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Pain continues to be one of the leading conditions people list on their Medical Cannabis Card applications. It is the leading medical motivation for using cannabis nationwide. That being the case, there is an almost endless number of things capable of causing chronic pain. In women, endometriosis is one of them.

Endometriosis is a fairly common condition that affects about 10% of adult women. Each woman suffering with it experiences a unique level of pain. There are some who present an advanced form of the disease and yet feel no pain at all. There are others whose cases are minor but present with excruciating pain. That is one of the reasons that endometriosis is so hard to treat.

Cannabis Does the Trick

The owner of a Las Vegas pain clinic, Dr. Page Bady, says he has patients who successfully treat endometriosis pain with cannabis. Bady is a former ER doctor and a member of an opiate task force established by former governor Brian Sandoval. He is now involved in conducting a double-blind study designed to understand the impact of replacing opioid painkillers with Medical Cannabis.

Bady swears by Medical Cannabis as an effective pain treatment. He is confident it helps his endometriosis patients. One of his patients, who agreed to talk to KLAS TV, described her endometriosis pain as “pain you that you can’t describe.” She went on to say that Medical Cannabis doesn’t completely eliminate her pain, but it does allow her to lead a normal life with considerably less pain to interfere.

It is Not Always THC

At this point, it is important to point out that it’s not always THC that gives pain sufferers the relief they are searching for. Both THC and CBD interact with the human endocannabinoid system. There are other cannabinoids in cannabis plants as well. And of course, do not forget terpenes.

We recommend that Medical Cannabis patients not worry so much about chasing THC or finding a particular strain. Rather, a better approach is to speak with an experienced Qualified Medical Provider (QMP) or Pharmacy Medical Provider (PMP) who can advise on some products to try. Different cannabinoid and terpene combinations offer different levels of pain relief that vary from one patient to the next.

Cannabis and Endometriosis

The challenge with endometriosis is identifying the exact origin of pain and dealing with it. Endometriosis is a condition in which endometrial tissue, the same tissue that grows in the uterus as a normal part of the female fertility cycle, grows in locations other than the uterus. This tissue grows, thickens, breaks down, and bleeds just as if it were growing in the proper location.

Endometrial tissue growing outside of the uterus usually affects the fallopian tubes, ovaries, and pelvis. In addition to the pain caused by the constant cycle of tissue growth and degeneration, the condition can also cause other problems – like scarring of the ovaries.

Get Your Medical Cannabis Card

If you suffer from endometriosis and your pain is chronic, you are probably eligible for a Medical Cannabis Card in Utah. You would need to make an appointment to see a QMP or Limited Medical Provider (LMP) with prescribing authority in the state. As long as that medical provider diagnosed your condition and agreed that Medical Cannabis was the most appropriate way to treat your pain, your card would be approved.

We encourage you to at least look into the possibility. Many patients report finding relief from endometriosis pain by using In Medical Cannabis. You deserve relief from your pain, too.

Researchers at Oregon Health & Science University recently undertook a systemic review of thousands of pieces of literature they hoped would shed light on cannabis as an effective treatment for pain. They concluded that some forms of cannabis might offer short term pain relief but, beyond that, there wasn’t enough scientific data to reach any further conclusions.

This is not surprising to those of us who follow Medical Cannabis. While the OHSU researchers were clearly surprised by a lack of scientific data, most of us in the Medical Cannabis field have been lamenting that fact for years. There is so little clinical research into Medical Cannabis as a pain treatment that it is extremely hard for skeptical doctors to make a decision.

If nothing else, the OHSU study reveals how desperately we need Washington to take the shackles off and begin encouraging large high-scale clinical studies.

What the Researchers Looked At

Researchers looked at more than 3,000 studies published in scientific literature. Their first surprise came when they found only twenty-five that offered scientifically valid data. Eighteen of those were randomized and controlled studies; the other seven were observational studies that lasted a minimum of four weeks.

The good news is that their analysis revealed data suggesting that Medical Cannabis does offer short term pain relief. An exact definition of “short term” was not forthcoming. Nonetheless, even if short term pain relief only lasts a day, using Medical Cannabis on a daily basis should provide patients with a measure of relief.

It should also be noted that the limited amount of positive data the researchers uncovered related to 100% THC products or alternatives with equal amounts of THC and CBD. The researchers found no evidence that 100% CBD oils offered any pain relief whatsoever.

