The Cannabis Discussion with Dr. Jess
The cannabis discussion with Dr. Jess
Curious about cannabis? Are you confused about the laws, restrictions and benefits of this plant and the difference is between THC and CBD, full spectrum and everything in between? Whether marijuana has been legalized for medicinal and/or recreational use in your state or not, we hope to shed some light on this herb!
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JO - Janny Organically
DJ - Dr Jess
JO: Hi it's Janny from Janny Organically and The Very, Very, Quite Contrary Podcast. And speaking of contrary, we've got Dr. Jess here today.
00:00:40:13 - 00:01:51:11
JO: She is a medical doctor, first of all, if you aren't already aware of her and her work. I've been following her along on Instagram for a while @dr.jess.md and she shares a lot of information there and it became apparent that she really knows her stuff when it comes to cannabis. And so I asked if she would come on and discuss this topic with you. It is one of my most requested topics to shed light on and so I needed somebody who knew more about this than I did. And so Dr. Jess is a M.D., as I mentioned, and she was trained in Western medicine and as she began her internal medicine residency she started to experience some symptoms of her own. She started to notice the more allopathic medicine approach just creating lifelong customers; this revolving door of chronic illness and kind of opened her eyes into why are we not using these technological advances we're instead using these outdated practices to to treat. It's more of a sick care practice.
00:01:51:13 - 00:02:52:23
JO: And so she began to dive in to the world of more holistic healing and nutrigenomics and stem cells and cannabis. So she has a wealth of knowledge. We have a lot of questions for her today that we're going to cover, even the basics of what is THC versus CBD, what full spectrum mean and indica versus sativa and is it really relevant? What's the endocannabinoid system and what is the federal government's role; is it legal is it not legal? What can we do in states that are medically allowing this and what about the ones that have legalized it for recreational use. And so we're covering that and more. Oh and pregnancy. I know you all want to talk about pregnancy so we've got some insight into that specific topic as well. So that and more that Jess is going to cover and I think you're going to be excited so I hope you like it.
00:02:55:15 - 00:03:07:25
JO: All right welcome Dr. Jess to my new podcast. Thank you so much for coming on and talking to me about something that a lot of people are very passionate about and want to learn more about which is cannabis.
00:03:07:25 - 00:03:11:12
DJ: Hi Janny. Thank you so much for having me on. Absolutely honored to be on here.
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JO: I'm so excited to of dive in, but you are a medical doctor and you practice out of San Diego. So most medical doctors they have a maybe a more mainstream view of cannabis. So how did you start exploring weed and come to some different conclusions than the more conventional doctors?
00:03:40:13 - 00:04:39:13
DJ: Well that's a great question. You know, I don't know out of all these cannabis podcasts I've done, I don't know if anyone's ever asked me that question. So you know I hail from West Virginia originally. So I come from a place where people grow stuff in their backyards. And everyone knew it and kind of did it anyway regardless of it being highly illegal and you know I would be lying if I didn't say that I haven't used CBD and cannabis in some of my very emotionally traumatic things that have happened to me before you know that I viewed as distress and it really helped me. And so I started to kind of look at the science and look at how across the board allopathic medicine just sort of shut this down and took all their advice from three letter acronym government institutions that I don't necessarily believe always have our best interests at heart. I think everything is a business and fueled by money. It's sort of like I's you have to pull back the curtain to see who's actually running the show.
00:04:40:04 - 00:04:40:19
JO: Follow the money.
00:04:40:23 - 00:05:06:11
DJ: Yeah that's right. And when I finally started doing that I started to think wow there is actually tons of scientific studies on this stuff and tons of science and research dating thousands of years back to even you know Chinese time is back when they had emperors who use this for certain conditions. And so you know the research is really there and the doctors are just basically scratching the surface and not doing their own research on this plant is what I feel.
00:05:06:12 - 00:05:31:00
JO: And when you when you talk about there's so much research out there, there is tons of data on any number of things. But do you feel like there is a limited amount of current studies done because it hasn't been legalized that there is a kind of frowned it's frowned upon from the medical community to even get a sponsor of these studies.
00:05:31:00 - 00:05:42:04
DJ: Yes. And it's unfortunate. You know our hands are kind of tied because you know it is still unfortunately a schedule one according to the DEA with no medicinal benefit.
00:05:42:04 - 00:05:45:16
DJ: However the government owns the patent which is kind of double talk.
00:05:45:16 - 00:06:07:28
DJ: So so you know there is a lot of research on endo cannabinoid system however there would be a plethora of like this would be the Wild Wild West if they would release that schedule one title. We would have a lot more open research on this. Right now a lot of our studies come from Israel where they've been studying this and have much more lax laws to allow research to happen.
00:06:07:28 - 00:06:40:28
JO: Interesting. And so I think for some of my listeners who maybe aren't familiar with cannabis in general, that it is federally illegal so it means like across the United States that it is illegal but it's up to the states specifically to decide if it is legal for recreational use and /or legal for medicinal use and with medicinal use you would need to have a medical card to use it in such a fashion. Correct?
00:06:40:29 - 00:06:43:26
DJ: Yeah absolutely excellent explanation. Yeah.
00:06:44:00 - 00:07:01:17
JO: And so if technically in California it has now been legalized recreationally if the federal government felt like they had a bone to pick with somebody they could technically go in and disrupt that?
00:07:01:18 - 00:08:19:04
DJ: Oh yes absolutely. So they are kind of picking and choosing who they want to come down on. I've definitely heard legitimate stories about them going into new smoke shops and reading all the labels and confiscating things. In fact you know I gave a speech on cannabis this year at A4M which is the largest anti-aging conference in the world in Vegas. And I had been there two years prior and seen every other vendor booth base CBD. And it was that thing it was blowing up and then this year when I went to speak there was no CBD vendor booths. And I asked what's going on. And they said last year the DEA walked up in this conference with vendor booths in Vegas and confiscated every single CBD product every single hemp product, read the instructions and said "you're never allowed to have this here again". And in fact the cause that happened during my speech I asked how many MDs, DOs, naturopaths were there and how many from the DEA. And they absolutely raise their hand because they have to disclose. So they were there. Two of them. They were there at a doctor's conference listening to our speeches on cannabis after they confiscated the CBD . So absolutely the DEA can pick and choose who they want to come down on and their authority supposedly trumps the state in some instances.
00:08:19:04 - 00:08:43:03
JO: Yeah. So. OK. I think maybe we should explain. Or maybe you should because you're more of the expert. What what's the difference between CBD and THC? And then I would as a follow up ask why would they be confiscating CBD which if it's derived from a certain maybe hemp only there's no THC in it?
