[11] In one crossover study, patients with bipolar disorder on lithium were given either 15 mg or 300 mg of MB daily, and those on the higher dose experienced significantly less depression, suggesting efficacy at that dose, though side effects and long-term safety at such high doses remain concerns
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Make sure you also track your tamoxifen side effects, note what you eat and drink, to share with your care team at your next visit
It may be related to your diet or activity levels, so looking at your daily habits as a whole may help you feel more energized while taking the medication