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You left out a very important test, Free T3. Your Free T4 tests tells you how much stored hormone you have, but then your body converts it into useable hormone that runs through your body like gasoline runs to a car engine. You need to find out what your Free T3 levels are. You might be like many people and your body does not properly convert stored hormone to useable. That's me. I had to go on natural treatment.. Armour, which has both T4 and T3 in it. It changed my life. I felt the difference in ONE day! I have my life back after wasting 22 years on 8 MDs, 3 of which were endocs and not a ONE OF THEM did the right tests or gave me the right treatment. I had to find my very wise MD on the Thyroid Top Docs List. Google it.
The way amphetamines work is that they stimulate the synapse to release stored dopamine, norepinephrine and serotonin but they do nothing to inhibit the brain’s action of reabsorbing these neurotransmitters, breaking them down and excreting them. So this particular method of increasing dopamine can be sensitive to a diet that is lacking in the essential amino acids and the supporting vitamins and minerals that are required for your body to make these catecholamines. My experience changing from Ritalin to dex was good, for a few days.