 [ Symptoms ] what is the typical adult dosage of lamictal lamotrigine for bipolar depression  i am a 25 yr old woman and weigh about 105lbs i am currently on 40mg 2x 20mgday of lexapro and have recently titrated up to 200mg of lamotrigine i have been diagnosed with anxiety and manic depression lexapro did not have as much effect on me compared to when i first started taking it this then led to me being prescribed lamotrigine is this combination effective in treating my disorders am i on too much are there any other medications that are known to be effective  thank you [ Disease ] it looks like your exercise routine is sound my only suggestion is make sure your the weights your using in your toning exercises are challenging as you get stronger to continue to improve you will need to go heavier since you have got a strong exercise program on board now you have to look at your diet i had a professor in grad school who summed it up this way you can not walk run or swim away from your diet  all of us struggle loosing that last 10 lbs and to be successful you need to make sure your eating clean one of the best ways to do this is using a food diary i recommend using webmd is food and fitness planner that way you can determine the calories you need to hit your weight loss goals one thing i really like about utilizing this is if i know i am going out to a friends house for get together or to happy hour with co workers i can shift my meals around to insure i can go enjoy myself and still stay on track