Talk with Your Medical Provider

It is unfortunate that the OHSU researchers didn’t uncover more scientifically valid data in support of Medical Cannabis as a pain treatment. Small scale studies are out there, as we have demonstrated in numerous blog posts. But we are still lacking even a single comprehensive study enrolling thousands of patients and tracking their results over many months.

Until we have such data, your best bet is to talk with your medical provider about using Medical Cannabis to relieve chronic pain. Both chronic and acute pain are now on the Utah list of qualifying conditions.

Doctors, nurse practitioners, physician assistants, and podiatrists with prescribing authority in the state of Utah can apply to become Qualified Medical Providers (QMPs). Being certified as a QMP allows a medical provider to recommend Medical Cannabis to up to six hundred patients.

In addition, Utah’s Limited Medical Provider (LMP) program allows any of the previously mentioned medical providers to recommend Medical Cannabis to up to fifteen patients without having to become a QMP. That means your provider, if amenable, could recommend you for a Medical Cannabis Card. Talk with your medical provider and see what kind of response you get.

Your Experience Will Be Unique

Assuming you are able to obtain your card, we want you to know that your experience will probably be unique to some degree. Endless numbers of patients report that Medical Cannabis relieves their pain. However, they do not all necessarily report the exact same experience with the drug.

We invite you to consider getting your Medical Cannabis Card if don’t yet have one and you struggle with chronic pain. Medical Cannabis could be the best treatment for your pain. Meanwhile, here’s hoping the powers that be remove the shackles so that we can start producing some real research data with large-scale studies.

Israeli researchers recently published the results of a study looking at the effectiveness of aerosolized THC as a treatment for chronic pain. Though the study is considered small scale, its results were what many expected: patients reported less pain and a higher quality of life after inhaling microdoses of THC with a specialized inhaler.

What makes the results of this study so encouraging is the fact that the researchers could use such small amounts of THC and still achieve positive results. The amount of THC delivered via their aerosolized inhaler are “a fraction of the amount of MC [medical cannabis] compared with other modes of delivery by inhalation,” according to the published report accompanying the study.

More About the Study

Researchers enrolled 143 patients between the ages of 17 and 62; 54% were male and 46% were female. All were diagnosed with chronic neuropathic pain. The neuropathic pain qualifier is important because of the nature of this type of pain. Neuropathic pain is the result of nerve damage caused by trauma, disease, or an underlying health condition.

Participants were provided with the inhaler and medicine and instructed to use it over several months. Some patients reported mild side effects during the initial stages of the study, but those side effects subsided over time. As the months passed, patients gradually reported less pain and a higher quality of life.

The results led researchers to speculate that low-dose THC delivered via an aerosolized inhaler could offer long term pain relief for chronic pain patients. As in most other cases, the researchers were quick to point out the small scale of their study indicated the need for more research to verify their findings.

Aerosolized THC vs. Smoke

The implications of this research are important on many levels. Right off the top is the difference between aerosolized THC and cannabis smoke. Here in Utah, smoking Medical Cannabis is illegal. Plant material can only be used as a medicine by dry heating it or using it to make edibles at home.

Dry heating is the process of heating plant material in a specialized vaporizer in order to decarboxylate it. Decarboxylation activates cannabinoids and releases them from plant material. In order for this delivery method to work, the plant material needs to get hot enough to release cannabinoids – but not hot enough to combust.

In an aerosol environment, THC and other cannabinoids are suspended in a pressurized liquid. Forcing that liquid through a nozzle upon release transforms it into an aerosol that can be inhaled. The process is similar to forcing liquid window cleaner through a small nozzle to create a mist.

The main benefit to this sort of delivery method is that there is absolutely no risk of inadvertently creating toxic chemicals that could be inhaled along with the THC. Patients are getting just the medicine they need and nothing more.

A New Delivery Method for the Future

We are excited to hear about this research out of Israel. It could ultimately lead to an entirely new delivery method for the future. Giving patients yet another choice allows them the ability to find the delivery method that works best for them. We are fully on-board with that.

Here’s hoping future research shows similar effectiveness of low-dose THC via aerosolized inhalers. If we can help patients find the relief they need with the lowest possible doses of THC, we will be advancing the cause of Medical Cannabis as an effective treatment for chronic pain. That can only be a good thing for pain patients in the long run.

