Not saying it was or it wasn't, but fatal GLOC mishaps are challenging to completely, 100% conclusively prove. The process (and the same could be said about hypoxia and most other incapacitating physiological events) is normally ruling out everything else it could have been. Then in the absence of any other likely cause, the board will start digging deeper into the potential physiological casual factor. Mechanical problems and pilot error are more straightforward, in that they leave either physical, witness, or circumstantial evidence, or often all 3. Physiological events yield much less physical evidence, and in some cases, recovery and examination is very time critical……..ie tissue/blood examination, if there is even any left. I'm sure MikeD can much more eloquently comment on the process, as he was a trained investigator, but those have been my observations.