1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 LINDSEY C. F.,1 Case No. 2:25-cv-04721-JC
12 Plaintiff, MEMORANDUM OPINION 13 v. 14 FRANK BISIGNANO, Commissioner of Social Security Administration, 15 Defendant. 16 17 18 19 I. SUMMARY 20 On May 23, 2025, Plaintiff Lindsey C. F. filed a Complaint seeking review 21 of the Commissioner of Social Security’s denial of Plaintiff’s application for 22 benefits. The parties have consented to proceed before the undersigned United 23 States Magistrate Judge. 24 This matter is before the Court on the parties’ cross-briefs (respectively, 25 “Plaintiff’s Brief,” “Defendant’s Brief,” and “Plaintiff’s Reply”) which the Court 26 27 1Plaintiff’s name is partially redacted to protect plaintiff’s privacy in compliance with 28 Federal Rule of Civil Procedure 5.2(c)(2)(B) and the recommendation of the Committee on Court Administration and Case Management of the Judicial Conference of the United States. 1 1 has taken under submission without oral argument. See June 2, 2025 Case 2 Management Order ¶ 4. 3 Based on the record as a whole and the applicable law, the decision of the 4 Commissioner is AFFIRMED. The findings of the Administrative Law Judge 5 (“ALJ”) are supported by substantial evidence and are free from material error. 6 II. BACKGROUND AND SUMMARY OF ADMINISTRATIVE 7 DECISION 8 On April 28, 2022, Plaintiff filed an application for Disability Insurance 9 Benefits alleging disability beginning on January 1, 2020, due to degenerative disc 10 disease, neuropathy, arthritis, depression, chronic pain, and carpal tunnel 11 syndrome. (Administrative Record (“AR”) 41, 178-79, 244). The Administration 12 denied her claim on initial and reconsideration review, finding Plaintiff’s mental 13 impairments were “non severe,” and that she would be capable of a range of light 14 work consistent with the consultative examiners’ opinions. (AR 61-96; see also 15 AR 432-37, 440-43 (consultative examiners’ opinions)). 16 An ALJ then examined the medical record and, on April 17, 2024, heard 17 testimony from Plaintiff and a vocational expert. (AR 35-60). On May 30, 2024, 18 the ALJ found Plaintiff was not disabled since the alleged onset date. (AR 17-30). 19 The ALJ found: (1) Plaintiff had not engaged in substantial gainful activity since 20 the alleged onset date (AR 19); (2) Plaintiff suffered from the following severe 21 impairments: cervical and lumbar spine degenerative disc disease, bilateral knee 22 osteoarthritis, bilateral carpal tunnel syndrome, and depressive disorder (AR 19- 23 20); (3) Plaintiff’s impairments, considered individually or in combination, did not 24 meet or medically equal a listed impairment (AR 20-21); (4) Plaintiff retained a 25 residual functional capacity (“RFC”)2 to perform light work (20 C.F.R. 26 27 28 2A RFC is what a claimant can still do despite existing exertional and nonexertional limitations. See 20 C.F.R. § 404.1545(a)(1). 2 1 § 404.1567(b)) with additional limitations3 (AR 21-28 (finding letter from treating 2 Dr. Jessica Randell suggesting that Plaintiff would have difficulty completing 3 simple tasks “not persuasive,” and adopting a RFC consistent with, or more 4 restrictive, than the remaining medical opinions)); (5) Plaintiff could not perform 5 her past relevant work but she could perform other jobs existing in significant 6 numbers in the national economy (AR 28-30 (adopting vocational expert 7 testimony at AR 56-58)); and (6) Plaintiff’s statements regarding the intensity, 8 persistence, and limiting effects of subjective symptoms were not entirely 9 consistent with the evidence (AR 22-28). 10 On April 11, 2025, the Appeals Council denied Plaintiff’s application for 11 review. (AR 1-3). 12 III. APPLICABLE LEGAL STANDARDS 13 A. Administrative Evaluation of Disability Claims 14 To qualify for disability benefits, a claimant must show that she is unable 15 “to engage in any substantial gainful activity by reason of any medically 16 determinable physical or mental impairment which can be expected to result in 17 death or which has lasted or can be expected to last for a continuous period of not 18 less than 12 months.” Molina v. Astrue, 674 F.3d 1104, 1110 (9th Cir. 2012) 19 (quoting 42 U.S.C. § 423(d)(1)(A)) (internal quotation marks omitted), superseded 20 by regulation on other grounds as stated in Sisk v. Saul, 820 Fed. App’x 604, 606 21 (9th Cir. 2020); 20 C.F.R. §§ 404.1505(a), 416.905(a). To be considered disabled, 22 a claimant must have an impairment of such severity that he/she is incapable of 23 performing work the claimant previously performed (“past relevant work”) as well 24 25 3Specifically, the ALJ limited Plaintiff to: (1) occasional climbing, balancing, stooping, kneeling, crouching, and crawling; (2) frequent reaching overhead, pushing, pulling, handling, 26 and fingering with the bilateral upper extremities; (3) following simple instructions and 27 completing simple tasks in a routine work environment; and (4) performing low stress work (i.e., work involving only occasional simple decision making and occasional changes in the work 28 setting). (AR 21-22). 3 | || as any other “work which exists in the national economy.” Tackett v. Apfel, 180 2 | F.3d 1094, 1098 (9th Cir. 1999) (citing 42 U.S.C. § 423(d)). 3 To assess whether a claimant is disabled, an ALJ is required to use the five- 4 || step sequential evaluation process set forth in Social Security regulations. See 5 || Stout v. Comm’r of Soc. Sec. Admin., 454 F.3d 1050, 1052 (9th Cir. 2006) 6 || (describing five-step sequential evaluation process) (citing 20 C.F.R. §§ 404.1520, 7 || 416.920). The claimant has the burden of proof at steps one through four — i.e., 8 || determination of whether the claimant was engaging in substantial gainful activity 9 || (step 1), has a sufficiently severe impairment (step 2), has an impairment or 10 | combination of impairments that meets or medically equals one of the conditions 11 | listed in 20 C.F.R. Part 404, Subpart P, Appendix 1 (“Listings”) (step 3), and 12 | retains the residual functional capacity to perform past relevant work (step 4). 13 | Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005) (citation omitted). The 14 | Commissioner has the burden of proof at step five — i.e., establishing that the 15 | claimant could perform other work in the national economy. Id. 16 B. Federal Court Review of Social Security Disability Decisions 17 A federal court may set aside a denial of benefits only when the 18 | Commissioner’s “final decision” was “based on legal error or not supported by 19 | substantial evidence in the record.” 42 U.S.C. § 405(g); Trevizo v. Berryhill, 871 20 | F.3d 664, 674 (9th Cir. 2017) (citation and quotation marks omitted). The 21 1 standard of review in disability cases is “highly deferential.” Rounds v. Comm’r 22 Il of Soc. Sec. Admin., 807 F.3d 996, 1002 (9th Cir. 2015) (citation and quotation 23 | marks omitted). Thus, an ALJ’s decision must be upheld if the evidence could 24 reasonably support either affirming or reversing the decision. Trevizo, 871 F.3d at 25 | 674-75 (citations omitted). Even when an ALJ’s decision contains error, it must 26 | be affirmed if the error was harmless. See Treichler v. Comm’r of Soc. Sec. 27 Admin., 775 F.3d 1090, 1099 (9th Cir. 2014) (ALJ error harmless if 28
