Made it last week (full disclosure, someone made it for me) with a tablespoon of lemon mixed with the milk, but I would think buttermilk is an ok substitute. Came out great, and I'd recommend just sticking with a dusting of powdered sugar, it doesn't need more than that!
I've made it a couple of times with buttermilk - it was great. If buttermilk isn't handy, you can also add one tablespoon white vinegar to one cup milk and let it sit a few minutes.
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