Years of experience in the Medical Cannabis arena have taught us that it is easy to chase THC levels in the pursuit of pain relief. It’s easy to believe that more is better. In reality, a patient’s choice of strain for pain treatment could have more influence on pain relief than the actual volume of THC consumed.

It is generally accepted among Medical Cannabis professionals that Type I and Type II are the best strains for pain relief. In addition, some patients seem to do better with certain terpene profiles. Linalool, pinene, beta-caryophyllene, limonene, and myrcene immediately come to mind.

What does this mean for medical marijuana pain patients in Utah? It means that treating with Medical Cannabis should involve ongoing consultations with a Pharmacy Medical Provider (PMP) for the purposes of determining the best strain and dosage. It doesn’t hurt to understand the differences between Type I and Type II strains either.

Type I Cannabis

Type I cannabis is easily the most popular type among Medical Cannabis users. A Type I strain is purposely bred to ensure that THC is the dominant cannabinoid. Type I plants generally have a THC level of 0.3% or more and a CBD volume of 0.5% or less.

How high can THC levels go in a Type I plant? That is a good question. We have heard of plants with THC content as high as 30%. However, such potent plants are the exception to the rule.

Type II Cannabis

A Type II strain is bred by the grower to contain balanced amounts of both THC and CBD. If both levels are above 0.3%, you have a Medical Cannabis plant. If both are below that threshold, you are looking at industrial hemp. Either way, the point is that the two cannabinoids are balanced. One does not dominate to an extreme degree.

Though Type III cannabis is rarely recommended for pain relief, it is worth discussing briefly. As you might have figured out by now, a Type III plant is CBD dominant. In nearly every case, it is going to be classified as industrial hemp with a THC volume of less than 0.3%.

Be Open Minded

What you have read thus far constitutes generally accepted guidelines within the Medical Cannabis community. But don’t forget that you are a unique individual. How you respond to any given strain will largely determine what products offer you maximum pain relief. Maintain an open mind. Be willing to try different strains, delivery methods, and dosages in your search for the best treatment.

Also keep an open mind about microdosing. We know of at least one study that suggests microdosing could be a viable pain relief strategy for patients dealing with chronic neuropathic pain. The microdosing mindset calls for starting out with smaller doses to see how they work. You ideally want to use the smallest dose possible to achieve the desired effect.

Track Your Results

As you work with your PMP to figure out strain for pain treatment and dosage, tracking your results will help considerably. Write things down. Create a paper journal or write a digital note on your phone. The point is to track every time you use Medical Cannabis, how you consume it, and how it makes you feel. Such information is invaluable to your PMP.

Remember, chasing THC volume is not necessarily the best way to treat pain with Medical Cannabis. It is more important to find a strain that works for you. You are most likely going to want a Type I or Type II strain with a particular terpene profile. Your PMP can probably make a few recommendations.

Most of the study data we have on treating pain with Medical Cannabis relates to neuropathic pain. This sort of pain is generally the result of nerve damage. Diabetes patients are among those most likely to experience it. Fortunately, a study done a couple of years ago shows that Medical Cannabis can offer relief. And for some people, microdosing is the key.

Perhaps you’ve heard people complain about microdosing only being a way for manufacturers to make more money. We will not address microdosing in the recreational realm, particularly because Utah law only allows medical consumption, but studies do suggest that microdosing can be a valid medical strategy.

Smaller Doses of THC

Though microdosing can be practiced with CBD, it is most often discussed in terms of THC. Microdosing is a strategy that calls for utilizing the least amount of THC possible to achieve the desired effect. It is a strategy that makes a lot of sense, especially given the high cost of Medical Cannabis in most states.

As for the previously mentioned study, it was published in 2020. Its researchers determined that just 0.5 mg of THC provided significant pain relief when compared to baseline. More pain relief was reported when they boosted the volume to 1.0 mg. As Qualified Medical Providers (QMPs) we can tell you that 1.0 mg is not very much.

Why Choose Microdosing

The head of the organization that commissioned the study went on to hail microdosing as a possible way to help medical providers better treat their patients through more tightly controlled dosing. This is the primary advantage of the microdosing strategy.

Imagine a neuropathic pain patient who consumes copious amounts of Medical Cannabis to find relief. That’s fine. With a valid Medical Cannabis Card from the state of Utah, that patient is free to treat in whatever way they and their QMP determine is best. But what if the patient could achieve relief using much smaller doses?

