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Does anyone know what this C&P note means?

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Background, I have many weird symptoms that that I am certain are related to burn pit exposure.  After completing the Burn Pit Registry the VA encouraged me to file a claim for IBS.  I did so.  The examiner did not record my responses correctly from what I could see at the Blue Button report.  

Last week my claim went from "Pending Approval" back to "Gathering Evidence."

Today I was able to access this note that I cannot decipher despite being fairly smart.

Is she saying there is no way I have IBS because I have a history of GERD?  I've had GERD for years and it is very different from the symptoms I have had since my deployments. 

I'm adding a screenshot of her response.  I posted a different question last week because she seemed to have granted me a very generous range of motion that I have not had for years regarding a back condition. 

GERD.png


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