UPDATE 2: STILL RECOVERED
Time to finally make one of these to track progress here

Status:
29 yr old male, frequent exerciser, generally eat healthy low carb diet, otherwise in good health.
Background:
Prior to PSSD I had a high libido.
PSSD started when I took escitalopram for 1 month in 2012. I saw a doctor for insomnia and they thought I was depressed. PSSD onset was gradual.
In 2013 I took Prozac for 6 months. I learned about PSSD and decided to quit cold turkey. I went through horrible withdrawals for a few months. Afterwards I still had PSSD.
From 2014 to 2018 I gradually improved my sleep with various lifestyle and behavioral modifications. PSSD remained more or less the same.
As of now, my PSSD has seen some mild temporary improvements over the last few months.
Current symptoms:
Genital numbness (10% of normal sensation)
Anhedonia (varies 30-50% of normal)
Ejaculatory anhedonia (varies 30-50% of normal)
Erectile dysfunction (50% of normal)
Low libido/desire (varies 10-30% of normal)
Poor sleep quality (50% of normal)
Helpful supplements/medications:
Tribulus may have increased my desire/lust/libido. But the effect only lasted for the first few weeks on it.
L-citrulline likely increased my erection quality.
Sarcosine+NAC likely improved my anhedonia.
High dose B vitamins (B1, B2) seem to improve fatigue.
Currently taking:
Sarcosine+NAC (2g each) for anhedonia
L-citrulline (1.5g) for EQ
B vitamins
Melatonin (300ug) for sleep
Blood tests:
I’ve posted tons of tests on my HackStasis thread (PM me for invite).
Here are some select values:
T: 606 ng/dL (264 - 916)
Free T: 29.4 pg/mL (9.3 - 26.5)
DHT: 41 ng/dL (30 - 85)
DHEA-S: 614.7 ug/dL (138.5 - 475.2)
SHBG: 31.3 nmol/L (16.5 - 55.9)
Pregnenolone: 130 ng/dL (<151)
Progesterone: 0.3 ng/mL (0 - 0.5)
E2: 19.8 pg/mL (7.6 - 42.6)
Total Estrogens: 94 pg/mL (40 - 115)
LH: 8.5 mIU/mL (1.7 - 8.6)
FSH: 4.1 mIU/mL (1.5 - 12.4)
Cortisol AM: 7.7 ug/dL (6.2 - 19.4)
Cortisol PM: 1.9 ug/dL (2.3 - 11.9)
ACTH: 29.8 pg/mL (7.2 - 63.3)
TSH: 2.49 uIU/mL (0.045 - 4.5)
T4: 6.8 ug/dL (4.5 - 12)
Free T3: 2.7 pg/mL (2.0 - 4.4)
Other info:
I tolerate most foods well. The only thing that causes problems for me is a high carb intake. Too many carbs (>150g day) causes me to feel bloated, fatigued, and have poor sleep. I have no issues with vigorous exercise (except some injuries). I have access to most meds. I briefly tried buspirone which gave me dizziness reminiscent of SSRI withdrawal brain zaps at just 5mg, which makes me suspect 5HT1A issues.
Current plan:
I just started taking rasagiline (0.25mg) and donepezil (2.5mg) to test out Meso’s theories. I also started agomelatine (25mg) to assist sleep. It’s only been 4 days but I have noticed a slight mood boost and increase in motivation. But no improvements sexually. I plan to stay on this few a few weeks and re-evaluate.
Any advice is much appreciated!