1 || (1) inconsequential to the ultimate nondisability determination; or (2) ALJ’s path 2 || may reasonably be discerned despite the error) (citation and quotation marks 3 || omitted). 4 Substantial evidence is “such relevant evidence as a reasonable mind might 5 || accept as adequate to support a conclusion.” Trevizo, 871 F.3d at 674 (defining 6 || “substantial evidence” as “more than a mere scintilla, but less than a 7 || preponderance”) (citation and quotation marks omitted). When determining 8 || whether substantial evidence supports an ALJ’s finding, a court “must consider the 9 || entire record as a whole, weighing both the evidence that supports and the 10 || evidence that detracts from the Commissioner’s conclusion[.]” Garrison v. 11 | Colvin, 759 F.3d 995, 1009 (9th Cir. 2014) (citation and quotation marks omitted). 12 Federal courts review only the reasoning the ALJ provided, and may not 13 | affirm the ALJ’s decision “on a ground upon which [the ALJ] did not rely.” 14 || Trevizo, 871 F.3d at 675 (citations omitted). Hence, while an ALJ’s decision need 15 | not be drafted with “ideal clarity,” it must, at a minimum, set forth the ALJ’s 16 | reasoning “in a way that allows for meaningful review.” Brown-Hunter v. Colvin, 17 | 806 F.3d 487, 492 (9th Cir. 2015) (citing Treichler, 775 F.3d at 1099). 18 A reviewing court may not conclude that an error was harmless based on 19 independent findings gleaned from the administrative record. Brown-Hunter, 806 20 || F.3d at 492 (citations omitted). When a reviewing court cannot confidently 21 || conclude that an error was harmless, a remand for additional investigation or 22 explanation is generally appropriate. See Marsh v. Colvin, 792 F.3d 1170, 1173 23 (9th Cir. 2015) (citations omitted). DISCUSSION 25 Plaintiff contends that the ALJ erred in evaluating Dr. Randell’s opinion 26 || and Plaintiff's subjective statements and testimony suggesting greater limitations 27 | than the ALJ found to exist. (Plaintiff's Brief at 4-20; Plaintiff's Reply at 2-7). 28
1 For the reasons explained below, Plaintiff has not shown that reversal or remand is 2 warranted. 3 A. The ALJ Properly Considered the Medical Opinion Evidence 4 Including Dr. Randell’s Opinion; Substantial Evidence Supports 5 the ALJ’s Non-Disability Finding 6 For claims filed after March 27, 2017 (such as Plaintiff’s claim), new 7 regulations govern the evaluation of medical opinion evidence. Under these 8 regulations, ALJs no longer “weigh” medical opinions; rather, ALJs determine 9 which opinions are the most “persuasive” by focusing on several factors: 10 (1) supportability; (2) consistency; (3) relationship with the claimant (including 11 the length of treatment, frequency of examinations, purpose of treatment, extent of 12 treatment, and whether the medical source examined the claimant); (4) the medical 13 source’s specialty; and (5) “other” factors. See 20 C.F.R. § 404.1520c(c)(1)-(5). 14 The two most important factors in determining the persuasiveness of 15 medical opinions are supportability and consistency with the evidence. See 16 20 C.F.R. § 404.1520c(a). ALJs must explain how they considered the factors of 17 supportability and consistency, but need not explain how they considered any 18 other factor. See 20 C.F.R. § 404.1520c(b). 19 Supportability means the extent to which a medical source supports 20 the medical opinion by explaining the “relevant. . . objective medical 21 evidence.” Consistency means the extent to which a medical opinion 22 is “consistent. . . with the evidence from other medical sources and 23 nonmedical sources in the claim.” 24 Woods v. Kijakazi, 32 F.4th 785, 791-92 (9th Cir. 2022) (quoting 20 C.F.R. 25 /// 26 /// 27 /// 28 /// 1 § 404.1520c(c)(1), (2)). “[U]nder the new regulations, an ALJ cannot reject an 2 examining or treating doctor’s opinion as unsupported or inconsistent without 3 providing an explanation supported by substantial evidence.” Id. at 792.4 4 1. Summary of the Relevant Medical Record 5 Although Plaintiff reported she suffered from depression in her May 2022 6 Disability Report form (AR 244), there are no mental health treatment notes in the 7 record before December 2022. The first related record is from consultative 8 examiner Dr. Lou Ellen Sherrill who provided a psychological evaluation dated 9 July 19, 2022. (AR 432-37). Plaintiff complained primarily of physical 10 problems, and reported that she was unable to work because she could not stand or 11 walk for more than 15 minutes at a time without having to take a sit-down break, 12 and she could not sit for long periods of time. (AR 433). She was not receiving 13 any mental health treatment of any kind but was trying to find a provider. (AR 14 433). She reportedly maintained excellent relationships with her family, friends, 15 acquaintances, and neighbors. (AR 434). She was able to perform household 16 chores, run errands, go shopping alone, and perform all self-care activities 17 independently. (AR 433). Her preferred activities were going to the store, going 18 for short walks, and playing cell phone games. (AR 434). 19 On mental status examination, Plaintiff was very friendly, polite, spoke 20 clearly using complex sentences, was able to understand test instructions and 21 interview questions without difficulty, had a normal mood and affect, and 22 otherwise had findings within normal limits. (AR 435). Her full scale IQ score 23 24 4The new regulations also eliminated the term “treating source,” as well as the rule 25 previously known as the treating source rule or treating physician rule, which formerly required special deference to the opinions of treating sources. See 20 C.F.R. § 404.1520c; Woods, 26 32 F.4th at 792 (“The revised social security regulations are clearly irreconcilable with our 27 caselaw according special deference to the opinions of treating and examining physicians on account of their relationship with the claimant.”); see also Cross v. O’Malley, 89 F.4th 1211, 28 1213-14 (9th Cir. 2024) (discussing new regulations). 7 1 was 95, or average, and her memory scale testing was also average. (AR 435-36). 2 Dr. Sherrill diagnosed persistent depressive disorder secondary to Plaintiff’s 3 medical problems, pain disorder secondary to medical problems, and occupational 4 problems. (AR 436). Dr. Sherrill opined that Plaintiff could perform simple and 5 repetitive tasks with minimal supervision with appropriate persistence and pace 6 over a normal work cycle, could understand, remember, and carry out at least 7 simple to moderately complex verbal instructions without difficulty, could tolerate 8 ordinary work pressures, interact satisfactorily with others in the workplace 9 including the general public, and could observe basic work and safety standards in 10 the workplace without difficulty. (AR 436-37). 