Dr. John Kruse

And as long as they're taking it in a way that's not clearly detrimental to their health, which smoking and vaping and probably chewing are, well, not probably, definitely are, and if it's affordable, because some of these products are pretty pricey, at least the chewing gums or the Nicorette that was used for helping people with smoking cessation, I have some people who feel that it's been an important and useful part of their regimen.

I have some people, small numbers who prefer it to any other medications. And almost no, again, other than sort of the basic neurophysiology showing that it can have beneficial effects on executive functions, there's no research, at least as of a year or two ago, whenever I dipped my toe, not my anything else, into the snuff, looked into it.

I have some people, small numbers who prefer it to any other medications. And almost no, again, other than sort of the basic neurophysiology showing that it can have beneficial effects on executive functions, there's no research, at least as of a year or two ago, whenever I dipped my toe, not my anything else, into the snuff, looked into it.

I have some people, small numbers who prefer it to any other medications. And almost no, again, other than sort of the basic neurophysiology showing that it can have beneficial effects on executive functions, there's no research, at least as of a year or two ago, whenever I dipped my toe, not my anything else, into the snuff, looked into it.

There's no clinical research showing does this help or not help.

There's no clinical research showing does this help or not help.

There's no clinical research showing does this help or not help.

So epidemiologists say that the most widely used psychoactive substance on this planet, and I thought it was alcohol for years, but it's actually caffeine because lots of groups outlaw alcohol who won't outlaw caffeine. So lots and lots of people use it. And this is a gross oversimplification, but this is what I tell people.

So epidemiologists say that the most widely used psychoactive substance on this planet, and I thought it was alcohol for years, but it's actually caffeine because lots of groups outlaw alcohol who won't outlaw caffeine. So lots and lots of people use it. And this is a gross oversimplification, but this is what I tell people.

So epidemiologists say that the most widely used psychoactive substance on this planet, and I thought it was alcohol for years, but it's actually caffeine because lots of groups outlaw alcohol who won't outlaw caffeine. So lots and lots of people use it. And this is a gross oversimplification, but this is what I tell people.

Even though it's most widely used, if you used it as an equivalent dose to our stimulants, I mean, essentially we're using it at a lower dose level. It's a pretty lousy stimulant. I mean, separate from that it's working primarily on adenosine and indirectly working on dopamine.

Even though it's most widely used, if you used it as an equivalent dose to our stimulants, I mean, essentially we're using it at a lower dose level. It's a pretty lousy stimulant. I mean, separate from that it's working primarily on adenosine and indirectly working on dopamine.

Even though it's most widely used, if you used it as an equivalent dose to our stimulants, I mean, essentially we're using it at a lower dose level. It's a pretty lousy stimulant. I mean, separate from that it's working primarily on adenosine and indirectly working on dopamine.

But associated with higher levels of anxiety, higher levels of jitteriness, higher levels of cardiac toxicity, if you were to use it at an equivalent dose. But most people are using it at a substantially lower dose. the ADHD experts sort of historically have fallen into two different camps. Some of them have said that It's going to interact with your stimulant or other medications.

But associated with higher levels of anxiety, higher levels of jitteriness, higher levels of cardiac toxicity, if you were to use it at an equivalent dose. But most people are using it at a substantially lower dose. the ADHD experts sort of historically have fallen into two different camps. Some of them have said that It's going to interact with your stimulant or other medications.

But associated with higher levels of anxiety, higher levels of jitteriness, higher levels of cardiac toxicity, if you were to use it at an equivalent dose. But most people are using it at a substantially lower dose. the ADHD experts sort of historically have fallen into two different camps. Some of them have said that It's going to interact with your stimulant or other medications.

It's complicated. We don't want it messing up the picture. Stay off of it. And the other half say, it's a stimulant. Lots of people are using it with these other stimulants, both full-blown stimulants and non-stimulant ADHD medications. And as long as you know it's part of the picture and you're trying to be constant with your dosage or aware of it, then fine.

It's complicated. We don't want it messing up the picture. Stay off of it. And the other half say, it's a stimulant. Lots of people are using it with these other stimulants, both full-blown stimulants and non-stimulant ADHD medications. And as long as you know it's part of the picture and you're trying to be constant with your dosage or aware of it, then fine.

It's complicated. We don't want it messing up the picture. Stay off of it. And the other half say, it's a stimulant. Lots of people are using it with these other stimulants, both full-blown stimulants and non-stimulant ADHD medications. And as long as you know it's part of the picture and you're trying to be constant with your dosage or aware of it, then fine.

And maybe it helps you get away with a lower dose of the prescription. The one little piece I'd add in there is that often you don't know what dose you're getting. So people have the common experience. As I was saying earlier, I've only had three cups of coffee in my whole life. So this is all anecdotal or research, not personal experience data.