The Veteran's appeal for an increased rating of left ankle lateral collateral ligament sprain is dismissed. The Board also remanded the issue of a higher rating for right knee patellofemoral pain syndrome with arthritis.

The appeal is remanded to correct pre-decisional duty to assist errors, including the failure to obtain relevant treatment records and provide adequate VA examinations.

The Board denied the veteran's claims for increased ratings for various service-connected conditions, finding that the evidence did not support a higher rating under applicable criteria.

The Board granted service connection for sleep apnea, left shoulder bicipital tendon tear, hypogonadism, erectile dysfunction, and left carpal tunnel syndrome. The claims for increased ratings for lumbar spondylosis with facet arthropathy and lumbosacral strain, right hip strain with osteoarthritis, other specified trauma and stressor related disorder, left and right ankle lateral collateral ligament sprain, right shoulder rotator cuff tear, left knee patellofemoral pain syndrome, right knee patellofemoral pain syndrome (to include iliotibial band syndrome), and chronic right wrist sprain were denied. The Board also granted an effective date of July 7, 2023 for the award of increased ratings.

The Board denied the veteran's claims for increased ratings and service connection, dismissing or denying all appeals.