Microdosing ultimately leads to consuming less. The same amount of Medical Cannabis goes much further, extending the amount of time between pharmacy visits and, ultimately, saving the patient money. Furthermore, the patient’s QMP can start with the smallest dosage possible and work up from there. If there is no net benefit to exceeding the dosage at which the patient finds relief, then they don’t go any higher.

Still a Lot to Learn

The 2020 neuropathic pain study is just one piece of research. We obviously need more studies to either corroborate or refute its findings. And of course, we still have a lot to learn about cannabis and its ability to modulate pain signals.

Are you suffering from neuropathic pain? Have you discussed with your medical provider the possibility of treating with Medical Cannabis? Most cases of neuropathic pain are chronic, and chronic pain is on the state’s qualifying conditions list. Ask your medical provider about at. And while you’re at it, ask about microdosing.

More Doctors Can Recommend

We would like to close by reminding readers that more doctors, advanced practice nurses, and podiatrists can now recommend Medical Cannabis thanks to recent changes in the law. Even if a medical provider doesn’t want to go through the process of becoming a state certified QMP, state law also allows for Limited Medical Providers (LMPs). These are medical providers with prescribing authority in Utah. They can recommend Medical Cannabis for up to fifteen patients.

Data suggests that Medical Cannabis can be an effective treatment for neuropathic pain. Microdosing may be the key. We encourage you to learn more about it before discussing it with your medical provider.

Pain is one of the leading conditions people cite when applying for their Medical Cannabis Cards in Utah. That should be no surprise. Why? Because pain sucks. It can keep you from enjoying daily life the way you otherwise would if you were pain free. With that in mind, let us take a look at knee pain. Can cannabis help relieve it?

We have a growing body of evidence showing that cannabis is an effective pain reliever. If you want more information on some of the studies, we recommend this excellent article found on the Cannigma website. As for studies specifically involving knee pain, they are limited; we don’t have a lot to go on for this particular type of pain. However, we do know that the endocannabinoid system is partially responsible for regulating pain signals.

A Common System

It turns out that all vertebrates have an endocannabinoid system. That system is involved in regulating all sorts of biological functions. The endocannabinoid system influences mood, sleep, nervous system response, and more. It is definitely involved in pain regulation.

The interesting thing is that human beings naturally produce their own cannabinoids. The way those cannabinoids interact with brain receptors determines how effective they are at regulating bodily functions. If we can modulate the endocannabinoid system – and we can with cannabis – we can also modulate its regulatory capabilities.

In simple English, some cannabinoids found in cannabis plants bond to CB1 and CB2 receptors in such a way as to influence pain signals. Science hasn’t figured out all the details yet, so the question is being worked on. But we do know that plenty of patients report significant pain relief after beginning a Medical Cannabis regimen.

Specific Knee Problems

In the arena of knee pain, there are plenty of things that can cause it. Osteoarthritis is a big one. In an osteoarthritis situation, cartilage in the knee joint has gradually worn away over time. Without enough cartilage to cushion the bones, they grind on one another. It can be a debilitating condition.

We are encouraged by anecdotal reports suggesting that osteoarthritis patients find pain relief in Medical Cannabis. But what about other conditions? Knee pain can be caused by a soft tissue injury, like a damaged ligament or tendon. It can be the result of bone damage. Even conditions like bursitis can cause pain in the knee.

For medical providers, the trick is determining what is causing the pain before deciding whether Medical Cannabis is the most appropriate form of treatment. There are other ways to treat bursitis, for example. Not only that, but traditional bursitis treatments also tend to be rather successful, so you probably would not need Medical Cannabis for this particular condition.

Acute Knee Pain

We should point out that acute pain was recently added to Utah’s qualifying conditions list for Medical Cannabis. That means patients can plan ahead if they know they will be experiencing severe knee pain that would otherwise be relieved through opioid prescriptions – due to surgery, for example. They can apply for temporary Medical Cannabis cards in advance of the scheduled procedure, then have their medicine ready to go afterward.

Whether your knee pain is acute or chronic, you may find relief through Medical Cannabis. Talk to your medical provider about it. Also remember that all the providers at our numerous locations are Utah Qualified Medical Providers (QMP). Stop in to any one of our clinics for help obtaining your Medical Marijuana Card. We know the EVS and the regulations inside and out. We can help you get hooked up with Medical Cannabis in Utah.

