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Some add cyanocobalamin (B12)

doi: 10.1161/CIR.0000000000000973 88 ForouzanfarMHAlexanderLAndersonHRBachmanVFBiryukovSBrauerMet al

"I think this is probably from reflux I've had a slight powder residue taste since starting." - omar866 Because taste is influenced by saliva, digestion, smell, and mood, it makes sense that multiple mechanisms could overlap

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Frontiers in Pharmacology, 12, 627533.

The mechanism is well characterized
