Lipohypertrophy is a medical term that refers to a lump under the skin caused by accumulation of extra fat at the site of many subcutaneous injections of insulin. It may be unsightly, mildly painful, and may change the timing or completeness of insulin action.
Veterans who can't do a significant amount of work may be eligible for a 100% disability rating based on unemployability, even though they could not be rated 100% disabled under the Schedule for Rating Disabilities. The VA calls this Total Disability for Individual Unemployability (TDIU).
Oh, and as for the examples with the 30 + 20: The combined ratings table shows us two disabilities rated at 30 and 20 equal 44%. This rounds down to 40% disability rating. If you apply the bilateral factor to disability ratings of 30 and 20, you would get 48.4% (44% + 4.4%).This rounds up to 50%.he 30 and 20 combine for 44. If those are your only two ratings, you would have a 44% Va service-connected disability rating, which would round down to 40%. But weâre not done. We still have to add two 10% ratings.