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    How To Administer Semaglutide Injections: A Step-by-Step Guide 

    The Centers for Disease Control and Prevention (CDC) reports that nearly 50 percent of Americans attempt to lose weight each year, and the World Health Organization (WHO) says that complications from obesity or being overweight kill at least 2.8 million people yearly in what the organization calls a “global epidemic.  

    These statistics follow the same trends for veterans. In 2014, the VA published a report estimating that approximately 78 percent of veterans were either overweight or obese. With obesity-related health issues on the rise, it’s no surprise that effective weight loss programs—including the use of Ozempic-like drugs such as semaglutide—continue to grow in popularity.  

    Learn how to administer semaglutide correctly (step-by-step), and learn more about the safety and effectiveness of semaglutide weight loss injections.

    Key Takeaways

    • The prevalence of overweight and obese adults in the U.S. continues to rise. 
    • A new Ozempic-like weight loss medication (i.e., GLP-1 receptor agonist) has been found safe and effective for obesity or overweight treatment. 
    • GLP-1 receptor drugs, such as semaglutide, are usually given via subcutaneous injection. 
    Where's the Best Place to Inject Semaglutide?

    What is Obesity?

    Obesity is a complex health issue caused by several factors, including genetics, diet, physical inactivity, and other causes, like medication use and exposure to various environmental factors.  

    The body mass index (BMI) is often used to diagnose obesity; this measure is reflected by a number denoting a person’s height and weight ratio. According to the CDC, a healthy BMI ranges from 18.5 to 24.9. If your BMI is 25 to 29.9, you are overweight; 30 or higher qualifies as obese.  

    What is Semaglutide?

    Semaglutide is a prescription weight loss medication classified as a glucagon-like peptide-1 (GLP-1) receptor agonist. GLP-1 drugs mimic the action of a hormone in the body–called GPL-1 hormone–that lowers blood sugar by increasing insulin secretion. 

    GLP-1 drugs were first developed to treat type 2 diabetes. Researchers initially discovered that these drugs helped control blood sugar, particularly with a healthy diet and exercise program.  But it’s not necessary to be diabetic to take semaglutide; many doctors prescribe this weekly injectable weight-loss drug to overweight or obese individuals who are not diabetic for its weight-loss benefits.  

    Semaglutide’s popularity is gaining momentum as a growing body of medical research shows its many benefits. 

    Recommended Semaglutide Dosage for Weight Loss

    Nondiabetics typically take a slightly higher dose of semaglutide for weight loss than those with type 2 diabetes. 

    Semaglutide is given via subcutaneous (i.e., under the skin) injections at an initial dose of 0.25 mg once a week for four weeks for weight loss. After four weeks your dosage will gradually increase until you reach the maintenance dose of 2.4 mg per week.  

    Semaglutide Benefits

    The weight loss benefits of semaglutide are well known today. Semaglutide and other GLP-1 agonist medications help you lose weight by lowering your blood sugar, reducing food cravings, decreasing your appetite and inducing a sense of fullness after a meal; other benefits of semaglutide include: 

    • Increasing insulin sensitivity, which enhances the cells’ use of glucose blood (i.e., sugar)  
    • Lowering type 2 diabetes risk 
    • Lowering blood pressure  
    • Reducing the risk of heart attack, stroke, kidney disease, diabetes and some cancers  
    • Improving cholesterol levels and reducing triglycerides (i.e., a type of fat that circulates in the blood contributing to arterial plaque build-up and stroke risks) 

    Semaglutide Side Effects

    Common semaglutide side effects of semaglutide include swelling, redness, itching, or pain at the injection site. Other common side effects include: 

    • Fatigue, headache, and dizziness 
    • Disturbances of the digestive system, such as heartburn, nausea, vomiting, and bloating 
    • Diarrhea or constipation 
    • Stomach pain 

    On rare occasions, semaglutide injections can cause severe side effects, including allergic reactions. Signs of an allergic reaction include hoarseness, difficulty breathing, and swelling of the mouth, throat, or hands. If you experience allergic symptoms, seek immediate emergency medical attention. 

    Semaglutide Weight Loss Safety & Effectiveness

    Semaglutide Safety

    In a 2021 study, researchers examined the safety of injectable semaglutide. The study showed that the most common side effects were mild and temporary, including gastrointestinal (stomach and intestine) problems, like nausea and diarrhea. The study authors stated, “No major safety concerns have arisen to date.” 

    Semaglutide Effectiveness

    Study reviews conducted in 2022 report that participants taking semaglutide lost between 5% and 20% of their body weight.

    How Do I Take Semaglutide?

    Semaglutide is usually prescribed via weekly subcutaneous (i.e., under the skin) injections. 

    If you are just starting your GLP-1 weight loss program, you may wonder how to inject semaglutide for weight loss. 

    Semaglutide is administered subcutaneously (under the skin) once a week on the same day of the week. The medicine is injected subcutaneously (under the skin), rotating the injection site each time. It can be given to your stomach, upper arms, thighs, or back. 

    It may be difficult to self-administer your medication on some sites, so you may want to get help from a friend or family member before using the upper arms or back. 

    By injecting semaglutide in different parts of your body each time you give yourself an injection, you increase your chances of maintaining a steady amount of medication absorption.  

    When is the Best Time to Take Semaglutide?

    You can take the medication any day of the week, preferably around the same time each day. 

    You can change the day of the week that you take your semaglutide as long as it has been 2 or more days (48 or more hours) since you injected your last shot. 

    Where’s the Best Place to Inject Semaglutide?

    The best place to inject Semaglutide is in the abdomen, thigh, or upper arm, being sure to rotate the injection sites every week.  

    How to Administer Semaglutide: Step-by-Step Guide

    How to Administer Semaglutide.

    Semaglutide comes in a multi-dose vial; it can be self-administered via injection in the abdomen or thighs. If someone else helps with your injection, other sites can be used, such as the upper arms or back. 

    Make sure you understand how to administer semaglutide properly before injecting it. 

    There are several steps involved in preparing and administering semaglutide injections.  

    Gather Your Supplies

    First, gather your supplies, including:  

    • Your semaglutide vial 
    • A new insulin syringe with a clean needle 
    • Alcohol pads, a Band-Aid 
    • An FDA-approved sharps container 

    Step #1. Remove the semaglutide vial containing the medication from your refrigerator. 

    Step #2. Ensure the vial is labeled correctly with the name of your medication (i.e., semaglutide) and the correct dosage prescribed by your healthcare provider. 

    Step #3. Examine the medication to ensure its thoroughly thawed, colorless, or slightly yellow-tinged, and not cloudy (a cloudy color could indicate the medication is expired). 

    Step #4. Check the expiration date. 

    Step #5. Wash your hands thoroughly with hot water and soap. 

    Prepare the Syringe

    Step#6. Remove the cap from the semaglutide vial and clean the rubber stopper with a new alcohol pad 

    Step #7. Draw air the amount of air that is equal to the semaglutide dose you are going to inject into the syringe. 