11 State agency physicians reviewed the record (which included Dr. Sherrill’s 12 opinion) in August 2022 and February 2023, and found Plaintiff’s mental 13 impairments were “non severe,” in that they would cause at most mild limitations 14 in Plaintiff’s ability to concentrate, persist, or maintain pace, and no limitations in 15 other areas of functioning. (AR 68-69, 87-88). 16 There are treatment notes from Masada Homes from December 2022 17 through September 2023. (AR 459-81). Plaintiff had self-referred for difficulty 18 concentrating, being easily distracted, and having insomnia, depression, and 19 arthritis. (AR 459). According to a therapist, Plaintiff initially met the criteria for 20 persistent depressive disorder with anxious distress (late onset), with persistent 21 major depressive episode (severe). (AR 464). The available portion of her mental 22 status examination at intake noted disheveled appearance, concentration impaired 23 by rumination, excessive guilt and worry, and suspicion, but otherwise findings 24 within normal limits. (AR 462-63).5 25 26 27 5The even pages from Plaintiff’s intake assessment are missing from the record. See AR 459-64 (only odd pages). Plaintiff’s counsel has not raised any issue with the completeness of 28 the record the ALJ reviewed. The remaining pages of the Masada House records are out of order. (AR 465-77). 1 The next note is an assessment and plan from Dr. Randell in February 2023. 2 (AR 467-69). Plaintiff reportedly had been seen for a psychiatric evaluation two 3 weeks earlier and had been prescribed Cymbalta and Trazodone. (AR 468).6 4 Plaintiff reported having pain 24 hours a day, planning to start water aerobics 5 soon, and she believed her medication was helping in that she was not hurting 6 physically as much as she normally had. (AR 468). She reported feeling 7 “blissful” at the time. (AR 467). Her mental status examination showed euthymic 8 mood but otherwise findings within normal limits. (AR 467). Dr. Randell 9 assessed dysthymic disorder. (AR 467). 10 Dr. Randell did follow-up assessments every two months. In April 2023, 11 Dr. Randell noted that Plaintiff’s therapist reported she was doing “ok,” she had 12 poor concentration and task completion and felt unmotivated, but in starting her 13 antidepressant her mood and chronic pain had improved “a little.” (AR 470-71). 14 Plaintiff recently had been denied disability again and was working with a lawyer 15 to reapply. (AR 471). Plaintiff reported to her therapist that she had been 16 encouraged to exercise and had taken her dog for a walk one time the prior week 17 and was working to access a water aerobics class. (AR 471). Plaintiff was “doing 18 well” on her antidepressant and rarely took Trazodone for sleep. (AR 471). Dr. 19 Randell encouraged Plaintiff to taper down her pain medication which could 20 improve her alertness and task completion throughout the day. (AR 471). Her 21 mental status examination reported euthymic mood, moderate insight, judgment, 22 and concentration, and otherwise findings within normal limits. (AR 470). 23 In June 2023, Dr. Randell noted that Plaintiff’s therapist reported that 24 Plaintiff had been about the same – she continued to have poor motivation and 25 was trying to have others help her, and the therapist planned to do trauma work 26 with Plaintiff in the near future. (AR 474). Plaintiff stated that she recently had 27 28 6There are no treatment notes in the record for that evaluation or a later mentioned psychiatry evaluation. See AR 474 (mentioning a psychiatric appointment in May 2023). 1 been more active, was sleeping well, had started walking the dog and doing 2 gardening, was doing more activities around the house, and had bought roller 3 skates and skated with her son. (AR 474). She denied a depressed mood and 4 believed Cymbalta was helping with her pain, sleep, and mood. (AR 474). Her 5 mental status examination was unchanged from the prior visit. (AR 473). 6 In September 2023, Dr. Randell noted that Plaintiff’s therapist reported that 7 Plaintiff was “pretty stable,” was not open to trauma therapy but had potential for 8 transfer of services to a lower level of care in the coming months. (AR 477). 9 Plaintiff reported she would be having a court appearance for her disability claim 10 in November, and talked about her chronic pain and depression and the difficulties 11 associated with her not working or contributing financially. (AR 477). Her 12 mental status examination was unchanged from the prior visits. (AR 476). 13 Dr. Randell provided a letter dated October 10, 2023, stating as follows: 14 Lindsey [F.] is a current patient at Masada Homes and has been 15 receiving services here since 12/07/2022 for. . . persistent depressive 16 disorder. As part of her mental disorder she has regular mood swings, 17 irritability, anxiety, disrupted sleep, poor concentration, isolative 18 behaviors, and difficulty with interpersonal relationships. Her 19 symptoms interfere with her ability to function and she has difficulty 20 completing simple tasks secondary to her mood. She is evaluated at 21 regular intervals and receives weekly individual therapy, individual 22 case management and monthly medication management services as 23 part of her treatment. She is currently taking Cymbalta 30 mg PO 24 BID and trazodone 50 mg PO QHS prn poor sleep. She notes no side 25 effects from her medications. She continues to also deal with 26 multiple medical comorbidities per patient including neuropathy, 27 anemia, degenerative disc disease, chronic lower back pain, 28 1 osteoarthritis, sciatica. Please contact our clinic with any questions 2 you may have. 3 (AR 524 (emphasis added)). 4 There are also mental health treatment notes for three psychotherapy 5 sessions from Mindpath Health in April 2024. (AR 539-56). At her first 6 appointment, Plaintiff reported that she was taking Cymbalta prescribed by Dr. 7 Randell. (AR 552). She had self-reduced her Gabapentin dose. (AR 553). On 8 mental status examination, she had depressed mood, flat affect, reexperiencing 9 perception, preoccupations/ruminations, impaired attention/concentration/memory, 10 partial insight, and mildly impaired judgment. (AR 553). Her therapist diagnosed 11 major depressive disorder (recurrent, moderate), chronic pain due to trauma, and 12 anxiety. (AR 555). Plaintiff was recommended to take additional doses of 13 Gabapentin and Cymbalta. (AR 553). At her next appointment, she reported she 14 liked the increased Cymbalta dose and had started taking Trazodone again. (AR 15 547). On mental status examination, she was unkempt, anxious, had 16 circumstantial thought processes, reexperiencing perception, preoccupations/ 17 ruminations, and impaired attention/concentration/memory. (AR 547-48). She 18 was prescribed Vistaril. (AR 547). At her last appointment, she reported having 19 several anxiety attacks and her therapist recommended she increase her 20 Gabapentin and Vistaril as needed for anxiety. (AR 540). Her mental status 21 examination was the same as at her prior visit. (AR 541). 