Lithium orotate vs lithium carbonate. The Journal of pharmacy and .

Lithium orotate vs lithium carbonate Unless it seeps into the cells, it is quite useless. Patients often need an integrated pharmacological and non-pharmacological approach. Intriguingly, lithium orotate (LiOr) is suggested to pos Objective Lithium carbonate (LiCO) is a mainstay therapeutic for the prevention of mood-episode recurrences in bipolar disorder (BD). Unlike its Unlike prescription lithium forms such as lithium carbonate and lithium citrate, which require close medical supervision due to their narrow therapeutic index and potential side effects at high doses, lithium orotate is marketed as a nutritional supplement with the promise of mood stabilization and cognitive benefits at lower doses. Lithium orotate is thought to be more easily absorbed by the body and may be able to cross the blood-brain barrier more efficiently. 6 mEq/L and 1. Lithium orotate contains a higher dose of lithium than the other two supplements, so there is some potential for side-effects and toxicity. Around Lithium carbonate (LiCO) is a mainstay therapeutic for the prevention of mood-episode recurrences in bipolar disorder (BD). What's the difference between Ionized Lithium and Lithium Orotate? Ionized lithium and lithium orotate are two different forms of lithium supplements that ar This vs. Intriguingly, lithium orotate (LiOr) is suggested to possess uptake properties that would allow for reduced dosing Lithium Carbonate vs Lithium Orotate. It is available as the monohydrate, LiC 5 H 3 N 2 O 4 ·H 2 O. Kidney function and lithium concentrations of rats given an injection of lithium orotate or lithium carbonate. It requires higher doses and more frequent blood tests. Even then, there have been no reported cases of death or serious side-effects Lithium is used to treat mania that is part of bipolar disorder (manic-depressive illness). I have been on 600mg lithium carbonate since December and have gained 20 pounds. Research on lithium orotate is very limited, and many studies are decades old. 2014). What is Lithium? Lithium is primarily used as a mood stabilizer in psychiatric settings, particularly for treating bipolar disorder. Ionized lithium, also known as lithium citrate or lithium carbonate, is a form of lithium that has been chemically processed to increase its Unlike lithium carbonate and lithium citrate, which are primarily used for treating mental disorders like bipolar disorder, lithium orotate is available as a supplement and is often used in lower doses. Lithium orotate (LiC 5 H 3 N 2 O 4; henceforth referred to as LiOr), a compound largely abandoned since the late 1970s, may represent such an alternative. While lithium carbonate is often prescribed in higher doses for mental health conditions such as bipolar disorder, lithium orotate offers a safer alternative due to its increased Lithium orotate Vs carbonate Discussion Hi there ! I have mood disorders such as pmdd, mdd, and ocd. Lithium orotate tries to nullify the problems that lithium carbonate creates. While my mood is stable, I feel awful. While a long-celebrated medicine, lithium carbonate does present Lithium orotate vs. Of the presently prescribed lithium salts, lithium carbonate (Li2CO3) is the most commonly administered, and arguably holds a position among the most effective medications for the prevention of mood-episode recurrence and maintenance of the relatively stable euthymic phase of the disorder (Machado-Vieira et al. Can lithium orotate be used without a prescription? Yes, lithium orotate is available as an over-the-counter supplement The main difference between lithium orotate and lithium aspartate is that lithium orotate is formed by lithium with orotic acid, while lithium aspartate is formed by lithium and aspartic acid. Lithium and other mood-stabilizing treatments do not cure mood disorders but can reduce the frequency, severity, and Unlike lithium carbonate or lithium citrate, which are often prescribed for bipolar disorder and other mental disorders, lithium orotate is available as a dietary supplement. Titration to higher doses could be considered for patients who already have minimal cognitive impairment, if fully tolerable (as treatment may go on for years), up to a serum level of 0. The concentration of lithium in the food was 15 mEq/kg dry wt. The Connection Between Lithium Orotate and Heart Health. Since The type of lithium used at this pharmaceutical range is lithium carbonate – a cornerstone of treatment for bipolar disorder and other psychiatric conditions. Lithium orotate is a compound combining lithium and orotic acid, commonly used to support mental health and treat mood disorders like bipolar disorder. The purported benefits of lithium orotate in the typically advocated doses have not been the subject of meticulous scientific scrutiny. It is marketed as a dietary supplement, though it has been That is available only by prescription, and is a different form of lithium called lithium carbonate. Unfortunately, the narrow therapeutic index of LiCO is associated with common thyroid and kidney complications that lead to high rates of non-compliance. Lithium orotate can also be utilized in children and teens with ADHD, Autism, DMDD, or depression who experience emotionally To further illustrate the differences in the daily doses of elemental lithium between the orotate and carbonate forms, a single 120 mg tablet of LO contains about 5 mg of elemental lithium. I’m also doing ketamine infusions with zero relief. Therefore, these findings and I take lithium orotate and get potent effects with just 10mg elemental lithium a day (1/17th of the dose you were taking). 