Well...thank you all for your suggestions. I am still thinking through what to do. A question I asked myself yesterday is "if it wear not for the weight would i take this indefinitely" and the answer is absolutely YES! I feel so much better. I think i will talk to Pdoc (like many of you suggested) and see if there is a weight neutral option. I think i need something that works on norepinephrine and seratonin the way lithium does...I just don't know what meds do that yet.