TalkingAnt summary/log

[TalkingAnt]

Selegiline is similar to rasagiline?

Yes pretty much the same, although selegiline metabolizes to methamphetamine in small amounts which may or may not be physiologically relevant, but will cause failed drug test.

[Tfam489]

And moclobemide?
I must start something for my depression (caused by pssd)
Drug test- don't care

[DJoke]

And moclobemide?
I must start something for my depression (caused by pssd)
Drug test- don't care

Hi,
I read this forum since around one year. I registered here just now to answer your question about moclobemide.
It's my 4th year with PSSD.

10 months ago my doctor prescribed me moclobemide. I agreed because he told me that it is "safe" and it could even increase my libido. I was taking it around 30 days. It was long enough to get the biggest crash I have ever had. I suffer untill now. The worst symptoms it caused me was ED (partially recovered), complete loss of sensation (it was not good before moclo but still better than now). After taking moclo sometimes I feel pain downthere which bothers me the most. That is only my experience but I would not reccomend that med to anybody with PSSD symptoms. Take care and one more thing. I think one of the most important questions members of our community should ask themselves is: better to live with depression or without sex?

[Semogomes]

hi dude. how are you doing nowadays PSSD-wise?

[TalkingAnt]

Still cured, libido, EQ, etc is all good! The issues I had with sleep turned out to be anxiety related which I addressed with methods by the Youtube videos of Sleep Coach School and the book "Untangle Your Anxiety" which I highly recommend to anyone with anxiety/insomnia. Feel free to DM me if you're struggling with those.

Another lifestyle hack I adopted is early time restricted feeding. Basically I shift my calories earlier in the day and don't eat 6 hrs before bed. This has significantly increased my deep sleep and energy levels.

My exercise is focused on cardio, with most of the time spent in heartrate zone 2 (low-moderate intensity) and one high intensity session per week. The goal is to stimulate mitochondrial improvements, which I feel has also helped my energy levels. I still lift weights 2-3 times per week if time allows, and get a decent boost in libido (especially after a good leg workout).

My diet is mostly the same as described in earlier posts. Focus on whole foods, avoid sugar, limit carbs to no more than 40g per meal, eat a lot of protein.

Some supplements I have been trying lately:
Creatine for exercise and energy levels.
Coenzyme Q10 for energy.
High EPA fish oil for mood boost (Nootropics Depot's AvailOM)
Ashwagandha KSM66 for sleep.

[Breathdeep]

@talking ant. Do you think you would have recovered to a great degree without your trt trial?

How were you just before trt?

[TalkingAnt]

I had seen some improvements before TRT. I had some windows where I was able to have sex fairly well, and thought that with the right woman I could live with my state, granted there would be low periods. In the months after TRT, I saw dramatic improvements to where I am today, where my libido and function is quite high most of the time. Based on the time correlation of the dramatic improvements, I think it is highly likely that my TRT trial contributed to my full recovery. Keep in mind it was not a "standard" TRT trial as I ended up with high T/high E for the first half, and high T/low E for the second. I don't know if that mattered, but there seems to be some similarity to Spyro's estrogen theory.

However, without TRT, I think I could have still improved through time and lifestyle changes although probably not as dramatically or rapidly.

[Breathdeep]

I had seen some improvements before TRT. I had some windows where I was able to have sex fairly well, and thought that with the right woman I could live with my state, granted there would be low periods. In the months after TRT, I saw dramatic improvements to where I am today, where my libido and function is quite high most of the time. Based on the time correlation of the dramatic improvements, I think it is highly likely that my TRT trial contributed to my full recovery. Keep in mind it was not a "standard" TRT trial as I ended up with high T/high E for the first half, and high T/low E for the second. I don't know if that mattered, but there seems to be some similarity to Spyro's estrogen theory.

However, without TRT, I think I could have still improved through time and lifestyle changes although probably not as dramatically or rapidly.

Noted. Thanks

[kaimbre]

A positive update:

Still healing from surgery but, my PSSD symptoms have improved in the last few weeks.

I had sex a few times and it was great. I could perform well and enjoy it, although I still have numbness. My libido has been decent about half the time in the last 2 weeks. EQ is still good. Orgasms are good as long as there is some build-up. I have been enjoying music more frequently.

I added a bunch of things to my stack so I'm not sure what is helping. Mesolimbo thinks it is probably Shilajit and/or Jujube.

New items

• Shilajit extract 250mg. I've tried shilajit before but a different brand, didnt notice anything the first time around.
• Jujube 10:1 extract 4g at night. Might be 5HT1A antagonist. Feel slight drowsiness so it's helpful for sleep.
• High bioavailable Zinc 20mg. I've taken zinc before but not this form.
• Boron 2mg. Might lower SHBG, worth a shot.
• High bioavailable Vitamin D + K2 10,000 IU. I've taken 5k IU for a while before, but perhaps this higher dose+bioavailability is doing something.
• L Reuteri probiotic Had digestion issues after traveling overseas that seemed to improve from probiotics. No idea if they affect PSSD.
• S Boulardii probiotic

Still taking

• Rasagiline 0.5mg
• L-citrulline 1.5g
• B complex

Also, I tried berberine for a few days but it gave me nausea and diarrhea, so I stopped.

I hope I can figure out what is helping and make it last!

Insane how the OP was cured because of the anesthesia from the surgery he had but believes it was due to the placebo supplements he took.

This will be my next strategy. I'm going to stop treating what I have as PSSD and start seeing it as severe depression. Ketamine infusion is a treatment available in my country.

[TalkingAnt]

I was not cured until 1.5 yrs after that surgery. Do not gaslight me about my own recovery. I already provided a detailed analysis of the factors I associated with recovery. While I do think depression can be an aggravating factor in PSSD, and for some may be the primary factor, I personally do not think it was for me, because I've had worse depression after I was cured but still maintained good sexual function.