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[2] Iron supplements may cause a grayish-black stool that should be distinguished from melena, [3] as should black coloration caused by a number of medications, such as bismuth subsalicylate (the active ingredient in Pepto-Bismol), or by foods such as beetroot, black liquorice, or blueberries

Grndemann D, Harlfinger S, Golz S, Geerts A, Lazar A, Berkels R, et al

the fatty-acid modification supports once-weekly dosing

Muscle Nerve 50:767774 Abe K, Pan LH, Watanabe M et al (1995) Induction of nitrotyrosine-like immunoreactivity in the lower motor neuron of amyotrophic lateral sclerosis

And I wear an oxygen mask while Im using it, which simulates altitude, so Im getting this huge red blood cell response