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Older people may also be more likely to experience lower stomach acid production

Jejunostomy tube feeding If you arent getting enough nutrients and calories from other treatments, your doctor may recommend jejunostomy tube feeding

At one point, however, I did have an adverse reaction to a specific brand of cyanocobalamin (Sandoz)

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Ongoing Treatment (Diet-Related): If your deficiency is linked to your diet, you may require a hydroxocobalamin injection twice a year