Final answer:
Elevated MMA is associated with megaloblastic anemia, a deficiency of vitamin B12 and/or folate.
Step-by-step explanation:
Elevated methylmalonic acid (MMA) is associated with the cause of macrocytic anemia known as megaloblastic anemia. Megaloblastic anemia is caused by a deficiency of vitamin B12 and/or folate. MMA is a byproduct of vitamin B12 metabolism, and its levels rise when there is a deficiency of vitamin B12.