00:08:43:14 - 00:09:14:03
DJ: So great question. So the difference between CBD and THC: cannabis in general has it's a catch all for lots of different conditions because it has so many different constituents. Over 400 compounds and only about 150-200 we've labeled and recognized. So it has so many different constituents in it. Some of them are psychoactive. Some of them are more anti inflammatory. Some promote sleep. And what I'm talking about there are the different cannabinoids with it in the plant and CBD is one of the cannabinoids.
00:09:14:04 - 00:09:18:08
DJ: There's also CBG, CBN, CBC, CBD.
00:09:18:09 - 00:10:12:08
DJ: Like I mentioned. And in THC there's also THC-A. So THC is the psychoactive part of the plant it's famous for what we call getting people high and CBD is not. It is more anti inflammatory. It has a lot of positive benefits on mood and influencing into cannabinoid system which coincidentally I wasn't taught about in medical school. But we have one, each one of us and it's integral and pain and movement perception in so many different things we found out now. So you know really CBD is a non-psychoactive part of the plant. You would think that it would be legal but federally all of it is still illegal and they actually just had a go around with the farm bill which was supposed to protect hemp but when the bill was passed and gone through it actually protects the hemp growers and not the suppliers of hemp oil. So this is all still federally illegal.
00:10:12:08 - 00:10:23:21
JO: Really?! OK so hemp which is CBD only (no THC properties) is federally illegal because it's anti inflammatory?
00:10:23:21 - 00:10:38:11
DJ: Yeah yeah. So the federal government still is not releasing any of this and that's yeah. I'll be honest with you I think it's because they they want to monetize this and make their own products and then they're gonna have all kinds of rigorous standards. It's gonna be more like a drug I'm afraid.
00:10:38:11 - 00:11:03:11
JO: Well right. Because I did see I mean I feel like it was a couple of years ago that they had announced like some pharmaceutical company was in works to create their synthetic version of cannabis THC or CBD I can't remember which one it was but to prescribe to patients who are using the natural version which they could grow themselves but now they want to sell it to you.
00:11:03:13 - 00:11:20:14
DJ: One example that I've seen recently is Epidiolex is name of it and I can't remember who makes it. Maybe GW Pharmaceuticals who by the way has done most of the cannabis studies research studies out there. But this drug is approximately thirty thousand dollars a month and it's for refractory seizures for children.
00:11:22:26 - 00:11:32:17
DJ: And I just I'm like, when is it unethical- at twenty thousand, at ten thousand- when is it unethical to do this when you know this is a natural substance.
00:11:32:22 - 00:13:31:22
JO: Yeah. You know I have a contact who does the like Rick Simpson type oil where it's like the very thick molasses is what the cancer patients use but she's doing it in a fashion that's not using any harmful extract methods and you know for a cancer patient the supply of this substance that is extracted only from the buds and it's very highly concentrated- you're talking maybe three to four grand a month. And so 30,000 sounds like an exorbitant amount for a synthetic version . For the FDA approval. Right. Right. Well there you go. It's the FDA approval. And so one thing you know from my background when I look at like ingredients and so maybe you can tell me if I'm coming at this from the right way or if it's a little bit different with something like cannabis is that like take essential oils for example you know you take a plant in your you know boiling down essentially the essence of that and some fragrance companies have come in and they're taking isolated constituents from the essential oil and using it the fragrance and and my reaction to that is- well, the plant is designed to work the way the plant is designed. They all react to each other in that environment. And so when you remove certain constituents I don't know that it's been necessarily proven that that one constituent on its own is now safe without the other parts. And so would something like CBD, and you go through a process that you remove the THC, is it removing some synergistic effect?
00:13:31:22 - 00:13:36:09
DJ: That's a great question. It all depends on how they extract novelly the plants.
00:13:36:09 - 00:14:21:15
DJ: You know some people do a cold ethanol extraction and some people do a CO2 extraction both of which are pretty clean and whatever works for them. And yeah you do absolutely in that cold ethanol process and crystallization process you actually do remove a lot of the cannabinoids and THC and things like that. That's why they test parts per million or parts per billion on a third party testing on COA (certificate of analysis) to see exactly how much is in there. And so you want to look to see if their certificate of analysis is in parts per million or parts per billion. That's important too. The other thing is that they remove THC by using different wavelengths and different temperatures. So it's all very tailored to what company you're using. So that's why it's important to know what questions to ask. Right.
00:14:21:15 - 00:14:46:17
JO: And you mentioned the certificate of analysis. So you see some brand being promoted. A lipstick on Instagram for example. And it's a CBD, it's derived from hemp or wherever, you can email them and say "Can you please provide me for your certificate of analysis right?" Yeah. So what are you looking for on that? First of all they don't want to give it to you. That's a red flag. Yes. And B) once they give it to you, what are you looking for?
00:14:46:17 - 00:16:06:12
DJ: So you know that's the thing you want to look fo whole plants. For example you know total or full spectrum and that's a buzz word that a lot of people are using without really knowing what it means. And it's really is the Wild Wild West of CBD right now and they're not all created equal. So you know for example there are some companies taking out specific constituents and cannabinoids like CBN CVG and we don't know how those react in the body individually. The whole plant has been shown through studies to have an entourage effect. And so when you get that COA in my opinion it's important to look and make sure that you have CBD CVN CVG CVC and 0.3 percent THC which is you know they say below the legal limit. But then what's legal now? Right? So I truly feel that THC is necessary even in just 0.3, 0.2% to activate the other cannabinoids in the plant. So I don't really believe in THC-free CBD unless someone's in the military and have rigorous drug testing. And at that point you know you do need to be a little bit more careful but you want to look for all of constituents. That's you know they activate each other just like you know all the different shogaols and gingerols activate ginger and make it powerful. You know when you remove single constituents you know this is the Wild Wild West. There's no FDA regulation there's nobody looking at this. So it's people making their own claims that aren't necessarily true all the time.
00:16:06:14 - 00:16:17:00
JO: Right. OK. But but in regards to hemp specific. Yes. There wouldn't be any THC in that so they wouldn't be able to say there's 0.3 THC in hemp CBD?
00:16:17:01 - 00:16:40:22
DJ: They actually can. Yeah. Hemp sometimes does have a little bit of THC. It's all how it's bred. Yeah absolutely it's all how it's bred. And so you know these are just really it's the exact same plants just a different species. And so it's all in the inner workings of the genetics of the plant and how they've chosen to cross breed it. Interesting yeah.
