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Hegseth’s dubious low-T screening may flag up to 25 percent of the Army

Hegseth’s dubious low-T screening may flag up to 25 percent of the Army

Summary

A recent study found that up to 25 percent of active-duty Army members could test positive for low testosterone in a new mandatory screening, even though the true condition is rare. Experts warn this could cause unnecessary and potentially harmful medical tests and treatments.

Key Facts

  • The Army will start mandatory low testosterone screening for all service members.
  • A study tested 479 male active-duty Army members and estimated results could mark about 26% as having low testosterone using a cutoff of below 300 ng/dL.
  • True medical low testosterone (male hypogonadism) affects less than 1% of men.
  • Testosterone levels can change due to factors like age, illness, stress, sleep, weight, and medication, making single tests unreliable.
  • The American Urological Association and Endocrine Society recommend testing only men who show symptoms, not everyone.
  • Overdiagnosis may lead to unnecessary treatment that can cause side effects like infertility.
  • The Pentagon released clinical guidelines in September to implement this screening despite expert caution.
  • Study samples were taken in the morning after fasting, between August 2024 and January 2026, from five Army bases.
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