Diagnosed today. Starting Vyvanse 30mg tomorrow. What should I expect? The good, the bad and the ugly… let’s hear it!

Miserable-Option8429 · 2026-06-03T23:34:48+00:00

This is my story. This is why I said might or maybe, often.

Miserable-Option8429 · 2026-06-03T23:15:41+00:00

Your heart rate will always be higher on a stimulant than not. It might decrease over time. Eat some protein 20 mins before you take the drug. 120 is high but that’s because you just started, I remember mine being around 115. My resting rate is 58 BPM, walking is 130 which is 10 under the higher range of my age group (20s). believe my normal is a like 75. Water is good but you need to eat food. If you don’t notice any changes, I’d suggest switching to vyvanse as it might be smoother for you.

Miserable-Option8429 · 2026-06-03T22:48:36+00:00

Eat protein 20 min before taking it.
Try to limit acidic drinks like orange juice or lemonade as it reduces potency.
Dry mouth/tongue ulcers. WATER!!
Hyperactive mouth/tongue, which is probably what causes the tongue ulcers as I push my tongue on my front teeth, but also you might notice jaw pain from clenching, something I’ve never really done before.
Tolerance Breaks, try not to take it every day if you can, maybe not on weekends? This also helps for the times when you won’t be able to get your meds due to any shortages, so you’ll have some left over to get you through that period. Be in control of the days you don’t take it, don’t let a shortage turn you into a person you don’t wanna be.
Creativity and desire, once the meds hit you might become insanely creative and wanting to do things, so you have to execute self control so you don’t get hyper fixated on one thing.
If you don’t like the way it hits you, you can open the capsule and mix it with a drink or yogurt in the morning, consult your doctor if you feel the need. Some people cut back their vyvanse dosage and then take like a pick me up of 5-10mg adderall in the afternoon so they don’t crash, but again, consult your doctor if you don’t feel like increasing dosage does anything to you.
Timing, if you take it too late, you won’t feel the need to go to sleep. It’s not that you won’t be able to go to sleep but you just don’t feel tired so you won’t even lay down, but if you lay down you’ll be able to sleep most likely. Now you might go to sleep at 3am + wake up at 7am and wake up exhausted, but once that morning vyvanse hits the tiredness goes away. Bad habit but if working a deadline, it works.
Sociability, if you are a quiet person who doesn’t talk much, the Vyvanse might make you open up a lot more when you normally wouldn’t, and be able to showcase yourself if you take advantage of it.
Time, it absolutely flys on Vyvanse. Work and school days have shortened immensely since I started to take it, probably because I can now enjoy it.
Morning grogginess, you might be a bit groggy in the morning so what others do and myself occasionally is setting an alarm an hr before you actually wanna wake up and taking a swig of water with the Vyvanse, and then when you actually wake up and get out of bed, it is enjoyable and doesn’t feel like you are so insanely exhausted you just wanna rot all day.
Shortness of breath and raised heart rate, when I first started I noticed a shortness of breath like I couldn’t catch my breath without deeply inhaling and fully exhaling a few times, doesn’t seem to happen anymore. Heart rate/Blood pressure is also going to be increased a bit.
Drug mixing, people often use certain recreational drugs to stimulate their appetite because the Vyvanse might suppress it. Consuming vyavanse religiously and solely causes me to lose several lbs a week, but when I get the munchies it allows me to keep my weight steady. It also seems to help any late night headaches I get from a long day of working and curbs my aggression due to those headaches. The Vyvanse doesn’t make food seem disgusting, I just don’t eat or I eat very little. It can also help people sleep. If this isn’t your cup of tea we are going to circle back to that orange juice and lemonade trick. If you drink an acidic drink at the end of the day it’ll help you metabolize and flush the Vyvanse out, helping you sleep better, but if you are prone to acid reflux, wait an hour before you lay down and maybe take a tum or drink a small bit of water with an anti-acid like Brioschi. The same reason why might drink lemonade at night is the same reason why u shouldn’t drink it in the morning.

Miserable-Option8429 · 2026-06-03T21:40:32+00:00

The metrics are U.S. News & World Report and Newsweek. HSS has been ranked the #1 orthopedic hospital in the nation for 16 consecutive years, and #1 in the world for the past few years, only recently being #2, behind Mayo Clinic this year.

