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I'm bi-polar II--hypomanic but not manic. I've been on Lithium for 8 years or so.
After so long, it's hard to address it: I guess it does something for me. There's a slight weight gain--5 pounds or so for me. It seems to help moderate my mood swings a bit.
Blood tests aren't a big deal. They do periodic tests for "liver functions" and lithium level in the blood. Depends on doc on how often. I'm not on a schedule--maybe 2x a year. More often at first to see how you react, tests when maybe you have something going on and they want to see if the liver/lithium levels might be the culprit.
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