22 2. The ALJ’s Decision 23 In determining that Plaintiff had a RFC for a range of light work limited in 24 part to following simple instructions and completing simple tasks in a routine 25 work environment involving only occasional simple decision making and 26 occasional changes in a work setting, the ALJ considered and found Dr. Randell’s 27 opinion “not persuasive.” (AR 23, 28). The ALJ reasoned, 28 1 Dr. Randell did not provide a degree to which the claimant would be 2 limited in performing simple tasks. She also did not provide any 3 positive objective findings to support her opinion and instead listed 4 the claimant’s subjective complaints. I have generously considered 5 the claimant’s mental health treatment records, which show some 6 abnormal findings, and find the claimant’s treatment records are 7 consistent with the determination that the claimant can complete 8 simple tasks, work in a routine environment, and perform low stress 9 work, which involves only simple decision making and occasional 10 changes. 11 (AR 28). Earlier in the ALJ’s decision, the ALJ summarized the mental health 12 treatment records, detailing the various mental status examination findings 13 showing some findings outside of normal limits at times, but also showing 14 cooperative behavior, appropriate or average eye contact, normal speech, calm 15 motor activity, intact or mildly impaired judgment, adequate or moderate insight, 16 normal or circumstantial thought content. (AR 26-27 (citing AR 463, 467-70, 473, 17 476, 540-41, 547-48, 553)). 18 The ALJ found Dr. Sherrill’s opinion “partially persuasive,” as consistent 19 with the objective findings from Dr. Sherrill’s examination. (AR 28). The ALJ 20 found the record as a whole supported a further limitation to simple tasks and low 21 stress work due to Plaintiff’s depressive symptoms caused by pain. (AR 28). The 22 ALJ found “not persuasive” the state agency physicians’ opinions that Plaintiff’s 23 mental impairments were “non severe.” (AR 28). 24 3. Analysis 25 The ALJ followed the new regulations in considering Dr. Randell’s 26 purported opinion (and the other opinions of record), and substantial evidence 27 supports the ALJ’s findings. As the ALJ noted, Dr. Randell did not indicate the 28 degree of difficulty Plaintiff would have in completing simple tasks. (AR 524). 1 | Arguably, the ALJ need not have given further consideration to Dr. Randell’s 2 || statement since under the new regulations, a “medical opinion” is a statement 3 || about what a claimant can still do despite impairments, and Dr. Randell did not so 4 || indicate. See 20 C.F.R. §§ 404.1513(a)(2)-(3), 404.1545(a)(3); see also 20 C.F.R. 5 || § 404.1520c(c); compare Ford v. Saul, 950 F.3d 1141, 1156 (9th Cir. 2020) 6 || (finding (1) ALJ reasonably concluded that doctor’s characterizations of 7 || claimant’s abilities as “limited” or “fair” were inadequate for determining RFC 8 || because they did not specify functional limitations; and (2) ALJ need not have 9 || contacted the doctor to further develop the record because the ALJ had claimant’s 10 || mental health records and multiple opinions from other doctors to inform the 11 || ALJ’s decision). 12 In any event, the ALJ correctly pointed out that Dr. Randell’s letter does not 13 || report any objective findings (versus Plaintiff's subjective symptoms, which the 14 ALJ appropriately discounted as explained below) to support the conclusion that 15 || Plaintiff would have difficulty completing simple tasks. The available medical 16 || records from Dr. Randell (which the ALJ reviewed and summarized, see AR 26- 17 | 27) contained some mental status examination findings outside of normal limits 18 | (AR 463, 467, 470, 473, 476, 540-41, 547-48, 553), but there is little support from 19 | these handful of snapshots of how Plaintiff was functioning at her appointments to 20 suggest that Plaintiff would have difficulty with simple tasks, let alone be unable 21 || to perform simple work. See Wranich v. Kijakazi, 2022 WL 16960900, at *5 (D. 22 | Alaska Nov. 16, 2022) (“[M]ental status exams are a mere snapshot of a claimant’s 23 functioning on a particular day... .”) (cleaned up). As noted above, the records 24 | from Dr. Randell do not include Plaintiff's psychiatric evaluations which may 25 | have had more objective findings. See supra note 6 & accompanying text. 26 In contrast, the intelligence and memory tests Dr. Sherrill administered 27 arguably are consistent with and support her conclusion that Plaintiff could 28 perform at least simple and repetitive tasks. (AR 435-37). As detailed above,
1 || Plaintiff was able to understand test instructions and interview questions without 2 | difficulty, and had average full scale IQ and memory testing scores. (AR 435-36). 3 The other available medical opinions from Dr. Sherrill and the state agency 4 || physicians, which suggested fewer mental restrictions than the ALJ assessed for 5 || Plaintiff (see AR 68-69, 87-88, 436-37), furnish substantial evidence to support 6 || the ALJ’s RFC assessment. See 20 C.F.R. § 404.1545(a)(3) (in determining a 7 || claimant’s RFC, the Administration will consider medical source statements about 8 || what a claimant can still do, whether or not based on formal medical 9 || examinations). 10 The Court will uphold the ALJ’s RFC assessment, and the ALJ’s related 11 || findings regarding the medical opinion evidence, including Dr. Randell’s opinion, 12 | as supported by substantial evidence and free from material legal error. Woods v. 13 Kijakazi, 32 F.4th at 792. To the extent the record evidence is conflicting, the 14! ALJ properly resolved the conflicts. See Treichler v. Comm’r, 775 F.3d at 1098 15 || (court “leaves it to the ALJ” to resolve conflicts and ambiguities in the record). 16 | The Court must uphold the administrative decision when the evidence “is 17 susceptible to more than one rational interpretation.” Andrews v. Shalala, 53 F.3d 18 | 1035, 1039-40 (9th Cir. 1995). The Court will uphold the ALJ’s rational 19 interpretation of the conflicting evidence in this case. 20 According to the vocational expert, a person with the RFC the ALJ found to 21 | exist would be capable of performing jobs existing in significant numbers in the 22 || national economy. See AR 56-58. The ALJ properly relied on the vocational 23 expert’s opinion in finding Plaintiff not disabled. See Barker v. Sec’y of Health 24! and Human Servs., 882 F.2d 1474, 1478-80 (9th Cir. 1989); Martinez v. Heckler, 25 | 307 F.2d 771, 774-75 (9th Cir. 1986). 26 For all the foregoing reasons, Plaintiff is not entitled to a remand based on 27 | the ALJ’s consideration of the medical record and resultant RFC determination. 28 ! Substantial evidence supports the ALJ’s conclusion that Plaintiff was not disabled.
