Let $\Omega \subset \mathbb{R}^n$ be a smooth domain, $u,v \in H^1_0(\Omega)$ with the usual inner product and let $M=M(x)$ be a $n\times n$ matrix with entries $m_{ij}\colon \Omega \to \mathbb{R}$ which are as smooth as necessary. Furthermore, $M(x)$ is positive-definite and invertible for every $x$ .
Is it true that there exist $\varphi, \phi \in H^1_0(\Omega)$ such that $$\int_\Omega \nabla u^T M \nabla v = \int_\Omega \nabla u^T \nabla \varphi + \int_\Omega u\phi?$$ If so how we can relate $\varphi$ and $\phi$ with $M$ and $v$?
Outside of when $M$ is a multiple of the identity, I don't know.