If you follow Medical Cannabis in the news, you’re probably familiar with the fact that chronic pain is the most often cited reason for using the drug. Between scientific and anecdotal evidence, it is pretty clear that Medical Cannabis can be an effective treatment and an excellent alternative to opioids and other prescription pain medications. But how does it work with your endocannabinoid system?

Studies looking into pain receptors and the endocannabinoid system have found an interesting link between the two. That link exists in the small number of cannabinoids naturally produced by the human body. They help regulate quite a few body functions – including pain perception.

The Role of Pain Receptors

What we refer to as “receptors” in the human body are actually chemical compounds. They are chemicals that send messages to the brain. Pain receptors do just what their name implies: they send pain messages to the brain as a way of alerting it that something is amiss.

We would bet that you have cut your finger with a knife at some point in your life. The very moment it happened, you felt pain. Your pain was the result of receptors notifying your brain that an injury had just occurred. Doing so accomplished a couple of things. First, it instructed the brain to tell the body’s defense systems to get to work on the wound. Second, the pain made you consciously aware that you injured yourself.

Knowing what we know about the role pain receptors play, it stands to reason that we should be able to modify a person’s perception of pain by modifying those receptors. That is exactly what researchers have been looking at in recent years. They have discovered that naturally produced cannabinoids already in the human body influence pain receptors.

Mapping the Endocannabinoid System

If you would like to know more about the link between pain receptors and the endocannabinoid system, the Cannigma website is a great resource. One of their articles discusses how scientists in the 1990s began mapping the endocannabinoid system after discovering that the human body naturally produces its own cannabinoids.

Mapping that system encouraged other researchers to begin investigating cannabis as a pain treatment. What they learned from their studies demonstrates that Medical Cannabis is an appropriate therapy for managing pain. Here are just some of the studies the Cannigma piece mentions:

These are just a few examples from the ever-growing body of research about using cannabis to treat pain. While research about other conditions may not be quite as robust, it’s encouraging to see such versatile potential in cannabis.

It is generally accepted that chronic pain is the number one reason U.S. patients use Medical Cannabis. But when you break the data down state-by-state, you discover that there are many other reasons above and beyond chronic pain. Furthermore, chronic pain is not even the prevailing reason in some states. Look at the data in detail and you may be surprised.

The Cannigma, an Israeli research organization that specializes in cannabis issues, recently published a post citing data from a study published in the Journal of Cannabis Research. That study investigated nearly three dozen Medical Cannabis clinics in five different states to determine what patients were citing as their reasons for using cannabis.

They then went ahead and did their own study looking at five different states across the country. Surprisingly, the top few reasons patients cited for using Medical Cannabis were not consistent across all ten states. Why that seems to be the case is not clear.

Chronic Pain a Big Reason

Chronic pain is a big reason for using Medical Cannabis. It was the number one reason cited by patients in Colorado, Maine, Oregon, Michigan, New Hampshire, and Arkansas. For the record, chronic pain is classified as pain that lasts for three months or more. It can occur daily or nearly every day.

This part of the data probably isn’t surprising to you. We hear about people using Medical Cannabis to deal with chronic pain all the time. It is the most common qualifying condition for Medical Cannabis patients in Utah. But what about the other reasons? Is there anything else that competes with chronic pain in terms of sheer numbers?

PTSD, Cancer, and Anxiety

A significant number of Medical Cannabis users rely on the drug to help manage post-traumatic stress disorder (PTSD). The disorder occurs in people who have experienced some sort of traumatic event. For whatever reason, their brains are unable to successfully deal with memories of that event in such a way as to allow patients to live their lives unaffected by it.

It turns out that PTSD is the most-cited reason for using Medical Cannabis in Connecticut. It also tops the list in New Mexico, while coming in second place in Arkansas and third place in Oregon.

Treating anxiety was the most common reason cited in Massachusetts. Anxiety is the second most cited reason in Maine and Connecticut. Overall, anxiety was the number two reason cited by patients in the Journal of Cannabis Research study.

Cancer also ranks high on the list. In some cases, cancer patients use cannabis to help deal with the nausea and vomiting associated with treatment. Other times, it is a treatment for cancer pain. Unfortunately, cancer patients experience pain as a result of both the disease and its treatment. Many consider Medical Cannabis a lifeline.

Between You and Your Provider

We cannot speak to the laws in other states, but we do know that Utah has a well-defined list of qualifying conditions for which Medical Cannabis is appropriate. Our main priority here at utahmarijuana.org is helping patients obtain their Medical Cannabis Cards. We are owned and operated by the Utah Therapeutic Health Center, an organization that operates six clinics throughout the state.

