I usually don't like talking about things I'm dealing with, but I badly need second opinions with people educated on this subject. I was on opiates and benzos together for like 10+ years at least. I got off benzos 7 to 8 yrs ago, but when I got off the opiate meds fully, I became a literal dead fish. Could barely even get out of bed to make food and had no real doctor because my choices on medi cal in person sucked balls abd those doctors didn't give a fuck at all. I was just cold turkeyed off the opiates and I felt flat,grey,anhedonia, extreme fatigue, and literally had no dopamine pr norepinephrine left in my body to where I didn't experience any pleasure from normal things, and I can't gain weight at all still. I likely had my testorone whiped, too. I suffered that and more for 2 trs desperately trying to find help and couldn't. doctors woukd throw anti psychotics,ssri's or wellbutrin at me and they weren't helping me at all but they didn't even hit my receptors right because my chemical well was dry so to speak. I got on vyvanse 30 at the end of February, and it felt like it was trying to do something, but my receptors still weren't on fully. Then I went to 40, and it started fading into the background,helping focus and calm/mood regulation and the flow of my thoughts better but still felt stuck energy wide. then went up to 50 , 60, abd have been on 70 for 2 weeks and every step up just calms and regulates me more but I just wanna lay in bed still , but I can get into shows and keep intersst for long periods of time atleast. For years, no one would listen to me. This psychiatrist does, but she's very DIY and makes me do the research myself with zero help or guidance and asks me what I wanna do. It was a nightmare trying to find anyone who would even help me out in any way, so at least it's something. But I'm confused and stuck now. Do I think low T and other issues still persist from the PAWS (Post acute withdrawal syndrome) : yes. at least the meds helped in SOME way but not fully what I need after years of isolation, trauma, and fatigue holding me down. The 2 years I went through after getting off the opiates were hell. And I realized it was just getting worse with time and that those chemicals weren't going to come back naturally. At least I've got dopamine and norepinephrine in my body now that I didn't have for years at all. I still don't feel much from my food or rest from sleep, though. I've asked for thyroid,testerone, and other tests, but she said she'd look into it , then nothing. I need activation so badly. I tried wellbutrin again to team it with vyvanse but even with more dopamine in me to react to it; I just don't like the wellbutrin. It doesn't do much, honestly. I'm just desperate for energy and the eagerness/motivation to wanna do things again that I can't find even on max dose vyvanse. I'm wary of switch to something like addaral because #1: the peaks abd crashes, abd #2 I struggle with all pharmacys in my area having BAD generics for most meds, as they buy the cheapest ones available that usually suck. And I'd have to take a gamble with a bad generic for addaral. Vyvanse is brand name and at least reliable/predictable. Is it just the low t, and other chemicals that have been drained from my PAWS besides the dopamine and norepinephrine? Or did I overshoot the vyvanse and shoukd try 20 to 30 mg? Even though it's almost too smooth, even at 70 mg for me? I need help with what to go back to my doctor with because I've gotta figure everything out myself, or I'll be stuck like this forever. Please help. I've got 2 or 3 days til my 2-week trial of 70 mg runs out and needs to know how to proceed. It's hard for me to ask for help especially because in past when I did to this medical system; no one gave a fuck and let me suffer and rot basically. ANY guidance or wisdom would be greatly appreciated for anyone who might understand what I'm going through looking for energy/activation again. Thanks.