Ok, in the appointment I decided I'm not ready to switch doctors. There's a reason I drive that far.
I was talking about my weight gain over the past couple of years and asking if my AD would have contributed. He gave me samples for a new AD (which I'm not sure I'm going to try yet) and said I could try Adderall for fatigue which also helps control appetite.
So I took one Adderall this morning and my energy is back. Normally I spend all of my time off sitting around and I've been productive today. So if it helps with my appetite too and I lose a couple of pounds it will be a win-win situation. I'd never considered it before because I take a blood pressure pill, but he reminded me that lack of exercise and weight gain can make it go up too.
So I'm going to watch my BP and see if this works. That guy is a keeper!