Hew Health Field Notes
Vol. I November 2026
Published from Destin & Orlando
Read in 47 states

Field Notes.

Thoughts, stories and ideas.

II Recent Dispatches
Fertility
Fertility 28 Sep 2026

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

Matthew Koucky · 5 min read
Veterans
Veterans 28 Sep 2026

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

Matthew Koucky · 6 min read
Oregon
Oregon 27 Sep 2026

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

Matthew Koucky · 3 min read
Washington
Washington 27 Sep 2026

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&

Matthew Koucky · 4 min read
California
California 27 Sep 2026

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,

Matthew Koucky · 4 min read
Washington
Washington 27 Sep 2026

Telehealth TRT in Washington: What the Rules Actually Require

Current as of September 25, 2026. General information, not legal advice. Short answer: Legal, if your provider is licensed in Washington. Washington passed the Uniform Telehealth Act in 2024 and left out the out-of-state registration pathway on purpose, so there is no shortcut here. The state also bars any telehealth-specific

Matthew Koucky · 4 min read
Oregon
Oregon 27 Sep 2026

Telehealth TRT in Oregon: What the Rules Actually Require

Current as of September 25, 2026. General information, not legal advice. Short answer: Legal, if your provider holds an Oregon license. Oregon is one of the few states with a real pathway for it, a telemedicine-status license from the Oregon Medical Board, so an out-of-state physician can register to treat

Matthew Koucky · 4 min read
California
California 27 Sep 2026

Is Telehealth TRT Legal in California? What the Rules Actually Say

Current as of September 25, 2026. General information, not legal advice. Short answer: Yes, if the provider treating you holds a California medical license. California has no out-of-state telehealth registration and is not part of the interstate licensure compact, so a clinic whose doctors are licensed only in another state

Matthew Koucky · 4 min read