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I wonder the same thing. I was on 900mg of lithium for about two years and my levels were only checked once. I got very very sick. I had lithium toxicity. It also took out my thyroid. I've been on thyroid meds ever since. I have that checked every 4 months.
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Bipolar 1 rapid cycling w psychosis
PSTD
Wellbutrin SR 200 mg
Seroquel 600 mg
Depaoke ER 1000 mg
Klonopin 1 mg
Levothyroxine 137 mcg
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