1 00:00:03,000 --> 00:00:04,120 Speaker 1: Welcome to Wellness un Mass. 2 00:00:04,160 --> 00:00:06,760 Speaker 2: I'm doctor Nicole Saffire and this is your weekly Rundown. 3 00:00:07,080 --> 00:00:09,080 Speaker 2: I want to talk to you about cannabis today because 4 00:00:09,119 --> 00:00:12,239 Speaker 2: it seems like everyone's talking about it, the normalization of it, 5 00:00:12,320 --> 00:00:15,160 Speaker 2: the commercialization of it, and whether public health is just 6 00:00:15,280 --> 00:00:18,279 Speaker 2: keeping up with the science. Seems to me people are 7 00:00:18,320 --> 00:00:21,279 Speaker 2: actually starting to pay attention. If you scream loud enough 8 00:00:21,640 --> 00:00:24,400 Speaker 2: at the potential harms. It takes a while, but it 9 00:00:24,400 --> 00:00:27,080 Speaker 2: sounds like people are starting to listen. So let's start 10 00:00:27,080 --> 00:00:30,120 Speaker 2: with reality. Cannabis is now legal for medical use in 11 00:00:30,160 --> 00:00:34,120 Speaker 2: most states and recreational use, you know, for fun in 12 00:00:34,159 --> 00:00:37,240 Speaker 2: more than half the country. But the perception of harm 13 00:00:37,680 --> 00:00:41,520 Speaker 2: is dropping, meaning people are not realizing that it actually 14 00:00:41,560 --> 00:00:46,280 Speaker 2: has some risks, especially young adults and teenagers. Well, teenagers, 15 00:00:46,560 --> 00:00:48,960 Speaker 2: they seem to be pretty risk averse. They don't necessarily 16 00:00:49,280 --> 00:00:53,280 Speaker 2: think anything is risky. But the biology hasn't changed just 17 00:00:53,320 --> 00:00:56,280 Speaker 2: because the laws have changed, there are risks. 18 00:00:56,400 --> 00:00:57,080 Speaker 1: Here's what we know. 19 00:00:57,640 --> 00:01:00,160 Speaker 2: According to the CDC, about three and ten people who 20 00:01:00,280 --> 00:01:03,920 Speaker 2: use cannabis become addicted to it, called cannabis use disorder. 21 00:01:04,360 --> 00:01:06,160 Speaker 1: That number climbs to nearly. 22 00:01:06,240 --> 00:01:10,000 Speaker 2: Half among people who smoke or use cannabis in whatever 23 00:01:10,040 --> 00:01:13,840 Speaker 2: form they're using it in daily and the younger someone starts, 24 00:01:14,120 --> 00:01:17,080 Speaker 2: the higher their risk for dependency. Now why is that 25 00:01:17,160 --> 00:01:20,000 Speaker 2: an issue, Well, let me tell you it's not because 26 00:01:20,040 --> 00:01:21,800 Speaker 2: some study just came out last month. 27 00:01:22,040 --> 00:01:22,120 Speaker 1: No. 28 00:01:22,280 --> 00:01:24,560 Speaker 2: In fact, the oldest study that I know of is 29 00:01:24,600 --> 00:01:29,440 Speaker 2: from twenty twelve that shows teenagers young adults who regularly 30 00:01:29,600 --> 00:01:34,400 Speaker 2: use cannabis and THHD products have lower IQs. Uh. Oh, 31 00:01:34,440 --> 00:01:39,160 Speaker 2: that's not good. Fast forward twenty sixteen, twenty seventeen, twenty 32 00:01:39,200 --> 00:01:43,559 Speaker 2: twenty studies all coming out showing younger users that use 33 00:01:43,680 --> 00:01:49,120 Speaker 2: cannabis and THHC have a higher risk of psychoses schizophrenia, 34 00:01:49,280 --> 00:01:53,160 Speaker 2: particularly in young men. There's also higher rates of anxiety 35 00:01:53,200 --> 00:01:59,440 Speaker 2: and panic disorders, impaired attention, memory, executive function, increased emergency 36 00:01:59,480 --> 00:02:02,160 Speaker 2: departments visits for hyper emesis syndrome. 37 00:02:02,280 --> 00:02:03,720 Speaker 1: Do you know what that means? That means they can't 38 00:02:03,760 --> 00:02:06,200 Speaker 1: stop vomiting. It's awful. I've seen it. 39 00:02:06,560 --> 00:02:09,040 Speaker 2: People come in and no, you just can't give them 40 00:02:09,080 --> 00:02:12,040 Speaker 2: a little medicine and they feel better. They are wretching 41 00:02:12,240 --> 00:02:15,320 Speaker 2: so badly that they can actually start bleeding from vomiting 42 00:02:15,520 --> 00:02:18,600 Speaker 2: so much. And by the way, there's growing data showing 43 00:02:18,680 --> 00:02:24,120 Speaker 2: cardiovascular disease may be linked to it, heart attacks, strokes, arrhythmias, 44 00:02:24,160 --> 00:02:27,799 