00:16:41:10 - 00:16:48:04
JO: So I do. I also want- You mentioned THC-A. Does that mean activated THC?
00:16:48:04 - 00:17:15:21
DJ: It's actually not. THC-A is non psychoactive. And it's actually what the THC is broken down to in the body. So it's actually something that's very useful and still helps to synergize the endo cannabinoid system but it's not- it's it's funny because you think THC you think that's going to get you high but the THC-A is a little bit different.
00:17:15:21 - 00:17:41:08
JO: Interesting. And so maybe let's talk a little bit about application versus ingesting versus smoking maybe? Because obviously there's a lot of CBD only products that you can buy even online and have them shipped. And my understanding is you can't mail anything with THC is that correct like you can't ship something. That would be considered like a literal federal offense.
00:17:41:09 - 00:17:49:10
DJ: Right. Right. Exactly. You know you don't want to- you know they do ship CBD oil and oil with 0.3 % THC.
00:17:49:10 - 00:18:08:08
DJ: There are people doing that. You know Interstate wise across state lines so there are people doing that and it's a very gray area. But like something like Rick Simpson oil like you mentioned earlier which is high and very rich in THC then yes that is highly illegal.
00:18:08:17 - 00:18:50:20
JO: So when I was first actually I'll come back to the comparison stuff. But with with Rick Simpson oil. This is a few years ago I was researching different things to me it helped me manage my insulin sensitivity and for some reason I had come across this Rick Simpson oil. And so I do what I do and I dug deep and tried to figure out what this was and I started calling people who were saying that they were making it, you know in their home and they were selling it. And the number of people within California and outside of California that told me they would ship it. I was like "yeah, no" because I feel like as a recipient I would be just as guilty and I don't trust you for even saying that you can do that.
00:18:51:01 - 00:19:08:10
JO: But what's interesting is that it did on a very, because I was taking just a tiny little bit like half the size of a rice grain, and it helped. I actually gave it to my dad who is type 2 diabetic and he was able to get off of his insulin.
00:19:08:10 - 00:19:09:04
DJ: No way.
00:19:09:05 - 00:19:29:16
JO: Yes and he was like. He's like one of those Excel geeks who would like chart the whole thing and he's taking it to his doctor showing look look what's happening. And I think he's just stopped taking it because he he was starting to get up earlier and earlier and he just still felt the psychoactive effects. And so he had to kind of wean himself.
00:19:29:17 - 00:19:52:01
DJ: That's one thing with Rick since in oil you know in cancer patients we actually want them to try and get to a full syringe rather than just a grain or two. And in some people you know with cancer their livers just don't work very well. So it's they get up the next day and they're high the whole next day. So you really it's it's you have to choose. You know you have to find the balance between quality of life and also treatment.
00:19:52:01 - 00:20:11:12
JO: Right. So back to the application. So obviously if you are applying CBD or even THC for that matter topically you shouldn't be getting high- is my understanding- you might have, there's some people that can experience a high with a topical THC.
00:20:11:12 - 00:20:36:00
DJ: Right. Exactly. You know they actually in California and Oregon I found places where they're giving like canvas massages. Yeah. So you know people can if they have a high dose all over the body feel a little bit of the psychoactive effects but mainly not. Mainly not too much unless it's a high high dose of THC. But again doesn't that just exemplify how everything we put on our skin matters because it's absorbed?
00:20:37:10 - 00:20:37:25
00:20:38:05 - 00:21:25:18
JO: And so my husband Charlie and I we've had a few different topicals because he has a slipped disk in his back and he's been struggling for like 20. I mean this is a 28 year old injury that he, I'd found out, you know when we were married that he was taking anywhere from six to eight ibuprofen a day. And that was the only thing that helped him. And so but once we- there was a specific oil that he put on his back and that was he's like it's just as if not more effective than taking the ibuprofen. Just the topical. But now the oil that he used didn't work for me. There was there's a balm that I use that doesn't work for him and it's so interesting that like werespond differently to different I mean the same brand too. And I think the same amounts but it just our bodies respond differently to the product.
00:21:25:19 - 00:21:45:20
DJ: That's amazing. And I hear so many people tell me that you know they'll try quality oil that I've recommended and not feel anything. And you know sometimes people need a little bit of THC to distract them from the pain or to put them to sleep. There's no judgment. You know everybody's endo-cannabinoid system is very different. Just like our dopamine and serotonin systems are so different too.
00:21:45:24 - 00:22:30:28
JO: Yeah. And so when now especially in California. There are a lot of these shops that are that are popping up and they offer a lot of topical stuff and because I'm you know a skin care and beauty freak I'm looking at the ingredient going I wouldn't buy Ninety five percent of what's in these stores because they're putting these parabens and phosphorylated ingredients in with the cannabis and I'm like that's not clean anymore. So yeah it's it's hard to find like good quality stuff, which brings me to my point about the clean green certification which I'm sure you know about which you can't say it's USDA organic because that's a federal label. So they've created their own right to create the clean green label.
00:22:30:28 - 00:22:32:13
DJ: It's kind of like the non GMO label.
00:22:32:13 - 00:22:36:24
DJ: Yeah it's these private corporations doing things which- perfect. Do it.
00:22:37:06 - 00:23:02:18
JO: Yeah So so you can actually search clean green certification and kind of narrow down like what are the brands maybe that qualify under that, that at least give you a cleaner or more organic approach to those products. So you're not- because it- Just out of curiosity, would we actually ever be sprayed with Roundup?
00:23:03:00 - 00:23:52:11
DJ: Oh my gosh yes. Unfortunately. And I actually was concerned there for a while before Monsanto was bought by Bayer that they were really interested in that seed and looking at the cannabis seed in general about how to modify it. I still think that there is some concern with that because you know anywhere the money is to be made they're going to be looking. And yeah absolutely. Herbicides are huge. Round up- huge problem on marijuana crops. They're very prone to things like mites and mold and stuff like that. So you know people don't know about cayenne or neem or things like that then yeah you know it's dangerous. You really really need to know where this source comes from and now in California they have everything with certain packaging and in already pre labeled pre bottled and tested for all that kind of stuff.
00:23:52:12 - 00:24:20:28
JO: Well and that's it's such a sad what could end up being this vicious cycle because let's say somebody gets lymphoma from you know like chronic roundup exposure like we just saw that groundskeeper and then they decide to treat with Rick Simpson oil and that is a very highly concentrated dose of this cannabis. Also with glyphosate in it. It would almost be defeating the purpose.
