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the anticonvulsant valproic acid can lead to deficiencies of folate and vitamin B12, and some antipsychotics and anticonvulsants can lead to weight gain and metabolic dysfunction.7,10,18,19 Theres evidence that some medications reduce microbial diversity in the gut, which may contribute to metabolic alterations, although treatment with lithium may increase microbial diversity and help regulate calcium.7 Its also important to note that lack of treatment and more manic episodes have been associated with an increased risk of CVD mortality, while treatment with lithium and other medications has been linked to a reduced risk of CVD mortality in people with BD.7,12 Individuals with BD frequently experience residual symptoms and recurrences despite treatment with medication, so finding effective complementary strategies such as nutrition and lifestyle changes could be vital to improved management of the disorder.4,16,19 Nutrition Strategies Nutrition intersects with many of the physical and psychological complications associated with BD

This could potentially be a lifelong therapy, Chinthrajah said

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Prioritize hygiene, follow your providers mixing map exactly, and store your medication correctly to maximize your results

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