B.C.
I'm sure your doctor has heard these questions before and will be able to give you some great advice about what to do.
Some people are wired one way and others are wired in other ways.
Some people can manage this with diet - it IS worth a try - and others can't.
Some people really do need meds.
And some parents fight against meds no matter how much their kids suffer in the mean time.
I've seen a boy in my sons taekwondo class scream and hit/kick other kids out of the blue, whole classes become nothing but dealing with the kids behavior day after day week after week - and the parents were adamant "He doesn't need meds" - and the boy was miserable and so was everyone else around him.
I don't see how denying that the poor kid was having problems was doing him any good.
(And while I felt sorry for him - it pissed me off that he was hitting/kicking my kid and everyone else s.)
Parents pulled their kids out of the program over this - eventually the boys parents were told their son could not come back to class anymore.
If you eventually do decide that meds might be worth a try - it might take trying several different meds before you find the right one - and periodically there will need to be adjustments.
Kids need too be able to play, make friends, do reasonably well in school, be able to listen and follow instructions from teachers - and if some brain chemistry is getting in the way of all that then it might take a medication to help get that in balance.