Evidence Checklist: Hypothyroidism
DC 7903
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Endocrinology or primary care evaluation and treatment recordsCritical
Records documenting diagnosis, levothyroxine dose adjustments, and symptom management.
Nexus opinion linking hypothyroidism to service or toxic exposureCritical
Medical opinion connecting hypothyroidism to military service, including radiation exposure, Agent Orange/dioxin, PFAS, or iodine deficiency during service.
Treatment Records
Records documenting symptoms: fatigue, weight gain, cold intolerance, cognitive issues
Clinical notes documenting the full constellation of hypothyroid symptoms and their impact on daily functioning and work capacity.
Diagnostic Tests & Lab Results
Thyroid function labs (TSH, Free T4, Free T3)Critical
Laboratory results documenting hypothyroidism. TSH is elevated in primary hypothyroidism; Free T4 is low. Collect serial results showing onset and progression.
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.