I have crashed into a very severe form of PSSD with severe anhedonia, horrible insomnia, shrinkage, dry/numb skin and nose after several months of repeated kissing of my partner at night after she applied a lip mask with PHYTO- STERYL/ISOSTEARYL/CETYL/STEARYL/BEHENYL DIMER DILINOLEATE which is one of the main components that blocks 5-ARI in Saw Palmetto. I cannot prove that this ingredient caused the crash, but it is currently my leading suspicion. I had recovered mostly and did not even think about PSSD for 4.5 years besides trying to live as cleanly as possible and avoid 5-ARIs. However, now I am very severe again and not sure if I will be able to get back close to my baseline given the new physical changes.
I did everything in my power to avoid another crash by not trying to treat the issue at all and just give myself time to naturally heal while avoiding all 5-alpha-reductase inhibitors. Unfortunately, this disease is so insidious that one seemingly inconsequential mistake can have dramatic consequences.
I pray/hope for everyone’s healing.