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At the same time, B12 insufficiency in the liver leads to shrinking of the intestinal cells and malabsorption of nutrients (including B12 itself), leading to a cycle of worsening B12 deficiency

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In some cases, a doctor may refer a person to a specialist, such as: a nutritionist or dietitian a hematologist, who specializes in treating blood conditions a gastroenterologist, who specializes in treating gastrointestinal (GI) conditions The table below contains the However, a doctor can advise on an individuals specific needs