The Board remands the issues of entitlement to a rating in excess of 20 percent prior to August 14, 2019, for chronic fatigue syndrome and entitlement to total disability based on individual unemployability (TDIU) prior to August 14, 2019, for further development.
The deciding factor: The VA medical opinions do not comply with the remand directives, as they did not adequately address the severity of CFS without ameliorative effects of medications and did not differentiate symptoms attributable to CFS from other conditions.
- Claimed conditions
- Chronic Fatigue Syndrome
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- April 23, 2025
- Citation
- A25037439
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 granted service connection for PTSD, generalized anxiety disorder, and somatic symptom disorder, as well as presumptive service connection for basal cell carcinoma under the PACT Act. Service connection was denied for chronic fatigue syndrome, irritable bowel syndrome, right restless leg syndrome, left restless leg syndrome, an increased rating for psychiatric disorder, bilateral hearing loss, a left forehead surgical scar, and allergic rhinitis.
- Partly granted
The Veteran was granted service connection for allergic rhinitis, chronic sinusitis, and obstructive sleep apnea, and the initial evaluation for PTSD was increased to 70 percent. Chronic fatigue syndrome was denied.
- Partly granted
The Board denied the veteran's claims for increased ratings and service connection, except for a 20 percent rating for lumbosacral strain.
- Denied
The Board denied the claims for service connection for chronic fatigue syndrome, a low back disability, a left knee disability, and a left shoulder disability as there was no evidence to support that these conditions were incurred in or caused by the Veteran's military service.
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