8 mg of elemental lithium per 100 mg. Lithium carbonate is the most common prescription form. Lithium Orotate. Example 2: A patient purchases lithium orotate on the internet due to the belief What is Lithium: History and Use in Treating Bipolar Disorder. What is the preferred lithium to use; lithium orotate or lithium carbonate. However, in lower doses, as found in lithium orotate supplements, it has been suggested to offer similar benefits without the potential side effects associated with higher doses of prescription lithium. Prescription lithium carbonate, Learn about lithium orotate. Although lithium is approved by the U. It was discovered in the 1940s and soon became a key treatment for bipolar disorder. 5 mg ionic lithium. Prescription lithium carbonate, however, gives the total amount of lithium carbonate (300mg, 600mg, 900mg, etc. It is used in much, much higher doses, in the range of 1000 mg per day, vs. 2 No differences in the uptake, distribution and excretion of the lithium ion were observed between lithium orotate, lithium carbonate and lithium chloride after single intraperitoneal, subcutaneous or Background Lithium salts (carbonate, citrate, or sulphate) have been widely used for about 70 years to treat illnesses characterized by periods of depression and elevated or excited mood (bipolar disorder) or with depression only (major depressive disorder). The lithium carbonate doses are ridiculous compared to orotate (typical starting dose of carbonate is 900 Lithium orotate 1 is increasingly gaining traction among individuals seeking alternative mental health solutions that veer away from conventional prescription medications. 8% elemental lithium by weight, and the recommended dosage can vary between 600-1800 mg of lithium carbonate per day. Some people report it helps their mood with less risk of toxicity. Lithium is a drug that doctors prescribe to people with bipolar disorder. I workout 6 days per week and eat fairly healthy. Lithium orotate and lithium aspartate are dietary supplements that incorporate lithium, a naturally occurring mineral element. Additionally, many of the purported benefits of lithium orotate are erroneously inferred from studies that actually looked at low-dose prescription Lithium Orotate vs. 2 No differences in the uptake, distribution and excretion of the lithium ion were observed between lithium orotate, lithium carbonate and lithium chloride after single intraperitoneal, subcutaneous or intragastric Objective Lithium carbonate (LiCO) is a mainstay therapeutic for the prevention of mood-episode recurrences in bipolar disorder (BD). The goal of maintenance treatment is a lithium level between 0. It is usually prescribed at very high dosages that are uncomfortably close to toxic levels and even with frequent blood Research on the direct link between lithium orotate and anxiety is lacking, but many people report this effect during regular supplementation with lithium orotate. Lithium orotate combines lithium, a mood-regulating element, with orotic acid, used as The most important distinction between lithium orotate and lithium carbonate (the prescription form of lithium) is their dosage. The distinction between lithium orotate and other lithium salts, such as lithium carbonate, is crucial, particularly in the context of bioavailability and side effect profile. Smith That study seems to have brought an end to scientific study of the orotate approach. What are potential toxicity & side effects. Lithium is one of the most effective treatments available not only in psychiatry, but in the whole medicine, and its clinical Lithium Carbonate: Requires higher doses due to less efficient cellular entry—potential for increased side effects. That Explore Comparisons. This is only 10% of the dose of elemental lithium that you would find in a single 250 mg tablet of lithium carbonate, which would have about 50 mg of The tablets and capsules contain lithium carbonate, while the oral solution contains lithium citrate. Food and Drug Administration (FDA) for treating bipolar I disorder, it is often underutilized due to concerns about potential adverse effects and its status as an older drug. There is some concern over long-term usage of the drug because it can impair kidney function when used over a long period of time. Both lithium salts work the same way, but if you switch from one to the other you may need an adjustment to your dose. Lithium orotate is a dietary supplement with lithium and orotic acid, while lithium carbonate is a prescription medication for bipolar disorder. Lithium orotate may have fewer side effects due to its lower dose. Lithium orotate (LiOr) is an Background Lithium carbonate (LiCO) is a mainstay treatment option for the prevention of mood-episode recurrences in bipolar disorder (BD). One 1979 study in rats found it more harmful than the conventional form (lithium carbonate) to the animals’ kidneys. 