1 B. The ALJ Gave Legally Sufficient Reasons for Discounting 2 Plaintiff’s Subjective Statements and Testimony 3 Plaintiff asserts that the ALJ’s reasoning for discounting Plaintiff’s 4 testimony and statements suggesting greater limitations than the ALJ found to 5 exist is not sufficiently specific or otherwise is legally insufficient. (Plaintiff’s 6 Brief at 4-16; Plaintiff’s Reply at 2-4). 7 1. Pertinent Law 8 When determining disability, an ALJ is required to consider a claimant’s 9 impairment-related pain and other subjective symptoms at each step of the 10 sequential evaluation process. 20 C.F.R. § 404.1529(a), (d). Accordingly, when a 11 claimant presents “objective medical evidence of an underlying impairment which 12 might reasonably produce the pain or other symptoms [the claimant] alleged,” the 13 ALJ is required to determine the extent to which the claimant's statements 14 regarding the intensity, persistence, and limiting effects of her subjective 15 symptoms (“subjective statements” or “subjective complaints”) are consistent with 16 the record evidence as a whole and, consequently, whether any of the individual’s 17 symptom-related functional limitations and restrictions are likely to reduce the 18 claimant’s capacity to perform work-related activities. 20 C.F.R. § 404.1529(a), 19 (c)(4); SSR 16-3p, 2017 WL 5180304, at *4-*10.7 20 When an individual’s subjective statements are inconsistent with other 21 evidence in the record, an ALJ may give less weight to such statements and, in 22 turn, find that the individual’s symptoms are less likely to reduce the claimant’s 23 24 25 7Social Security Rulings “do not carry the ‘force of law,’ but they are binding on ALJs nonetheless.” Bray v. Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 1224 (9th Cir. 2009). Social 26 Security Ruling 16-3p superseded SSR 96-7p and, in part, eliminated use of the term 27 “credibility” from SSA “sub-regulatory policy[ ]” in order to “clarify that subjective symptom evaluation is not an examination of an individual’s [overall character or truthfulness]. . . [and] 28 more closely follow [SSA] regulatory language regarding symptom evaluation.” See SSR 16-3p, 2017 WL 5180304, at *1-*2, *10-*11. | || capacity to perform work-related activities. See SSR 16-3p, 2017 WL 5180304, at 2 || *8. In such cases, when there is no affirmative finding of malingering, an ALJ 3 || may “reject” or give less weight to the individual’s subjective statements “only by 4 || providing specific, clear, and convincing reasons for doing so.” Ferguson v. 5 || O’Malley, 95 F.4th 1194, 1199 (9th Cir. 2024) (quoting Garrison, 759 F.3d at 6 || 1014-15). This requirement is very difficult to satisfy. See id. (“The clear and 7 || convincing standard is the most demanding required in Social Security cases.” 8 || (quoting Garrison, 759 F.3d at 1015)). 9 An ALJ’s decision “must contain specific reasons” supported by substantial 10 || evidence in the record for giving less weight to a claimant’s statements. SSR 11 | 16-3p, 2017 WL 5180304, at *10. Generalized, conclusory findings do not 12 | suffice. See Moisa v. Barnhart, 367 F.3d 882, 885 (9th Cir. 2004) (the ALJ’s 13 || credibility findings “must be sufficiently specific to allow a reviewing court to 14 conclude the ALJ rejected the claimant’s testimony on permissible grounds and 15 || did not arbitrarily discredit the claimant’s testimony”) (internal citations and 16 | quotations omitted). An ALJ must clearly identify each subjective statement being 17 rejected and the particular evidence in the record which purportedly undermines 18 | the statement. Treichler, 775 F.3d at 1103 (citation omitted). Ultimately, the 19 | «clear and convincing’ standard requires an ALJ to show his [or her] work... .” 20 || Smartt v. Kijakazi, 53 F.4th 489, 499 (9th Cir. 2022). 21 If an ALJ’s evaluation of a claimant’s statements is reasonable and is 22 supported by substantial evidence, it is not the court’s role to second-guess it. See 23 || Thomas v. Barnhart, 278 F.3d 947, 959 (9th Cir. 2002) (citation omitted). 24 However, when an ALJ fails properly to discuss a claimant’s subjective 25 complaints, the error may not be considered harmless “unless [the Court] can 26 confidently conclude that no reasonable ALJ, when fully crediting the testimony, 27 | could have reached a different disability determination.” Stout, 454 F.3d at 1056; 28
1 see also Brown-Hunter, 806 F.3d at 492 (ALJ’s erroneous failure to specify 2 reasons for rejecting claimant testimony “will usually not be harmless”). 3 2. Summary of Plaintiff’s Testimony and Statements in the 4 Context of the Medical Record 5 Plaintiff testified mostly about physical limitations related to pain. (AR 44- 6 55). There are monthly treatment notes from March 2021 through February 2024, 7 for cervical, thoracic, and lumbar spine and multiple joint pain (i.e., hip, wrist, 8 ankle, foot, low back, neck, and shoulder pain), intermittent right cheek numbness, 9 and tendinosis. (AR 381-431, 482-523, 525-37).8 Plaintiff’s pain level initially 10 ranged up to 10/10, but improved with Oxycodone. (AR 428). Her doctor 11 prescribed Oxycodone-Acetaminophen (Percocet) and Gabapentin, physical 12 therapy, and chiropractic care, with some noted improvement from physical 13 therapy. (AR 382, 384, 386, 391, 394, 397, 399, 402-03, 405, 408, 411, 414, 416- 14 17, 419-20, 423, 426, 429, 482, 485, 489, 491, 494, 497, 501, 503, 505, 507, 511, 15 514, 517, 519, 522, 526, 529, 531, 533, 536). Throughout her treatment, Plaintiff 16 had tenderness on examination, positive Spurling’s test, and knee and shoulder 17 crepitus. (AR 407-08, 410-11, 413-14, 420, 423, 425-26, 428-29, 510, 513, 516, 18 19 8Prior imaging showed a number of potential sources for Plaintiff’s pain. A March 2018 20 left knee MRI showed complete lateral patellar cartilage loss with edema, mild lateral patellar shift, small knee effusion, PT-LFC impingement and friction