00:24:20:29 - 00:24:45:29
DJ: It's irony to its finest and I'll tell you the other thing you have to watch out with hemp is- hemp are taller bigger plants and they actually absorb more from the at the groundwater and things and minerals from the soil. So we really have to make sure that you know you're not near a power plant or you know some sort of factory farm where the runoff is absorbed into the soil where hemp plant is grown. Location is important.
00:24:46:07 - 00:25:00:23
JO: And so would you be more in the camp of like OK so this plant was grown. You want it to be like in a more natural environment where it's outdoors and having exposure to the sun or is a greenhouse more protecting from the outside environmental factors?
00:25:00:24 - 00:25:49:25
DJ: You know it really depends on where it's grown. You know that the company Charlotte's Web who made the famous CBD for little Charlotte who stopped her seizures you know they they are grown outside in the Colorado sunshine and they do a great job you know really rigorously testing and making sure the soil is a good quality. You know greenhouses are great too. They're- to each their own as long as they're doing it right. They understand how plants work. You know you used a phrase with me, you said biodynamic farming. And that is where people should be looking you know for the regular farming industry it is a little woo woo but you know for if you look at indigenous cultures and your ancestors you know they did very well with things like that and they had you know it's healthy microbiome starts with the soil and in healthy plants and everything else goes with that.
00:25:49:27 - 00:25:54:24
JO: I'm enrolled in Doctor Zach Bush's biology base camp right now.
00:25:55:01 - 00:25:57:19
DJ: I'm following him. I started following him.
00:25:58:08 - 00:26:30:09
JO: I'm getting immersed in the soil aspect and he's got a documentary coming out where they're actually going to be showing you how they're helping these farmers do regenerative agriculture or I guess it's the same biodynamic farming. I think those are pretty interchangeable. But yeah. This is all so important in all the minerals and stuff that are that are in our soil and how things like glyphosate have disrupted the soils microbiome so it's all of it is so important.
00:26:30:09 - 00:26:58:09
DJ: I mean I see everyone whether they eat meat or not as B12 deficient now. It's nuts and you know that if that starts with you know the cows and recycling that soil, pooping it out the manure is really important and it is a fertile breeding ground for these microorganisms that recycle the B12 for us. So that just goes to show you how stripped the soil is nowadays. I mean it's a concern. I agree with you. I didn't know Zach Bush was doing all that. That's really cool.
00:26:58:09 - 00:27:29:17
JO: Yeah. He's blowing my mind with some of some of this stuff but more the farming aspect is very very fascinating what what they're doing there. Check it out. So when we're talking about the endo cannabinoid system. Yes. So our bodies from what I understand external internal are covered in receptors that are they kind of like smart like you apply something and the ones that need it take it? How does it work?
00:27:29:22 - 00:27:30:02
00:27:30:02 - 00:28:18:14
DJ: So this is actually you know it uses something called G protein coupled receptors and this is actually this is a very common receptor in the body. This is the most widespread G coupled protein system in our entire body. And they just didn't teach me about it in medical school. So basically you have CB1 receptors you've have CB2 receptors and there's actually proposed CB3 receptors. They also think is in the brain but it's not discovered yet. That's how little we know. And so these CB1 and CB2 receptors are found anywhere from the brain to the bowels to you know the uterus to the gut. I mean they are everywhere and CB1 receptors are found on white blood cell excuse me on. Usually in the organs the brain the liver. Things like that. CB2 receptors are found on all of our immune cells so they are absolutely immune modular for that purpose.
00:28:18:25 - 00:28:53:04
DJ: So it's this vast just you know complete system that works in inner place with so many different things. In fact in a lecture on one of the studies I spoke on was they took mice and they knocked out their CB1 receptors. So doubly knocked out both receptors and these mice had the Tylenol had absolutely zero effect on them. And for a while we didn't know how acetaminophen or Tylenol worked in the body. And now we know it indirectly works with the endo cannabinoid system. So when they don't have those endo cannabinoid CB1 receptors, those mice didn't even get any benefit from Tylenol. It was the endo cannabinoid system the entire time.
00:28:53:04 - 00:29:09:04
JO: Interesting. Yeah. And you know you mentioned like you know the immune cells having receptors. Would that mean that you would actually have to ingest the cannabis in order for it to reach those cells? Or is would smoking breach it as well?
00:29:09:05 - 00:30:06:06
DJ: No smoking will reach it too. Absolutely the different mentalities obviously I have my preference about which way we should you know recommend and medicinally treat but yet it's reached either way. And just because you know you tag it with an exogenous cannabinoid doesn't mean it's always good. Chronically right. So there are some risks with anything. I mean even too much water you can drink can be poisonous. So it's these things obviously are all in balance but you know the endo cannabinoid system in general is meant to function on its own and you're supposed to make your own endogenous cannabinoids in your body but you know just like every other system that I see immune system or you know serotonin, people systems turn haywire and they get their wires cross and they all function properly. So this is actually medicinal for that purpose. And the immune cells you know it's a huge thing . Things like low dose naltrexone cannabis things that really can ping our immune system can heal people.
00:30:06:09 - 00:30:17:04
JO: Yeah. And like there are some I don't know if we're allowed to say this with more thc like the thc would be considered more anti cancer.
00:30:17:06 - 00:30:33:25
DJ: You know we don't have definitive studies on that yet but we it seems to be so yes it seems to be so that that is more anti carcinogenic and does help to stop and slow the growth of some tumors in studies.
00:30:33:25 - 00:30:51:14
DJ: For example in petri dishes it would absolutely halt and cost an apoptosis which is cell death in breast and prostate cancer cells and things like that. So they they really defined a lot of this in animal studies and outside the human body.
00:30:51:17 - 00:31:22:16
JO: That's awesome. Yeah. And one of the things I heard that kind of just blew my mind and I went and looked at some of the studies on it and you can tell me if this is real or not but a baby a newborn baby experiences their first cannabinoid through the colostrum it's at the endo cannabinoid system. And the when they get the colostrum it then stimulates their appetite so they suckle more. Yes is that true?
00:31:22:16 - 00:32:12:02
DJ: Yes and it does. So oxytocin is also involved in that which is the love hormone but yeah absolutely the attachment form. Yeah absolutely. That's so true. anandamide is our endogenous cannabinoids what we make in our body and anandamide is Sanskrit for bliss. Isn't it beautiful. Yeah. And so actually runners release the anandamide and they're like you know 20th mile that's the runner's high. And babies in general breast milk you make your own endogenous endocrine cannabinoids in breast milk that are passed to the baby and that is what helps to they think form the bond between the mother and the child. And I'll I'll give you another study that you'll like to Janney. There is now evidence showing there's a reason that there's so many CB1 receptors in the uterus and they actually think that it plays a novel role in implantation of the embryo.
