Chronic fatigue syndrome decisions — 2026

The Veteran's acquired psychiatric disorder, adjustment disorder with mixed anxiety and depressed mood, is granted service connection as secondary to his service-connected insomnia disorder.,Service connection for chronic fatigue syndrome resulting from Persian Gulf service is granted on a presumptive basis.

The Board has decided to remand the claim for service connection of chronic fatigue syndrome due to a lack of a VA examination and potential errors in the decision process.

The Board has granted service connection for Chronic Fatigue Syndrome (CFS) as the condition is presumed to be related to military service, specifically exposure to burn pits during active duty in Iraq and Kuwait.

The Veteran's claim for service connection for Chronic Fatigue Syndrome is remanded due to the need for a VA examination and verification of his reported deployments.

The Board has remanded the Veteran's claim for service connection for chronic fatigue syndrome, finding that a new examination is needed to address the etiology of his condition and whether it is related to his service-connected TMJ dysfunction.

The Board dismissed the Veteran's appeals for service connection of chronic fatigue syndrome, respiratory insufficiency, and irritable bowel syndrome due to untimely filing.

The Veteran's claim for an earlier effective date for SMC(t) prior to October 16, 2024 was denied. The Board found that the evidence did not support a need for higher level aid and attendance before this date.,For the earlier effective dates of service connection for erectile dysfunction and grant of SMC(k), the claim was also denied as there was no factual basis to establish entitlement prior to April 27, 2022.

The Board denied service connection for fatigue as the Veteran does not have a current disability of fatigue, to include chronic fatigue syndrome (CFS), separate and distinct from his service-connected sleep apnea. The appeal pertaining to entitlement to a total disability rating based on individual unemployability due to service-connected disabilities (TDIU) was dismissed by the Veteran.

The Veteran's bilateral foot disability was noted at entry and aggravated during service. Service connection is granted for this condition. The Veteran's CFS claim is denied as there is no clear evidence of a direct service connection.

The Board denied the Veteran's claims for service connection for chronic fatigue syndrome and obstructive sleep apnea, finding that there was no current diagnosis of CFS or OSA, and that the evidence did not establish an in-service event or symptom.

The Board denied the appellant's eligibility for direct payment of attorney fees from past due benefits awarded in an April 2024 rating decision that granted service connection and assigned initial ratings for obstructive sleep apnea (OSA) as well as right foot and bilateral ankle disorders.

The Veteran's claim for a higher initial rating in excess of 60 percent for the service-connected Chronic Fatigue Syndrome (CFS) has been denied. The appeal for TDIU based on PTSD and CFS is dismissed as moot due to the Veteran's receipt of a combined rating of 100 percent from July 25, 2024.

The Veteran's right ear hearing loss is denied as there was no evidence of a current disability.,Left ear hearing loss is granted, with the condition being service-connected due to exposure during active duty and worsening over time.,Service connection for reflux esophagitis with hiatal hernia is granted based on symptoms that began in-service and continue post-service.,Service connection for stenosis of the cervical spine is granted as it was likely caused by service, including combat duties.,Degenerative disc disease of the lumbar spine is granted due to continuity of symptomatology since service.,Chronic fatigue syndrome is granted based on symptoms that began in-service and continue post-service.

The Board has denied the Veteran's claims for service connection for chronic fatigue syndrome and generalized anxiety disorder, finding that her symptoms are attributable to other diagnosed conditions.

The Veteran's right knee strain with osteoarthritis is granted an effective date of May 23, 2024. Service connection for CFS and fibromyalgia are also granted but with an effective date of December 11, 2024.

The Veteran's claims for vertigo, chronic fatigue, and emphysema (respiratory distress) have been denied as there is no evidence of a current disability or in-service incurrence.,Service connection cannot be granted because the medical evidence does not support a finding that any claimed conditions are related to military service.

The Veteran's service connection claim for hypertension was granted. The claims for fibromyalgia, headaches, and chronic fatigue were dismissed due to the Veteran's withdrawal of these appeals. The LLE and RLE neuropathy claims are remanded.

The Veteran's psoriasis and psoriatic arthritis are granted service connection. The cervical spine, spine, CFS, fibromyalgia, and a disability manifested by symptoms including tachycardia, severe fatigue, feeling of weakness all over, muscle twitching, scalp tingling, dizziness, vertigo, memory problems, syncope, and headaches have not been established as service-connected.

The Veteran's SMC at the N1/2 rate is granted, and he is also eligible for SMC(r)(1) based on his existing SMC(k) and SMC(o). The appeal regarding entitlement to SMC under 38 U.S.C. § 1114(r)(2) has not been resolved.

The Board has granted service connection for hand tremors and insomnia, but denied service connection for muscle pain disorder, joint pain disorder, right lower extremity neurological disorder, left lower extremity neurological disorder, chronic fatigue disorder, digestive disorder, and syncope.