syndrome, and a capsular retraction 21 injury. (AR 363). A right knee MRI also showed complete lateral patellar cartilage loss with 22 effusion, edema, PT-LFC friction syndrome, and mild tendinosis. (AR 364). A lumbar spine MRI showed disc dessication with loss of disc height at L4-L5 and L5-S1, lower spine 23 hyperlodotic curvature, disc protrustion at L3-L4, disc herniation with facet joint hypertrophy, ligamentum flavum hypertrophy, and stenosis at L4-L5, and disc herniation with annular tear and 24 mild facet joint arthropathy at L5-S1. (AR 365-66). An April 2018 cervical spine MRI showed 25 discogenic disease and facet arthropathy, moderate to severe neural foraminal narrowing at C6- C7, moderate neural foraminal narrowing at C5-C6, and mild stenosis at C5-C6 and C6-C7 with 26 mild cord indentation and lateral recess narrowing without cord signal abnormality. (AR 367- 27 68). In February 2019, a neurologist diagnosed mild to moderate bilateral carpal tunnel syndrome and polyneuropathy of the bilateral lower extremities, with a note that L4 28 radiculopathy was not definitively excluded, based on NCV/EMG studies. (AR 447-58). 1 521, 525, 528, 530, 532, 535).9 Of note, in December 2021, Plaintiff reportedly 2 had been compliant with her medication and was “doing well.” (AR 402). In 3 March 2022, her doctor noted that an EMG showed L5 radiculopathy, and that 4 Plaintiff would be a great candidate for an L5-S1 epidural injection. (AR 394; see 5 also AR 369-79 (EMG/NCV studies)). Later in March, Plaintiff again reportedly 6 was “doing well,” and was using less Gabapentin. (AR 391). In May 2022, 7 Plaintiff reportedly was “doing great.” (AR 386). Later in May, Plaintiff reported 8 having worsening cervical spine pain for which she wanted physical therapy. (AR 9 384). Her doctor ordered a cervical MRI and physical therapy. (AR 384). At this 10 visit and at almost all of her subsequent visits, Plaintiff’s doctor noted that 11 Plaintiff’s medications reduced her pain by 50 percent and allowed Plaintiff to 12 continue doing her activities of daily living. (AR 384, 482, 485, 488, 491, 494, 13 497, 500, 503, 505, 507, 510, 513, 516, 519, 521, 535). In June and July 2022, 14 Plaintiff asked for a L5-S1 epidural steroid injection. (AR 381-82, 521-22).10 15 Turning to Plaintiff’s testimony and statements, Plaintiff testified that she 16 could not work because her carpal tunnel syndrome makes it hard for her to pick 17 up things and type, and causes her to drop things. (AR 44, 48). Her degenerative 18 disc disease makes it hard for her to bend, walk, and do “pretty much everything.” 19 (AR 44). Her arthritis makes her stiff and sometimes it is hard for her to get out of 20 bed to walk. (AR 44). Her neuropathy makes her limbs have a burning, tingling 21 sensation that “gets worse as the days go by.” (AR 44). She could squat to pick 22 up items she drops, but said that she gets pain when she does. (AR 50). She has 23 24 25 9Some of these results may have been duplicated from prior visits since Plaintiff had 26 several evaluations by video conference due to the Covid-19 pandemic. See, e.g., 404-18 (video 27 evaluations). 28 10There are no records from the injection. Plaintiff testified that she had the injection and it only helped for a “couple hours.” (AR 45). 1 trouble reaching due to shoulder pain. (AR 51). Her pain had gotten worse since 2 she stopped working – she has severe pain all day, every day. (AR 54). 3 Plaintiff admitted that Gabapentin takes away her tingling. (AR 46). She 4 also admitted that her pain medication “helps a little bit.” (AR 46). Plaintiff had 5 not had injections for her carpal tunnel syndrome. (AR 44). She wore braces that 6 she ordered from Amazon and had not had anything prescribed. (AR 44). She had 7 not had any consultations to see if surgery could be an option for her carpal tunnel 8 syndrome. (AR 44-45). 9 Plaintiff also said depression impacts her ability to work in that it is hard for 10 her to speak to others, she lacks motivation to do things, gets frustrated, has 11 trouble focusing and staying on task. (AR 53). Her depression never goes away 12 and it sometimes interferes with home schooling her son in that she cannot 13 concentrate or think “straight” to help him. (AR 53-54). 14 Plaintiff estimated she could lift less than 10 pounds. (AR 51). She said 15 she could sit at a computer to work for up to five minutes before she would need 16 to get up and walk around. (AR 52). Plaintiff earlier had said on a typical day she 17 is “mostly sitting on [her] butt.” (AR 46). She tries to do “a couple of things” for 18 her aunt like making hot cereal for breakfast and a little cleaning, and she takes a 19 lot of breaks. (AR 47). One task could take her all day. (AR 47). She said she 20 cooks “maybe once a week,” and does it with help because she cannot stand for 21 longer than three minutes and her hands cramp. (AR 47-49). Her cooking took up 22 to three minutes. (AR 48). She could drive but “not a lot.” (AR 47). She helped 23 her 11-year-old son with home schooling, but said he is very intelligent and does 24 the work himself. (AR 47). She could run errands like grocery shopping 25 “sometimes,” and usually takes one of her kids to help. (AR 47-48). 26 Plaintiff was working as a care giver providing in home health care for her 27 aunt about 73 hours a month since May 2020. (AR 41-42; compare AR 245 28 (Plaintiff reporting that she had worked as a care giver for four hours a day, three 1 days a week)). She did light cleaning, cooking, laundry, light dusting, light 2 vacuuming, made a twin-sized bed, and she cleaned her aunt’s stoma. (AR 41-42, 3 276). She lifted 10 pounds and could lift and carry a small laundry basket about 4 30 feet and take out the trash about 30 feet. (AR 276). 