Adding a character prefix to your level names will do the trick. For example, if you have a variable with 4 levels: Healthy Control, Crohns, Colitis, Unk IBD, MaAsLin will read it in the following order, alphabetically: Colitis, Crohns, Healthy Control, Unk IBD. To correct this, add a_, b_, c_, d_ to the front of your level names in the order you want it. For example: a_Healthy Control, b_Crohns, c_Colitis, d_Unk IBD. If your level names are too long you may just want to change them to simply A, B, C, D and keep a metadata catalog of the assignments.
-Jeremy