_:n764298ae7c0642bc95f5e3c70fb9f124xb4
<http://schema.org/text>
"\"Chronic Fatigue Syndrome (CFS) \n \nFor VA purposes, the diagnosis of CFS requires: (1) the new  \nonset of debilitating fatigue severe enough to reduce daily  \nactivity to less than 50 percent of the usual level for at  \nleast 6 months, and (2) the exclusion, by history, physical  \nexaminations, and laboratory tests, of all other clinical  \nconditions that may produce similar symptoms, and (3) 6 or  \nmore of the following: (i) acute onset of the condition, (ii)  \nlow grade fever, (iii) nonexudative pharyngitis, (iv)  \npalpable or tender cervical or axillary lymph nodes, (v)  \ngeneralized muscle aches or weakness, (vi) fatigue lasting 24  \nhours or longer after exercise, (vii) headaches (of a type,  \nseverity or pattern that is different from headaches in the  \npre-morbid state), (viii) migratory joint pains, (ix)  \nneuropsychologic symptoms, and (x) sleep disturbance.  38  \nC.F.R. § 4.88a (2006).\" \n \nAlso \"chronic multisymptom illnesses\" GWVs \n \n\"The symptoms must be manifest to a degree of 10 percent or  \nmore during the presumptive periods prescribed by the  \nSecretary or by December 31, 2011.  By history, physical  \nexamination and laboratory tests, the disability cannot be  \nattributed to any known clinical diagnosis.  Objective  \nindications of chronic disability include both \"signs\" in the  \nmedical sense of objective evidence perceptible to an  \nexamining physician, and other, non-medical indicators that  \nare capable of independent verification.  Disabilities that  \nhave existed for 6 months or more and disabilities that  \nexhibit intermittent episodes of improvement and worsening  \nover a 6-month period will be considered chronic. \n \nThe signs and symptoms which may be manifestations of  \nundiagnosed illness or a chronic multisymptom illness  \ninclude, but are not limited to: (1) fatigue, (2) signs or  \nsymptoms involving the skin, (3) headaches, (4) muscle pain,  \n(5) joint pain, (6) neurologic signs or symptoms, (7)  \nneuropsychological signs or symptoms, (8) signs or symptoms  \ninvolving the respiratory system (upper or lower), (9) sleep  \ndisturbance, (10) gastrointestinal signs or symptoms, (11)  \ncardiovascular signs or symptoms, (12) abnormal weight loss,  \nor (13) menstrual disorders.  38 U.S.C.A. §§ 1117, 1118 (West  \n2002); 38 C.F.R. § 3.317 (2006).\" "
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