★ Endocrine
Metabolic Syndrome and VA Disability
Not separately ratable; component conditions rated under their own codes
Overview
Metabolic syndrome is recognized clinically but does not have a VA diagnostic code.
Each component condition (diabetes mellitus, hypertension, hyperlipidemia, obesity-related conditions) is evaluated on its own.
Service connection arguments often focus on linking weight gain or insulin resistance to a service-connected condition such as PTSD or psychotropic medication side effects.
How to Establish Service Connection
- Not separately ratable. Component conditions can be service-connected directly, secondary, or by aggravation.
Rating Criteria
Paraphrased from Not separately ratable; component conditions rated under their own codes
| Rating | Criteria |
|---|---|
| Variable | Component diabetes, hypertension, IHD, etc. each rated under their own codes. |
See what each percentage pays in 2026 and how it combines with your current rating →
Evidence Checklist
- Documentation of each component condition.
- Records linking weight gain to PTSD medications or service-connected immobility.
Common Secondary Conditions
Conditions frequently service-connected as secondary to Metabolic Syndrome and:
Frequently Asked Questions
Have a Metabolic Syndrome and claim or denial?
Four fields. A VA-accredited claims agent reviews it and responds within 3–5 business days. Contingent fees apply only to awarded past-due benefits on appeals — never on initial claims.
Requesting a consultation does not create representation and is not a guarantee of any outcome. Representation begins only after a written fee agreement and VA Form 21-22a are signed.
Educational content only — not legal advice and not medical advice. Rating criteria on this page are summarized in plain English from 38 CFR Part 4; consult VA.gov or the current Code of Federal Regulations for official criteria. This page provides general education about how the VA rates this condition; it is not individualized advice, does not establish a representation relationship, and should not be used to self-diagnose, self-treat, or decide a course of action without speaking to a qualified clinician and a VA-accredited representative. Outcomes depend on each veteran's individual facts, evidence, and the adjudicator's judgment; no specific rating, effective date, or other result is guaranteed. Oakridge Claims is a private business and is not affiliated with, endorsed by, or operated by the US Department of Veterans Affairs.
Related Conditions
Diabetes Mellitus Type II
Insulin, restricted diet, and regulation of activities; Agent Orange presumptive.
Hypertension
Diastolic/systolic thresholds and continuous-medication requirement.
Coronary Artery Disease (Ischemic Heart Disease)
METs-based rating; Agent Orange presumptive.
Sleep Apnea (Obstructive)
CPAP-required ratings (50%), and connecting OSA secondary to PTSD or sinusitis.

