The Board remands the claim for a new VA examination to address whether the Veteran's chronic fatigue syndrome is caused or aggravated by his service-connected hyperthyroidism and Graves' disease, with insomnia disorder.
The deciding factor: The VA opinion provided was found inadequate due to its failure to consider the Veteran's shifting periods of hyper- and hypothyroidism and how this may impact a possible nexus between CFS and service-connected conditions.
- Claimed conditions
- chronic fatigue syndrome (CFS)
- How they argued it
- Secondary to another service-connected condition
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- April 2, 2025
- Citation
- A25030263
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.
- Partly granted
The Board denied service connection for chronic fatigue syndrome and denied higher ratings for sinusitis, allergic rhinitis, and lumbosacral strain. However, the Board granted initial 20 percent ratings for left lower extremity radiculopathy, femoral nerve, and sciatic nerve.
- Partly granted
The appeal for service connection for allergic rhinitis and lumbosacral or cervical strain was dismissed due to untimeliness, while the other issues were remanded for further evidence.
- Denied
The Board denied the veteran's claims for increased ratings and service connection, with the exception of remanding certain issues.
- Denied
The Board denied an earlier effective date for service connection of chronic fatigue syndrome (CFS) as the earliest effective date assignable is August 10, 2022, based on the PACT Act.
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