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When discussing Nexus letters, the burden of proof relies on phrases like "more likely than not," "at least as likely than not," "less likely than not," and "is not due to." These phrases are used by the VA and will end up in your medical records, as CNP examiners, who are not your friends but are hired by the VA, use them. The term "less likely than not" indicates a negative outcome for your claim, and CNP examiners often use it. You can counter this by providing medical evidence from a private doctor to support your own opinion. The Nexus is crucial for your case.