Evidence Checklist: Acromegaly
DC 7999-7903
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Endocrinology evaluation and treatment recordsCritical
Records documenting transsphenoidal surgery, radiation therapy, or somatostatin analogue therapy outcomes.
Nexus opinion linking acromegaly to service (e.g., head trauma triggering adenoma)Critical
Medical opinion connecting pituitary adenoma/acromegaly to in-service head trauma or other service event.
Diagnostic Tests & Lab Results
IGF-1 level and oral glucose tolerance test with GH levelsCritical
Laboratory results confirming excess growth hormone: elevated IGF-1 and failure to suppress GH during OGTT are diagnostic.
Pituitary MRI identifying GH-secreting adenomaCritical
MRI documenting pituitary tumor size and location.
Lay Statements & Personal Documentation
Buddy statement from spouse, family, or fellow service member
A written statement from someone who can describe observable symptoms and how your condition affects daily life.
Personal statement describing symptoms and functional impact
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.