Increase in norepinephrine and dopamine, does not necessary convert to  increase in capacity or functioning. 
. Right?
Right? You have wisely to use the increased capacity, if not, that will not be working.
So right now, this is why we call misuse.
Because that's more than that, more than just increase in norepinephrine and dopamine can increase your capacity and improve your focus. 
That's not necessarily happening. 
In the previous episode, we focused medications. 
Actually, 
when we talk about the treatment of attention deficit. 
The treatment is a process, involve medications, of course; providers, yes. But actually, the most important thing is patient.
Patient play more important roles in the treatment of attention deficit, than medications, than the providers. 
Did you see? We talk about lake river and dam, Anderall likes this guy on the lake, just lift gate. 
And this guy besides the damn is Strattera. 
So, They decrease water flow away, or release just because you want to flow away or release more water from lake to the river where is soon. 
We assume: if there is a lot of water in the lake, then the water in the lake will generate higher pressure on the gate, 
then they will have more water in the river. 
In other words, more water in the lake, definetly will have more water in the river. Right? 
That's logic. Where does water in the lake come from?
Sky. Comes from sky. 
 Actually, we get it from sky raining, right?
You are human being, the production of norepinephrine and dopamine has nothing to do with the Anderall and Strattera.
So with patient self.
The patients actually make norepinephrine and dopamine, but our bodies make norepinephrine and dopamine which usually depends on your physical conditions. 
Most people just sit there. 
Don't do anything or just walking around. 
Your brain thoughts, your body don't need much norepinephrine and dopamine
So brain actually decrease production of norepinephrine and dopamine
So many people have problems with attention possible is because they don't have enough norepinephrine and dopamine at the first place. 
So the body in order to increase production of norepinephrine and dopamine
our bodies have to be active, why?
It's because our body need to send the signals to the brain, tell brain.
We need a more norepinephrine and dopamine, why we need exercises?
We talk about previously. 
We talk about, you have to intensively, vigorously work out.
The reason is when you  intensively, vigorously work out.
your blood glucose start decrease, 
oxygen level decrease, even blood pressure decreases due to dehydration.
That's how you send the signals to the brain, tell the brain.
We need more oxygen, we need more glucose.
Then brain will respond to the body, how they respond? 
By increase more production of norepinephrine and dopamine.
But they will not send every single norepinephrine and dopaminenormally to the body, 
they also will keep some for themselves. 
So that means the more production of norepinephrine and dopamine
they will keep more norepinephrine and dopamine in the brain. 
That's how you can improve the attention. Norepinephrine and dopamine in the brain, not just rely on Anderall and Strattera.
Exercise is more important, because once you have enough water in the lake, definitely will gets easy. 
Besides exercises, another thing is also important, nutrition.
Because norepinephrine and dopamine does not come from no where, it's from somewhere. Do you know where does it from?
From the food?
Mostly from foods, our body claim we make norepinephrine and dopamine. Actually not.
We just slightly modify some chemicals from outside.
Them they become norepinephrine and dopamine.
This is tryptophin, which has to come from the outside of the body.
We call essential amino acid. 
Our body cannot make it, we have to rely on foods. 
So, what happen is
After we get that, you just add a HO, then becomes norepinephrine and dopamine, become serotonin.
But the problem is here, if you don't eat variety foods,
especially fresh foods, you just cannot get those chemicals.
Why? 
Because those chemicals must just need variety foods, also fresh.
Those important chemicals stay outside too long. 
We call deformed. 
Because the configuration has been changed.
Then our body just cannot use it.
So fresh, variety foods are very very important. Because our body make norepinephrine and dopamine, and norepinephrine and dopamine does not come from nowhere, mostly from foods.
So that's why nutrition is very important. 
But currently in this country, 
People like Burger King, French fries, the fast foods, those stuff basically don't have much chemicals which our body needed. 
Even you have a normal capacity to make those chemicals. 
But you don't have raw mentality. 
How can you do that? 
Third one is about sleep. 
We talk about sleep, we talk about high quality sleep,
because many people don't understand sleep is not passive process. 
Sleep is active process. 
We close our eyes, 
But right now we have PET,EEG approves brain still active working, similar like during the day, just different parts.
At night, our body process the information during the day.
Also. 
We make those chemicals, norepinephrine and dopamine, at night for the next day.
Because during the day, in general, we consume more chemicals than their productions.
So at night, we make more the chemicals than the consumptions
So that's why many people feel like. 
If they don't have good sleep, the next day they feel tired, why they feel tired?
Because they are not ready yet. 
Now, so you can see not those chemical are not just from Anderall or stimulants, 
You can see from this slide, you can understand, Anderall is really not playing much huge role in the treatment of attention deficit, why? 
It's because like last episode we mentioned, some of my patients just need Strattera, will be enough, why? 
Actually in most situation, if  you close the dam,
you have water in the lake, you don't need release too much water in the lake.
You definitely can fire this guy on the gate. 
So that's why currently we over pay this guy on the lake.
We give the Anderall too much credits, 
Because people we thought that guy on the gate can turn the life around
Actually they were not. 
So, now you can understand, even those chemicals, medicines like Anderall make small contribution,
not as big as we thought, 
Exercises, nutritions, high quality of sleep actually play more important roles, make more contributions.
Thanks for Dr. Jason Jane answering our question today and don't forget to subscribe our channel. 
So you won't miss Dr. Jason Jian's following video and thanks for your joining our studio again. 