Field Notes.
Thoughts, stories and ideas.
Low Testosterone After a TBI: Why Nobody Checked, and What to Ask For
Current as of September 28, 2026. General information, not medical advice. Short answer: A head injury can damage the pituitary, and about a third of people have some pituitary hormone deficiency in the years after a TBI. Nobody screens for it routinely, because the VA and DoD guideline for mild
Read the dispatch
BPC-157 and the Military: Read This Before You Order Any of It
Current as of September 28, 2026. General information, not medical or legal advice. Short answer: If you are in uniform, do not use it. BPC-157 is not an approved drug anywhere in the world, it is not a legal supplement ingredient, it is on the World Anti-Doping Agency's
What Bloodwork Belongs on TRT, and Is Your Hematocrit Too High?
Current as of September 28, 2026. General information, not medical advice. Short answer: Hematocrit is the number that actually changes management. Four different authorities set four different action thresholds, and the FDA label sets none at all. The common ground: check it before you start, check it again at three
Does the VA Prescribe Testosterone?
Current as of September 28, 2026. General information, not medical advice. Short answer: Yes. Testosterone injections and gel are on the VA national formulary, with facility-level prior authorization, and there is a published national Criteria for Use your provider has to document against. The bar is two unequivocally low fasting
Clomid vs TRT When You Still Want Kids
Current as of September 28, 2026. General information, not medical advice. Short answer: Testosterone suppresses sperm production, often to zero. If children are anywhere in your plans, the options are hCG, which is FDA-approved in men for hypogonadotropic hypogonadism, or clomiphene, which works but is used off-label and is not
Can I Get VA Disability for Low Testosterone?
Current as of September 28, 2026. General information, not legal or medical advice. Short answer: Not for low testosterone by itself. The rating schedule has no diagnostic code for it, so on its own it rates zero. Where veterans actually win is a different claim: if you have a service-connected
TRT in Portland: How to Tell a Real Clinic From a Funnel
Current as of September 25, 2026. Short answer: Telehealth testosterone therapy is legal in Portland if your provider holds an Oregon license, including the Oregon Medical Board's telemedicine-status license for out-of-state physicians. Oregon is one of the few states that built that pathway, which also means there is
TRT Near JBLM: Rules, Waivers, and the Pacific Northwest Winter
Current as of September 25, 2026. General information, not medical or legal advice. Short answer: Telehealth testosterone therapy is legal in Washington if your provider holds a Washington license, and Washington removed the out-of-state pathway in 2024, so that is not optional. For soldiers at Joint Base Lewis-McChord, the Army&
TRT in San Diego: What Active Duty, Veterans and Contractors Need to Know First
Current as of September 25, 2026. General information, not medical or legal advice. Short answer: Telehealth testosterone therapy is legal in San Diego if your provider holds a California license. But if you are on a dive, special warfare, or submarine billet, ongoing testosterone is disqualifying under Navy medical standards,
Receive each dispatch when it is published.
Editorial notes from the Hew Health team. Clinical perspective, patient stories, and field reports from our practice in Destin and Orlando. No promotional content. No referrals to other lists.
One-tap unsubscribe · Never shared · Editorial only