Thank you Amanda. I do have a psychiatrist and she was hoping that the parathyroid surgery would help in my recovery. I am only slightly better. I am eating a little better, my blood pressure is better and I am a little stronger. But now I am developing aching joints on top of everything. She thought that the combination of seraquel and cymbalta was causing it so she switched me from cymbalta to trintellix 3 weeks ago but the joints are still aching and growing worse. Blood tests do not show any auto-immune diseases. Before the surgery she tried Ambilify, Vreylar and Latuda so maybe it is worth trying them again. Somehow, I think because my body chemistry has changed from the surgery I should try reducing everything. That’s why I am reaching out to see if anyone with Bipolar has had this surgery and what their doctor did to adjust their medications afterward.