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So for me, I might try a modafinil if both the stimulants and nonstimulants have failed

IV & Injected NAD+: NAD+ helps regulate the "N-methyl-D-aspartate" (NMDA) receptors in the brain, which can help stabilize mood and reduce the symptoms of anxiety and "brain burnout." IV Glutathione: Protects the brain from the oxidative stress that accompanies chronic anxiety and depression