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[20] [33] Oral hygiene practices can address metallic taste or altered oral sensations: Brush teeth and tongue regularly Use alcohol-free mouthwash Chew sugar-free gum or mints Rinse mouth with baking soda solution (1/4 teaspoon in 1 cup water) Taste changes often improve over weeks to months as the body adjusts to therapy, though individual experiences vary

But B12 supplements don't seem to have any effect on people already at normal levels

If you have low levels of vitamin B12, you may experience sensations such as numbness or tingling in the hands, legs, or feet, difficulty walking caused by problems with balance, or having an inflamed, swollen tongue