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This effect is well documented: in a study titled Bismuth subsalicylate markedly decreases hydrogen sulfide release in the human colon (Suarez, Furne, Springfield and Levitt, Gastroenterology , 1998), 10 healthy subjects who took bismuth subsalicylate (524 mg four times daily) showed a greater than 95% reduction in fecal hydrogen sulfide release which is why this remedy can work so reliably against the odor itself

These concerns may cause certain areas of your skin to appear darker than others, resulting in an uneven complexion