Thank you for sharing so much detail. I was diagnosed at 40. Fortunately for me the first drug (concerta) they tried worked really well and it took about 6mos to find the right dosage. Boy is too much readily apparent!
My daughter was diagnosed at 21, and it took a year for her. Same doc, started with same med and she was at double the dose I am at and it just wasn’t working right. Switched her to something else (sorry can’t remember exactly) and this one works WAY better for her.
I will go of it for a few days every month or so just to “reset” (doing this on my own feeling, doc didn’t tell me to do this) because it feels like the dose is just a touch too high but the next dose down is way too low. It’s been quite a game changer for me.