    Step #8. Remove the cap from the needle and dispose of it in the regular garbage container, then insert the needle into the rubber stopper of the semaglutide vial and inject—by pushing the syringe all the way down—all the air you’ve drawn up in the syringe plunger. Note., injecting air helps equalize the pressure in the bottle. Don’t remove the needle. 

    Step #9. With the needle still in the vial, turn the medication bottle upside down making sure the needle is submerged in the fluid; now draw up the desired amount of semaglutide medication into the insulin syringe.  

    Step #10. Slowly, gently push the syringe plunger down to remove any air bubbles, tapping the syringe with your fingers to help the bubbles rise to the top.  

    Administer the Semaglutide Injection

    Step #11. Select an injection site; if you have questions, talk to your healthcare provider about which site is best for you. 

    Step #12. Wipe the injection site with alcohol and allow it to air dry. 

    Pinch the skin at the injection site. 

    Step #13. Place the needle at a 45 to 90-degree angle into the skin using the syringe like a dart. 

    Step #14. Release the pinched skin once the needle is in, then push the plunger to inject the semaglutide medication.  

    Step#15. Once all the medication is injected pull the needle out, then discard the syringe and needle together in an FDA sharps container; never dispose of used needles in a household trash container. 

    How do I get semaglutide?

    How Do I Get Semaglutide?

    Discover how Telemedica’s new prescription weight management program can help you lose weight effectively – with providers specializing in treating veterans. 

    We offer weight management telehealth services for veterans and non-veterans. 

    Upon approval, a treatment specialist will contact you and enroll you in our program. The semaglutide bundled weight loss cost includes a doctor’s consultation, your semaglutide medication, and all the medical equipment necessary for administering the shots.    

    Getting your prescription weight loss medication shipped to your door only takes a few simple steps.

    First, complete our online medical form; next, consult with one of our online Telemedica specialists, and finally, wait for your prescription to be conveniently shipped to your door from one of our pharmacy partners.

    Start Your Weight Loss Journey Today
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    What is the Best Injection for Weight Loss at Home?

    Looking for the best injection for weight loss at home? 

    Thanks to advancements in medical science, injectable treatments have become a powerful tool for weight management.  

    These medications work by reducing hunger and regulating how the body processes and stores energy, making it easier to lose weight. 

    These treatments can deliver lasting results when combined with a balanced diet, regular exercise, and guidance from a healthcare provider. 

    Curious about which option suits your needs? Let’s dive into how weight loss injections work, what to expect, and the key information to consider before starting. 

    Explore Weight Management Services

    Key Takeaways

    • The best injection for weight loss depends on your health goals, medical history, and the guidance of a healthcare provider. 
    • Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist that regulates appetite, improves blood sugar control, and supports weight loss in individuals with obesity 
    • Your results with weight loss treatments like semaglutide depend on key factors such as lifestyle changes, starting weight, consistency with dosing, and individual metabolism. 
    What is the Best Injection for Weight Loss at Home?

    How Injections for Weight Loss Work

    Weight loss injections, like those containing semaglutide, work by mimicking the hormone GLP-1 (glucagon-like peptide-1), which plays a key role in blood sugar regulation and appetite control.  

    These injections lower blood sugar by reducing glucagon levels while increasing insulin production, which helps the body utilize glucose for energy.   

    In addition, they act on the brain’s appetite-regulation centers, promoting feelings of fullness and reducing hunger, which supports sustainable weight loss.  

    Among the available options, semaglutide is the only GLP-1 receptor agonist currently FDA-approved specifically for chronic weight management in individuals with obesity or those who are overweight with weight-related health conditions. 

    What is Semaglutide?

    Semaglutide is a GLP-1 receptor agonist and is administered weekly via injection. The prescription-only injection mimics a hormone that targets areas of the brain regulating appetite and food intake. 

    A 2022 study of 175 people considered overweight or obese achieved 5.9% total body weight loss at 3 months and 10.9% at 6 months while taking semaglutide.  

    The results suggest that weekly 1.7-mg and 2.4-mg doses of semaglutide were associated with weight loss like that seen in randomized clinical trials.  

    Another study by the University of California, Irvine, projects 93 million U.S. adults who are overweight and obese may be suitable for the 2.4 mg dosage of semaglutide. 

    What Does Semaglutide Do?

    By acting on GLP-1 receptors, semaglutide effectively reduces hunger and cravings, lowers blood sugar levels, slows gastric emptying to promote a feeling of fullness, and facilitates significant weight loss. 

    A 2021 study published in The New England Journal of Medicine found that 2.4 mg of semaglutide once weekly plus lifestyle intervention was associated with sustained, clinically relevant reduction in body weight. 

    How Long Does it Take for Semaglutide to Work?

    How Long Does it Take for Semaglutide to Work?

    Semaglutide can start working quickly, but the timeline for noticeable weight loss and other effects varies depending on factors such as the individual, dosage, and adherence to lifestyle changes like diet and exercise. 

    First Few Weeks: 

    • Initial Effects: Appetite suppression and reduced cravings often begin within the first few weeks as semaglutide starts to influence hunger-regulating hormones in the brain. 
    • Weight Loss: Initial weight loss during this period is usually modest, primarily due to reduced calorie intake. 

    1-2 Months: 

    • Dose Escalation: Semaglutide is typically introduced at a low dose to minimize side effects, such as nausea, and gradually increased to the therapeutic dose over several weeks. 
    • Consistent Appetite Control: By reaching the target dose, appetite suppression becomes more consistent, leading to more noticeable weight loss. 

    3 Months and Beyond: 

    • Significant Weight Loss: Clinical trials, such as the STEP program, show that significant weight loss often becomes apparent after 12-16 weeks of treatment. 
    • Average Results: Individuals can expect to lose 5-10% of their body weight within 6 months to a year when the medication is combined with diet and exercise. 

    1 Year or Longer: 

    • Sustained Weight Loss: Individuals may lose up to 15-20% of their body weight after a year or more of consistent use. 
    • Maintenance: Continued use, along with sustained lifestyle changes, helps maintain weight loss over time. 

    Key Factors That Influence Your Results

    When achieving successful outcomes with weight loss treatments like semaglutide, several factors are critical in determining your results. 

    • Lifestyle Changes: Diet and physical activity play a critical role in optimizing weight loss. 
    • Starting Weight: Heavier individuals may see more dramatic changes in terms of pounds lost. 
    • Consistency: Adherence to the dosing schedule and recommendations from your healthcare provider impacts results. 
    • Individual Metabolism: Response to the medication varies between individuals. 

    Is Semaglutide the Same as Ozempic?

    Semaglutide and Ozempic are related but not identical.  

    Semaglutide is the active ingredient found in several medications and is classified as a glucagon-like peptide-1 receptor agonist (GLP-1 RA), which helps regulate blood sugar levels, suppress appetite, and support weight loss.  

    Ozempic, on the other hand, is a brand name for a medication that contains semaglutide. It is specifically approved for treating Type 2 diabetes and is administered as a weekly injection.  