00:32:12:03 - 00:33:20:23
JO: That's interesting because I was going to bring up you know it is is this safe. I mean obviously you're going to say yes pregnant women you should have this but there there is this war going on between people who want more studies about is cannabis in any capacity safe for pregnant women because you know when we're carrying these children there are a lot of things that happen in terms of pain and you know or not. I remember being prescribed unison by my midwife because that was the safest thing in her opinion to help me sleep because I couldn't sleep laying down I had to be sitting up and and so several people have asked me like well what if I just took a hit of a high CBD. Is that OK. And it right now it has like one of the toughest classifications it's like an L 5 category based on one person's opinion about about this drug and somebody went like challenged it and showed like evidence wise why he was wrong and why something like oxy I think has a level 3 classification so they would much rather give you oxy over taking a hit of cannabis.
00:33:20:25 - 00:34:12:15
DJ: It's crazy to me and you know honestly they prescribe narcotics and things during pregnancy sometimes to you know some of the things that they give and call safe. I just feel like we live in a backwards world. I mean I know you feel that way too. Yeah. So you know it's hard to say and I have to watch my words here really carefully but I'll tell you what I know in the studies so there's not a lot right. And when things go recreational. Everyone freaks out thinking oh everyone's gonna think it's safe. And I do think that there's a lot of misinformation given out at dispensaries and from bud tenders you say Oh yeah. If you have morning sickness or you have pain in pregnancy this is safe. I want to advise that I do not think THC is safe at all. I do CBD is a different story and there's very little studies on CBD alone. I will say that very few studies that have been done showed that there could be an increased permeability of the placenta from CBD.
00:34:12:15 - 00:34:21:11
DJ: So with that being said if you're doing something with CBD and THC it was going to let the THC into the bloodstream of the baby.
00:34:21:12 - 00:35:47:04
DJ: Once the membrane is more permeable so you want to watch that you know in about a tenth of whatever let's say someone smoked would reach the baby. So you know there are some things about you don't want to be giving. Let's say you know narcotics you don't want to expose those to a child and peeing their opiate receptors right. You want that to develop naturally. And there are studies that show there are developmental problems if teenagers start before their brain fully develops as an adult. And I would expect the same to be true in a child developing. I do think CBD is much more safe than most of the narcotics and oxy and things that they give to throughout pregnancy. However are there verified studies to prove it? No there's very few and so THC and definitely smoking should be avoided. I think this can cause complications of pregnancy and underweight children just like regular tobacco can If you smoke it. in decreased blood flow to the placenta that's what does it. Things like that. So you know really if you're going to use something medicinally let's say you really don't have any other options in pregnancy and you really are at wit's end. You know I don't think it's bad to have a little CBD every now and then. I mean my goodness if they knew how much we're inundated with chemical toxins everywhere. Yeah. So I mean it's it's a balancing game and really everyone needs to do their own research. And you know I will stress again please no THC and be careful with CBD.
00:35:47:12 - 00:37:06:09
JO: So I was I did hear when you're talking about morning sickness,. There were a number of accounts of women who had and I don't I think I know the name I don't know how to say it it's like basically the morning sickness the one that the Kate Middleton had were it- hyper EMRs syndrome. Yes. Yes. So women were using. I don't remember if it was CBD or if it had THC in it because it was the only way that they could keep food down and they felt like it was in their best judgment that if their child they're developing child needed nutrients. I mean they are the duchess so they aren't able to have like round the clock care in their home taking care of their their body. And they were able to have bring these babies to term. I would encourage other people to go to go obviously look at that. But the guy who made the recommendation for the L5 category for cannabis as a whole regardless of the level of THC- He quoted some studies that said you know there's significant impact to weight in length but when you go look at the studies it's like a zero point zero eight centimeters difference and like a 14 gram difference in weight and I mean these are seem more statistical and less clinical.
00:37:06:18 - 00:37:41:27
DJ: Yes exactly. I do agree with you on that. You know. Absolutely. There's so much you know the medical studies peer reviewed medical studies you're also an expert at researching this. What does that mean. Yeah. You know what does that mean. You know like your peers looked at it and agree with you? Right. You know is that I need to know who's funding studies. I need to know exactly. And so peel back the curtain of oz I swear. But you know that's the thing. You know these like you said it's technical it's scientific it's put into words how much this is relevant in everyday real life experiences a totally different subject.
00:37:41:29 - 00:38:32:05
JO: Right. And so on that note though with pregnancy now you're a mom. You. There is a stigma around women whether whether deciding to use a vape or whether they're just having the little CBD drops you see pictures all the time on social media. Like is it five o'clock. Yeah I've got a martini with their kid hanging off of them. But if they've got a bottle of CBD oil it is like outrageous I'm going to call CPS on you. So I'm like this stigma has got to stop. It's crazy. People have got to expand their knowledge on what exactly is happening, what exactly that product is. And yeah it's like I can I should get drunk with my kids because it's five o'clock and I need the stress relief but I'm not allowed to have CBT to have a mood boost?
00:38:32:05 - 00:38:38:11
DJ: I mean it's crazy to me and you know with. There is a new study I know you know about it recently came out that said no alcohol is healthy.
00:38:38:14 - 00:38:40:27
DJ: None zero. We were lied to the whole time.
00:38:41:04 - 00:38:51:03
JO: Yeah I know even from like an antioxidant perspective from red wine because I think a lot of a lot of Italians and like from Mediterranean side would say like No no don't take my red wine
00:38:51:09 - 00:39:24:06
DJ: Oh I trust me I like red wine too I love resveratrol it's amazing I have it in my inflammation master actually I know it's wonderful but I actually think they've bastardized the alcohol industry just like they did the food industry and and so it's the additives and nastiness nitrate sulfates and table wine more so than you know the actual alcohol but you know that's the thing people think that it's OK and it's healthy because it's it's you know the stereotype now and I agree with you how to make people more open minded and willing to try things.
00:39:24:10 - 00:39:40:09
DJ: I think that goes back to looking to authority to make proper decisions for you rather than doing your own research like Don't listen to me Don't listen to Janny here go. read on your own and formulate your own opinions don't just listen to authority because they don't have real life experience in your life so.