5 In a June 2022 Function Report form, Plaintiff reported that she could not 6 stand, walk or sit for long, and could not lift more than 15 pounds. (AR 281). She 7 spent her days getting her kids up and driving them around the block for school, 8 doing short 10-15 minute tasks with about a 30-minute break, picking up her kids 9 from school, preparing dinner with help (depending on the meal), taking another 10 break for 30 minutes to an hour, cleaning the kitchen with help, taking a break, 11 then helping her kids with homework. (AR 282). The tasks she did for her aunt 12 were 15 minutes. (AR 282). The meals she cooked were simple because she 13 cannot stand for long – if she cooked something that takes long, she had help and 14 took sitting breaks. (AR 283). She could do most household chores but needed 15 help and chose at least one chore a day which usually took all day because she has 16 to take breaks. (AR 283). She did most of her shopping online, but she could to a 17 store with help to lift heavy items once a week. (AR 284-85). She sometimes 18 needed help dressing and caring for her hair. (AR 282). She read, watched 19 television, and played games on her cell phone daily. (AR 285). She did not 20 attend social functions because she could not walk far. (AR 285). She reported 21 that pain affected her ability to lift, squat, bend, stand, reach, walk, sit, kneel, stair- 22 climb, complete tasks, concentrate, and use her hands. (AR 286). She estimated 23 that she could walk for 15 minutes before needing a 20-minute break. (AR 286). 24 She had no problems paying attention, finishing what she starts “eventually,” and 25 indicated that she follows written and spoken instructions “well,” gets along with 26 authority figures “well,” and handles stress or changes in a routine “fine.” (AR 27 28 1 286-87).11 In a later Function Report, Plaintiff reported that she could not write or 2 type for long periods of time, often drops things, and cooked one meal a week 3 which usually took an hour. (AR 314, 316). 4 3. The ALJ’s Decision 5 The ALJ summarized Plaintiff’s testimony and statements and found that 6 while her medically determinable impairments could reasonably be expected to 7 cause the alleged symptoms, Plaintiff’s statements concerning the intensity, 8 persistence, and limiting effects of those symptoms were not consistent with the 9 medical evidence and other evidence in the record. (AR 22-24). Specifically, the 10 ALJ reasoned that: (1) the record as a whole was inconsistent with Plaintiff’s 11 allegations and claimed limitations (i.e., Plaintiff consistently reported during 12 physical appointments that she experienced no medication side effects and that her 13 medication reduced her pain level by 50 percent, allowing her to perform activities 14 of daily living); (2) Plaintiff’s carpal tunnel treatment was conservative (i.e., she 15 had not undergone any injections or surgery consultations for her carpal tunnel 16 syndrome, and had on her own purchased wrist braces); (3) Plaintiff’s admitted 17 daily activities were inconsistent with her alleged limitations (i.e., she worked 18 caring for her aunt for 73 hours a month, doing light cooking and cleaning her 19 aunt’s stoma, she assisted her son’s home schooling, she told Dr. Sherrill that she 20 performed household chores, could run errands and shop alone, could prepare 21 meals without help, and went for short walks). (AR 23-24). 22 4. Analysis 23 The ALJ’s reasoning for discounting Plaintiff’s statements and testimony 24 suggesting greater limitations than the ALJ found to exist is sufficiently specific 25 and supported by substantial evidence. 26 27 11Plaintiff’s husband provided Function Report forms reporting similar limitations and 28 abilities, noting that Plaintiff’s cooking took 15 minutes or less and her weekly shopping took one hour. (AR 289-96, 306-13). 1 a. Inconsistencies with the Medical Record 2 The ALJ permissibly could rely on the inconsistencies between Plaintiffs 3 || testimony and the medical record and the nature of Plaintiff's treatment to reject 4 | Plaintiffs testimony and statements. As the ALJ noted, although Plaintiff testified 5 || that her pain significantly limited her functioning, she has severe pain all day, 6 || every day, and her medication “helps a little bit,” her treatment records 7 || consistently note that her medication reduced her pain by 50 percent and allowed 8 || her to perform activities of daily living. (AR 23; see also AR 384, 485, 482, 488, 9 | 491, 494, 497, 500, 503, 505, 507, 510, 513, 516, 519, 521, 535). At times, she 10 || reported she was “doing well” or “doing great.” (AR 386, 391, 402). 11 “Contradiction with the medical record 1s a sufficient basis for rejecting the 12 | claimant’s subjective testimony.” Carmickle v. Commissioner, 533 F.3d 1155, 13 | 1161 (9th Cir. 2008); see also Smartt, 53 F.4th at 498 (“When objective medical 14 || evidence in the record is inconsistent with the claimant’s subjective testimony, the 15 | ALJ may indeed weigh it as undercutting such testimony.”) (emphasis original). 16 | Additionally, evidence suggesting a claimant’s symptoms are managed or improve 17 | with treatment is a clear and convincing reason for rejecting disabling 18 symptomatology. See Lapuzz v. Berryhill, 740 Fed. App’x 596, 597 (9th Cir. 19 | 201 8) (“effectiveness of medication is a clear and convincing reason to discredit 20 | claimant testimony”) (citing Tommasetti v. Astrue, 533 F.3d 1035, 1039-40 (9th 21 | Cir. 2008)); Wellington v. Berryhill, 878 F.3d 867, 876 (9th Cir. 2017) (“evidence 22 || of medical treatment successfully relieving symptoms can undermine a claim of 23 || disability”); Warre v. Comm’r of Soc. Sec. Admin., 439 F.3d 1001, 1006 (9th Cir. 24 2006) (“Impairments that can be controlled effectively with medication are not 25 disabling for the purpose of determining eligibility for SSI benefits.”); Brown v. 26 | Comm’r of Soc. Sec., 2021 WL 4078015, at *17 (E.D. Cal. Sept. 8, 2021) (that 27 | claimant’s pain was reported to be well-managed and improved with medication is 28 I a clear and convincing reason to reject pain testimony). While Plaintiff's pain
