Here is my current cocktail: Caffeine 400mg (200 when I wake up then another 200 when I go to the gym 30 minutes later), Modafinil 150, Bupropian XL 150. I used to take adderall but it made me crazy for lack of a better word. Looking to add a stimulant for focus. Suggestions? Currently deciding between Ritalin and Vyvanse. Also, I know I’m a stim junkie I was taking adderall for 20 years so my tolerance is pretty high. Please keep it positive and helpful thanks

It’s been 5 weeks and I haven’t gone a day or night without crying and feeling haunted by them. I can’t eat, can’t sleep, can’t produce quality work, can’t find joy in anything I previously loved. This is the worst physical and psychological pain I’ve ever experienced.

People with One Medical,

Is it really worth the $200 ? If so, why ?

Have any of you worked in FM and then started practicing HIV medicine? I am working toward an AAHIVS credential, but am wondering if I need to leave my current practice vs try to incorporate treatment where I am. No one else treats HIV in my clinic currently, and PAs in my clinic are not currently paneled but I have a lot of autonomy in my team despite technically seeing patients with an MD listed as PCP

Has anyone tried CeraVe daytime face lotion with 30 spf? I use and love the PM (even during the day in winter) and want to add SPF during the day without risking breakouts. Unfortunately I have dry, yet sensitive, acne prone skin.

Anyone ever get acid reflux every time you lay down to nap or go to sleep? Middle of 6 months and feel like acid reflux just hit me. :( any suggestions besides taking tums?

I hated working at the big4 couple of years ago. How do you people sleep at night ?

31 year old female here. Recently started ttc. Was on pill before. How many cycles should I try before consulting a obgyn? I want to be proactive in case there is a problem. Also, do I set an appointment with obgyn for a fertility workup? Pretty new to all this and would appreciate all advice.

I left bedside nursing and the hospital 2 years ago. I don't feel guilty about it and honestly this pandemic
has convinced me to never return.

How does sleep affect your medications effectiveness? Do you feel like you need X hours of sleep for your adderall/vyvanse etc. to work properly?

Currently working on 2 deals, just assigned a third... Good time to start my all water diet for the next month?

Did you do the NIPT? I just had my first prenatal appt and they scheduled me for the NIPT at 10 weeks. I’m a little nervous and anxious. Did anyone get it and got a false positive? Do you not recommend it? I wish I could ask family but we’re not telling anyone until the 12 weeks mark.

Having an animal friend with cancer is not something easy. This year I have already had 24 animals that went to sleep in order to stop suffering. This is not easy for their families at all. It seems to me that the cancer stats in domestic animals are increasing, is this just me?

I have family visiting from overseas. As foreign nationals where can they get no-cost covid PCR test?

Hii everyone,

My self Dr Neha, PharmD graduate seeking for job opportunity in clinical research field.

I'm really getting depressed day by day because I'm not getting any response from the recruiters.

I got passed out in the year 2021 and had worked in a CRO for 5 months only

Please help me out with the job opportunity, it will be really helpful for me.

Thank you

Post egg retrieval, and my doctor says my thyroid levels are a bit high for what he wants to see for FET, so he has me on medicine to lower it before it’s time for FET. Has anyone else experienced this? Was it caused by all the IVF shots? Will this be a long term issue?

I want to thank everyone in this bowl for getting me trough the nightmare that is PCOS related fertility issues. After 1.5 years of trying, two rounds of medicated IUI, accupuncture and every other homeopathic treatment available, a vanished twin…. Hubby and I welcomed our little girl on Friday at 37 weeks. She’s perfect. It was conversations in THIS bowl that gave me the hope and advice I needed to get here. So thank you, all of you- and to those that need it - hang in! There is hope.

Best prework that won’t kill me? F 32 looking for a morning pick me up before gym/cardio
Low cal/low sugar if possible

Any gym recommendation in Central London that I can access with ClassPass? Ideally around Oxford street/ Euston

Does anyone know about @H1, h1.co? Want to know about the pay scale for front end engineer

Hello Fishes,

Deloitte USI is offering me 15LPA fixed and 1lack joining bonus and HCL offering me 23LPA fixed. I've tried to negotiate with deloitte but they are not ready to negotiate and asking me to join on the same CTC which was initially provided. I'm confused to select the company. It would be really helpful if anyone could share their views. Thanks.

Digital strategist with tons of experience soup-to-nuts. At this for more years than I care to think. Any tips on finding opportunities client side? It’s only a matter of time before layoffs start

Nothing like losing an entire day of studying because Kaplan was down all day yesterday. Make sure you download the QBank for offline use, seems like this keeps happening on Sunday for some reason.

Anyone here in Santa Barbara CA?

For those who jumped ship from audit to advisory, did your average rating hurt you?

I feel like when I’m busy with work, I don’t even want to reply to attractive guys. Is this normal?

Has anyone put solar panels on their house? What was the cost? Was your power bill completely removed? Was it worth it?

New homeowner here, purchased title insurance at closing (required by lender). This isn't something I need to pay to renew right?

So I internally transferred from audit to FDD last year but my old audit team still reaches out with questions (especially because it’s busy season now). What do you y’all do in these scenarios?

How do you all keep up with your personal to do list? I feel like work consumes me and I forget to do things like take my vitamins, renew my car registration, call the doctor, etc 🤦🏽‍♂️ continued..

