Not meaningfully. I think PragmaticPulp captured it well. You can increase the amount of lithium you consume, but mostly what lithium does is improve B12 metabolism. Regardless of suicidal ideation status, taking B12 and improving diet/sleep would be better than taking lithium. B12 is consistently and significantly lower in those with clinical bipolar than controls, so it is the real problem. Superdosing lithium ensures an ideal environment for B12 metabolism, hence the benefits.
