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Neuroscientist here- low T is very common in vets and is directly service related (though good luck on getting the rating). The military is inherently stressful and as such cortisol levels skyrocket, which is a direct inhibitor of T production. Chronic stress can permanently impair t production.
A TBI is also a very common occupational hazard in SMs and does impact T, but the VA only gives you 1 or 3 (don’t remember which) years to show hormonal imbalance following a TBI.
The VA can prescribe you T and it’s basically free, but docs will never give you what you actually need.
Low T level cutoffs vary by institution. Most docs will use 250, some will use 350. Nevertheless, they never consider the circumstances. 270 for a 23yr old while technically in reference range is far from the median of a normal 23yr old.
SC- if you want kids, absolutely. Even if you don’t have any kids they’ll be extremely hesitant. Long term T use is extremely hard on male reproduction.
HCG carries its own risks and is far less prescribed.
In fairness, a lot of variables can cause low-T (lack of sleep, stress, diet, lack of physical fitness, PTSD (not only wartime related), etc.). Get yourself a physical with your PCP. You can ask for a specialist to diagnose. You can also have it tested to be sure what levels are causing it.
I doubt it’s service related, but yup, same thing happened to me few years ago
TBI impacts testosterone. Chance of getting it service connected or therapy sponsored by the VA hovers at/near 0%
I went and the doc said it was normal, 2 civ doctors say it’s low and below their normal reference range. I feel like the VA doesn’t really care about it.