Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video Leah addresses the issue of non-alcoholic fatty liver disease (NAFLD) and its connection to obesity in the context of VA disability. She explains that NAFLD is a common liver condition affecting individuals who consume minimal to no alcohol, primarily seen in those who are overweight or obese. This condition, which affects about 25% of the global population and 100 million people in the U.S., can progress to non-alcoholic steatohepatitis (NASH), leading to severe liver damage similar to that caused by heavy alcohol use. Leah highlights the importance of recognizing obesity as a contributing factor to NAFLD and discusses various studies on the relationship between obesity, physical inactivity, and NAFLD. She emphasizes the role of weight loss and physical activity in managing NAFLD, referencing guidelines that recommend these as primary treatments. Additionally, she outlines the VA disability ratings for conditions related to NAFLD, stressing the need for a current diagnosis, an in-service event, injury, or illness, and a link between the service event and the current disability.