    Feature Semaglutide Ozempic  
    What It Is A medication ingredient (GLP-1 receptor) A brand name for semaglutide medication 
    Purpose Used in various drugs for Type 2 diabetes and weight management Specifically used for Type 2 diabetes management 
    Administration Available in different formulations (injectable, oral) Injectable (weekly injection) 
    Brand Examples  Wegovy (for weight loss), Rybelsus (oral for diabetes) Ozempic (diabetes-focused injectable) 
    FDA Approval  Approved for multiple uses, depending on the brand Approved for Type 2 diabetes treatment 
    Dosage Frequency  Varies by formulation (daily for Rybelsus, weekly for injectables) Weekly injection 
    Weight Loss Use  Yes, under brands like Wegovy Sometimes used off-label for weight loss but not FDA-approved for it 

    Frequently Asked Questions (FAQs)

    What is the best injection for weight loss at home?

    The best injection for weight loss depends on your individual needs and preferences. For example, semaglutide is administered as a weekly injection and is effective for long-term weight loss.  

    Is compound semaglutide the same as Ozempic?

    No, compound semaglutide and Ozempic aren’t the same. While both contain semaglutide as the active ingredient, there are the following key differences: 

    • Ozempic is a brand-name, FDA-approved medication manufactured by Novo Nordisk, specifically designed to treat Type 2 diabetes. It undergoes rigorous quality control and is available only through prescription. 
    • Compound semaglutide refers to a version of the medication prepared by compounding pharmacies, which may mix semaglutide with other ingredients. These compounds are not FDA-approved, and their safety, quality, and effectiveness may vary. 

    Is semaglutide the same as Wegovy?

    Semaglutide and Wegovy are related but not identical. Semaglutide, the active ingredient in Wegovy and Ozempic, helps regulate blood sugar, suppress appetite, and promote weight loss.  

    Wegovy is specifically FDA-approved for weight management in individuals with obesity or overweight, while Ozempic is primarily prescribed for Type 2 diabetes, though it can also aid in weight loss. 

    Final Thoughts

    Choosing the best injection for weight loss at home depends on your individual health goals, lifestyle, and medical needs.  

    Options like Wegovy, Ozempic, and other semaglutide-based treatments have shown promising results, but they work best when combined with a balanced diet and regular exercise. 

    It’s essential to consult a healthcare professional to determine the safest and most effective treatment plan tailored to you.

    Explore Weight Management Services
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    How a Sleep Apnea DBQ Can Support Your VA Claim 

    If you are a veteran with sleep apnea, you understand how symptoms can interfere with your day-to-day life. Lack of sleep can interfere with many functions needed to get through the day, such as focusing, remembering things, and completing basic tasks.  

    If you believe that your sleep apnea was the result of (or worsened by) your military service, you may want to learn how a sleep apnea disability benefits questionnaire (DBQ) form can strengthen your VA disability claim.

    In this post, we examine the sleep apnea DBQ, including what it is, who can write one, and how a DBQ can strengthen your sleep apnea claim.

    Key Takeaways

    • A sleep apnea DBQ, completed by a healthcare professional, can strengthen your VA disability claim. 
    • A DBQ helps ensure the severity of your condition is documented in the specific language needed for the VA’s rating process. 
    • The VA uses the Disability Benefits Questionnaire (DBQ) to evaluate the impact of service-connected disabilities on your daily life. 
    • DBQs are completed by medical professionals to streamline your VA disability claim process by ensuring that accurate, consistent, and relevant information is provided as part of your claim. 
    Sleep Apnea DBQ.

    What is Sleep Apnea?

    Sleep apnea is a sleep disorder involving irregular breathing that repeatedly stops and starts. If you snore loudly and experience insomnia (i.e., trouble staying asleep), hypersomnia (excessive daytime sleepiness), morning headaches, or other sleep apnea-related symptoms, you may suffer from sleep apnea. 

    Types of Sleep Apnea

    There are several types of sleep apnea, including:  

    1. Obstructive sleep apnea (OSA): The most common type, involving a physical obstruction, such as a large tongue or tonsils, or relaxation of the throat muscles, which blocks adequate airflow to the lungs. This type of sleep apnea is commonly linked with post-traumatic stress disorder (PTSD). 
    1. Central sleep apnea (CSA): Occurs when the brain does not send the correct signals to the muscles that control breathing when you are asleep. 
    1. Complex sleep apnea: May occur when you have a confirmed diagnosis of OSA — diagnosed with a sleep study — that changes to CSA when receiving treatment.  

    Prevalence in Veterans

    Studies in 2015 have shown that veterans, including those who served in Iraq and Afghanistan, have a high risk of developing sleep apnea. 

    What is a Sleep Apnea DBQ Form?

    The VA uses the Disability Benefits Questionnaire (DBQ) to document veterans’ medical conditions. Veterans can use the DBQ to submit medical evidence supporting their disability claims to the Department of Veterans Affairs (VA).  

    The VA uses a specific sleep apnea disability benefits questionnaire to evaluate the severity of sleep apnea symptoms, ensuring a comprehensive understanding of your condition. While the form is not mandatory, it can help to strengthen your sleep apnea VA disability claim.  

    How Does a Sleep Apnea DBQ Support a VA Claim?

    The standardized DBQ for sleep apnea provides detailed information that:  

    • Ensures the severity of your condition is documented in specific language the VA needs to see to accurately evaluate the severity of your symptoms 
    • Accurately assesses your diagnosis by using specific criteria (e.g., sleep study results, sleep apnea treatments, such as a positive airway pressure (CPAP) machine, and other specific criteria)  
    • Establish the impact of service-related disabilities on your daily life 

    DBQs are completed by medical professionals who help streamline your VA disability claim process by ensuring that accurate, consistent, and relevant information is provided as part of your claim.

    Having a completed DBQ may expedite the claims process by providing the missing link when it comes to a fully developed claim, written per VA regulation. 

    Where Do You Get a Sleep Apnea DBQ?

    Veterans aren’t required to submit a DBQ for sleep apnea. However, taking the extra steps to submit your DBQ form can benefit your claim by showing medical evidence the VA needs to establish your service connection and approve and help rate your disability compensation.  

    A healthcare provider completes the sleep apnea DBQ. If you choose a civilian physician, you must provide the VA Public DBQ form.   

    Who Can Write a DBQ for Sleep Apnea?

    There are several professionals who can write a DBQ for sleep apnea, including: 

    • VA healthcare providers  
    • VA contract examiners 
    • Private healthcare providers (e.g., Nurse practitioners, Physician Assistants, and medical doctors)  

    Before seeing your provider, be sure to print out the VA sleep apnea DBQ form or email it to their office for review and completion during your appointment. A valid DBQ form must include the provider’s signature and credentials.  

    Once completed, remember to review the form to ensure your personal information is accurate. Then, keep a copy for your own records and send the completed form to the VA as part of your disability claim.

    Get a Sleep Apnea DBQ

    Sleep Apnea Ratings

    Sleep apnea VA disability ratings are 0%, 30%, 50% or 100%, depending on the severity of your symptoms and the requirement for breathing assistance.

    Sleep Apnea Nexus Letters

    For more info about how the VA rates sleep apnea OR to learn how to obtain a sleep apnea nexus letter, see HERE.

    Medical Evidence Wins VA Claims

    Did you know that a lack of medical evidence is the #1 reason VA disability claims are denied?  

