ADD, Fatigue, Insulin Resistant, Hashimoto's...

Answered on May 03, 2017
Created April 20, 2017 at 7:17 PM

Hi Everyone,

I'm new here. I have experimented with paleo/primal diets in the past, mostly for weight loss, not health. I was never really overweight, but just had a little extra I wanted to shed. I recently got married and reached my goal weight for my wedding. I've managed to maintain this weight, fluctuating a little bit, but mostly maintaining.

After my wedding, I decided to seek help for an issue I had been struggling with for about 4 years. I had been unable to concentrate at work, was never productive, would find myself arriving late to work almost every day (it became almost impossible for me to get anywhere on time), and the day would go by and I started to realize I was literally getting nothing done. When I would get home, I was faced with laundry, cooking, taking care of the house, the dogs...just normal things everyone has to deal with. But for me, it was paralyzing. I never knew where to begin and when I would start to clean something, I could never finish it. I would start other things while I was doing that first task, and then I would have two tasks I couldn't finish, and soon enough I was overwhelmed and forced to quit. These same things were happening at work. I started to realize I procrastinated every project I was working on...but to the point where either someone else had to do it or I was basically sitting at my computer with a "gun to my head" feeling...like if I didn't get this done, something bad would happen.

Once I went to a psychiatric nurse practitioner (i have a history of depression and anxiety, so I thought maybe it was that), she said "I believe you have ADD." My reaction was unconvinced. ADD? Really? I'm 28 years old. I was never the "problem child" in class, you know, the "typical" kid you picture acting out, unable to sit still, impulsive behaviors. I really wasn't buying it. Then she made me take all of these assessments. First of all, I could barely get through them, but I forced myself to finish them since I was in her office and under a time constraint. Once I answered all the questions, I was like ha, see? I don't have ADD. These are all stupid, trick questions and is just totally normal behavior. Until she scored everything...and she said I answered almost every question that showed a very high possibility for ADD. She said she wanted me to try some stimulants and see if they helped. I was like fine, if you think so. Whatever. I'll try it.

When I started my adderall, it was like I got my life back. Before, I felt like I had 10 TVs on in my head. All the time. With a different channel. It was sensory overload....in my head. I could never shut off my mind. The adderall...well I am not perfect, but maybe I have only 2 TVs on now. I go to talk therapy once a week and it's all helping. I have finally found a regimen that I feel a lot better on. Now you might think, ok, she's on adderall, how the hell can she be tired? I WOULD LIKE TO KNOW THE SAME THING!

I also have PCOS and Hashimoto's Disease. I do take metformin, but I am not on anything for the Hashimoto's yet.

I am considering going back to the paleo/primal way of eating. I am so tired all the time. I have sugar cravings like you wouldn't believe. Some days I will go without eating because of the adderall. Literally all day. Some days my appetite is normal, even on the adderall. I don't know what's wrong with me. 


Anyone else struggling like this? And I would love to know if anyone has any suggestions on reading, as well as how I can jumpstart into the paleo lifestyle. I need to feel better. My diet is crappy and I know it needs help. My husband and I also want to have a baby, so I need to feel like actually making a baby. Bad in that department too.

Current Stats:

28 years old


5'4, ~120-125lbs (I fluctuate)


Adderall XR 30mg/day

Adderall IR up to 20mg a day, if needed (sometimes I will take 10mg in the afternoon to get me through the day)

Metformin 1500mg a day

Selenium 200mcg a day

Methyl B12 1000mcg a day

Optimized Folate 1000mcg/day (I had testing that showed I have a MTHFR mutation and significantly reduced folic acid levels...not good for pregnancy)

Vitamin D 5000iu/day




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2 Answers


on May 03, 2017
at 01:47 PM

"My diet is crappy and I know it needs help."

From what you've shared, this sounds like you're biggest problem, and one that should be rectified prior to considering what "the mainstream medical business" can provide. Paleo, or The WAPF diet, along with intermittent fasting, will certainly help.

More often than not, it is simply a matter of the body not receiving what it needs to perform its intended functions. Medications can mask the symptoms, but will never rectify the original cause of those symptoms. Case in point - Using Metformin to handle insulin-related issues instead of altering one's diet to fix the issue that caused you to seek help in the first place. Both insulin (and leptin) resistance and Type 2 Diabetes are 100% reversible. Google "Jason Fung fasting" for more info.

For some folks, both Paleo and IF appear difficult to maintain or justify. At the vey least, I would urge you to eat what a human is supposed to eat, such as whole foods in its unprocessed form. Go ahead and Google for "The Weston A. Price Foundation dietary guidelines".

At some point, take inventory of what medication/supplements you're taking. I can guarantee the side-effects are simply not worth it, and introduce other problems along the way.

In the end, the better informed you are, and the more outraged you become at how much all of the American health "agencies" have failed us, the more you may feel empowered to take control of the wheel yourself. And remember, it took you some time to get to where you are, it may take some time to get you back on track, but it will be well worth it.



on April 21, 2017
at 12:10 PM

This sounds like an issue with dopamine.

You could try supplementing with NALT - it's a form of tyrosine that can increase dopamine. Here's one: https://www.amazon.com/BulkSupplements-N-Acetyl-L-Tyrosine-Powder-grams/dp/B00ENQYI1E/

Also look into trying one of these and see which works better for you (or perhaps in combination): https://www.amazon.com/NOW-DOPA-Mucuna-Veg-Capsules/dp/B001QG5F0W/ and/or https://www.amazon.com/Life-Extension-Dopa-Mind-Tablets-Count/dp/B017PXJN52/

Note that, whenever attempting to raise dopamine, you should also raise serotonin, or you'll wind up depleting those levels and cause problems in the other direction - so as you try out things to increase dopamine levels, you'll also want to supplement with 5HTP to prevent an imbalance, i.e.: https://www.amazon.com/Nootropic-Serotonin-Antidepressant-Suppressant-Happiness/dp/B01M35BAJH/

Another possibility here is that you might have an issue with energy production or energy levels if you feel too tired to do things rather than lose interest.   If that's the case, you'd want to look at CoQ10, A-L-Carnitine, and perhaps exogenous ketones, either BHB (Beta Hydroxy Butyrate) or MCT oil (i.e. make bullet proof coffee) or both.

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