8 mmol/L (NB serum levels were not targeted in the lowest dose study). from day 5 to 8, 45 mEq/kg Abstract. But was it a fair evaluation? Low-dose lithium orotate offers a safer alternative to higher-dose lithium treatments, providing mental health, cognitive enhancement, and neuroprotective benefits. vs. One confusing thing is that the lithium orotate supplements you see for sale don't usually list the amount of lithium orotate - they instead print the amount of elemental lithium (5mg, 10mg, or 20mg, etc). Lithium carbonate is the drug form of lithium prescribed to bipolar patients by psychiatrists because it can aid in reducing mood swings, lowering anxiety and promoting sleep. Lithium carbonate was approved by the FDA for the treatment of mania in 1970, but had long been in Lithium orotate supplements typically contain between 1-10mg of elemental lithium, which is significantly lower than the therapeutic doses of lithium carbonate prescribed for bipolar disorder (300-1200mg). from day 1 to 4, 30 mEq/kg dry wt. This is only 10% of the dose of elemental lithium that you would find in a single 250 mg tablet of lithium carbonate, which would have about 50 mg of In 1973, Nieper 4 reported that lithium orotate contained 3. S. 0 m equiv kg-1 lithium carbonate, two-thirds of the 2 h serum lithium concentration was present 24h after lithium orotate. Nieper went on to claim that lithium did not dissolve from the orotate carrier until it passed through the blood–brain barrier 4; however, a 1976 study documented that Lithium orotate (C 5 H 3 LiN 2 O 4) is a salt of orotic acid and lithium. This means that a lower dose of lithium orotate may be needed to achieve the same effect as a 402 D. Lithium alternatives at Alternative to Meds Center mean drug-free lithium alternatives that may offer some persons a better option for addressing mood swings than conventional psychiatric medications. It is commonly used to support mood stabilization and mental wellness in smaller lithium doses, which reduces the likelihood of adverse effects like kidney damage or weight gain. Studies claiming differences in the pharmacokinetics of lithium orotate salt versus the carbonate and chloride forms have been disputed. Parallel studies were carried out with lithium carbonate and lithium chloride. Lithium helps manage mood swings and prevents both manic and depressive episodes. Unfortunately, its narrow therapeutic index is associated with complications that may lead to treatment non-compliance. Boosting Brainpower Lithium can be used in low doses (up to 20 milligrams daily) as a dietary supplement in the form of lithium orotate or lithium aspartate. Dr Wright is not taking prescription lithium carbonate. Lithium carbonate and lithium citrate are commonly prescribed medications for treating bipolar disorder and other mood disorders. Of the presently prescribed lithium formulations, lithium carbonate (Li 2 CO 3; LiCO henceforth) is the most In 1973, Nieper 4 reported that lithium orotate contained 3. 2 These supplements are part of an increasing interest in utilizing natural compounds and trace minerals to support mental health and cognitive functions. 2 mEq/L. Lithium orotate supplements usually range from 5mg to 10mg daily, and in some cases, up to Differences Between Lithium Carbonate and Lithium Orotat e. Lithium orotate (LiOr) is an alternative compound that is Lithium Orotate vs. Lithium orotate may cause weight gain in some individuals, but it generally poses a lower risk compared to lithium carbonate. Unlike lithium carbonate, which requires higher doses to be effective, lithium orotate is believed to be more bioavailable. The main difference between lithium orotate and other lithium salts is how the body processes them. The problem with lithium carbonate is that it is useful only when the lithium component reaches complex intracellular structures of mitochondria and lysosomes. [1] In this compound, lithium is non-covalently bound to an orotate ion, rather than to a carbonate or other ion, and like other salts, dissolves in solution to produce free lithium ions. Manic-depressive patients experience severe mood changes, ranging from an excited or manic state (eg, unusual anger or irritability or a false sense of well-being Lithium carbonate is a pharmaceutical form of lithium that is prescribed in high doses for the treatment of bipolar disorder to prevent mania; it is also used in certain neurodegenerative diseases, such as Alzheimer’s disease. If a person were to take one 5 MG tablet a week that would average to 0. From The Lithium Handbook: Research in the 1970s and in 2023 confirmed greater tissue penetration for lithium orotate compared to other salts for any given peripheral level. 