Testosterone production drops quite significantly over time. We generally accept hormonal therapy for women often for a majority of their life; it’s not necessarily something to condemn. However, it’s not really well developed (shots every few weeks makes the testosterone level ridiculously high for a while and then drop to pretty low levels as the date for the next dose approaches) and there’s a really good chance they’ll overprescribe on the “manly drugs”. There’s a good number of side effects, including being a dumb-dumb, as Pete demonstrated.

Exogenous testosterone does (often permanently) drop natural production. If they’re signing up for a lifetime of free TRT, it’s probably not really a concern. I somehow doubt that they will, and suspect that the low T is “not service related as there was a demonstrable low T level 10 years ago.”