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Evidence checklist

Anemia, Pernicious

DC 772238 CFR § 4.117Hematologic/Lymphatic

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Nexus opinion linking pernicious anemia to serviceCritical

A medical opinion connecting your B12 deficiency to autoimmune conditions from service, GI surgery during service, or a service-connected condition that prevents B12 absorption.

Private provider · independent opinion
Neurological evaluation for B12 deficiency neuropathy

Pernicious anemia can cause numbness, tingling, balance problems, and cognitive issues. A neurological evaluation can support a separate neuropathy rating.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
B12 levels, CBC, and methylmalonic acid testsCritical

Blood tests confirming low B12, low hemoglobin, and elevated methylmalonic acid. These tests prove the diagnosis of pernicious anemia.

VA or private records · written request
Serial hemoglobin levels documenting severityCritical

Multiple blood tests showing hemoglobin levels over time, especially if levels remain low despite B12 injections.

VA or private records · written request
B12 injection therapy recordsCritical

Records showing regular B12 injection treatments and whether they control your symptoms and hemoglobin levels.

VA or private records · written request
03

Lay statements

0 of 2 collected
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Hematologic and Lymphatic ConditionsCritical

A standardized VA form capturing hemoglobin levels, B12 levels, treatment response, and neurological symptoms.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.