What reaction mechanism is most likely for substitution on the following compound? 
Definitions:
Serum Lithium Level
The concentration of lithium in the blood, monitored to manage and adjust the dosage of lithium medication for bipolar disorder treatment.
Diarrhea
A condition characterized by frequent and watery bowel movements, which can lead to dehydration if not treated.
Blurred Vision
A lack of sharpness in seeing, resulting in the inability to see fine details, which can be a symptom of various eye conditions.
Frequent Urination
The need to urinate more often than usual, which can be a symptom of various underlying health conditions.
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