Hegseth’s announcement echoes an emerging focus on testosterone-related health issue in the special operations world in recent years, widely discussed among veterans and medical experts as “
operator syndrome.” The phenomenon, which Hegseth referenced in a
memo Wednesday announcing the new program, was first noted in a
2020 research paper in the International Journal of Psychiatry Medical by Chris Frueh.
Frueh described operator syndrome as a widely reported series of similar health issues and hormonal deficiencies among special operators over 30, a pattern he noticed while working with active duty and
veteran special operators across the U.S. and other countries. Some police and firefighters, Frueh said, have also reported similar health issues.
“
The high op tempos, the sleep deprivation, the circadian disruption, the repetitive repeated blast exposures, all of these have a profound effect on hormones,” Frueh told Task & Purpose. “If you’re not sleeping, your hormones aren’t being properly released and regulated. But it has a bidirectional effect, so it hurts sleep, it hurts brain health, it hurts metabolic functioning if your hormones aren’t in alignment.”
“Just looking at testosterone is like only filling up one tire on your car with air and the other three being flat, you need to have all the key hormones optimized,” [neuroendocrinologist Dr. Mark] Gordon told Task & Purpose in an
interview for a story in 2024. “This is why in some people when they get testosterone replacement therapy, or TRT, they don’t get better because we’ve totally missed other hormones.”
...Dr. Richard Auchus, an endocrinology section chief at the VA Ann Arbor Healthcare System who sits on the board of the
Seal Future Foundation, said there’s long been “tension” between expanding the use of testosterone versus addressing the underlying causes of conditions that might cause low readings, like sleep apnea.
Maybe a quick fix isn't the best answer.