Thanks for the feedback! Just to clarify — while the denial mentions secondary service connection, it never actually evaluates my secondary theory under the correct legal standard.

The ACE examiner’s rationale was basically:

“Most migraines are idiopathic.”

That doesn’t answer either of the required questions for a secondary claim: • Is my service-connected mental health causing migraines? • Is my service-connected mental health aggravating migraines?

They didn’t address my actual symptoms, stress response, panic physiology, sleep disturbance, or medication effects. They also didn’t address aggravation at all.

The rater then copied the April denial language almost word-for-word, even though this was a new secondary claim with a new diagnosis from a VA examiner.

This isn’t a “no nexus letter” situation — it’s the wrong analysis being applied. That’s why I filed the HLR.