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But he's doing it at such a high level, such a high level that it makes people confused

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You can imagine how frightening it would be to wake up with something like a strong bitter taste in your mouth and not be able to get rid of it. Its not uncommon for people to develop a metallic taste in the mouth during pregnancy, though this is related to hormone changes

When information specific to cardiovascular health was not available, broader health literature was included

Finally, switching and smoking reduction outcomes relied on self-report and did not include biochemical verification