Hew Health Field Notes
Section Military
14 dispatches

Military

II In this section
Veterans
Veterans 28 Sep 2026

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

Matthew Koucky · 4 min read
Bloodwork
Bloodwork 28 Sep 2026

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

Matthew Koucky · 5 min read
Military
Military 28 Sep 2026

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

Matthew Koucky · 5 min read
Veterans
Veterans 28 Sep 2026

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

Matthew Koucky · 5 min read
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
Military
Military 25 Sep 2026

Your PHA Flagged Low Testosterone. Now What?

Current as of September 22, 2026. Short answer: Do not start treatment yet. Confirm the number with a second early morning fasting draw on a different day, make sure it was not taken right after a hard training block, and get LH and FSH so somebody finds out why. Treatment

Matthew Koucky · 5 min read
Military
Military 25 Sep 2026

Does the Military Drug Test Catch Testosterone?

Current as of September 22, 2026. General information, not legal advice. Short answer: Steroids are not on the routine random urinalysis panel. Under the Army's implementing regulation a commander has to specifically request steroid testing with a written probable cause analysis, and it runs at a different lab.

Matthew Koucky · 4 min read
Military
Military 25 Sep 2026

Getting Out on TRT: The Gap Between TRICARE and the VA

Current as of September 22, 2026. Short answer: You have 90 days after your retirement date to enroll in a TRICARE plan, and the transitional coverage people talk about is for involuntary separations, not normal retirements. There is no VA disability rating code for low testosterone. Compensation comes from residuals

Matthew Koucky · 5 min read