00:39:40:11 - 00:40:02:03
JO: Right. And what I tell everybody absolutely do your own research but one of the first things you do when you read a study I read that I read the title the article I look at the conclusion in the abstract and then I look at the authors I look their names up and I look at who funded the study that's I mean it that's always my steps before I even bother reading it. OK you've concluded that this is this is harmful and who paid you. Oh Merck OK.
00:40:02:16 - 00:40:11:16
DJ: Yeah I mean there's this disclose any conflicts of interest and there have been times that they haven't. So it really is it's it's just a wall of misinformation sometimes.
00:40:11:16 - 00:41:17:13
JO: Absolutely yeah. So I very big on obviously the same as you questioning everything. So let's talk about edibles for a second because edibles seem to have a market of their own. Maybe they are maybe they can be used medicinally but in my mind they seem to be more recreational and you know you want to like maybe have a buzz because we've looked at a number of things to manage a number of issues whether it's back pain or so is it better for my husband to have a little bit internally you know you take one of those blueberries and I have seen people like flat on their backs from a blueberry and so you know we both follow Olivia, organic Olivia she's amazing as she was posting a bunch of cannabis stuff and I was like screenshotting it all but she had mentioned first of all there's a book called Potatoes not Prozac and she was saying that potatoes like people who if they take too much THC can have potatoes or potato chips because they like change the neurochemistry and they calm your brain down
00:41:17:18 - 00:41:18:25
DJ: oh wow is that.
00:41:18:25 - 00:41:19:15
JO: Have you heard that?
00:41:19:15 - 00:41:21:10
DJ: I've not heard that actually.
00:41:21:10 - 00:41:27:02
JO: I was like Well it's interesting. I mean if it does turn out to be true you're like you get the munchies, let's have some potato chips. That's the answer right. It satisfies that craving and it bring you down if you get too high.
00:41:36:14 - 00:42:01:07
DJ: Yes CBD as CBD actually if you get too high from THC can counter and temper the effects. Yes. Good to know if you have like some just CBD oil on hand and someone gives you an edible and you think you're going to die. Yes. You think it's Joe Rogan who said you know you could eat like a leg off of gummy bear and feel like you're going to die sometimes. Yes. Yes. You know this is such a demonized plant and it's just really not called for most of the time. And I'll tell you.
00:42:01:07 - 00:42:54:29
DJ: You know you brought up edibles. I completely agree with you about edibles. I think they're more recreational. And the reason is because a) you know I have a bone to pick with many of them. They they promote themselves for you know people who have chronic diseases or pain or cancer and then they have all these additives and chemicals in processed sugar and rolled in sugar. Yeah awful. It's really there's nothing clean about them. I'm like Where are the enlightened people making the edibles.? Actually my best friend back in West Virginia does this and she makes amazing ones without fillers but it's rare. Perfect. It's rare. Yeah. And so you know with edibles to the other problem with them is you never know what someone's gut is like or how much it can absorb or if they have any malabsorption effects or how much acid. And so we can't really gauge how people are going to feel with an edible because how much of the acid is going to kill it. So it makes the bloodstream. We don't know. So the medicinal quality of edibles there's just really not there. They're so hard to predict.
00:42:55:13 - 00:43:08:06
JO: Yeah that's that's a really good point. I never thought about that you could technically be absorbing too little or even wasting it sort of like if you take like 200 vitamins a day like you're basically peeing it out anyway. You're not really absorbing it.
00:43:08:09 - 00:43:34:21
DJ: Yes. And you know that the acid destroys so much. I mean it's the problem with probiotics right. And so you know does it make it past the stomach acid? You know it's hard sometimes. With smoking you bypass that you know with oils it's a little bit easier to predict because we can see exactly how many milligrams or per drop you know. So we can kind of predict a little bit more and topically too you don't have to worry about that. So I just think there are other more medicinal options.
00:43:34:23 - 00:43:44:08
JO: You know have have if you contact high. Is that really a thing. If I'm smoking and my husband's not but he can. It's can he get...
00:43:44:08 - 00:43:55:28
DJ: No no no. I've never I really think that's more of a wives tale. I think animals are more like that more sensitive to like it is to that than humans are. Interesting. Yeah.
00:43:56:07 - 00:44:10:29
JO: And because we had talked about just straight laws in general just real quick. If a state has legalized it for recreational use is there a reason to have a medical card anymore?
00:44:10:29 - 00:44:52:05
DJ: Well that's a great question actually. You know yes. In some places and this the laws vary from state to state. So it's really hard to keep up with the individual laws for individual states but in general most states provide a tax break for those who have a medicinal card because as you know this stuff can get really expensive quick. And so it is nice to have a huge tax burden on that sometimes. And then also you know some people still work you know nine to fives where they're not as open minded and you know if anything ever push came to shove or you know they were asked to prove something. There you have a medicinal card with a doctor's signature saying that this is part of your treatment.
00:44:52:06 - 00:45:18:03
JO: Got it. Interesting. Yeah I forgot about the tax break or at least you know you get a little bit of a discount and as particularly if you are going to source the cleaner stuff without additives and fillers it's going gonna be more expensive because people might be compared to product and say oh this one's less I'll get this one but really you might not be getting anywhere near what the more high quality, more concentrated, cleaner version.
00:45:18:08 - 00:45:29:22
DJ: Yes. And that's an excellent point to a lot of times you will have a different a whole different options to choose from in a dispensary or wherever you go because you do have a card. That's true. Yeah.
00:45:30:04 - 00:45:55:20
JO: Interesting. Well I have a few questions that came in through Instagram. And I'm just going to kind of scroll through these I don't know how much time we have and what we haven't but we haven't covered because some people are asking is THC bad? cannabis during pregnancy which we've already talked about. weed for auto immune issues.
00:45:55:22 - 00:46:35:16
DJ: So that's a great question. Yeah. So you know auto immune issues they usually stem from things like gut problems and inflammation. And so what I tell people all the time is cannabis and CBD in general, some of them was anti inflammatory substances on the planet- They had a huge safety profile in windows so You can feel free to dose. There's never been one death known to be caused from cannabis unless someone was driving on it. So you know so that I want people to feel safe to be able to try their CBD oil or hemp oil or whatever they choose to use and I want you to know that it does help inflammation. It does help pain. I mean you've heard Janny here talk about her husband's back pain and how the topicals really helped with that.