    Medical evidence is a crucial piece of the puzzle that VA raters consider when reviewing a disability claim. Telemedica provides solutions for veterans looking to bolster their claims through high-quality medical evidence that wins claims! 

    Schedule your FREE 20-minute consultation and learn how to get the supporting medical evidence you need to strengthen your claim.

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    How to Talk About PTSD: A Veteran’s Guide 

    Post-traumatic stress disorder (PTSD) affects many veterans, frequently because of traumatic experiences encountered during their service.  

    However, talking about PTSD isn’t always easy, especially due to the stigma around mental health conditions.  

    The post is to help guide veterans with PTSD through essential conversations in a way that is respectful and supportive.

    HOW TO TALK ABOUT PTSD: VETERAN GUIDE

    Understanding PTSD

    Before you discuss PTSD with others, it’s important to understand it yourself. PTSD is a mental health problem that develops after you go through or see a life-threatening event.  

    It’s normal to have stress reactions to these events; however, most people start to feel better after a few weeks. If your symptoms last longer than a month and are causing problems in your life, it could be PTSD.  

    According to the VA, there are four types of PTSD symptoms: 

    • Reliving the event (also called re-experiencing symptoms) 
    • Avoiding reminders of the event 
    • Negative thoughts and feelings 
    • Feeling on edge or keyed up (also called hyperarousal) 

    See More: The Importance of Veteran Mental Health  

    How to Explain Your PTSD to Family Members

    Explaining your PTSD to family members can be a daunting task and you might worry about their reaction.  

    However, sharing your PTSD with your loved ones can lead to a greater understanding and support of your situation.  

    Ten tips for talking to your family about PTSD

    1. Prepare yourself emotionally and reflect on what you want to share.  
    1. Anticipate potential questions they might ask to help mentally prepare yourself.  
    1. Select a time and place where you can talk without interruptions.  
    1. Start by explaining what PTSD is. You can start with a simple definition: “PTSD is a mental health condition that’s triggered by a terrifying event — either experiencing it or witnessing it.” 
    1. Remind your loved ones that it’s not something you chose, and you can’t “just get over it.” 
    1. Share your personal experience and current symptoms. (Remember to share to the level you feel comfortable with.) 
    1. Discuss your triggers and coping mechanisms to help your family know how to support you better.  
    1. Offer resources to your family members about PTSD. 
    1. Don’t be afraid to set boundaries, while letting them know what support you need.  
    1. Consider seeking professional help together, as a therapist can provide valuable insights and help facilitate the discussion.  

    Remember, your journey with PTSD is unique, but sharing it with your family can help lighten the load and foster a sense of understanding and connection.  

    How to Talk About PTSD With Your Doctor

    Discussing PTSD with your doctor can be intimidating, but it’s an essential step to getting the help and support you need (and deserve!).  

    Taking some time to prepare beforehand and being honest and open, can help your doctor develop an effective treatment plan tailored to your needs.  

    Remember, seeking help is a sign of strength and can lead to meaningful and positive changes in your mental health.  

    Things to consider when speaking to speaking with your doctor are: 

    • Prepare before your appointment (i.e.: make a list of your symptoms and their severity, write down about any specific traumatic events, and what coping mechanisms you’ve tried) 
    • If possible, choose a doctor with experience with mental health issues. 
    • Be honest and open, while using direct and clear language to describe your feelings and behavior. 
    • Describe your symptoms in detail to help your doctor better understand the extent of your condition.  
    • Don’t hesitate to ask questions about PTSD, including potential treatment methods. 
    • Schedule regular follow-up appointments to monitor your progress and make necessary adjustments to your treatment plan.  
    • Consider a referral to a specialist, who may be better suited to help with PTSD.  

    Additional Resources: Recurring Therapy for Veterans with PTSD 

    Talking With Fellow Veterans About PTSD

    Talking to fellow veterans with similar experiences can be incredibly supportive and impactful. For example, you can join support groups that provide a safe space to share experiences and coping strategies.  

    A few tips for these conversations include: 

    • Be respectful and supportive while remembering that every veteran’s experience with PTSD is unique.  
    • Be mindful of triggers or certain topics that are sensitive to your fellow veteran.  
    • Share resources that have helped you with PTSD, including books, websites, or mental health professionals specializing in treating veterans  

    Connect with the Veterans Crisis Line

    You can confidentially connect with someone anytime day or night through the Veterans Crisis Line by: 

    • Dialing 988 and Selecting 1 
    • Starting a confidential chat online 
    • Texting 838255 

    The Veterans Crisis Line serves Veterans, service members, National Guard and Reserve members, and those who support them. 

    Note: You do not have to be enrolled in VA benefits or healthcare to connect.  

    Resource Guide: How to Help a Veteran in Crisis  

    PTSD AND VETERANS.

    Remember, You’re Not Weak

    It’s vital to remember that asking for help or admitting you are suffering, doesn’t mean you’re weak. The virtues of strength and bravery are highly valued in the military—and rightly so.  

    However, cultural prejudices and stereotypes have skewed those virtues into something they were never intended to be; a tough guy (or gal) who masks what’s happening inside. 

    The stigma surrounding mental health conditions is illogical and unproductive and could keep you from recognizing the extent of your condition and getting the help you need.

    Our Services
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    7 Physical Symptoms of PTSD in Veterans  

    Post-traumatic stress disorder (PTSD) is primarily known for its psychological, emotional, and mood symptoms, but it can have a significant impact on your life in other ways.   

    PTSD can lead to physical symptoms that affect daily life, from trouble sleeping and muscle tension to chronic pain and digestive issues.  

    Recognizing when physical signs of PTSD manifest will help ensure you receive the proper care and treatment.  

    This guide will cover seven physical symptoms of PTSD in veterans, treatment options, and why it’s essential to reach out to your doctor.

    PTSD and Physical Symptoms.

    PTSD in Veterans

    If you’ve witnessed or experienced a traumatic event, you’re at risk of developing PTSD. People with PTSD may experience angry outbursts, negative thoughts, avoidance symptoms, and are easily startled.  

    Research shows that at some point in their life, 7 out of 10 veterans will have PTSD. The number of veterans with PTSD varies by service era, with a significant number from Operations Iraqi Freedom (OIF) and Enduring Freedom (OEF). 

    Risk factors for PTSD include, but are not limited to: 

    • Deployment  
    • Traumatic brain injuries (TBI) 
    • Reintegration stress  
    • Lack of support system 
    • Physical and sexual abuse (i.e., Military sexual trauma) 
    • Childhood abuse 
    • Substance abuse 
    • Experiencing a natural disaster 

    While combat veterans may be more prone to experiencing PTSD, you don’t have to serve on the front lines to develop a mental illness.  

    How a Traumatic Event is Linked to Physical Health Problems

    PTSD is often much more than a mental health condition. Traumatic events have a lasting impact on more than just the mind; they can also profoundly affect physical health. 

    When you experience trauma, your body’s stress response kicks into overdrive, leading to physical symptoms that persist long after the initial event.  

    For veterans with PTSD, these symptoms are often amplified, affecting everything from heart health to immune function.  

