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Hi kimrz,
The ADHD and medication that he is taking could explain his mood swings. Many ADHD medications have these side effects, and this is why it is important to go through all the side effects with your doctor. Considering the puberty question, well there have been cases of boys going in to the puberty period at this early. But it is not that common.
Do you know if your friend is taking these medications on regular basis? If there is a possibility that he is skipping medication this can cause even bigger side effects. I think that main cause of this are the medication. Second opinion with other doctor could be a good thing to consider, regarding that even doctors can be wrong sometimes.
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