I agree that lithium doesn't cause weight gain for everyone. I've been on lithium a couple of times and no weight gain.

The other thing is that there are over 400 combinations of medications for bipolar. That is what my psychologist told me in 2009 when I was diagnosed, and there are some new meds out now that weren't then. So, probalby more now. Just because one combination doesn't work doesn't mean that's the only option. It can take a long time to find the right combo.

I see a lot of peole seem to do well on Lamictle if you can tolerate it. I got a rash so I can't be on it.