I think I found a solution that works for me. I wrote it here and on ray peat and other forums I am. In the end of 2019 I had a full recovery for 4-5 days. Then things settled down. But up until the end of February 2020 I had a very good state. I had a GF from end of December to mid April. The first two months I had awesome libido. We had sex 2-3 times a day. And usually before December 2019 once a month was enough for me. From end of February on, my Libido went down to zero and I had my old state back. I was pushing away my new GF and got my old behaviour, trying to avoid sex and even felt disgusted from sex. Once a week was too much again.
In the end of 2019 I started taking DHEA, Pregnenolone, Progesterone and Ashwaghanda. In the end of February 2020 I stopped Ahswaghanda, thinking it gives me more histamine issues. What a tremendous mistake! I kept going on with DHEA, Pregnenolone and Progesterone and was wondering why these stopped working as before.
2 months ago I figured out that my heavy migraines and brain inflammation is coming from Pregnenolone. Stopping that stopped my migraines that I had twice a week. I kept going on with DHEA but the effect of Pregnenolone on Anxiety and confidence is great for me. So the anxiety etc. came back. To a degree that I started having issues to order coffee from Starbucks again. That and my libido was none existent since March 2020.
So, 2 weeks ago I found my box with Aswaghanda again. And I hate to throw things away. So I started taking it. And boom. Anxiety much better. Brain fog and slow thinking much much better. Memory much better. Energy better. Depression much better. Food intolerance much better. And libido is good. Not like with 15 (I am 39) but its good. I start feeling desire when seeing women again. Have sexual thoughts etc. Usually I was on a nofap thing. But (maybe out of boredom) I started masturbating daily again. Sometimes just by seeing a women on a youtube video and started having sexual thoughts.
I always suspected that PFS is adrenal fatigue and some issues with the thyroid. And Aswaghanda fixes both for me I guess. Just it should have high amounts of withanolids and ideally it should be KSM-66. I use the cheaper one from Sunday (Germany) -> https://www.sunday.de/ashwagandha/ashwagandha-extrakt-kapseln-hochdosiert.html
This stuff is gold for me and I hope it keeps going on. I am also on 180mg TRT a week for 3-4 months. But that had zero effect up until I started ashwaghanda. Also ordered Pansterone because I miss the confidence and drive that I get from Pregnenolone. It pushes me from social anxiety to approaching girls lol.