An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
An Army flight surgeon posted something on this that, to my mind, gets past the noise.
I've spent the past decade as a military flight surgeon. Let me take the politics out of the testosterone headline and tell you what actually matters.
Testosterone drops with age, that's just physiology. And when it drops, it takes energy, strength, focus, mood, sleep, and…
https://t.co/ynYdBFnCLq
— James Ries, DO | Flight Surgeon (@JamesRiesDO)
July 15, 2026
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
View: https://x.com/JamesRiesDO/status/2077452094135562560?s=20
His point is that after ten years working as a military flight surgeon, he wants the politics stripped out of the headline and the actual medicine put back in.
Testosterone falls with age - that part is simple physiology. And as it falls, concentration, mood, sleep quality, energy, strength and recovery all go down with it.
Each of those is a readiness problem. A hollowed-out force is not a joke, it is a real risk. Yet most men are never checked, either because nobody offers or because they are told that feeling flat is simply part of getting older. Putting a testosterone panel into a routine physical is how you find the ones operating on empty without knowing it.
Attack the messenger if you like. The medicine underneath still holds up: measure, identify the men who are genuinely low, and treat the ones who need treating. That is decent care, in uniform or out of it.