00:46:35:16 - 00:46:55:05
DJ: I mean it's a miracle for some people with rheumatoid arthritis really helps the pain. And so you know not every substance and what route you choose to use will help every single person. So feel free to experiment because this is something that can really help treat emotional and physical pain.
00:46:55:17 - 00:47:13:17
JO: And so on that note with physical pain and do you know much about RSD or CRPS?
DJ: RSD as in the dystrophy.
Yes. Yeah. And CRPS which is like a.. Let me just pick up where the actual name is; complex regional pain syndrome.
00:47:13:17 - 00:47:15:22
DJ: Yeah actually I have a couple of patients with it.
00:47:15:22 - 00:47:23:08
JO: So we from what I understand is pretty rare. And I we have a couple people in our lives that that have it.
00:47:23:10 - 00:48:55:26
JO: And one of those people has it took about I think 18 months to wean themself off of the pharmaceutical drugs. And there's a lot there's a lot of drugs that he was taking in pain management. just been elevated up and up the chain of the pain management side. And so. So cut to like okay. He wouldn't he would cut one pill in half and then take that for a week and then you would cut that one in half and take that one for a week like in terms of weaning himself off of one pill at a time. And so now what he does is he grows his favorite marijuana in his yard and then he makes cannabis infused butter and then he takes that butter and makes brownies and that he went from taking huge amounts of medication to mix one pot brownie a night and that's it. And in that that is his medication. And he because he was you know challenged by it you know he saw what was happening to his body and you know so many people in his life like this medication is going to kill you. And for people who don't know about like the Crips it is debilitating chronic pain. it's nerve pain. But so now the other person in our life who is on the pain regimen he was you know let's say 10 years ago before he started to wean himself off we're like maybe maybe you should try this. Do you think they would have the same kind of experience or is just everybody different like she might respond differently to what he did.
00:48:55:27 - 00:49:46:23
DJ: She might respond differently to what he did. Depending on the endo cannabinoid system you know if it really is haywire it needs some love and support. I mean I've seen people be knocked out and groggy with CBD oil. Like there's something happening there. If that happens to you you know and I'll tell you a story really quick while preserving patient confidentiality. So I have a patient right now. She's a friend of mine. Hi, A, If you're listening. She actually has complex regional pain syndrome and it happened after an emotional stressor an argument with her mother and then she got stitches in her finger and a stitches over time began to swell and cause pain and that didn't go away until they remove them. And then she was staying in her closet thinking about the fight with her mother and nerve pain spread all over her body. And it's never gone away. So she I've encouraged her to use CBD and low dose naltrexone and we stopped her pain.
00:49:46:24 - 00:49:50:08
JO: Really. Yes. So when you say CBD is this topical or is this drops?
00:49:50:08 - 00:49:56:29
DJ: drops. But you can do both. You know they both work and different that's safety use both of people would like.
00:49:57:00 - 00:50:08:00
JO: Interesting. Yeah. Yes I was even thinking like I'm like bull you could probably should ingest it because you'll get more of it but that's not necessarily true. Like it just you kind of have to experiment what works best for you?
00:50:08:01 - 00:50:43:24
DJ: Totally. And I would say that the majority of people if I had to guess would get more out of it orally you know and I will also say that I the reason I think that it works so well sometimes people need THC in a psychoactive effect because what it does is it puts you in a different headspace and you can view things that are painful such as emotional traumas from a different perspective and that's healing because as you know Janny emotional stuff cause physical manifestations down the road all the time. So if I can unravel that ball of emotion and stress and thoughts in people's head with whatever modality it takes to have them perceive it a different way that's healing.
00:50:43:24 - 00:50:57:15
JO: Right. That's that's a great point. One other question I totally forgot. Somebody somebody brought up and we didn't even talk about this. Was that the different types like indica versus sativa versus blends do you want to explain that. Sure
00:50:57:15 - 00:51:42:23
DJ: Sure. So I will explain to people this is more of the Phenotypic description of the plant so it's more these days about what the plant looks like than it is actually what it's made up of because nowadays dispensaries that kind of capitalize on this saying oh this is a sativa that is energizing you know keep you awake here's an indica it's more slinking on the couch it's good for bedtime. They've sort of capitalized on those buzz words but nowadays there's so much cross breeding between plants that most of us don't even know and a lot of hybrids. And so you know sativa is a more slender leaf longer leaf, indica is shorter and stubbier or with fatter leaves. And it's really just the physical description of the plant these days more so. But in general if you want to be technical Sativa is more energizing. Indica is more relaxing.
00:51:42:23 - 00:51:59:11
JO: Right. Yes. Yeah. So two questions about children. One is how. How is it helping children with seizures. And the other one is how has it been shown to help kids with autism.
00:52:00:10 - 00:53:20:17
DJ: Yes. So for seizures this is really one that a lot of if you're wanting to look at studies this is one that you can find studies on. And I say that because you know they're just coming out with epolidex which is the 30000 older medication for refractory seizures in children. So they had to have studies to kind of back that medication right. Yeah. So you'll see a lot of stuff on refractory seizures and cannabis right now in neurology neurology studies and I do think you know if you go to the states and you go get a medical card that's one of the ways to get exempt for it is do you have seizures? And so it really does help calm a hyperactive brain that way. really does. And as far as autism goes, so you know. Well first let me back up I'll tell you story when I was working giving medical cards in California a mother came in with a little girl who was eight and she hadn't made eye contact with her mother since she was an infant. Of course she had continuous epileptic seizures and they she literally couldn't move was shaking the whole time that the rep for the CBD company happened to be there and they gave her 20 drops of CBD oil and her g tube. She can't even swallow. And that little girl stopped seizing right in front of us 15 minutes later and made eye contact with her mother and everyone in the clinic cried.
00:53:20:19 - 00:53:22:05
JO: I'm thinking about crying.
00:53:22:06 - 00:53:27:08
DJ: It was beautiful. And so I've witnessed it firsthand. I know that it's helpful for seizures.
00:53:27:16 - 00:53:30:11
JO: This is what Charlotte's Web was developed for, correct?
00:53:30:12 - 00:54:39:25
DJ: Yes absolutely. Absolutely. And you know that's how they realized that we need THC all the time you know they made a formula without THC for this little girl. So yeah. And so as far as autism goes I have I haven't had personal experience with this as I don't treat children but I've heard many many many stories and the science is there. You know this is again I feel like children trapped in their own bodies almost. And so they have a lot of gut problems and inflammatory problems. And so you know removing the inflammation really treating the hyperactive brain since they're really angry you know can make a world of difference in their moods and their stabilization ability to talk and comprehend things. And so you know some of these children you'll meet doctors who will say hey they need a little more thc and that's really a specialized niche that I don't get into. But I don't judge either. I'm sure that some children do need that and their mental status is you know- benefits a little bit. But in general CBD I have seen it help with mood definitely in some of those cases.
