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
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The Cash-Pay Patient
# The Cash-Pay Patient *A field manual on what changes when insurance is not in the room — written by the person who designed the room that way.* — Matthew Koucky · Hew Health · Vol I, Issue 05 --- When we designed Hew Health, the first thing I wanted to change about a traditional
On Time Restoration
# On Time Restoration *The quiet logic of rotational optimization, and why we don't reach for the highest dose.* — The Editorial · Hew Health · Vol I, Issue 03 --- A patient asked recently why, after six months of feeling progressively better, we were pulling back on his protocol. He was
The 47-State Question
# The 47-State Question *How telemedicine actually works inside a concierge hormone optimization practice.* — The Editorial · Hew Health · Vol I, Issue 07 --- The map on our homepage says forty-seven states. It is not a marketing flourish — we mean it literally, and the number gets asked about often enough that it
Concierge as Methodology, not Marketing
Concierge as Methodology, not Marketing On a word that has been claimed by every spa, supplement shop, and direct-pay clinic in the country — and what it actually requires of a practice. — Matthew Koucky · Hew Health · Vol I, Issue 01 The word concierge has had a difficult decade. It used to
Peptide Protocols for Recovery & Performance
Peptide Protocols for Recovery & Performance On a category that has more conversation than precision, and the questions we ask before we prescribe. — Matthew Koucky · Hew Health · Vol I, Issue 04 A patient sat down last week and put his phone face-up on the desk. On it was a three-paragraph
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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.
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