Speaker 2: and other things. Now, are there potential benefits of Sure, 45 00:02:28,240 --> 00:02:34,519 Speaker 2: there's evidence supporting cannabinoids for chemotherapy induced nausea, certain seizure disorders, 46 00:02:34,760 --> 00:02:40,000 Speaker 2: chronic pain, syndromes, multiple sclerosis. But that's very different than just, 47 00:02:40,080 --> 00:02:45,600 Speaker 2: you know, blanket normalization of recreational, high potency daily use cannabis, 48 00:02:46,160 --> 00:02:49,840 Speaker 2: especially in those who brains are still developing, which doesn't 49 00:02:49,840 --> 00:02:53,480 Speaker 2: happen until about twenty five. Let's be honest, today's cannabis, 50 00:02:53,639 --> 00:02:58,400 Speaker 2: it's not your parents. Marijuana THC potency has increased dramatically 51 00:02:58,720 --> 00:03:03,959 Speaker 2: over the past two decades. High concentrate products, vapes, dabs, edibles, 52 00:03:03,960 --> 00:03:06,800 Speaker 2: whatever the kids are doing these days, I don't even know, 53 00:03:07,360 --> 00:03:11,080 Speaker 2: but they can contain sixty to ninety percent thchc because 54 00:03:11,080 --> 00:03:14,640 Speaker 2: that matters. The higher the THHD levels, the highest the 55 00:03:14,720 --> 00:03:17,280 Speaker 2: risk of psychoses and all of those other negative things. 56 00:03:17,360 --> 00:03:21,799 Speaker 2: And teen cannabis use is rising again. Sure, kids are 57 00:03:22,160 --> 00:03:25,799 Speaker 2: drinking less alcohol, but they're trading one vice for another. 58 00:03:26,120 --> 00:03:29,520 Speaker 2: Nearly one in five high school seniors report using cannabis 59 00:03:29,560 --> 00:03:33,639 Speaker 2: in the last month, but that's because the perceived harm 60 00:03:33,760 --> 00:03:37,400 Speaker 2: is at Historic Loves. Parents, you have to educate your kids. 61 00:03:37,920 --> 00:03:42,119 Speaker 2: Cannabis is dangerous, just like alcohol, just like other drugs. 62 00:03:42,640 --> 00:03:44,920 Speaker 2: It's not oh well, it's not as bad as some 63 00:03:44,960 --> 00:03:45,640 Speaker 2: of the other stuff. 64 00:03:45,680 --> 00:03:48,360 Speaker 1: Okay, sure, you're right. It's not like black tar heroin, 65 00:03:48,720 --> 00:03:51,320 Speaker 1: but it doesn't mean it's good for you. So first 66 00:03:51,560 --> 00:03:54,240 Speaker 1: start early. Don't wait until your kids are in high school. 67 00:03:54,320 --> 00:03:57,200 Speaker 2: Parents, you need to talk to your kids, especially when 68 00:03:57,200 --> 00:04:00,000 Speaker 2: they're in middle school, because that's when curiosity begins. 69 00:04:00,560 --> 00:04:03,320 Speaker 1: Be specific when you talk to them. Don't just say, ooh, 70 00:04:03,360 --> 00:04:04,280 Speaker 1: marijuana's bad. 71 00:04:04,360 --> 00:04:07,280 Speaker 2: Don't do it because if you say that, they're going 72 00:04:07,320 --> 00:04:09,120 Speaker 2: to be like, okay, mom, you don't know what you're 73 00:04:09,120 --> 00:04:13,440 Speaker 2: talking about. Explain that the adolescent brain is wiring its 74 00:04:13,480 --> 00:04:17,960 Speaker 2: executive control system at that very moment, and THHC directly 75 00:04:18,000 --> 00:04:21,719 Speaker 2: affects parts of their brain, specifically the hippocampus and the 76 00:04:21,760 --> 00:04:24,960 Speaker 2: prefrontal cortex. They need that if they actually want to 77 00:04:25,000 --> 00:04:27,760 Speaker 2: go and be a CEO one day. If they blunt it, 78 00:04:28,040 --> 00:04:29,680 Speaker 2: they're not going to be the CEO. They're always going 79 00:04:29,720 --> 00:04:33,640 Speaker 2: to be working for someone else. Next, differentiate the whole 80 00:04:33,760 --> 00:04:38,240 Speaker 2: medical from recreational messaging. Kids here, oh well, it's medicine, 81 00:04:38,279 --> 00:04:42,960 Speaker 2: so it must be okay. Clarify that FDA approved cannabinoid 82 00:04:43,000 --> 00:04:47,440 Speaker 2: medications are not the same as dispensary products with unregulated 83 00:04:47,480 --> 00:04:51,159 Speaker 2: potency and other additives. And also, of course, just watch 84 00:04:51,200 --> 00:04:52,080 Speaker 2: for red flags. 