Entitlement to service connection for chronic fatigue syndrome, to include as secondary to rheumatoid arthritis, is denied.

Board reasoning

The Board found no current diagnosis of chronic fatigue syndrome and that the hysterectomy was not etiologically related to service, including exposure to toxic substances. It noted multiple remands for herpes, kidney stones, epilepsy, breast cancer, gallbladder disability, hypothyroidism, and rheumatoid arthritis, with remand directives to obtain additional medical opinions addressing direct and secondary theories of etiologies, including Fort McClellan toxic exposures and sexual assault-related factors. The Board cited prior case law to support remands and ultimately denied the two claims on the merits, while remanding the others for further development.