I was recently placed on a four-month Limited Duty (LIMDU) period following a pregnancy loss. While I was diagnosed with a "phase of life" issue early in my career, I stopped seeking treatment due to concerns regarding administrative separation. After six years, I have sought help again and am now diagnosed with Major Depressive Disorder (MDD) and Unspecified Anxiety. I began medication this month, but we are considering an alternative as I am not responding well to the current prescription.
Separately, I have a history of Eosinophilic Esophagitis (EOE). Although previously stable on first-line treatments, my condition has progressed. I now experience chest pain and dysphagia, requiring esophageal dilations every 4–6 months. I have started Dupixent and Voquezna for symptom management. My Undersea Medical Officer (UMO) mentioned a Medical Evaluation Board (MEB) referral due to the use of an immunomodulator but has not yet placed me on LIMDU for this condition.
Current Questions
1. Medication Stabilization: To consider a waiver, I must be stable on medication for 90 days. If a medication change causes me to exceed my current LIMDU end date, will this result in a second LIMDU period or an automatic MEB referral?
2. EOE and LIMDU Status: Given that my original waiver was based on responding to first-line medications—and I am now on biologics with worsening symptoms—should I proactively ask to be placed on LIMDU for EOE?
3. Process Expectations: What should I expect from the transition between LIMDU and a potential MEB based on these dual diagnoses?
TL;DR
I am currently on LIMDU for MDD/Anxiety while also managing worsening EOE.
I posted this on Reddit as well so don’t be surprised if you see this there.
Separately, I have a history of Eosinophilic Esophagitis (EOE). Although previously stable on first-line treatments, my condition has progressed. I now experience chest pain and dysphagia, requiring esophageal dilations every 4–6 months. I have started Dupixent and Voquezna for symptom management. My Undersea Medical Officer (UMO) mentioned a Medical Evaluation Board (MEB) referral due to the use of an immunomodulator but has not yet placed me on LIMDU for this condition.
Current Questions
1. Medication Stabilization: To consider a waiver, I must be stable on medication for 90 days. If a medication change causes me to exceed my current LIMDU end date, will this result in a second LIMDU period or an automatic MEB referral?
2. EOE and LIMDU Status: Given that my original waiver was based on responding to first-line medications—and I am now on biologics with worsening symptoms—should I proactively ask to be placed on LIMDU for EOE?
3. Process Expectations: What should I expect from the transition between LIMDU and a potential MEB based on these dual diagnoses?
TL;DR
I am currently on LIMDU for MDD/Anxiety while also managing worsening EOE.
I posted this on Reddit as well so don’t be surprised if you see this there.