    Research has shown that trauma can lead to conditions such as chronic pain, cardiovascular issues, digestive problems, and even compromised immunity. 

    Chronic Pain

    Many veterans with PTSD experience chronic pain, which can affect various parts of the body. Chronic pain occurs when you have pain in one or more areas of your body for at least three to six months.  

    When you are constantly in “fight or flight” mode, your muscles tense up, and you’re more prone to strain and injury, creating persistent pain over time.  

    Veterans with PTSD are more likely to report chronic pain, which can exacerbate other physical and mental health symptoms. 

    If you have chronic pain, it’s a great idea to keep a “pain diary,” where you can record patterns of pain, effective management techniques, and the effect it has on your daily life.  

    Examples of chronic pain include: 

    • Headaches 
    • Muscle Tension 
    • Joint Pain  
    • Back Pain  
    • Neck Pain 
    • Pelvic Pain 
    • Fibromyalgia 

    Chronic pain is treated in various ways, depending on your type of pain, the cause of your pain (if known), and your age and overall health. However, most chronic pain is treated with medication, lifestyle changes, or therapies.  

    Gastrointestinal Problems

    Gastrointestinal (GI) problems are common among veterans with PTSD because the digestive system is sensitive to stress and anxiety. Emotions cause chemical and physical responses in the body, frequently resulting in pain and discomfort.  

    For example, research shows that patients with irritable bowel syndrome (IBS) were found to have high rates of trauma history and PTSD.  

    Common GI problems include: 

    • Nausea 
    • Irritable Bowel Syndrome  
    • Acid Reflux  
    • Constipation 

    Most GI problems can be resolved with diet modifications, therapy, or medication. However, if you’re concerned about digestive system issues, following up with your doctor is vital. 

    Respiratory Symptoms

    A 2011 study shows that trauma exposure and PTSD are associated with self-reported asthma and chronic obstructive pulmonary disease.  

    The same study found that subjects with PTSD had significantly higher odds ratios for most asthma-related symptoms than subjects without PTSD. (If you have PTSD, you’re more than just a study, but statistics show you aren’t alone.) 

    Additional respiratory symptoms include: 

    • Shortness of Breath 
    • Rapid or Shallow Breath  
    • Hyperventilation  
    • Tightness in the Chest  
    • Coughing  

    If you have breathing problems, you must seek help immediately. Never wait to see what develops.  

    Cardiovascular Issues

    Veterans with PTSD have been reported to have an increased risk of hypertension, hyperlipidemia, obesity, and cardiovascular disease, likely due to interacting behavioral and physiological mechanisms.  

    When your body is under prolonged stress, it produces increased levels of adrenaline and cortisol, which raise blood pressure and strain the heart.  

    Veterans who have undergone stressful and traumatic situations often carry this physical stress into daily life, making cardiovascular health a significant concern.   

    PTSD can significantly impact your cardiovascular system, leading to symptoms like: 

    • Increased Heart Rate 
    • Hypertension (High Blood Pressure) 
    • Chest Pain  
    • Obesity  

    You must address cardiovascular issues because stress can significantly impact your heart.  

    Sleep Disturbances

    Many people have sleep troubles, but you’re more likely to develop sleep disturbances if you’ve been through a traumatic event.  

    The National Vietnam Veterans Readjustment Study found that 52% of combat veterans with PTSD experienced significant nightmares.  

    Examples of sleep problems due to PTSD include: 

    • Chronic Insomnia 
    • Nightmares 
    • Sleep Apnea  
    • Restless Leg Syndrome 
    • Difficulty falling asleep  

    If you have PTSD and are concerned about sleep apnea, consider seeing your doctor if: 

    • Your partner/spouse complains about you snoring or notices you have pauses in breath during your sleep 
    • You wake up gasping or choking during the night 
    • You wake up tired even after a whole night’s sleep 
    • You struggle to stay awake during the day 

    Immune System Suppression

    Chronic stress can weaken the immune system, increasing your risk of autoimmune disease. You may also experience frequent colds, flu, or other infections due to a compromised immune system.  

    In addition, PTSD may increase inflammatory markers and reduce anti-inflammatory ones. 

    Examples of higher-level inflammatory markers include: 

    • C-reactive protein 
    • interleukin 6 
    • tumor necrosis factor-alpha 

    Regular check-ups and a balanced lifestyle are essential for reducing illness frequency and supporting long-term health. 

    Fatigue or Low Energy

    It’s common for veterans with PTSD to experience fatigue and low energy, affecting their quality of life. Symptoms may range from difficulty concentrating to feeling emotionally numb.   

    Chronic stress and poor sleep frequently lead to low energy levels and persistent fatigue, making daily life challenging.  

    Research shows that stress can lead to mental fatigue, affecting your ability to think, process and regulate emotions, and solve problems.  

    It’s important to note that fatigue isn’t just tiredness but a significant lack of energy that impacts all aspects of life.  

    Seeking Help for Physical PTSD Symptoms

    You should never ignore unexplained pain in your body. Most physical symptoms of PTSD are easily managed with a variety of effective treatments, including medication and therapy.  

    For example, the U.S. Food and Drug Administration (FDA) approved two selective serotonin reuptake inhibitors (SSRIs) to help treat PTSD symptoms. 

    By speaking with your doctor or a mental health professional, you can ensure effective management and treatment, leading to a better quality of life. 

    If you use VA medical services, you should ask your primary care provider to help make an appointment with a VA mental health provider. Contact the closest VA medical center or Vet Center if you’re not already using VA medical services. 

    If you’re unsure about the resources you need, don’t hesitate to call 877-222-8387 for assistance. They’re available Monday through Friday, 8:00 am – 8:00 pm EST.  

    Veterans Crisis Line

    If you need immediate assistance day or night, you can contact the Veterans Crisis Line by: 

    • Dialing 988 and selecting 1  
    • Texting 838255 

    Call 911 or go to the nearest emergency room for a medical emergency. You can also go to the nearest VA medical center, regardless of your discharge status or enrollment in VA healthcare.  

    Managing Physical Symptoms of PTSD

    Since everyone’s journey with PTSD is unique, the way you manage it also will be. Common ways to manage physical symptoms of PTSD include: 

    1. Medical Treatment 
    1. Mind-body Practices (i.e., yoga, tai chi, and meditation) 
    1. Physical Therapy 
    1. Lifestyle Changes (i.e., getting quality sleep, eating a balanced diet, exercising, etc.) 
    1. Support Groups and Peer Counseling  
    1. Cognitive Behavioral Therapy  
    1. Identifying PTSD Triggers  

    A 2023 study found that individuals with higher levels of physical activity have better mental health status after a traumatic event than those who don’t regularly engage in physical activity. 

    Remember to always consult your doctor about the best way to manage your PTSD.  

    VA PTSD Resources

    It’s never too late to receive help for PTSD, and getting help may prove vital to managing your symptoms.  

