When I started lithium, I was in a bad depression. I stayed on it for 6 months and didn't hardly leave my bed the entire time. I planned my death, over and over for 6 months. It kept me far below baseline.
At least half of my hair fell out (not sure if that was directly related to lithium, or just stress from being so depressed)
Lithium did not work for me and because of the possible extreme side effects, i couldn't justify staying on it.
That said, I know for some people, it's a miracle drug.
Best of luck on your decision.
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