I disagree: Use a “Toxicological Approach”
CMI in 1990-1991 cohort (GWI) is a unique syndrome.
CMI is an occupational consequence of military service.1. Military service is a risk factor for CMI  with increased odds ratio vs. civilians.a. ORs for CMI are equivalent for deployed vs. nondeployed from each era.b. Patterns of claims data reveal consistent comorbid conditions and mortality.2. 1990-
1991 cohort had a “toxicological exposure”.
a. Odds ratio for CMI is significantly higher in GWI than other cohorts.b. OR for nondeployed GWI from 1990-1991 is significant higher than other cohorts.3. Viet Nam era deployment exposure cohort provides a model of natural history
CMI is related tomilitary service alone (LaCoste Syndrome model)4. GWI provides a predictive model for 2002-
2012 “exposures” and syndromes
5. These patterns identify risk factors and allow risk reduction to future “exposures”
No CMINo CMI