    The VA has over 200 PTSD treatment programs across the country that offer: 

    • 1-to-1 mental health assessment and testing to figure out if you have PTSD 
    • Medicine proven to work for treating PTSD 
    • 1-to-1 psychotherapy (also called talk therapy). This includes proven methods like Cognitive Processing Therapy (CPT). 
    • 1-to-1 family therapy 
    • Group therapy for special needs, like anger or stress management, or combat support 
    • Group therapy for Veterans who served in certain combat zones or who’ve been through similar traumas 

    The VA healthcare program covers VA PTSD resources. If you don’t have VA healthcare, you can apply here.   

    Note: You still have options if you don’t have VA healthcare. It’s best to contact a Vet Center near you who can help guide you in the right direction.  

    Conclusion

    Understanding that PTSD affects the mind and body is vital. You should never ignore physical symptoms, especially if they interfere with daily life. 

    Recognizing these symptoms is crucial for providing comprehensive care that addresses mental and physical health. 

    It’s not always easy admitting something is wrong. But remember, being vulnerable is being strong.  

    More Resources

    How to Help a Veteran in Crisis  

    Recurring Therapy for Veterans with PTSD  

    6 Ways to Cope with Mental Illness 

    The Importance of Veteran Mental Health 

    How to Help a Family Member with Family Illness

    More FREE Resources
  • ,

    How a DBQ for Migraines Strengthens Your VA Claim

    If you experience migraines due to your military service, you may be entitled to VA disability benefits.  

    A disability benefits questionnaire (DBQ) can help add validity to your VA claim by providing comprehensive medical evidence.  

    Migraines impair numerous aspects of a person’s daily life, so it’s essential you receive the care and compensation you rightfully deserve.  

    This post will cover the value of a DBQ for migraines, how to get one, who can write a DBQ, and more.

    Main Takeaways

    • A migraines DBQ aids in documenting your medical conditions and associated symptoms when applying for VA disability benefits.  
    • You can get a DBQ for migraines from a VA or private healthcare provider or a VA contract examiner.  
    • Veterans use the DBQ neuro headaches form to document the severity and frequency of their headaches, providing essential medical evidence for a VA disability claim. 
    • Veterans suffering from migraines need a current medical diagnosis to be eligible for VA disability benefits.  
    DBQ for Migraines.

    What is a Migraine DBQ?

    A Disability Benefits Questionnaire (DBQ) is a form the VA uses to document the medical conditions of veterans applying for disability benefits.  

    In the case of migraines, a specific DBQ is designed to inform the VA of the associated symptoms of your headaches, ensuring they have a comprehensive understanding of your condition.  

    These standardized forms are intended to provide detailed medical information required by the VA to assess the diagnosis, symptom severity, and impact of service-connected disabilities on your life.  

    Completed by a healthcare professional, DBQs help streamline the VA’s disability claims process by ensuring that all relevant information is provided accurately and consistently. 

    How to Get a DBQ for Migraines

    You aren’t required to submit a VA DBQ for migraines with your disability claim; however, it may help provide vital medical evidence needed to receive disability compensation and prove service connection.  

    You can get your DBQ completed during your C&P exam for migraines. During a compensation and pension (C&P) exam, an examiner will ask a series of questions to help determine the severity and frequency of your condition and whether it is service connected.  

    If you choose to have a civilian physician complete a VA DBQ, you provide them with a VA Public DBQ form.   

    While it is highly recommended to obtain a VA DBQ, it’s important to note that the VA won’t reimburse you for expenses related to an examination by your private doctor.  

    It’s essential to have a migraine headache diagnosis to ensure a direct service connection. 

    VA Migraine DBQ.

    Who Can Write a DBQ for Migraine Headaches?

    VA healthcare providers, VA contract examiners, or private healthcare providers can fill out DBQs for migraines. We have a team of licensed healthcare providers at Telemedica that are experienced in writing high-quality DBQs.  

    In addition, Nurse Practitioners (NPs), Physician Assistants (PAs), and Medical Doctors (MDs) can complete DBQ forms for veterans. However, the forms must be signed and include the provider’s credentials to ensure validity. 

    You must print out a VA DBQ form before visiting your doctor. They will review and complete it at your appointment.  

    Once completed, you’ll keep a copy for your records and send the completed form to the VA. It’s always best to review the form before mailing it to ensure the information is accurate. 

    Get a DBQ
    VA DBQ for Migraines.

    VA Migraine DBQ Form

    The VA migraine DBQ form your healthcare provider will complete has questions regarding your condition to submit with your VA disability claim.  

    For example, there are multiple sections where your doctor can further explain your medical history, specific diagnoses, current prescription medications, and whether they reviewed your VA medical records.  

    In addition, the DBQ form has a section for migraine headache symptoms including, but not limited to: 

    • Constant head pain 
    • Sensitivity to light 
    • Changes in vision 
    • Vomiting  
    • Sensory changes  

    One of the final sections of the migraine DBQ allows the healthcare provider to specify where they believe your condition affects your ability to work. Finally, the doctor will sign the DBQ with their contact information.  

    Download Headaches DBQ   

    Migraines DBQ.

    Causes of Migraines in Veterans

    Migraines are a painful headache condition that can cause severe throbbing pain or a pulsing sensation, usually on one side of your head. 

    Migraine headaches can disrupt a veteran’s life, affecting more than half a million veterans.  

    Causes of migraine headaches in veterans include:  

    • Somatic symptom disorder  
    • Traumatic brain injury  
    • Post-traumatic stress disorder (PTSD) 
    • Toxin exposure 
    • Physical injuries 
    • Stress and sleep deprivation  

    It’s important to understand that migraines may lead to a secondary condition, which could entitle you to additional benefits and compensation. Ensure you have the appropriate medical evidence to provide a solid VA disability claim.

    DBQ Neuro Headaches.

    VA Disability Rating for Migraines

    The VA rates migraines at 0%, 10%, 30%, and 50% under 38 CFR 4.124a, DC 8100. 

    Your VA disability rating for migraine headaches will depend primarily on the frequency of attacks and the degree to which symptoms are “prostrating.”  

    A prostrating migraine involves extreme exhaustion, powerlessness, debilitation, or incapacitation with substantial inability to engage in ordinary activities. 

    For example, if you have migraines with persistent, completely prostrating, and prolonged attacks productive of severe economic inadaptability, you may qualify for a 50% VA rating. However, someone with less frequent attacks would be eligible for a lesser VA rating.  

    Medical Evidence Wins Claims

    If you are a veteran suffering from migraines, our team of licensed providers at Telemedica can help write a disability benefits questionnaire. 

    Migraine attacks may stop you in your tracks, but we’re here to help guide and educate you through the VA disability claims process. 

    We can connect you with a licensed provider who understands your unique needs through our secure, private, and convenient platform. Contact us today!   

  • ,

    Gulf War Presumptives [2024 Guide]

    If you developed an illness or other health conditions directly connected to your service as a Gulf War veteran from 1990 to now, you might qualify for Gulf War presumptives.  

    This guide details qualifying conditions considered to be Gulf War presumptives, how to file a VA disability claim and qualification requirements. 

    GULF WAR PRESUMPTIVE CONDITIONS.

    What are Gulf War Presumptives?

    Gulf War Presumptives refers to veterans suffering from VA presumptive conditions related to their service in the Gulf War region. 

