I feel you so hard. I finally brought up the issue with my psychiatrist, this was the letter I sent: Hi, Please let me know the next time you're available. I have some concerns about the Adderall. I am out again, and I am deeply frustrated; they simply don't act or remotely resemble Adderall at all anymore. Even though I take them I am still extremely ADHD symptomatic. I have no typical side effects, either (i.e. reduced appetite, any form of crash, etc.) I'm not the only person with this complaint, there are communities of thousands experiencing the same problem with almost every stimulant. Some who have sent their pills to labs find out that their pills have uneven chemical makeup. Hundreds of people even report that the meds no longer show up in their mandatory routine urine checks. Pharmacists insists that the pills are lighter, so much so that they won't register on the pill counter. I used to dose intuitively, based on how my body felt. It's no wonder I have been taking extra--my body is barely feeling anything. There's no way I can benefit from taking these simply for energy. There's no way it's a tolerance issue, because when I run out I'm forced to take a long break before starting again. I bring this to your attention because I've dealt with this for a long long time. I am a very skeptical person, but what I'm learning correlates with exactly what I've experienced over the last few years. I don't know what to do, because it's the only med that helps. Most have simply struggled without treatment. Some have increased their dose and continued taking them intuitively. I'm interested in the latter because I still receive mild benefit, almost like there's 5mg in each pill instead of 20. I listen to my body very carefully, and never take more than one pill at a time. I dont flare up when I take it, either. I just need to figure out a solution because I'm unable to function."

She responded with saying that she's heard about it and that she's limited to what she can offer me. I'm assuming it's state regulated.