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Compared to other environments you have described, this sounds not so bad (relatively speaking). When he is calm, can you ask him to refrain from jokes about overweight pets?
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Bipolar I w/psychotic features
Last inpatient stay in 2018
Lybalvi 10 mg
Naltrexone 75 mg
Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)
Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
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