Last week, a research letter published in the Journal of the American Medical Association—using data from a sample of nearly 500 military members—reported that approximately 25 per cent of participants had at least one measured testosterone level that could qualify them as deficient. The data suggests that more than a 100,000 men in current service could qualify for testosterone-replacement therapy if their screening results are treated as diagnostic. “The letter is something of a Rorschach test, offering new information that could either bolster or undermine Pete Hegseth’s effort to establish a ‘high-T Department of War,’ ” Rachael Bedard writes.
“Every relevant medical society recommends against screening asymptomatic men for testosterone deficiency, because it is akin to scouring a hotel room with a black light: you’re going to find a lot of stuff of indeterminate significance that you wish you hadn’t seen,” Bedard continues. Serum testosterone levels vary with stress, sleep, body shape, and time of day; borderline low levels are common and are hard to interpret outside the context of a careful clinical evaluation. And different organizations even use different thresholds to determine what a “low” value is. “These ambiguities make the condition a perfect container for all manner of dysphoria and shame, and set patients and doctors up for conflict,” Bedard notes. Read about the current obsession with testosterone and the complexities of measuring it:
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