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I have been a lifelong nerd, so that has involved sitting in front of a screen for a good number of years. With that, comes excessive caffeine use and a healthy dose of stress and anxiety.

What is the most annoying is that I completely gave up all booze a couple of years ago trying to get ahead of any serious health issues. My alcohol (mis)use absolutely is not to be understated. I was a drunk, plain and simple, and finding hidden damage was inevitable, I speculate.

My resting pulse has always been insane since I was a child at a casual (/s) 95bpm. Heat disease does run in my family.

This is a compound problem, and I am not exactly a spring chicken anymore.

To answer your question directly, caffeine intake has been reduced significantly and daily walks are starting to become a thing. My diet was never horrible and TBH, I could use a couple of extra pounds. (Things like soft drinks and fast food have been rare in my life for quite a while now.) Sleep habits have been getting positively adjusted for a couple of years already.

So, with all of that, I cannot and will not place the blame fully on Adderall. However, my lifestyle issues aren't uncommon with other people with ADHD. Drug and alcohol abuse is common for people that remain untreated, unfortunately. If anything, I theorize that I am within most averages of other people on the spectrum.

Edit: Oh yeah, smoking. I have been vaping for a good number of years already and only had a few drags of a real cig at a Paul Van Dyk concert the other night. But yeah, nicotine is getting expunged shorty. TBH, eliminating caffeine has been worse: I'll still get massive, migraine-grade headaches without at least a mitigating dose.