10 The biological and clinical potential of trace (<5 mg/day) and micro (5–20 mg/day elemental lithium) doses require systematic investigation to verify the potential benefits While little serum lithium remained at 24 h after injection of 2. To further illustrate the differences in the daily doses of elemental lithium between the orotate and carbonate forms, a single 120 mg tablet of LO contains about 5 mg of elemental lithium. Lithium carbonate, used primarily in psychiatry, often demands high doses for therapeutic effects, necessitating frequent monitoring due to its potential for serious side effects, such as This article explores the relationship between lithium orotate and weight loss, offering insights into how this compound may influence your weight loss plan. Patients considering lithium orotate should engage in thorough discussions with healthcare providers, weighing its unregulated status against individual treatment needs and potential Low Dose Supplementation: Lithium Orotate. (1979). 2 and 0. Lithium doses in dietary supplements are much lower than in prescription lithium—usually 10mg per pill instead of 300mg or 450mg. 10-20 mg per day of lithium orotate. Traditional vs. How does lithium orotate differ from lithium carbonate? Lithium orotate is believed to cross the blood-brain barrier more efficiently than lithium carbonate, potentially allowing for lower doses. Lithium is an alkali metal available for medical use as lithium carbonate or lithium citrate. However, this typically occurs only when multiple capsules at higher doses are taken. Unlike lithium carbonate, lithium orotate is believed to cross the blood-brain barrier more efficiently, potentially allowing for lower doses to achieve therapeutic effects. This means your body can utilize it more efficiently, potentially leading to benefits at lower doses. This form of lithium offers potential benefits at much lower doses, which can support mental health and brain function without the higher doses and potential side effects Lithium, in prescription form (lithium carbonate), is a well-known mood stabilizer used primarily for bipolar disorder treatment. The difference Lithium comes in different forms: carbonate, orotate. In summary, lithium orotate is a natural, over-the-counter supplement with lower dosages and The primary distinction between lithium orotate and lithium carbonate lies in their chemical structure and how they are processed by the body. the known benefits of lithium carbon-ate, albeit in an attenuated form. , & Schou, M. It is often compared to other lithium salts like lithium carbonate and lithium citrate, which are commonly used in the treatment of bipolar disorder and other mental disorders. Lithium carbonate, often just called lithium, is a medication that has been used for many years to treat mood disorders. [Pacholko & Bekar, 2021] LO fell out of favour due to a greater incidence of renal impairment compared to Lithium carbonate. Henry Emmons and Dr. No differences were found in the uptake, distribution, and clearance of the lithium ion in rat studies,Smith 1976 despite early research suggesting lithium orotate achieved higher concentrations in the brain. 22 In patients with severe depression, a subset of patients on citalopram plus 300 mg of lithium carbonate achieved Thirteen studies used lithium carbonate, with target dose ranges between 0. 8 1 The pharmacokinetics of the lithium ion administered as lithium orotate were studied in rats. Lithium-orotate versus lithium-carbonate. Low Dose Therapy. Unlike lithium carbonate or citrate, lithium orotate is available as a dietary supplement and is often preferred for its lower risk of side effects. Lithium orotate 1 is a compound that combines elemental lithium, a mood-stabilizing agent, with orotic acid, a substance naturally produced in the body. It contains 18. 3 mg and 1200 mg and/or target serum levels between 0. Compared to lithium carbonate, lithium orotate is posited to have a milder impact on the thyroid gland, potentially due to its differing pharmacokinetics and lower Lithium Orotate vs. I’ve been very treatment resistant. Furthermore, the 24 h brain concentration of lithium after lithium orotate was approximately three times greater than that after lithium carbonate. Smith, D. There are two forms of lithium available to consumers: there is a natural form of the metal/mineral bound Comparing lithium-orotate supplements vs lithium-carbonate meds can be very confusing; the problem is most websites and doctors’ prescriptions do not distinguish between the weight of the pure elemental lithium mineral on its own compared to the weight of the lithium plus the weight of the compound (carbonate, orotate or citrate) the