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PrevPreviousSingle Judge Application; “[e]ven though a disease is not included on the list of presumptive diseases, a nexus between the disease and service may nevertheless be established on the basis of direct service connection.” Polovick v. Shinseki, 23 Vet.App. 48, 52–53 (2009); factors such as “whether a medical professional finds studies persuasive, whether there are other risk factors that might be the cause of the condition for which benefits are sought, and whether the condition has manifested itself in an unusual manner” may affect the analysis. Polovick, 23 Vet.App. at 53;

NextSingle Judge Application; Wait v. Wilkie, 33 Vet.App. 8, 17 (2020); The Court held in Wait v. Wilkie, 33 Vet.App. 8, 17 (2020), that “[t]o establish the presence of a disability . . . there must be competent evidence specific to the claimant tending to show that his or her impairment rises to a level to affect earning capacity, which may include showing manifestations of a similar severity, frequency, and duration as those VA has determined by regulation would cause impaired earning capacity in an average person.” In this respect, the veteran’s statement does not suggest, even remotely, that he has a left shoulder disability that caused functional impairment or affected his earning capacity. R. at 1199;Next

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