WHY IS CANNABIS DOSED BY GRAM AND NOT MILLIGRAM??

It is so odd to me that Cannabis is seen in the public as a substance that is measured and dosed in grams. There are VERY few medications, including Herbal ones, that are dosed by the gram.

I believe we are seeing this “Gram Dosing” because physicians are quite absent from the dosing scene.

In addition, as I have stated in the past, SINGLE MOLECULE CBD MEDICINES MADE SYNTHETICALLY are dosed entirely differently than WHOLE PLANT MEDICINES. We have had the opportunity to try pure CBD medicines as compared with whole plant medicines. We have seen patients who have used both. For sure, we see a lot of patients who have tried HEMP based CBD medicines. These are a tiny step better than molecular CBD, but for sure lack the vast majority of the cannabis molecules, or at the very least, the other ones are in extremely tiny concentrations.

HEMP DOES NOT SMELL LIKE MARIJUANA. RIGHT? Well, it is a very different product. Even the amount of CBD in hemp, around 2% is WAY less than in any reasonable cannabis plant (10-14%).

The “Entourage” effect of all the molecules working in consort, is what makes whole plant medicine so wonderful AND require such a low dose.

With Molecular CBD, doses in the 100’s of mgs have been reported for anxiety.

With Hemp based CBD products, the required dose is generally 20-50 mg per dose for anxiety.

With Whole Plant Cannabis, 1-2 mg is required.

The average patient with anxiety, will use an average of 4- 6 mg of CBD per day.

In my opinion, the use of hundreds of mg of THC or CBD for Cancer Patients is also way too high. Generally, I cut the average patient’s dose of cannabinoids by 90% when I see them and generally they do very well.

If the higher doses were more effective, I would argue that it is the right thing to do.

Since the best dosing methodology at present suggests MUCH lower dosing AND since we have a huge shortage of such CBD medicine, we should do the right thing and:

1. Correct these patients doses

2. Educate. Educate. Educate

3. Make our resources go as far as possible to help as many people as possible.

Author
Allan Frankel, MD Dr Allan Frankel is one of the few physicians in the US who truly understands Cannabis as a medicine. All treatments suggested have been well studied. Every patient seen by Dr Frankel is given a personally created Treatment Plan created with the patient's specific issues defined. Plant medicine requires "tuning" of the dosing. Dr Frankel works with his patients thru a messaging portal. The use of this portal, allows quick and simple follow up contact with Dr Frankel. Patients are not charged for these messages, as this is how Dr Frankel has learned what he has learned. Follow up appointments in person or by phone/video are also available when needed

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