Thanks to everyone for the replies - especially KSMAN, great information there.
From the advice i've been given here and another forum, if I did HRT in the future, I would substitute the Nebido for TEST CYP/ENAN due to the much shorter half life.
On the advice of others I will be supplementing
10,000 IU/day Vitamin D (deficiency here, could contribute to fatigue)
Vitamin B complex
2g Omega 3 (DHA+ EPA, already using this for years)
After 5 years of SSRIs I consider them to be poisonous to the male system - so much evidence of sexual dysfunction, lowered testosterone etc. If you can manage without them, I would reccommend any man slowly come off them - I myself am tapering off fluoxetine.
I really do suspect a dopamine issue - it ties in with the apathy/lack of ambition/anorgasmia as well as the lowering of testosterone levels. Do any of you have much experience with selegiline?
Wellbutrin would be foremost in my mind if I decided to get on another AD - SSRIs I cant reccommend for men.
Is there anypoint in attempting a restart of T levels with clomid/hcg or hcg monotherapy - or are they not low enough to be worth the bother? Are the levels low enough to trial HRT (I would like to consider HRT as a last resort)