Analytics manager, got an RFE on H1. Background is engineering but now working in analytics. EY law is responding with a summary of my education coursework - anyone in similar boat?

Anyone have a contrarian opinion on a trend / investment theme going on in the private investing world, particularly tech investing? Feels like everything is painted in the “huge growing market with tons of white space” lens.

Anyone know how to break into lifestyle photography? What are the first steps?

Anyone with a leased car move from NJ to other states? If yes, could you please help me understand the process to get sales tax refund from NJ? Thanks in advance!

How does sleep affect your medications effectiveness? Do you feel like you need X hours of sleep for your adderall/vyvanse etc. to work properly?

Switching from Adderall to Ritalin. Anyone who’s taken both have tips for the switch or thoughts on what to expect?

My psychiatrist today revealed to me that I may have ADHD, still a hypothesis that he is still exploring but from my personal experiences and discussions with therapist, it seems likely.

One example of personal experience is my ongoing prep for case studies as I'm interviewing with a number of firms. I do struggle to keep focus and generally take a bit longer to finish them, specifically the structuring of the case. Does anybody else feel the same way and any recommendations to overcome this?

I recently got diagnosed with ADHD. I'm 31 and found this only because b school and post mba consulting job was/is much more challenging than anything I did before. What I'm confused about is that even as a teenager I could read entire books overnight. But the last two years of high school I started selectively zoning out and the problem has become worse since. I just realised it now. My doctor has suggested treating depression (I was also unaware of this) with Wellbutrin first (contd)

Anyone here have comorbid anxiety and/or depression? How did you know, and how do you manage it now? I think I might be struggling with one or both and I’m trying to figure out how to proceed. Not currently seeing a therapist or medicated, managing based on strategies I learned from an ADHD coach back in college, so at minimum I would need to find a provider, which has been a barrier (cost-wise, finding someone with experience with ADHD, etc.)

Anyone else have a need to exercise daily? A lot of people judge me in a negative way and in reality it is because my ADHD brain needs it. 1) the consistency for schedule 2) exercise can help tone down the symptoms before I sit down for the work day 3) it is the only thing I can control to make it look like I am not a mess (disorganization, interrupting) - basically trying to stay in the game at work based on perception of “having it together”. Just wondering if anyone faces the challenges.

I’ve been having insomnia lately (around 1 month). Tried the usual, lighter dinners, no caffeine etc. with no improvement…. Have been taking Focalin for +\- 8 months. I‘m mindful of timing as well to not interfere with sleep my schedule. Now I wonder if switching to Vyvanse or something else might help.
Any experience with switching ADHD meds to improve sleep?

How do you deal with the following - 1) lack of general organization in life, note taking, keeping track of your relationships and 2) attention to detail. These 2 things have been bothering me a lot. We all are smart as hell but silly mistakes such as spelling mistakes, broader checks to be done on the deck is killing me. Also I feel the lack of organization in personal life blows into professional as well. If you are a consultant how do u deal with it ?

L-Theanine 300mg pill: what is used for? And how best to use it?

First day of 30mg vyvanse today. Had a rush of energy and hyperfocus (too much so) about 2-4 hours in, but had a complete crash 5hrs after taking the pill (just a wave of fatigue, felt very good after a quick 15min nap actually) and not sure if it had any effect after. Is this normal? Should I stick it out for a few days or is this a big sign that I’m not on the right meds/dose? Nervous to keep trialling this during the workday since a midday crash is not ideal. Appreciate any advice!

My psychiatrist recommended for me to try Ritalin. I’ve been on Dexedrine for a few months, and I’m not really having negative side effects.

Is she a pill mill, or is it worth fixing something that’s not broken?

That moment when you don’t remember if you took your Adderall so you take one just in case 🙃

How do you get more dopamine?

Stimulants + Caffeine: has anyone been having coffee/tea with stimulants daily for years? Is it safe? Any thoughts?

Do you have a favorite movie or show character with ADHD? It’s difficult to meet others with same issues but was hoping to watch something.

Tips for desk research heavy projects (lots of reading, processing and synthesising information): how do you do it? Are certain meds better/worse? Modafinil feels better for reading and processing info but stimulants better for focus and executing tasks.

Hello All - I struggle with time management. I take medication but I have no idea whether a task will take 40 mins or 4 hours. Because of this, I over commit and under deliver. Also, having been on the receiving end of criticism, over time I have developed a perfectionist streak. I won't turn it in if it is good enough. How do you break out of this habit?

Any resources to help the brain structure tasks and make better estimates? Much appreciated, thanks!

Facing problems with working memory and long term memory while you did good previously. Any supplements/ therapy for memory retention and increasing listening absorbing skills?

Here is my dilemma: I was passed up for manager promo last year and rightfully so a lot of my feedback was definitely correlated to me not properly handing my symptoms causing a good bit of inconsistencies in my performance especially if I lacked interest. This year I’ve crushed it and switched up projects off of ones that I’ve long been on. The few people who “advocate” for me seem to be stuck on things that seem either 1) so unsubstantiated and show that they are too far detached from the …

So I KNOW I have ADD maybe ADHD...my parents told me just recently I was diagnosed in third grade but they didn’t want to give me medicine but I struggle a lot with paying attention or remembering...