Hi MacGregor,
I just joined and was surfing around... you sound a lot like me, almost spookily.
I too have ADD and also bipolar II. For the latter I too take lithium orotate, also folate. I also stopped eating wheat several years ago. (If you're trying to avoid gluten as I do, did you know certain other grains should be avoided as well?) And I was just considering taking piracetam. See what I mean?
I've tried many things to boost mood and enhance cognition, but I often get side effects of irritability, even with something like L-Tyrosine. My doctor in California, with whom I consult on a monthly basis, has recommended piracetam and I've ordered it and have it ready to take, but have been hesitating because I worry about irritability, since it's listed as a possible side effect. The doc suggested I take a very small dose of prozac with it, I have it in liquid form so I can take as little as 5mg/day. I should mention I'm sensitive to drugs and mini doses sometimes work well for me. I also take Alcar with R-lipoic-acid and I'm quite sure those give me a nice mental boost.
I've been trying to find a combo that would help with both dopamine and serotonin. I'm wondering if you tried the Piracetam + alpha gpc or Alcar yet? Is there reasoning behind this combo?
Sorry this isn't helpful in terms of experience, but I'll post once I try the piracetam.