The medical nexus comes from a doctor, whereas the link to the military (an exposure summary nexus letter) comes from you, the veteran, as you know best what you were exposed to in the military, whereas your current doctor only knows what you have told him/her about your exposures
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So I think it's just a matter of the passenger knowing what is and is not prohibited
Naomi Klein After I'd hit a home run and took my position in the field, the fans in the bleachers began throwing packages of tobacco at me