Lithium Orotate is the most common element used for stabilizing mood swings, mania and depression. Lithium orotate (the lithium salt of orotic acid) is 20 times more bio-active than other lithium orotate salts, allowing a reduction in dosage greatly reducing the likelihood and severity of potential side effects. Each 120 mg capsule provides 4.8 elemental lithium oratate. Recommended dosage: One capsule twice a day with meals or as directed by your physician.