The Veteran's hypertension is granted a 10 percent rating, but no higher, from November 12, 2015.,Service connection for osteopenia is granted as it is proximately due to the service-connected removal of uterus and both ovaries.,Service connection for obstructive sleep apnea is granted.,Service connection for insomnia is granted.,Service connection for tinnitus is granted.
The deciding factor: The Veteran's hypertension has a history of diastolic pressure predominantly 100 or more, requiring continuous medication for control. The April 2016 VA examination confirmed this history and supported the grant of a 10 percent rating over the appeal period.,Dr. C.S.R.'s opinion established that osteopenia was caused by early menopause due to removal of ovaries in service.,The August 2016 opinion from Dr. G.B. indicated that sleep apnea had its onset in service, supported by April 2020 opinion from Dr. J.L.A.,The Veteran's complaints of difficulty falling and staying asleep, as well as gasping for breath during sleep, were consistent with the diagnosis of insomnia.,Dr. G.B.'s August 2016 opinion established that tinnitus had its onset in service based on her reports of hearing 'clickety-clack' when running and continued complaints since service.
- Claimed conditions
- hypertension, bone disorder (osteopenia), obstructive sleep apnea, insomnia, tinnitus
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- March 14, 2023
- Citation
- 23015167
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. Look up the original decision on VA.gov (opens in a new tab) using citation 23015167.
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board has remanded the claims for service connection for hypertension and peripheral neuropathy of the bilateral upper and lower extremities due to insufficient medical opinions regarding their etiology.
- Remanded (sent back)
The Board has remanded the claims for service connection for hearing loss, tinnitus, and an acquired psychiatric disorder due to incomplete medical records and need for further examination.
- Denied
The Board denied the Veteran's claims for service connection for tinnitus, arthritis, and memory loss. The decision found no evidence linking these conditions to his military service.
- Denied
The Board denied the Veteran's claim for service connection for obstructive sleep apnea, finding that there is no competent evidence to support a finding that his current condition began in or as a result of service.
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