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hi Im Amy Odom welcome to cck live under five and today were going to talk about how to establish service Connection by aggravation so VA will compensate Veterans for medical comp conditions that existed at the time of entry into Service as long as they were made worse or aggravated by service theres a statue and a regulation setting forth a presumption of aggravation and they say that a pre-existing injury or disease will be considered to have been aggravated by active military Naval or air service where there is an increase in disability during such service unless there is a specific finding that the increase in disability is due to the natural progress of the disease and the regulation goes one step further and says that there must be clear and unmistakable evidence that the increase in disability was due to the natural progress of the disease the burden of proof and a presumption of aggravation case falls on the veteran to show that there was actual