For me at least, I’ve always thought it would be cool to be a delivery driver or someone who’s out and about everyday moving around… but I stuck with IT because it makes astronomically more money.
So sitting at a desk all day will require me be medicated because my baseline preference is to be up and moving, working with my hands, talking to people, etc.
I think a lot of people with ADHD that’s severe enough to require medication are just people who don’t do work that truly fits their personality.
Which if we’re being honest, sitting at a desk all day is not natural. I never needed Adderall when I was working in a warehouse in college, or when I was a city guide that was supposed to walk around downtown and greet people.
tl;dr Unnatural lifestyles require unnatural supplements.