's metabolism, particularly in the mitochondria, which are like your cells' little power plants. This could be due to various reasons, such as your diet, lifestyle, or even certain medications that can impact how your body processes energy. High MMA levels might also point to a possible lack of vitamin B12, which is important for breaking down MMA. Some less common causes for high MMA levels could be kidney problems or specific genetic metabolic issues. Keep in mind that these less common causes usually come with other noticeable signs.
Symptoms of High Levels
Symptoms of high levels of MMA could include fatigue, weakness, rapid heartbeat, light-headedness, and cognitive changes such as confusion or memory loss.
If Your Levels are Low
Low levels of Methylmalonic Acid (MMA) might mean that your body is taking in or absorbing more vitamin B12 than usual. This could be because you're eating a lot of animal products, which are rich in B12, or maybe you're taking supplements. Some medications, like those for diabetes or acid reflux, could also increase B12 absorption and lead to lower MMA levels. Additionally, low MMA levels might be a sign of liver disease, since the liver is important for storing and processing vitamin B12. It's worth noting that your kidney function can affect MMA levels too, as your kidneys are responsible for getting rid of this substance from your body.
Symptoms of Low Levels
Symptoms of low levels of MMA are typically not noticeable, as they are often associated with excess vitamin B12, which generally doesn't cause noticeable symptoms. However, in rare cases, it could potentially lead to symptoms such as flushing, dizziness, or nausea.

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