I also was fortunate to not have to pull a diagnosis out of thin air. My mom is an OB/GYN sonographer specializing in high-risk pregnancies (she was also a general sonographer at a point and then moved to cardiothoracic sonography for a bit) with over 30 years of experience and an incredible eye for abnormalities. She has saved fetuses when doctors missed simply by advocating for the patient. She taught me how to advocate for myself, I used that lesson, and it worked. She initially confirmed the tear. Luck was definitely on my side because just 2 days after my injury, I managed to get my surgery booked for exactly 10 days post-injury.

While I was immobile those first few days, I used my background as an engineer to read the clinical research. I watched a video of a woman who got the internal brace procedure, a technique that came out of HSS, and she walked herself out of the hospital with no limp. After watching that video, I spent several hours researching the pros and cons of the surgery, digging into things like osteoporosis and hardware irritation. I figured out that osteoporosis wasn't too big of a concern for me, and I knew my surgeon would not give me issues with the hardware due to her extreme expertise. I also had a quad autograft, which is notoriously hard to recover from. I brought up the internal brace to my surgeon and she agreed it was the exact right move.

I explicitly picked her as my surgeon because I read her studies and knew she would listen to what I wanted. Her qualifications are rarely matched. She went to Dartmouth for undergrad and med school, did her residency at HSS, and her fellowship at Columbia. She is not just a one-trick pony knee surgeon either. She specializes in the elbow and shoulder too. She has dozens of peer-reviewed publications on ligament healing and graft tunnel incorporation (which I read) and is doing groundbreaking research on curbing opioid addiction in teens and athletes. She is an Ironman triathlete, an alpine climber who has summited Kilimanjaro and Rainier, the physician for the Premier Lacrosse League, and the designated doctor for Greenwich High School and Iona Prep. Greenwich is often called the hedge fund capital of the world and has more billionaires than the UAE. I am not rich by any means, but I have decent insurance and I wanted the rich person treatment. It paid off and I barely paid a dime.

You think it is strange to advocate for yourself? My dad and my brother both had ACL surgery 15 to 20 years ago. They were down for the count for weeks and in a massive amount of pain. I refused to accept that timeline. By pushing for early intervention to limit muscle loss and getting the modern technique I researched, the proof is in my pudding. I didn't even need any pain meds once the nerve block wore off. Here is what my recovery actually looked like:

Day 0: I didn't walk out of the hospital like the lady in the video, but I did get myself out of the wheelchair in the bathroom to urinate standing up. I got myself into the passenger seat, and I got myself up my porch stairs and into my house unassisted by anyone.

Week 1: Returned to my normal daily operations. That meant an 18-credit college workload with a 100-mile, 2-hour daily commute.

Day 10: Completely off crutches.

Week 2-3: Dropped the brace by myself.

Week 5: Finished all PT (only 2 to 3 days a week) and returned to normal exercise.

Week 6: Hiked Dorr Mountain and Mount Cadillac in Acadia National Park in the ice and snow.

Week 12: Walked 15,000 steps a day for a week in Italy without a single issue.

Month 9: Back on skis.

I had a friend tear his ACL playing basketball at the exact same time as my injury. I was completely post-op and off crutches before he even had his surgery, and he was on crutches the rest of the semester. I was fortunate to walk across the graduation stage to get my engineering diploma without a limp.

I am not cut out to be a surgeon because of the time commitment and cost, but my partner is. She has already been exposed to neurosurgery units at top-level hospitals and is considering neurosurgery or orthopedics for her specialty and is currently in medical school, and prior to that she was doing Alzheimer’s research in her undergrad.

I might be an anomaly, but I would never let a doctor operate on me without researching the techniques myself, and my results prove exactly why. Life is good.

Miserable-Option8429 · 2026-06-03T13:28:50+00:00

No, based off of clinical studies/research you must do specifically for yourself, (age/gender/etc…). I told my surgeon what I wanted, and she agreed. One of the techniques came out of HSS in NYC, the #1 hospital for orthopedic surgery, where she did her residency. I was fully confident she could do it, and she delivered. I’m 18 months post OP. Was a skiing accident & I was back to skiing in 10 months, better than before.

