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The consistency principle Before we get into the specifics, one rule supersedes everything else: consistency beats optimization

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This may include: a specialist in treating blood conditions (a haematologist) if you have vitamin B12 or folate deficiency anaemia and your GP is uncertain of the cause, you're pregnant or symptoms suggest your nervous system has been affected a specialist in conditions that affect the digestive system (a gastroenterologist) if your GP suspects you do not have enough vitamin B12 or folate because your digestive system is not absorbing it properly a specialist in nutrition (a dietitian) if your GP suspects you have a vitamin B12 or folate deficiency caused by a poor diet A dietitian can devise a personalised eating plan for you to increase the amount of vitamin B12 or folate in your diet

However, high B12 levels in the blood can be a sign of underlying kidney or liver disease, indicating that these organs are struggling to get rid of excess B12