Lithium story: eight guidelines, eight recommendations

When I was first prescribed lithium, my psychiatrist told me to take it once daily just before bed, and to get a blood test measuring the trough serum level 12 hours after the previous dose. I was troubled by these instructions. Firstly, I did not understand why my psychiatrist was using the term trough to apply to a lithium serum concentration about halfway between peak and trough serum…

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