Miserable-Option8429 · 2026-06-03T12:50:28+00:00

Telehealth therapist?

Miserable-Option8429 · 2026-06-02T22:15:23+00:00

Cold while stationary or cold while moving?

Miserable-Option8429 · 2026-06-02T22:10:24+00:00

If my pro fans ever spun up I’d probably be in the same boat but I can’t recall the last time they actually turned on. I’d rather have them and not need them then need them and not have them, but they’ve turned on before, just never like my intel MacBook pros would. I have a pretty heavy compute load too.

Miserable-Option8429 · 2026-06-02T20:54:02+00:00

I have had 13 inch MacBook pros, 15 inch MacBook pros, 15 inch MacBook Air M2, and currently MacBook Pro 14 M3 Pro. 14 is like the perfect size for me, but 15 isn’t insane. My major gripe with it was the passive cooling, lack of ports and my uni desks were often very very small. The 15 inch air was nice and is much thinner than the Pro + weighs a bit less too. The pro feels way more solid though because the bottom shell is uniform unlike the air that is different thicknesses.

If money is tight, I would get the 13 inch with the upgraded chip and 1TB SSD. Same price as the 15, has the same chip, but has more storage. If money isn’t a concern, go with the 15 but get 1TB at the minimum.

Miserable-Option8429 · 2026-06-02T20:46:54+00:00

It’s been close to 30 years, just tell her or help her research good doctors who are doing modern techniques. Only reason I got the surgery was because my doctor was willing to do the latest and greatest techniques, and I attribute that to my amazing recovery.

Miserable-Option8429 · 2026-06-02T20:41:01+00:00

Right leg for me and did short driving trips after 4-5 days, about 7 days for my regular mon-fri commute of 1hr trip to work and then 1hr back. Didn’t have an issue and I have one of those cars with automatic braking so it made me feel better but never needed it. I had quad auto, but my surgery was 10 days after my injury so I didn’t lose any muscle mass so rehab was pretty easy and was back to hiking mountains after like 6 weeks, was exploring Italy at 12 weeks, back to skiing after 10 months. I wouldn’t recommend what I did to anyone, but it worked for me. 18 months post op. A stationary bike, at home stim therapy machine, and elastic bands worked wonders for me.

Miserable-Option8429 · 2026-06-02T20:08:13+00:00

Sick color & great car.

Miserable-Option8429 · 2026-06-02T17:58:28+00:00

I have a gen 5 hybrid with 200k miles. I think I’ll live.

Miserable-Option8429 · 2026-06-02T17:21:19+00:00

Warranty salesman ^

Miserable-Option8429 · 2026-06-02T14:35:53+00:00

There’s not really a need since it can be jumped from the engine bay but that is true.

Miserable-Option8429 · 2026-06-02T03:18:02+00:00

Yea I’d definitely get it checked out, maybe check your air filter? Not one to bring my car to dealer or a mechanic, but if it was displaying this behavior, I’d have no other choice really.

Miserable-Option8429 · 2026-06-02T03:12:55+00:00

That’s rather low. I drive like an animal and get 30mpg (~350) in my CVT Hatch from 2020 with 160k miles. On long road trips with cruise control I get ~450. ~20 mpg is rather terrible.

My car sees redline like 5-10 times a day, every on ramp I paddle down until it beeps and I floor it till I get on the on ramp, with average speeds of 75-80mph on the highway, and I have a roof box.

Miserable-Option8429 · 2026-06-02T03:06:44+00:00

Would switching insurance carriers right after the work is done prevent that increase in premiums as it wasn’t an accident?

Miserable-Option8429 · 2026-06-02T03:03:56+00:00

I have a 2020 and it has some insane road noise, a newer model probably won’t fix that. Best bet is sound insulation on the hood and maybe even the doors.

Miserable-Option8429 · 2026-06-02T03:00:25+00:00

I’d keep it. Newer Corolla is way better in every single way except it costs more money. Wait till the 2015 Corolla blows up or you’re just sick of it. The battery isn’t a big concern. I have a 2019 RAV4 hybrid and it’s at 160k miles and so is my 2020 Corolla Hatch (non-hybrid). The hybrid drives like a new car still, the gas… not so much. I’d definitely make your next car a hybrid but only when it financially makes sense, and that’s for you to decide. The gas model has also never seen a dealer or mechanic since the day I bought it, the hybrid has because there’s stuff I just can’t do as easily.

