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I start low and increase gradually: Standard Protocol: Week 1: 1.5mg daily (at bedtime) Week 2: Increase to 3mg daily Week 3+: Maintain at 4.5mg daily (the optimal dose for most conditions) Sensitive Patient Protocol: Start at 0.5mg with weekly increases of 0.5mg Stay at each dose level for 2 weeks Stop increasing when you get the best response instead of automatically going to 4.5mg Special Considerations: POTS patients often do best at 2.53mg Long COVID patients usually follow standard escalation to 4.5mg CIRS patients may need even slower increases to avoid detox reactions Always take at least 24 hours after any binding agents or medications Most patients take LDN at bedtime, though those getting vivid dreams can switch to morning without losing effectiveness

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Compounding pharmacies must test reconstituted batches for sterility, endotoxin levels, potency, and pH before dispensing to pediatric patients