Our position is that your reasons for using Medical Cannabis are between you and your QMP. No one else needs to know. Should you decide to share that information, that is your choice. But as long as your condition is on the state list and Medical Cannabis is an appropriate way to treat it, we can help you get your card.

Did you catch our live Q&A session on April 1st? If you didn’t, it’s okay. We won’t hold it against you. In fact, we recorded the whole thing for you so that you don’t miss out on the education and conversation had. Watch the 90-minute video below as Tim Pickett, founder of utahmarijuana.org & Blake Smith, CSO of Zion Medicinal, discuss Medical Marijuana for mental health conditions before turning the floor over to you and taking all your burning questions. If 90 minutes is more than you can spare, don’t worry. We’ll be cutting this up into bite-size pieces to make it easier for you to find the information you’re looking for. Subscribe to the Discover Marijuana YouTube channel to be notified when those go live.

We asked you to submit your questions early and all through the event, but we had so much fun geeking out about Medical Cannabis that we couldn’t answer all of them without keeping you there overnight! (But really, how much fun would a Discover Marijuana Sleepover with Tim & Blake be?) Here are all the questions we didn’t get a chance to discuss.

Where can I find information on how to qualify for cannabis cultivation licensure in Utah?

There are no current cultivation licenses available. Contact the Department of Agriculture  —more cultivation licenses must be added to the legislature before more become available.

I have bad nerve pain in both feet from peripheral neuropathy. Does cannabis help with nerve pain?

Yes, CBD is neuroprotective and is a mild anti-inflammatory. Combined with THC, it can decrease nerve pain. Some patients report a substantial decrease with the right dosing. We recommend ratios of 5mg CBD to 1mg THC to start, increasing the dosing to reach the desired effect. Sometimes it helps immediately, sometimes it takes a while with consistent use at low to moderate doses to see any results. Visiting with a QMP will be helpful.

How does cannabis help sickle cell patients?

Neither Blake nor Tim know of any significant data on sickle cell and cannabis. It might help with some of the pain, but no data has been released supporting the fact that it would help the underlying condition.

How would you capture the Mormon mom stay-at-home market?

What a question! I do not believe you will capture the market by showing bong rips or smoking joints. We have to build trust in the system, trust in the providers, and trust in the patients as well. If we are respectful to the plant and its potential benefits, while being honest about the risks and the stigma, I think we can make headway with a lot of different cultures and populations.

Is there a program for disabled veterans?

There is no specific program for disabled veterans. Tim’s clinic, UTTHC, offers a discount to veterans. We also offer free consultations and checkups during your first eight months in the program. Federal law protects veteran benefits when veterans participate in a state Medical Marijuana program, so you’ve got nothing to lose.

What is in cannabis that gives you dry mouth?

Cannabis inhibits saliva production by stimulating the CB1 and CB2 receptors. It’s the same stimulation that occurs with Anandamide. Anandamide is the endocannabinoid that stimulates CB1 receptors. This molecule is increased with physical activity, which is why running gives you a dry mouth and makes you thirsty. It’s the same mechanism.

Seems like I find something that really works for me and then when I go get it again, they don’t sell it anymore and they never know when they’re going to get it back. Any suggestions?

There are two suggestions I have. The first is to be patient, as consistent supply will come over the next 1-2 years. The second suggestion is to purchase your own CBD oilzion medicinal cbd tincture thc:cbd 1:1 tincture packages medical marijuana for mental health (Zion makes a great one that is available in most Utah Medical Cannabis pharmacies and all UTTHC clinic locations!). Then, purchase stronger products in the pharmacies and mix your own ratios. I guess a third suggestion would be to keep a journal about what ratios and milligrams of cannabinoids are in the products you choose. This way, when you go to the pharmacy and they do not have what you need, you can try to find something similar. Keeping a journal is always a good choice.

What’s up with all the Delta 8 saturating the market? Why would companies be selling it to patients as if it’s a product completely made from cannabis and listing it as part of the total THC content?

Stay tuned for an upcoming video about Delta 8 and its benefits and downfalls.

As a local cannabis business, how can we compete with larger out-of-state cannabis businesses moving into Utah?

As for Tim, out-of-state businesses don’t play much into the success of his business. However, when it comes to Zion, Utah law protects them by not allowing other operators to open businesses until the law is changed. Once that law changes, there are no guarantees. Anybody who is in the cannabis business will tell you we live in a constant state of change. It can be hard to keep up.

