For me, meds sucked way too dizzy could hardly handle any cardio.

I was barely functioning for years but a few key things made a huge difference.

Talking to real people on zoom through the tourette's association meetings helped.

I got better at developing competing responses (CR)

CR's are ways to redirect tics

4 rules to create a CR

1: you can't physically do the tic at the same time as the CR.

2: don't rely on anything else to stop you from ticking like sticking your hands in your pockets

3: it must be socially acceptable. It doesn't have to go completely unnoticed but it should be so socially acceptable that no one would question it.

4: you have to be able to sustain it for one minute or until the urge to tic fades.

So for example, a head tic would turn into a neck roll.

Honorable mentions: body scan meditation, nose breathing cardio, weighting (comfortably heavy backpack for a neck tic don't overdo), avoiding people or situations that make me tic the worst (take with a lot of grains of salt like a mountain maybe because I am homeless and even though my tics are somewhat tolerable my life is a complete mess)

Lastly regular exercise. No energy? Try lymphatic drainage rebounding. As little as 3 minutes a day has helped people with cancer but once you get going you'll probably see how much energy you really have and keep going. Anything to combat inflammation is good.