any sort of medication, in order to metabolise properly requires a fairly strict routing around diet and sleep - and taking them on time without failure = Lamictal is a nasty drug if not respected and she has recently started taking Zoloft, a month after being prescribed so she is probably all over the place with itShe takes Lamotrigine. Most of her complaints can be explained by it. Recurring infections, twitching/spasms, anxiety. I’m surprised none of her doctors have taken her off of it, but a bad reaction to medication probably isn’t a sexy enough diagnosis for her. Also, it’s not a medication you can just start and stop, if you miss a few days, you’re back at square one. If she’s missing it as often as it seems like she is, it’s probably just making her mood worse.