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I looked up the nitto reversible stem. @Shl is right, that's what it is. It is a quill stem with a little ring at the top that keeps the ahead-like stem piece in place at the top. It's like a proto ahead setup that is effectively a built in converter. It looks horrible to me. Look at these things
arrowplum
@ccclusterfuck
Does look like a threaded headset though, probably a converter.