The Veteran's claim for service connection for muscle pain, multi-joint pain, involuntary muscle twitching, twitching of the eyes and face, and fatigue (previously claimed as Gulf War Syndrome) is denied because there is no current diagnosis of vitamin D deficiency. The symptoms are primarily attributed to his already service-connected PTSD.
The deciding factor: The July 2021 VA examination report concluded that the Veteran does not have a clinically diagnosed Vitamin D deficiency, and his symptoms have been primarily attributed to his already service-connected PTSD disability for which he is already compensated (service connection granted at 50 percent, effective April 29, 2011).
- Claimed conditions
- muscle pain, multi-joint pain, involuntary muscle twitching, twitching of the eyes and face, fatigue
- How they argued it
- Reopened with new and material evidence
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- October 20, 2021
- Citation
- 21064483
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Read the original VA decision (opens in a new tab) using citation 21064483.
What this means for you
A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Remanded (sent back)
The Board has determined that the AOJ did not obtain all necessary opinions regarding whether the Veteran's symptoms are related to an undiagnosed illness or medically unexplained chronic multisymptom illness (MUCMI). The claims for service connection for fatigue, fibromyalgia, left elbow disorder, right elbow disorder, and sleep disorder are remanded for further development.
- Whole decision: Granted
The Veteran's claim for service connection for migraine headaches, as secondary to tinnitus, is granted. The claims for service connection for hearing loss disability and a disability manifested by shortness of breath other than chronic sinusitis and allergic rhinitis are denied. The claims for service connection for an intestinal disability (diverticulitis), fatigue, hypertension, neck disability, right upper extremity radiculopathy, left upper extremity radiculopathy, right shoulder disability, left shoulder disability, upper and lower back disability, right lower extremity radiculopathy, left lower extremity radiculopathy, right hip disability, left hip disability, right foot pain, left foot pain, gastroesophageal reflux disease (GERD), and an acquired psychiatric disorder are all denied.
- Whole decision: Denied
The Board has denied the Veteran's claims for service connection for various conditions, including left leg shin splints, right leg shin splints, joint pain (claimed as arthritis), sleep apnea, fatigue, neck condition, acne, and lung condition. The evidence did not show a current disability or link to military service.
- Whole decision: Remanded (sent back)
The Board has granted service connection for cardiac autonomic neuropathy (CAN) and remanded the secondary service connection claims for GERD, hypertension, sleep apnea, gastritis, headaches, and fatigue as secondary to CAN.
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