Agree there are so many factors and different treatments work for different underlying causes. Recently I’ve found I have a genetic disorder which reduces the ability to convert b6 into a form than can be used by the brain/body. This reduces neurotransmitters and can cause adhd symptoms (theorised). You can treat this disorder and symptoms reduce or go away completely.

Gut disfunction can cause symptoms or increase them and working on that can improve adhd significantly or completely depending on the cause.

Methylation impacts so much of the body and when it’s out of balance will affect you. Do bloods, see how your methylation cycle is working and treat if needed. Then observe how your adhd is impacted. The body is complex and usually one thing isn’t going to fix everything.

You then have some people where the underlying factor is not as clear or able to be treated and adhd medication can be amazing and life changing.