ADHD Natural Management - Adult

Adult ADHD affects 4-5% of population, often undiagnosed. Natural interventions have modest benefits - omega-3 meta-analyses show small-moderate effect size (0.2-0.4), less than medication (1.0+) but no side effects. Iron and zinc only help if deficient (common in ADHD). Artificial colors/preservatives worsen ADHD in susceptible individuals - elimination trial worthwhile. Blood sugar dysregulation worsens focus - protein AM, avoid sugar spikes. ADHD is dopamine/norepinephrine deficiency in prefrontal cortex. Exercise acutely raises dopamine, long-term improves executive function. Neurofeedback has evidence but expensive/time-intensive. Behavioral strategies essential - ADHD is not just neurochemistry but also requires external structure. Combination approach often best (diet, supplements, exercise, behavioral strategies). If insufficient, stimulants are effective and safe long-term (not just for kids). Don't shame medication use - it's correcting neurochemical deficiency. Natural approach may allow lower medication dose or help those who can't tolerate meds.