| || medications may not have relieved her pain completely, the record suggests 2 || enough relief for her to perform activities of daily living which involved far 3 || greater exertion than would be suggested by Plaintiffs alleged limitations. 4 Here, it was reasonable for the ALJ to discount Plaintiff's asserted 5 || limitations from pain given the inconsistencies between Plaintiff’s testimony and 6 || what she reported to providers about her pain relief. The Court will not second 7 || guess the ALJ’s reasoning. Thomas v. Barnhart, 278 F.3d at 959. 8 b. Conservative Treatment 9 The ALJ also permissibly could rely on Plaintiffs conservative treatment 10 | for her carpal tunnel syndrome. See Parra v. Astrue, 481 F.3d 742, 751 (9th Cir. 11 | 2007) (“{E]vidence of ‘conservative treatment’ is sufficient to discount a 12 || claimant’s testimony regarding severity of an impairment.” (citation omitted), 13 | cert. denied, 552 U.S. 1141 (2008); SSR 16-3p, 2016 WL 1119029, at *7-*8 (ALJ 14 | may give less weight to subjective statements where “the frequency or extent of 15 | the treatment sought by an individual is not comparable with the degree of the 16 | individual’s subjective complaints. .. .”). As the ALJ noted, Plaintiff alleged to be 17 | quite limited by her carpal tunnel syndrome, yet she admitted she had not sought 18 || treatment beyond ordering over-the-counter wrist braces. (AR 23-24; see also AR 19 44-45). It was reasonable for the ALJ to discount Plaintiff's asserted limitations 20 I from carpal tunnel syndrome given Plaintiff's lack of treatment. The Court will 21 || not second guess the ALJ’s reasoning. Thomas v. Barnhart, 278 F.3d at 959. 22 c. Plaintiff’s Daily Activities 23 The ALJ also permissibly could rely on Plaintiff's inconsistent daily 24 | activities to discount her testimony and statements. See, e.g., Smartt, 53 F.4th at 25 | 499 (claimant's “daily activities may be grounds for discrediting a claimant’s 26 testimony to the extent that they contradict claims of a totally debilitating 27 impairment”; ALJ properly cited daily activities which included performing 28 chores, “albeit in short increments due to pain,” cooking, cleaning, and caring for
1 the claimant’s daughter) (citation and quotation marks omitted); Trevizo, 871 F.3d 2 at 682 (“Engaging in daily activities that are incompatible with the severity of 3 symptoms alleged can support an adverse credibility determination.”) (citing 4 Ghanim v. Colvin, 763 F.3d 1154, 1165 (9th Cir. 2014)); Molina, 674 F.3d at 5 1113 (“Even where [a claimant’s] activities suggest some difficulty functioning, 6 they may be grounds for [giving less weight to] the claimant’s testimony to the 7 extent that they contradict claims of a totally debilitating impairment.”) (citations 8 omitted); Valentine v. Comm’r, 574 F.3d 685, 693 (9th Cir. 2009) (claimant’s 9 admitted activities did not suggest that claimant could work, but did suggest that 10 claimant was exaggerating the severity of claimant’s limitations); SSR 16-3p, 11 2016 WL 1119029, at *7 (ALJ may determine that claimant’s symptoms “are less 12 likely to reduce his or her capacities to perform work-related activities” where 13 claimant’s subjective complaints are inconsistent with evidence of claimant’s daily 14 activities) (citing 20 C.F.R. §§ 404.1529(c)(3), 416.929(c)(3)). 15 The daily activities the ALJ cited in this case arguably contradict Plaintiff's 16 assertion that she could not work due to pain limiting her ability to sit for more 17 than five minutes, stand for more than three minutes, and walk for long periods, 18 and due to upper extremity limitations and depression. As the ALJ noted, Plaintiff 19 was able to work 73 hours a month caring for her aunt by doing light housework 20 and cleaning her stoma, and could assist her son with his home schooling. (AR 21 22-24; see also AR 41-42, 47). Plaintiff admitted to Dr. Sherrill that she 22 performed household chores, ran errands, shopped alone, prepared meals without 23 help, and went for short walks. (AR 24; see also AR 434). The Court also notes 24 that Plaintiff reported to her therapist that she had been encouraged to exercise and 25 she was working to access a water aerobics class. (AR 471). Plaintiff reported to 26 Dr. Randell in June 2023, that she recently had been more active, was sleeping 27 well, had started walking the dog, gardening, was doing more activities around the 28 house, and had bought roller skates and skated with her son. (AR 474). 1 On this record, the ALJ’s reliance on Plaintiff’s daily activities was 2 || reasonable. The Court will not second guess the ALJ’s reasoning. Thomas v. 3 || Barnhart, 278 F.3d at 959. 4 5. Conclusion 5 The ALJ stated independently valid reasons supported by substantial 6 || evidence for discounting Plaintiffs testimony and statements suggesting greater 7 || limitations than the ALJ found to exist. The ALJ’s stated reasons are sufficiently 8 || specific for the Court to conclude that the ALJ discounted Plaintiff's testimony 9 || and statements on permissible grounds. Moisa v. Barnhart, 367 F.3d at 885. The 10 | Court therefore defers to the ALJ’s determination. See Lasich v. Astrue, 252 Fed. 11 | App’x 823, 825 (9th Cir. 2007) (court will defer to Administration’s credibility 12 | determination when the proper process is used and proper reasons for the decision 13 || are provided); accord Flaten v. Secretary of Health & Human Services, 44 F.3d 14 |) 1453, 1464 (9th Cir. 1995). 15 Plaintiff is not entitled to a remand based on the ALJ’s consideration of her 16 | testimony and statements. CONCLUSION 18 For the foregoing reasons, the decision of the Commissioner of Social 19 || Security is AFFIRMED. 20 LET JUDGMENT BE ENTERED ACCORDINGLY. 21 | DATED: January 20, 2026 22 23 /s/ 24 Honorable Jacqueline Chooljian 5 UNITED STATES MAGISTRATE JUDGE 26 27 28