You followed the protocol. You took the medication. You dealt with the side effects and stayed consistent. And the scale barely moved. Or you felt sick enough that you had to stop before the medication had a real chance to work. If that is your experience, there is something important you may not have been told before you started. Genetic variation plays a significant role in how well GLP-1 medications work and how severely patients experience side effects. For some patients,

PSA results 2 years apart When a PSA result comes back elevated, most men immediately assume the worst. That is understandable. But PSA does not only rise with cancer, and understanding what else can cause it to go up is where good clinical judgment begins. What Can Raise PSA Besides Cancer Several common conditions and circumstances can push PSA upward, none of which involve cancer. An enlarged prostate, known as benign prostatic hyperplasia or BPH, is one of the most common

Dr. Shukhman reviewing labs with a patient If you live in Calabasas or the surrounding communities and you're paying any attention to what's happening in medicine right now, you've heard about GLP-1 medications. Ozempic, Wegovy, Mounjaro, Zepbound. You've probably seen the weight-loss headlines and the before-and-after photos. What you may not have heard, and what I want to talk about in this post, is that the medical community is starting to look at GLP-1s in a very differen

If you keep asking yourself why am I not losing weight even though I eat healthy, you are not imagining it and you are not failing. You are eating well, moving your body, and doing the things that are supposed to work. Yet the scale is not moving, or it is moving in the wrong direction. This situation often starts with confusion. Then comes frustration. Then that quiet, deflating thought: maybe something is wrong with me. In my experience, that instinct is often correct. Weig

White Olive consultation room near Calabasas Finding good primary care near Calabasas is harder than it should be. Most people in the Calabasas and Conejo Valley area do not lack access to healthcare. They lack access to the kind of healthcare that actually fits how they live. Appointments are short. Follow-ups get lost. And if your labs come back "normal," the conversation usually ends there, even when something still does not feel right. This post explains what a different

Metabolic breath testing measures VO2 Max, resting metabolic rate, and fuel burning — three things standard labs miss. Dr. Shukhman tested himself with the PNOĒ system and improved his VO2 Max by 10 points after targeted adjustments. This post covers what the test measures, what to expect, and who benefits most. Includes a real patient example and FAQ. Available at White Olive in Woodland Hills, serving Calabasas and surrounding cities.