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Marc
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Drop Cutler an e-mail if you're unsure, but I have his book - and he states that once you move onto ALA - it should be every 3 hours. I take my DMSA every 3 hours alongside it (as does everyone else), because it's easier to manage. Dr. Cutler e mailed me back and this is what he said: "Some people do fine every 4, some do better with it every 3 hours. Often 3 hours in the day and 4 during the sleep period."
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