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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

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

3.6 Mitochondrial regulation of cell death (apoptosis, necrosis and pyroptosis) Besides supplying energy to cells, mitochondria regulate necrosis and apoptosis of acinar cells through changes in mitochondrial membrane permeability (MMP) (19)

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