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Dear Editor, It was surprising to read the editorial by Malhi and Bauer1 in the last issue of bipolar disorders entitled “Lithium First: Not Merely First Line.” I was unsure of the reason for the authors' triumphalist tone, since all the references were well known and nothing new. I have spent a large part of my 50-year research and clinical psychopharmacology career studying lithium biochemically and in animal models and in treating patients with lithium.
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