The Board denied the Veteran's claim for service connection for a psychiatric disability, finding that there is no current diagnosis of such a condition and thus no basis to establish service connection.

The Board granted an initial 100 percent rating for psychiatric disability and Meniere's disease, but denied SMC based on the need for regular aid and attendance.

The Board granted initial ratings of 70 percent for a psychiatric disability, 40 percent for a low back disability, and 20 percent each for bilateral lower extremity radiculopathy involving the sciatic nerve and femoral nerve. The claim for an initial rating greater than 30 percent for irritable bowel syndrome was denied.

The Board denied the Veteran's claim for an earlier effective date for the 70 percent rating for his service-connected psychiatric disability, finding that May 9, 2022, was the earliest date as of which it was factually ascertainable based on all evidence of record that an increase in disability had occurred.

The Board denied higher initial ratings for the Veteran's psychiatric and right shoulder disabilities, but granted SMC based on aid and attendance as of February 9, 2023.