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Military Medical Standards for Enlistment & Appointment

Endocrine and metabolic disorders

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Updated June 10, 2009
The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes are listed in parentheses following each standard.

The causes for rejection for appointment, enlistment, and induction (without an approved waiver) are an authenticated history of:

Current or history of adrenal dysfunction (255) is disqualifying.

Current or history of diabetes mellitus (250) is disqualifying.

Current persistent glycosuria when associated with impaired glucose tolerance (250) or renal tubular defects (271.4) is disqualifying.

Current or history of acromegaly, including, but not limited to gigantism or other disorders of pituitary function (253), is disqualifying.

Current or history of gout (274) is disqualifying.

Current or history of hyperinsulinism (251.1) is disqualifying.

Current or history of hyperparathyroidism (252.0) and hypoparathyroidism (252.1) is disqualifying.

Thyroid disorders.

Current goiter (240) is disqualifying.

Current hypothyroidism uncontrolled by medication (244) is disqualifying.

Current or history of hyperthyroidism (242.9) is disqualifying.

Current thyroiditis (245) is disqualifying.

Misc. Conditions.

Current nutritional deficiency diseases, including, but not limited to beriberi (265), pellagra (265.2), and scurvy (267) are disqualifying.

Other endocrine or metabolic disorders such as cystic fibrosis (277), porphyria (277.1), and amyloidosis (277.3) that obviously prevent satisfactory performance of duty or require frequent or prolonged treatment are disqualifying.

Derived from Department of Defense (DOD) Directive 6130.3, "Physical Standards for Appointment, Enlistment, and Induction," and DOD Instruction 6130.4, "Criteria and Procedure Requirements for Physical Standards for Appointment, Enlistment, or Induction in the Armed Forces."

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