This backdrop has spurred interest in dietary lithium supplements like lithium orotate and lithium aspartate, which promise the mood-stabilizing benefits of lithium at lower, safer doses. F. Despite lithium being available for about 60 years in clinical practice, its mechanism of action is not well understood because it acts at a number of targets and across a range of neurotransmitter and non-transmitter systems . This unique chemical structure sets it apart from the more commonly prescribed lithium carbonate. However, they often require higher doses and come with a range of potential adverse effects, including the need for regular blood tests to monitor A total of 719 drugs are known to interact with Lithium Carbonate ER: 184 major drug interactions (698 brand and generic names) 498 moderate drug interactions (2088 brand and generic names) 37 minor drug interactions (261 brand and generic names) Alcohol/Food/Lifestyle Interactions: Lithium orotate (LO) was found to have greater lithium brain levels than lithium carbonate at equivalent concentrations, thus offering the potential to maintain a lower lithium dose. SMITH 120* A E-100 *A 0) *A*A ioo A AA mU~~ E 20 U 0 5 O 0 15 2 Time(days) Figure 1 Mean daily water intake in rats given either no lithium (0) or increasing concentrations of lithium orotate (-), lithium carbonate (A) or lithium chloride (S) in the food. Lithium orotate is Clinical research on lithium orotate is less comprehensive than for lithium carbonate; thus, its efficacy and safety profile remain under active investigation. Lithium orotate has received only minimal evaluation in terms of its safety. How does lithium orotate compare to lithium carbonate in terms of weight gain? Lithium orotate typically results in less weight gain than lithium carbonate, often prescribed at higher doses. The Journal of pharmacy and So, what makes lithium orotate different from its more well-known relatives? Well, it’s all in the delivery system. Lithium is a salt compound. Unfortunately, the most frequently employed lithium salt, lithium carbonate (Li2CO3), is associated with a host of adverse health outcomes following chronic use: these unwanted effects range from Lithium orotate is available in smaller doses: 5 MG, 10 MG, 20 MG, and 120 MG. High-dose inorganic lithium compounds (lithium carbonate) versus low-dose organic lithium compounds (LO) The ideal lithium supplement would be one where you would only need to consume micro-doses of elemental lithium, and yet still benefit from it. Background Bipolar disorder is one of the most burdensome severe mental disorders, characterized by high levels of personal and social disability. 83 mg of elemental lithium per 100 mg and lithium carbonate contained 18. It is also used on a daily basis to reduce the frequency and severity of manic episodes. Failed over 20 meds, that is to include SSRIS, SNRIS, antipsychotics, anti convulsants , and herbal supplements. Lithium Carbonate: Elemental Lithium per 100 mg: About 19 mg; Prescription Availability: Widely used in This article aims to explore the long-term side effects of lithium, including comparisons between traditional forms of lithium, such as lithium carbonate, and Lithium Orotate, a popular dietary supplement. 6–0. And that’s for the more potent lithium carbonate. At these low doses, lithium orotate is generally considered safe and well-tolerated, with minimal side effects [10]. These data Unlike the more common lithium carbonate, lithium orotate is a salt that is complexed with orotic acid. While this may achieve more pronounced CNS effects, there is also the potential for greater renal dysfunction. That's the superior form of lithium imo, and in doses that small, it's nowhere near as harsh on the kidneys. Difference Between Lithium Orotate and Other Forms of Lithium. 8 as Safety of low-dose orotate. 1 The pharmacokinetics of the lithium ion administered as lithium orotate were studied in rats. 7 MG per day and would lower the risk of AD. It can help prevent and treat manic and depressive episodes. ), which makes it look like a Lithium salts have been used for more than half a century to combat the psychiatric manifestations of bipolar disorder and, while antipsychotics and anticonvulsants have gained in popularity, lithium remains a frontline therapeutic option (Culpepper, 2014). Dosage: Lithium orotate is an over-the-counter nutraceutical that typically contains much smaller quantities of lithium than the prescription form of lithium carbonate. A separate, small, dose-response trial using lithium augmentation for treatment-resistant depression that was unresponsive to sertraline found that both 400 mg and 800 mg of lithium were equivalent in their clinical response. Until further data are available to establish the safety of lithium orotate, the simplest practical dose to prescribe is 150 mg of lithium carbonate. Lithium carbonate is a standard form of lithium prescribed for bipolar disorder. LiOr is proposed to cross the blood-brain barrier and