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There are a few webinars with Dr. William Dodson that may be worthwhile checking out. He talks a lot about medications, and he is having an upcoming one later this month.
In general, though, it sounds like a good discussion to have with your prescribing doctor. It could be that a non-stimulant option might be worth trying. It could also be, like you said, burnout or other factors such as depression, job stress, or other general life concerns that might best be explored in therapy. I’ve only been on Wellbutrin and Vyvanse and haven’t experienced the same tolerance or lost of efficacy so I’m probably not a good source on this one.