I don’t feel that the Zion products help with nerve pain. Can you talk about that?

This is a really interesting statement that ultimately points to the fact that all products and people are different. Here’s another example: in medical school, we’re taught to treat depression with one of five medications. All have the potential to help the patient. If no improvement is made in the condition in a month or so, we change the medications. We are taught to try 3-4 different medicines before changing the class of medicine (antidepressants to stimulants, for example.) The same is true for cannabis. In fact, cannabis is even more finicky. I would recommend trying a different brand, different cannabinoid ratios, different terpene profiles, different delivery methods. With care and determination, always keeping a journal, you’ll have the best chance of finding something that helps. Blake won’t take it personally if you don’t use his product. The important thing to both of us is that you feel better.

Does Delta 9 THC degrade to Delta 8, or does cannabis naturally contain both?

Keep an eye out for an upcoming episode about all our favorite Deltas!

Would cannabis be a good solution for anxiety? Specifically the Delta 8 THC cannabinoid? I have heard conflicting statements.

Tim & Blake will be releasing a video in the near future to answer all your questions about Delta 8, Delta 9, Delta 10, etc.

I’ve heard that cannabis causes blood thinning. If I used a topical after surgery, would that be okay?

There is some debatable evidence about blood thinning and cannabis use. All of the evidence, however, relates to ingested methods — inhaled or oral. We aren’t aware of any evidence that topical cannabis could cause an increase in bleeding risk. Slather it on, you should be good to go!

I like the idea of softening pathways and creating new thought patterns with PTSD symptoms. I also appreciate this info about ADME! Do tinctures distribute and effect differently than vaping?

Once the molecules are in the bloodstream, they’re going to distribute the same. There are some complicated differences in the bioavailability of inhaled methods versus ingestibles, though. Inhaled products cross directly into the bloodstream without any metabolism or breakdown, so the bioavailability is very high and depends on the concentration of the product being inhaled. Digestion and absorption go through the liver, which changes the molecules and reduces bioavailability. Edibles can be 30 to 50% absorbed compared to inhaled methods. However, once it goes to the liver, THC can be transformed into a slightly different metabolite much stronger than THC. Therefore, edibles can sometimes cause a stronger reaction in the body, even though they are less bioavailable.

Keep an eye out for an upcoming article about this topic on the utahmarijuana.org blog. It’ll be pretty technical. Good question! Generally, no, there’s no difference in distribution and effect between delivery methods, only in the medications/product taken.

What treatment/products do you recommend for fibromyalgia?

We recommend starting with a decent amount of CBD combined with THC. Sometimes adding other cannabinoids can help, depending on the individual. Fibromyalgia is one condition where keeping a journal is paramount. Keep track of what you’re taking, be consistent, and you’ll likely find something that helps you feel better over time. I would say most patients require 4-6 weeks before really dialing it in. Try to stay positive and don’t give up!

Is CBD good for young kids (3-7 years old) with anxiety or do they need to stay away from all cannabinoids until older?

Well, the endocannabinoid system isn’t fully developed until a person reaches 20-25 years old. That being said, we give our kids ibuprofen and Tylenol without batting an eye just because it’s FDA approved. Cannabinoids are naturally occurring and some amount of CBD is likely safer for all age groups. While I can’t provide specific medical advice for this question, in general, I would say trying a CBD product you trust for one or two months at low doses seems reasonable to me.

We have a handful of patients under 16 — the youngest of which is under two years old — who use CBD in low-to-moderate doses with pretty good results. Be honest about your child’s CBD use with your pediatrician or other medical providers. If you need more assistance or information, don’t hesitate to reach out and schedule an appointment with me to talk about it. We offer free phone consultations for all pediatric patients to help determine what the next steps are.


Tim & Blake can’t thank you enough for your support of the Discover Marijuana educational video series. We’ve had so much fun creating these videos for you and bringing frank, unbiased education to the people of Utah and beyond. There’s so much more Tim & Blake to come, so stay tuned! Subscribe to the Discover Marijuana YouTube channel to be the first to see new episodes, live sessions, and more educational videos about Medical Cannabis. Comment below to let us know what topics you’d like us to cover in a future episode, and subscribe to the utahmarijuana.org mailing list below to receive bonus content, invitations to events, and more.

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