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Yup, losing a kidney is no small problem. I value my internal organs. Kidneys don't regenerate.
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I agree completely; I think my friend is in denial about how dangerous staying on lithium is. I worry about him sometimes. His bipolar is really severe; he was hospitalized five times before he even got to college, and he has had ECT. I think he is scared of going back to where he was before he got it under control.