    Qualifying for Gulf War Presumptives

    To qualify for Gulf War presumptive illnesses, you must have first appeared during active duty in the Southwest Asia theater of military operations between August 2, 1990, and the present. The VA considers the following locations to be part of the Southwest Asia theatre of operations: 

    • Afghanistan (airspace not included) 
    • Egypt (airspace not included) 
    • Israel (airspace not included) 
    • Jordan (airspace not included) 
    • Syria (airspace not included) 
    • Turkey (airspace not included) 
    • Iraq 
    • Kuwait 
    • Saudi Arabia 
    • The neutral zone between Iraq and Saudi Arabia 
    • Bahrain 
    • Qatar 
    • The United Arab Emirates (UAE) 
    • Oman 
    • The Gulf of Aden 
    • The Gulf of Oman 
    • The waters of the Persian Gulf, the Arabian Sea, and the Red Sea 

    Note: The airspace above all of the countries and locations listed in this section is recognized, unless specified that it’s not included. 

    GULF WAR SYNDROME PRESUMPTIVE CONDITIONS.

    Gulf War Syndrome Symptoms

    Many Gulf War veterans were exposed to hazardous substances and adverse environmental conditions, leading to a range of health issues commonly referred to as Gulf War Veterans’ Illnesses.

    NOTE: The VA does not use the terms “Gulf War Syndrome” or “Gulf War Syndrome presumptive conditions” but instead categorizes these conditions into two main types: 

    1. Medically Unexplained Chronic Multisymptom Illnesses (MUCMI): This includes chronic fatigue, headaches, joint pain, muscle pain, indigestion, difficulty sleeping (insomnia), dizziness, memory problems, and other similar symptoms. 
    1. Undiagnosed Illnesses: These are illnesses with symptoms such as skin issues, cardiovascular symptoms, weight loss, and menstrual disorders that do not fit into a specific diagnosis but are recognized as presumptive conditions by the VA. 
    GULF WAR PRESUMPTIVE CONDITIONS LIST.

    Gulf War Presumptive Conditions List

    The new VA presumptive conditions Gulf War list aims to streamline the process for veterans seeking compensation for illnesses related to their service in the Gulf War region. 

    If you qualify for one of the below presumptive conditions, you don’t have to prove that your service caused your condition. Instead, you only need to meet the service requirements for the presumption.  

    Conditions Diagnosed During Active Duty or at Any Time After Separation

    The VA considers these undiagnosed illnesses presumptive if you served in a recognized location, a health care provider diagnosed you while you were on active duty or at any time after separation, and you’ve been ill for at least 6 months: 

    • Chronic fatigue syndrome (CFS) 
    • Fibromyalgia 
    • Functional gastrointestinal disorders 
    • Medically unexplained chronic multisymptom illness (MUCMI) 
    • Other undiagnosed illnesses, such as cardiovascular signs and symptoms, muscle and joint pain, and headaches 

    Conditions Diagnosed Within 1 Year of Separation

    The VA considers these infectious diseases presumptive if you served in a recognized location and a health care provider diagnosed you within 1 year of separation: 

    • Brucellosis  
    • Campylobacter jejuni 
    • Coxiella burnetii (Q fever) 
    • Malaria (or sooner in some cases) 
    • Nontyphoid salmonella 
    • Shigella 
    • West Nile virus 

    Conditions Diagnosed Any Time After Separation

    The VA considers these infectious diseases presumptive if a health care provider diagnosed you any time after separation: 

    • Mycobacterium tuberculosis 
    • Visceral leishmaniasis 

    Filing VA Claims for Gulf War Presumptive Conditions

    You can file a new claim online for Gulf War presumptive diseases. You can also download VA Form 21-526EZ and file: 

    By mail: 

    Department of Veterans Affairs 
    Claims Intake Center 
    PO Box 4444 
    Janesville, WI 53547-4444 

    By fax: 

    If you’re in the U.S., fax your application to 844-531-7818. 

    If you’re outside the U.S., fax your application to 248-524-4260. 

    In-person: 

    Find the nearest VA regional office 

    GULF WAR PRESUMPTIVES.

    (FAQs) Frequently Asked Questions

    Is there a sleep apnea Gulf War presumptive?

    No, the VA doesn’t consider sleep apnea a Gulf War presumptive. However, you may still qualify for sleep apnea VA disability benefits if you can prove your military service caused your sleep apnea.

    Is IBS a Gulf War presumptive?

    Yes. IBS is on the VA Gulf War presumptive conditions list.

    Is diverticulitis a Gulf War presumptive?

    No. Diverticulitis is not on the Gulf War presumptive conditions list.

    When is the Gulf War presumptive deadline?

    The Gulf War presumptive deadline to file is December 31, 2026. 

    Does military service in Afghanistan qualify for Gulf War presumptives?

    You may qualify for a Gulf War presumptive due to military service in Afghanistan for certain infectious diseases, including West Nile virus and malaria, but not undiagnosed illnesses or MUCMI.  

    Conclusion

    We understand the complex nature of applying for VA benefits. From DBQs and Nexus letters, to mental health and telemedicine evaluations, the team at Telemedica is standing by to serve you. Contact us today! 

    Get a Nexus Letter
  • ,

    The Complete PACT Act Presumptive Conditions List  

    The Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022, or VA PACT Act, added more than 20 additional presumptive conditions for burn pits, Agent Orange, and other toxic exposures.  

    This guide will cover all of the conditions on the PACT Act presumptive conditions list, including eligibility requirements.

    PACT Act presumptive disabilities list.

    PACT Act Presumptive Disabilities

    With PACT Act presumptive disabilities, you don’t need to prove that your service caused your condition. Instead, you only need to meet the service requirements for the presumption. 

    The VA assumes or “presumes” that your military service caused your condition. However, you must still have a current medical diagnosis.  

    PACT Act Eligibility: Dates and Locations  

    To qualify for PACT Act presumptive disabilities, you must have served:  

    • On or after August 2, 1990, in Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia, the UAE, or the airspace above these locations, OR 
    • On or after September 11, 2001, in Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Uzbekistan, Yemen, or the airspace above these locations. 

    If you served in these areas, it’s presumed you were exposed to the following airborne particulates: 

    • Burn pit fumes and smoke 
    • Sand and dust 
    • General air pollution 
    • Fuel, jet fuel, exhaust, and mechanical fumes 
    • Smoke from oil well fires 

    Note: You may still be eligible for VA healthcare based on your service even if the above doesn’t apply to you.  

    Check the full health care eligibility requirements 

    PACT ACT PRESUMPTIVE CONDITIONS LIST.

