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L, I'd do a lot of research and would try dietary changes (limiting/eliminating crap, try gluten free,etc.), get him involved in activities to burn off the energy before turning to meds.
Here's a good place to start: Overview of the Feingold Diet Program for ADHD
We did soccer this year, that helped.
Lucky for me, even though I am a single mom my father is very involved with my son. While I work my parents take care of him and he does quite a bit with my dad. In the summer it is swimming etc, right now it is sledding or my dad takes him to run man errands.
The kid is smart, he has delays when testing but he can do what they are testing him for it is just getting him to pay attention when they test him. For instance, two weeks ago they said he wouldnt say his ABCs, but at home he says them just fine. He has pretty much taught himself how to read, but getting him to do it on demand is impossible. He likes to do when we are driving down the road looking at reader boards.