00:54:40:02 - 00:54:56:24
JO: OK good. Yeah. So somebody asked a good question was what to look out for with vapes? And that reminded me that there I heard that there was an issue with a lot of the vapes have formaldehyde or if I'm not sure if that's in the product like they insert into the vape. Do you know?
00:54:57:06 - 00:55:25:21
DJ: You know I hope you know that with formaldehyde. I do know that there's a lot of propylene glycol which is to you know gross and you really need to be careful the way that the fillers in the extraction process with that if you're going to use a vape. I really you know there's not a lot of studies done on them and even e-cigarettes have come with cadmium you know heavy metal toxicity. So you really have to do the research and how they're extracting and ask them questions and they should know how they're decarboxylating the product.
00:55:26:09 - 00:55:28:24
00:55:28:24 - 00:55:30:26
DJ: CO2 extraction. It's actually removing a Carbon Group and making it that we'll be able to vaporize able and so the CO2 extraction is the safest way to do that as far as the vape pens go.
00:55:40:23 - 00:56:08:04
JO: OK. So people should be able to email the company and say do use CO2 extraction if they say no. That's probably a red flag. I don't know that would be a red flag correct. Yes. OK. All right. Do you have time for a little bit more. OK so. Oh gosh I've been in a lot of questions about pregnancy. I'm glad we talked about it but they somebody asked regarding pregnancy are the Jamaica studies legit?
00:56:08:06 - 00:56:55:19
DJ: I know exactly what studies they're talking about. So basically this is an older study when it was done. And forgive me I can't remember who did it but it was a study about Jamaican women you know that you know they said they smoke it's part of their culture. Sure it's you know cannabis is how they grew up. And so when they get pregnant they don't really quit is what we found out. And so here's the thing is who's going to conduct a study to have pregnant women smoke and partake in weed and they're already doing it. It's not ethical. So what they did was they went down there and they watched these women who were going to use no matter what and what they found was that their children had improved motor skills and walked sooner. And I believe talk sooner too. it was just flabbergasting. So you know this is a legitimate study. Interesting.
00:56:55:21 - 00:57:02:05
JO: That's good to know. I had no idea what she was talking about was Jamaican so I just took a shot in the dark and you knew exactly what it was. All right.
00:57:02:05 - 00:57:20:01
DJ: I've had it sent to me before and I've looked at it before and it's just I mean you should look it up it's amazing. But it goes against all other studies that we've seen and where it can damage the baby's brain development possibly or cause low birth weight in most missed developmental milestones it goes against all that.
00:57:20:08 - 00:57:46:28
JO: Oh also one thing regarding migraines. Would you say that a) cannabis is assisting with migraines and b) what would be. Is it more of a high THC and or is it more effective with smoking versus like I picture like somebody rubbing a topical on their forehand or something. Like does any of those have any better effect than others?
00:57:46:28 - 00:58:25:06
DJ: Yeah. You know. Absolutely. So you're right. You know a lot about this actually. So when I went in and I my cannabis lecturer A4M one of the things that scared me. A DEA was there was I gave format dosing ratios. just rubbing it right in their face. So of one of the things that I talk about was migraines and how that is a THC dominant condition and you really don't want to give more than 20 to 25 milligrams in a setting especially if someone's more naïve to it. But even with migraines you don't want to give much more than that. It definitely is not like tension or stress headaches which are more of a CBD dominant condition.
00:58:25:06 - 00:58:30:05
DJ: The study showed that they do need a little bit more cheat sheet to really alleviate those migraines a lot of times.
00:58:30:15 - 00:58:34:23
JO: its this ingesting or smoking or ingesting
00:58:34:24 - 00:58:46:28
DJ: Yeah ingesting for whatever way oral you know orally Rick Simpson oil whatever it is Yeah and you know I never thought about putting it on the forehand but it makes sense because you think about like peppermint oil in the temples
00:58:46:29 - 00:59:03:18
JO: That's what I was thinking. Like you know if I ever get a headache I would put peppermint oil directly and I and I what my thought was is it more of the smell that's alleviating the headache versus the ingredients. So I'm not sure. It's interesting.
00:59:03:18 - 00:59:04:04
DJ: I'll try that.
00:59:05:01 - 00:59:07:26
JO: So anyway I think we covered a lot of ground here.
00:59:07:26 - 00:59:15:00
JO: I hope this was helpful for everybody. Did you have anything else that you felt like we missed that we wanted that you wanted to make sure people knew.
00:59:15:01 - 00:59:40:26
DJ: I don't think so. you asked. You know I've been on it quite a few CBD podcasts right now and I think you went in deeper than anyone else so I hope everyone gets a lot of information from this. Unfortunately I don't have all the answers. no one does right now but the more education and open mindedness and willingness we have we can swing that whole energy and collective the way we want with education. And so together we are really powerful in this movement.
00:59:41:02 - 00:59:52:00
JO: Also I totally agree. Well thanks again for coming on and I think we got to mostly everybody's questions to a lot of them. They had the same ones and so hopefully this will be really helpful for everybody.
00:59:52:01 - 00:59:53:20
DJ: I appreciate you having me on. It was great.
00:59:55:03 - 01:00:03:00
JO: So there you have it. There is the big cannabis information I have been promising you for the past year or two I can't even remember.
01:00:03:00 - 01:01:17:26
JO: But in all honesty I feel like this was the perfect format and to have Dr. Jess on for the full hour being able to expand on the questions and cover so much ground and go a little bit deeper with studies and some intricate questions particularly around pregnancy and topical versus ingesting and you know different types of pain and management and how everybody's different. And so we mentioned a few things like looking for Clean Green Certified if you are really interested in getting the most quality uncontaminated less treated product. And so that would be my recommendation is to look those up. see what brands qualify for that certification. And of course look at your state law and make sure you act within that and hopefully you're able to find use of the product in whatever form in a legal fashion that's best for you and your family to follow along with Jess you can find her online at DrJess.com.
01:01:17:29 - 01:01:20:11
JO: And I know that she opens up consultation.
01:01:20:12 - 01:01:39:26
JO: She does remote appointments. If you had any interest in that. She. I know that she releases them and they book very fast. She also shares a lot of her knowledge on Instagram and posts and stories at @dr.jess.md