Lithium. Lithium and more Lithium. That's what makes the world of the crazies go 'round. KIDDING!!!. I know you're scared of it.
In a perfect world you wouldn't have to take any pharmaceutical drugs at all.
In this one, the least possible to obtain the desired effect.
What suggestion can I give you?. I'm at the end of the meds-for-the-crazy road.
Take the Lamo increase and see what happens. You're far way from the maximum.
And it has worked for you before. Hang in there. We still have many to roast.