Aaargh this really struck a cord with me !!
I finally bit the bullet and agreed on medication after 7 years of avoidance due to being stuck on anti depressants as a teen, which did nothing but aggravate my highs...
It's been 5 months on lamotrigine and 2 months with lithium added, I have gained 4kgs in that time. Yeah it doesn't sound like much, but I think you can sympathise when I mention a history of bulimia and what this type of weight gain does. I used to gym frequently but lost the motivation after a massive low which I'm slowly dragging my *** out of.

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