Just for anyone curious - pharmacists explained the situation to me about the government limiting the supply of ADHD meds and the resulting shortages, then I found news that confirmed it.
Mental health is a private matter, so I will just say that nurses can prescribe these meds in many states and often work with patients without insurance. Please see someone if you struggle with depression, anxiety, chronic fatigue, or similar nebulous issues. There really are treatments starting at about $1 per day that can drastically improve the quality of your life.
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In my case, I've been healing from my second burnout with physical symptoms since my first one in 2019. My high cortisol levels overwhelmed my other hormones, and the way I found out is that I stopped recovering after workouts and took some injuries. For men, the dopamine-testosterone pathway is the weak link in the chain that governs our overall vitality. For women, I think it's oxytocin-estrogen but I haven't done a deep dive on it.
Anyway for overweight men, the aromatase in their fat converts testosterone to estrogen, which tells their body to lower production of testosterone to prevent tumors and eventually even cancer from the estrogen. Also phytoestrogens from foods like legumes and estrogenic chemicals in plastic cause the body to think that estrogen is higher than it is, which shuts down testosterone production. In women, BPA and other endocrine disruptors might cause conditions like PCOS and throw off their hormones, but I don't know enough about that to speak more on it. Basically these environmental factors are messing with our hormones, and I believe that's why young men today have lower testosterone (so probably dopamine too) than previous generations, which may be causing a rise in mental health issues and dopamine-seeking behaviors like video game addiction (the horror!)
Since endocrine disruptors are unavoidable in the modern world, people are juicing with leafy greens and other vegetables to combat them. I've heard good things about Man Greens and estrogen blockers like white button mushrooms. You can also eat walnuts, 1-3 brazil nuts per day, a serving of dark chocolate over 72%, pomegranate juice, bacon and 2-4 eggs, and various other foods to raise dopamine and testosterone and lower estrogen. It's also good to aim for about 8% body fat before pursuing other fitness goals. The quickest way to do that is to walk briskly for 45-60 minutes at least 3 times per week in addition to your current exercise, and add a large loose leaf salad with a low calorie dressing like a vinaigrette each day. I mention this because I've found that improving my physical health has had a drastic effect on my mental health and I'm working towards being free of all medication until late in life. YMMV