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Moreover, 13 C mannitol has been suggested as an alternative to the common 12 C mannitol because of the contamination with the latter from food sources in which mannitol is used as a sweetener (e.g., chewing gum) (3739)

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Excretion occurred primarily via urine and bile

As a compounded medication it is not an FDA approved finished product, but rather is lawfullly manufactured by FDA approved, compounding pharmacies under the proper USP guidelines and relevant state pharmacy board regulations and its medical use is permissible as a compounded medication prescribed and administered under the supervision of a physician