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Because of this short half-life, clinical experts often recommend splitting the daily dose (e.g., taking half in the morning and half in the evening) to maintain steady, round-the-clock antioxidant levels in the bloodstream

Starting at the lower end (200-250mcg) allows tolerance assessment and side effect minimization before increasing to therapeutic doses, while taking doses higher than prescribed does not necessarily lead to additional benefit and may increase the risk of side effects due to physiologic feedback mechanisms

Adolescents with documented mannitol hypersensitivity require alternative therapy

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