enter cells more readily than Li 2 CO 3 , which will theoretically allow for reduced dosage requirements and ameliorated toxicity concerns. Lithium carbonate is the traditional form of lithium used in psychiatric Lithium carbonate (LiCO) is a mainstay treatment option for the prevention of mood-episode recurrences in bipolar disorder (BD). The key difference lies in its bioavailability and absorption in the body. These supplements are often promoted for their Research on lithium orotate is very limited, and many studies are decades old. Intriguingly, lithium orotate (LiOr) is suggested to possess uptake properties that would allow for reduced dosing necessary to life, if this were lithium’s only beneficial effect, instead of one of literally dozens, supplementation would already be worth considering. My pdoc does not want to switch meds bc I’m finally How does lithium orotate differ from other lithium salts? Lithium orotate contains a lithium ion attached to an orotic acid molecule, which differs from other lithium salts that are typically bound to chloride or carbonate. , 2009;Malhi Lithium pioneered mood stabilization and continues to be the preferred first-line treatment choice despite the availability of newer mood stabilizers. In LiOr is proposed to cross the blood–brain barrier and enter cells more readily than Li 2 CO 3, which will theoretically allow for reduced dosage requirements and ameliorated toxicity concerns. There are some claims that lithium orotate is #lithiumorotate #mentalhealthpodcast #joylabpodcastIn this episode of the Joy Lab podcast, hosts Dr. Lithium dietary supplements usually contain lithium orotate, a different lithium “salt” from the lithium carbonate or lithium citrate in most prescription lithium. This unique compound offers the potential for mental health support with a significantly reduced risk of side effects typically associated with pharmaceutical lithium forms like lithium carbonate Lithium Orotate versus Prescription Lithium Carbonate: The bipolar link to salt deficiencies has been understood for centuries. Lithium orotate in the treatment of alcoholism and related conditions. Lithium-carbonate is the form of lithium typically used in psychiatric medicine to stabilise bipolar syndrome. Is it safe? What is the difference between lithium orotate vs lithium carbonate. While both lithium carbonate and lithium orotate have their respective advantages and limitations, lithium orotate stands out as a promising option for those seeking the benefits of lithium supplementation with fewer While both forms contain lithium, they differ in terms of their chemical composition, Lithium orotate combines lithium with orotic acid, while prescription lithium forms, such as lithium carbonate and lithium citrate, pair lithium with carbonate or citrate ions. A big difference between the two types of lithium is the dosage. This is on top of the 20 pounds I gained from the pandemic that I haven’t lost. Additionally, many of the purported benefits of lithium orotate are erroneously inferred from studies that actually looked at low-dose prescription lithium carbonate (also known as “sub-therapeutic” or “micro-dose” lithium). Lithium Orotate: Elemental Lithium per 100 mg: 4-5 mg; Potential Benefits: Reduced dosage, lower toxicity concerns. Aimee Prasek talk about lithium oro Lithium carbonate, on the other hand, is a pharmaceutically synthesized counterpart. Elemental lithium and its compounds, like lithium carbonate and orotate, have since been integral in psychiatric treatment. Lithium orotate contains about 4-5 mg of actual (“elemental“) lithium per 100 mg dose . lithium carbonate . The potential connection between lithium orotate and heart health is an area of Lithium orotate formulations might also impart benefits at lower doses than those of carbonate forms, and the orotate anion itself could have biosynthetic advantages. . 7 Animal studies suggest that lithium orotate is more bioavailable than lithium carbonate. Traditional lithium therapy involves high doses to maintain therapeutic levels in the blood, which are effective in treating bipolar disorders but often come with serious side effects Lithium Carbonate. Lithium orotate is a nutritional supplement that has gained attention for its potential therapeutic benefits, particularly in mental health. The critical differences between lithium orotate and lithium carbonate center on their dosage requirements, side effects, and how the body absorbs them. F. Natural salt. Lithium Carbonate. These differences affect how the body absorbs and Two forms of lithium are often compared: lithium orotate and lithium carbonate. Lithium works by stabilizing a person’s mood. He is taking lithium orotate, a non-prescription nutritional supplement. Nieper went on to claim that lithium did not dissolve from the These doses are converted to estimated quantities of ionic lithium, with a starting dose of 600 mg lithium carbonate containing 112. pvzn yjeyo aths pbcis csq nqkhu brzal psn qzcepl mbhfz