    PACT Act Presumptive Conditions List

    The following 25 conditions are now “presumed” to be service-connected due to a veteran’s exposure to burn pits and other airborne hazards, including two new conditions caused by Agent Orange: 

    1. Asthma that was diagnosed after service (Diagnostic Code 6602) 
    1. Brain cancer (DC 8002/8003) 
    1. Chronic bronchitis (DC 6600) 
    1. Chronic obstructive pulmonary disease (COPD) (DC 6604) 
    1. Chronic rhinitis (DC 6522) 
    1. Chronic sinusitis (DC 6510-6514) 
    1. Constrictive bronchiolitis or obliterative bronchiolitis (DC 6600) 
    1. Emphysema (DC 6603) 
    1. Gastrointestinal cancer of any type (DC 7343) 
    1. Glioblastoma (DC 8002 or DC 8021) 
    1. Granulomatous disease (DC 6524) 
    1. Head cancer of any type 
    1. High blood pressure (also called hypertension) (DC 7101) 
    1. Interstitial lung disease (ILD) (DC 6825-6833) 
    1. Kidney cancer (DC 7528 and DC 7529) 
    1. Lymphoma of any type (various codes depending on type) 
    1. Melanoma (DC 7833) 
    1. Monoclonal gammopathy of undetermined significance (MGUS) (DC 7712) 
    1. Neck cancer of any type (DC 6819) 
    1. Pancreatic cancer (DC 7343) 
    1. Pleuritis (DC 6845) 
    1. Pulmonary fibrosis (DC 6825) 
    1. Reproductive cancer of any type (DC 7628 or DC 7528) 
    1. Respiratory (breathing-related) cancer of any type (DC 6819) 
    1. Sarcoidosis (DC 6846) 
    PACT ACT LIST OF CONDITIONS.

    PACT Act: Effective Dates

    When it comes to the PACT Act list of conditions, there is no deadline for filing a claim for VA disability benefits.

    PACT Act Back Pay

    However, to receive PACT Act back pay, you must have submitted a PACT Act VA disability claim by August 14, 2023. If eligible, your benefits would be backdated to August 10, 2022.  

    If you submitted your PACT Act claim after August 14, 2023, you may still receive VA disability benefits but not PACT Act back pay.  

    PACT ACT COMPENSATION.

    How Telemedica Can Help

    While you don’t need to prove your military service caused a presumptive condition, you still must provide an official medical diagnosis.  

    At Telemedica, we are proud to help open the door to high-quality telehealth services for Veterans. We understand time is of the essence and waiting around for required medical evidence should not be the norm. 

    Medical Evidence Wins VA Claims

    At Telemedica we understand that high-quality medical evidence wins VA disability claims.

    Click below to see the services we offer, including high-quality Nexus Letters, Mental Health Evaluations and Independent Medical Opinions, Telemedicine Evaluations, and Rebuttal Letters.

    You can also take advantage of a Free Consultation Call to learn which medical evidence service is best for you.

    Services We Offer
  • ,

    VA MST Screening Questions

    This guide will cover VA MST screening questions, MST support and resources, and how the VA rates MST.   

    If you have experienced military sexual trauma (MST), it’s essential to understand you’re not alone and that help is available.   

    Since MST is an experience, not a diagnosis, it affects everyone differently.   

    The VA recognizes the significant impact MST can have on a veteran’s mental and physical health and has a screening process to help identify and support those affected.  

    MST AND PTSD.

    What is Military Sexual Trauma (MST)?

    According to the VA, MST refers to sexual assault or sexual harassment experienced during military service. Unfortunately, many cases of MST go unreported, so it’s challenging to know exactly how many veterans are affected.  

    However, research shows that approximately 1 in 3 women veterans and 1 in 50 men veterans report experiencing Military Sexual Trauma (MST) during their Veteran Health Administration (VHA) screening. However, anonymous surveys have reported higher rates. It’s important to remember that anyone can experience MST, regardless of gender. 

    Examples of MST include, but are not limited to: 

    • Being pressured or coerced into sexual activities, such as with threats of negative treatment for refusal to cooperate, or with promises of better treatment in exchange for sex 
    • Sexual contact or activities without your consent, including when you were asleep or intoxicated 
    • Being overpowered or physically forced to have sex 
    • Being touched or grabbed in a sexual way that made you uncomfortable, including during “hazing” experiences 
    • Comments about your body or sexual activities that you found threatening 
    • Unwanted sexual advances that you found threatening 
    VA MST SCREENING QUESTIONS.

    VA MST Screening Questions

    You can expect the following MST screening questions as part of your confidential VA MST screening.  

    While you were in the military: 

    1. Did you receive uninvited and unwanted sexual attention, such as touching, cornering, pressure for sexual favors, or verbal remarks? 
    1. Did someone ever use force or threat of force to have sexual contact with you against your will? 

    Note on VA MST Screening Questions: An affirmative response for either is considered a positive screen for MST. However, a positive screen doesn’t indicate a veteran’s current subjective distress, diagnosis, interest in, or need for treatment.  

    Remember that VA healthcare providers should ask every veteran whether they experienced MST, especially since many don’t disclose this information unless asked directly.  

    MST VA Disability Ratings

    While there is no specific VA rating for MST, you may qualify for VA disability for mental health conditions related to MST.  

    For example, many veterans experience MST and PTSD (Post-Traumatic Stress Disorder), so you may be eligible for a PTSD VA rating.  The VA rates PTSD at 0% to 100%, with breaks at 10%, 30%, 50%, and 70% under the § 4.130 Schedule of ratings—Mental disorders. 

    Average Disability Rating for MST

    The average disability rating for mental health conditions, including PTSD related to MST, is often cited as 70%, but it’s possible to receive a 100% MST PTSD VA rating if you have total occupational & social impairment due to: 

    • Gross impairment in thought process or communication 
    • Persistent delusions or hallucinations  
    • Grossly inappropriate behavior 
    • Persistent danger of hurting yourself or others  
    • Intermittent inability to perform day-to-day activities  
    • Disorientation of time and place 
    • Memory loss of names of close relatives, your occupation, or your own name  

    It’s important to understand that you don’t need to meet all the subjective symptoms listed above to receive a 100% MST VA Rating .  

    AVERAGE DISABILITY RATING FOR MST.

    Service-Connecting MST

    To receive an MST VA disability rating, you must establish a direct link between your condition and military service.  

    To establish service connection, you must:  

    • Provide a medical diagnosis of your current disability  
    • Provide evidence of an injury, disease, or aggravation that occurred during your military service 
    • Establish a nexus (connection or link) between your in-service injury, disease, or aggravation and your present diagnosed disability through competent medical evidence (e.g., a Nexus Letter).  

    MST Support and Resources

    If you’re an MST survivor, it’s crucial to remember that the VA is firmly committed to providing access to the required help you need. Services are designed to meet you where you’re in your recovery process.  

    VA MST-related services include, but are not limited to: 

    • Every VA healthcare system has an MST coordinator to assist with MST-related issues.  
    • There is no charge for the treatment of physical and mental health conditions related to MST. (You don’t have to be service-connected or have a VA disability rating to receive this care.) 
    • MST-related counseling is available through community-based Vet centers.  
    • There are nationwide programs that offer specialized sexual treatment in residential or inpatient settings.  

    To receive more information about available services: 

    • Contact your existing VA healthcare provider 
    MST MENTAL HEALTH.

    Conclusion

    Since MST can lead to various long-term health conditions, including PTSD, depression, anxiety, substance use disorders, and other physical health issues, it’s crucial to receive the appropriate care and support.  

    Early identification through screening can help connect you with valuable services and resources, guiding you toward recovery and enhanced quality of life.