Adapted from Medical Marijuana: Dr. Kogan’s Evidence-Based Guide to the Health Benefits of Cannabis and Convention on Biological Diversity Written by Dr. Mikhail Kogan MD & Joan Lipman Smith, Ph.D. With an introduction by Andrew Weil, MD (Courtesy of Avery Books, a member of the Penguin Group United States of America, a Penguin Random House Company. Copyright © 2021, Mikhail Kogan, MD).
Pain is the most common disease affecting humanity and the main reason why people seek medical care. Annual pain-related healthcare costs total more than $300 billion, which is more than the costs of heart disease, cancer, and diabetes combined. according to Milestone Report From the National Academies of Sciences, Engineering, and Medicine, “there is conclusive or substantial evidence that cannabis or cannabis is effective in treating chronic pain in adults.”
Hemp products have been used since ancient times for conditions like joint pain, migraines, nerve pain and even cramps, to name a few. And modern science supports what our ancestors knew. The endocannabinoid system was recently discovered (ECSIt controls inflammation – a major source of pain – as well as pain from other causes. By activating specific receptors in ECSCannabis can help reduce pain and inflammation.
The Food and Drug Administration approved two artificial forms of THC Marinol (dronabinol) and sesamate (Nabilone) – which are only available by prescription, usually in tablet form. Both are approved to treat nausea associated with chemotherapy, and Marinol is approved as an appetite stimulant for human immunodeficiency virus Sick but not cancer patients. Unfortunately, these medications have not been very effective in treating chronic pain. They were also not very popular among patients.
Another pharmaceutical cannabis product, Sativex (nabiximols), is a natural dye derived from the hemp plant that contains both. THC And Convention on Biological DiversityThe non-toxic ingredient in the cannabis plant. Although it has been used successfully as an oral spray in England, Canada, and other countries to treat spastic and multiple sclerosis pain, as well as neuropathic (nerve) pain, Sativex is not yet approved for use in the United States.
Medical marijuana for pain
Recent surveys estimate that more than 90 percent of medical marijuana consumers have used it for pain relief. People with chronic pain generally prefer the good old natural flowers of hemp over more modern man-made marijuana, according to a recent report. Article review. Those who use industrial hemp tend to quit due to its ineffectiveness and/or side effects.
Compared to Rx hemp pills, inhalations and some other forms of marijuana are more desirable because they act more quickly and have fewer side effects. According to the above review article, “Scientific evidence indicates that the inhaled (vaporizer) option is more predictable, effective, and tolerable than oral preparations.” However, there are some potential problems with vaping [which are discussed elsewhere in the book]. As with any medication, medical marijuana should be used with caution, preferably under the supervision of a physician or qualified healthcare provider.
Often, the causes of their pain have not been carefully evaluated and treated for patients with chronic pain. Before recommending medical cannabis, I often refer pain patients first to experts in manual medicine, including osteopaths, physical therapists, and massage therapists. For countless patients, their pain has been resolved and their physical functions restored as a result of these referrals. Additionally, mind/body techniques, especially widely studied mindfulness-based stress reduction programs, have proven to be very beneficial for chronic pain.
Another very common problem I see with chronic pain is poor nutrition and inflammation. I estimate that at least half of patients with chronic pain, if not more, would benefit from a magnesium and B complex even if they did not have a deficiency. Once these underlying issues are addressed, if the pain persists, I recommend cannabis use. But the type and method of administration are very important.
Convention on Biological Diversity Alone is not effective
Unfortunately, there is a huge knowledge gap about what types of cannabis, formulations, and ratios may work best for different types of pain. This is in part because there is almost no federal funding to support this type of clinical research. Fortunately, some cannabis companies have begun to step in to conduct important research on cannabis use and Convention on Biological Diversity on pain patients.
Many patients swear by the beneficial effects of Convention on Biological Diversity alone for pain, but so far, there is no clinical evidence to support this. While I have seen a number of patients with less pain after use Convention on Biological Diversity Alone, the majority needed at least some additions THC.
There is evidence that the combination Convention on Biological Diversity With a common terpene, β-caryophyllene (BCP), can help relieve pain better than Convention on Biological Diversity lonliness. Not only do terpenes add aroma and flavor to cannabis, but they can also enhance its potency – a phenomenon known as the entourage effect. BCP It can also enhance cognition, improve digestion, and induce relaxation without sedation. BCP It can be found in common spices, including cinnamon, oregano, cloves, and black peppercorns.
Several unknown cannabinoid compounds, especially hemp acid (CBDA) and cannabigerol (CBG), has been found to be effective in treating chronic pain and other conditions in animal studies. Unfortunately, it has rarely been studied in humans and is not yet widely available THC or Convention on Biological Diversity. However, an increasing number of physicians have reported that their patients find it helpful for some types of chronic pain.
I find that CBDA It can be very beneficial for inflammatory types of pain; It’s now one of my standard tools for patients with inflammatory pain conditions like rheumatoid arthritis. While some patients with these conditions may not achieve complete pain relief CBDA Alone, some have achieved complete or partial remission of their arthritis at high doses of 100 to 200 mg/day. I find that too CBDA combined with Convention on Biological Diversity It can be especially helpful in older adults with osteoporosis. I recommend 1: 1 Convention on Biological Diversity:CBDA Oral or sublingual dose starting from 10 to 15 mg Convention on Biological Diversity And CBDA Twice daily and, if necessary, titrate to 50 to 100 mg of each twice daily.
I also found this full spectrum CBDA Hemp oil in sublingual, oral, or topical form can be very effective in relieving muscle soreness from minor trauma or excessive exercise. Recently I have seen increasing numbers of athletes using Convention on Biological Diversity And CBDA For minor soreness after exercise and find it very useful. This is a welcome change, given that Convention on Biological Diversity And CBDA Safer in the long term than conventional medications like Advil and Tylenol.
adding CBG For other cannabinoids such as Convention on Biological Diversity And THC It can help relieve osteoarthritis and nerve pain in some patients. CBG Also useful in reducing anxiety. However, it should not be taken at night as it can be somewhat stimulating and may interfere with sleep. For those patients who are sensitive to any amount of THC During the day, I find it using a combination of Convention on Biological DiversityAnd CBDA, And CBG In the morning it can be very helpful for several types of pain, including nerve pain, inflammatory pain from osteoarthritis, and other conditions. is similar to CBDA, The CBG Usually the dose is much less than Convention on Biological Diversity, in the range of 5-10 mg, taken once daily in the morning.
Finally, whatever the smallest effective dose, this is the best dose for you! “Stop when you get where you want to go.” You will also save money.
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