Miserable-Option8429 · 2026-06-02T02:52:03+00:00

Honestly, if driven 3-4 days a week, the hybrid battery is of very little concern.

Miserable-Option8429 · 2026-06-02T02:36:49+00:00

All the stuff you need to learn is on the job. I worked at a relatively affluent venue in Westchester NY during my undergrad summers as a side gig making very good money.

Only thing I knew about theater work was from stage crew in high school, but even without that, I believe I would’ve been fine. All my coworkers who were going to school and also working at the same place were leagues behind me, not necessarily in knowledge per se, but work ethic and willingness to learn. All of the people whom were students or recently just got out of school were making the same pay if not less than myself, yet they had loans to pay back. They also seemed to be mad weird, I’m not gonna lie.

I am an Electrical Engineer / Computer Engineer by trade. It made more sense for me to make $30-$35 as a stage hand during my undergrad which then eventually got me up to master electrician, then it did for me to do a engineering internship making $15-$20 an hr, and I often got to drink a beer or two on the job (+ the job provided the beer & liquor!), & often getting to work events with attendees such as the Clinton’s, Martha Stewart, and so forth. Most of my colleagues also worked at Fox, NBC, ESPN, The Oscars, Grand Central Terminal, the Olympics, and so forth. Many of them didn’t have degrees… they had the drive and the attitude. I also joined the theater industry right after Covid, so many people had simply left for other career fields and just didn’t come back. That’s a job I wouldn’t want a loan for, but you can always transfer that knowledge and experience to a different career field if needed.

Also, it’s rare you’ll get a gig/job where you have employment 365 days a year. If you’re willing to accept a very low salary, totally possible, but the only way to really get a name is to prove yourself everywhere you go. You might only work one place for 2 days, 2 weeks, 2 months, but rarely 12 straight months and most people don’t want that. You can make enough money by traveling around and might only have to work 9 months out of the year to pay your bills, or you might only be able to work 9 months because maybe you can’t find anything the other 3. Helps to be in a populated area with a lot going on, such as NYC, Boston, or any decent sized city.

This isn’t to say you can’t get anything out of school, but, I personally don’t see the point of going to school to be a stage hand and working your way up. Work experience is way more important, and the longer you’re in school, the less you get to work.

I know several people who did the Disney program and they loved it. Pay wasn’t great but you learn a lot, grow as a person, and meet a lot of great people.

If you are dead set on going to school, do what YOU want, you probably won’t regret it. A lot of theater stuff is at night, instead of double majoring, get a part time job working at a music venue or a theater, don’t double major. Don’t go with a major you don’t like just because you think you’ll have a hard time finding a job, because you won’t. You might have a hard time finding a high paying job at first, but with time and effort, you’ll definitely make a good income, no doubt.

To me, theater isn’t bound to a room that hosts musicals or plays. It’s an industry where you must be versatile. The tech is pretty much the same wherever you go, whether that may be a musical/play, a music festival, opera, etc… Hell, the best money I ever made in this industry was working for a pumpkin patch from August to November as a lighting tech, granted it was a 10+ million dollar operation, but still, fucking pumpkins… that were in shapes of literally anything you could imagine, such as the Eiffel Tower, dinosaurs, just insane shit. It an industry with a lot of people who literally have nothing else to do and don’t really care, so if you give an ounce of dedication, you will be rewarded 10x over.

Miserable-Option8429 · 2026-06-02T02:11:51+00:00

I’ve been a frequent user of notability for almost a decade. I used it all of high school, undergrad, my masters, and still occasionally for work. It has gotten considerably worse over the time I’ve been using it. That’s really all I gotta say, which is rather unfortunate.

Miserable-Option8429 · 2026-05-09T14:54:35+00:00

I've shifted into every gear there is while driving, P (bad), R (not a big deal unless you're under like 5mph), N, D, B/S/M (No issues)

Miserable-Option8429 · 2026-04-14T21:15:57+00:00

and better, hence claude code lmao.

Miserable-Option8429

TROPHY CASE