85 00:04:52,920 --> 00:04:53,280 Speaker 1: Kids. 86 00:04:53,320 --> 00:04:57,679 Speaker 2: They experiment all the time, if they have declining grades withdrawals, 87 00:04:57,839 --> 00:05:01,560 Speaker 2: not sleeping very well, mood swim hiding things. You're finding 88 00:05:01,600 --> 00:05:06,520 Speaker 2: those little vap cartridges. I'm telling you guys, they're no good. Yes, 89 00:05:06,600 --> 00:05:08,960 Speaker 2: I get it. We don't want kids smoking cigarettes. We 90 00:05:09,000 --> 00:05:12,440 Speaker 2: also don't want them smoking pot. We just don't now 91 00:05:12,640 --> 00:05:15,320 Speaker 2: zooming out. I'm going to take away from cannabis my 92 00:05:15,480 --> 00:05:17,760 Speaker 2: take on it. I don't like it. I personally never 93 00:05:17,800 --> 00:05:22,360 Speaker 2: have tried it. I think CBD products are probably significantly 94 00:05:22,440 --> 00:05:26,000 Speaker 2: less harmful if they don't contain THHC. I am not 95 00:05:26,080 --> 00:05:28,960 Speaker 2: a fan of THCHC. I think if people are trying 96 00:05:28,960 --> 00:05:30,760 Speaker 2: to get away from alcohol and they want to take 97 00:05:30,839 --> 00:05:35,280 Speaker 2: low doses of CBD, not inhaling it, not smoking anything, 98 00:05:35,760 --> 00:05:39,000 Speaker 2: I'm sure it's probably less risky than some of the 99 00:05:39,040 --> 00:05:41,720 Speaker 2: other things out there. But when I talk about the 100 00:05:42,360 --> 00:05:46,640 Speaker 2: concerns with cannabis use, I'm specifically speaking on the THHC 101 00:05:46,920 --> 00:05:47,679 Speaker 2: side of it. 102 00:05:48,000 --> 00:05:48,720 Speaker 1: Now zooming out. 103 00:05:48,760 --> 00:05:51,640 Speaker 2: I want to quickly mention something else that happened this week, 104 00:05:52,120 --> 00:05:53,160 Speaker 2: because it's a. 105 00:05:53,160 --> 00:05:56,200 Speaker 1: Leadership change up in the administration. Doctor j. 106 00:05:56,360 --> 00:05:59,760 Speaker 2: Bodicharia has stepped in as acting director of the CDC. 107 00:06:00,400 --> 00:06:01,080 Speaker 1: You may know him. 108 00:06:01,080 --> 00:06:05,800 Speaker 2: He became nationally known for challenging the pandemic orthodoxy and 109 00:06:05,920 --> 00:06:10,400 Speaker 2: advocating pretty much for more open scientific debate. President Trump 110 00:06:10,440 --> 00:06:14,359 Speaker 2: appointed him to lead the NIH right now under Secretary Kennedy. 111 00:06:14,720 --> 00:06:18,200 Speaker 2: Now he is stepping in to fill the temporary role 112 00:06:18,240 --> 00:06:20,839 Speaker 2: of CDC director. I don't know if you've noticed, but 113 00:06:20,960 --> 00:06:24,800 Speaker 2: we actually haven't had a permanent CDC director for more 114 00:06:24,839 --> 00:06:27,760 Speaker 2: than a couple of weeks since President Trump took the 115 00:06:27,760 --> 00:06:28,320 Speaker 2: White House. 116 00:06:28,560 --> 00:06:29,960 Speaker 1: It's been a revolving door. 117 00:06:30,480 --> 00:06:33,600 Speaker 2: It's probably because the CDC is a complete mess and 118 00:06:33,640 --> 00:06:36,680 Speaker 2: it's hard to kind of find someone that is able 119 00:06:36,720 --> 00:06:39,039 Speaker 2: to take charge but who can also gain the trust 120 00:06:39,080 --> 00:06:40,320 Speaker 2: of the people who are working there. 121 00:06:40,640 --> 00:06:42,839 Speaker 1: It's definitely going to be an uphill battle. 122 00:06:43,360 --> 00:06:48,960 Speaker 2: Doctor Bodicharia a very intelligent physician. He is open minded 123 00:06:49,240 --> 00:06:51,880 Speaker 2: and he listens to other people. So I like him 124 00:06:51,880 --> 00:06:54,440 Speaker 2: in a leadership position. I'm interested to see exactly what 125 00:06:54,600 --> 00:06:58,200 Speaker 2: exactly he will do at the CDC level and that's 126 00:06:58,240 --> 00:07:01,200 Speaker 2: that more to come. Good luck to you, doctor Brodacharia. 127 00:07:01,279 --> 00:07:03,599 Speaker 2: Thank you so much for listening to Wellness Unmasks. This 128 00:07:03,720 --> 00:07:06,520 Speaker 2: is your weekly rundown. I'm doctor Nicole Safire. Be sure 129 00:07:06,520 --> 00:07:10,000 Speaker 2: to listen to Wellness Unmask on iHeartRadio, Apple Podcasts, or 130 00:07:10,000 --> 00:07:12,200 Speaker 2: wherever you get your podcasts, and I'll see you next time.