As Hegseth pursues a 'High-T' military, here's what to know about testosterone replacement
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As Hegseth pursues a 'High-T' military, here's what to know about testosterone replacement

PBS nation

Key Points:

  • Defense Secretary Pete Hegseth announced a policy to annually test testosterone levels in U.S. service members aged 30 and older, with voluntary testing for those under 30, aiming to optimize natural capabilities and longevity.
  • Testosterone levels vary widely by age, sex, and individual factors, and there is no single consensus on what constitutes a "too low" level; diagnosis typically requires multiple tests and assessment of symptoms.
  • Testosterone replacement therapy (TRT) can benefit those with confirmed low testosterone and symptoms by restoring energy, libido, and bone density, but it carries risks such as infertility, blood clots, and other side effects.
  • For women, no FDA-approved TRT exists, but off-label treatments may be prescribed, especially for menopausal symptoms, with benefits and risks differing from those in men.
  • Testosterone therapy may be considered gender-affirming care depending on the patient's perspective, as hormone treatments have long been used for various medical and identity-related reasons beyond transgender care.

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