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We are Experiencing a Great Awakening

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We are Experiencing a Great Awakening!

 

A monumental paradigm shift is underway in human consciousness, marked by the gradual decriminalization of the ancient entheogen cannabis. This powerful plant’s slow liberation from the shackles of prohibition heralds sweeping rejections of outdated control structures across our world. We stand at the early dawn of a new era – the long-prophesied great awakening foretold by seers and prophets across history.

 

The failed drug wars served to keep minds constrained within rigid boxes – easy prey for brainwashing and conditioning. But as the sacred cannabis flower cracks open consciousness, outmodedbelief systems collapse. What was once radical becomes self-evident to the waking mind.

 

It begins with small reforms, consciousness expanding inch by inch. But soon a critical mass arrives sparking an exponential awakening. The dam cannot hold back the floodwaters of change forever. The cracks grow into fissures racing across the façade, until all at once the barrier crumbles.

 

The awakening of humanity has always been inevitable. But now in these pivotal years at the turning of the great astrological cycles, the acceleration of evolution goes into overdrive. The shadows must give way to light. What we’ve waited lifetimes to witness is here – the unveiling of human freedom and potential in all its glory!

 

Cannabis and Breaking Mind Control

 

Why was cannabis made illegal and demonized back in 1937? Not because of scientific evidence – its medicinal properties were well known and praised at the time. But rather for its legendary power to radically expand minds and inspire questioning of authority.

 

The CIA once absurdly declared cannabis a “mind control drug” – but in fact it is the exact opposite. Early marijuana activists like Cathy O’Brien reported the plant’s unique abilities to help resist the CIA’s horrific MKUltra mind control experiments seeking to fracture the psyche. This benevolent plant silences the conditioned inner voices of control programs.

 

Classic psychedelics like LSD and psilocybin mushrooms were also hastily prohibited and smeared starting in the 1960s. Again, not because they were dangerous – quite the opposite. They reliably catalyzed profoundly liberating spiritual awakenings in those who tried them. The truth was that power-hungry elites knew they could never fully control citizens who found their inner divine nature through these substances.

 

Visionaries like Timothy Leary spoke openly about the incredible awakening and life-changing healing potential of psychedelics. He encouraged people to think freely for themselves – a huge threat to the system of social control. No wonder he was demonized and called public enemy number one!

 

The Mayans Were Right

Remember the hysteria about the world ending in 2012 according to the Mayan and Hopi calendars? Of course the literal apocalypse didn’t come – but their prophecy contained profound truth. The date 2012 indicated a monumental shift from one global age into another.

 

According to the ancient stargazers, December 21, 2012 marked the precise turning point when our Sun aligned with the dark rift at the center of the Milky Way galaxy, bridging cosmic world ages. While the physical world went on, our collective reality fundamentally transformed.

 

2012 initiated the gradual “midnight hour” of the passing Piscean era, characterized by hierarchical control structures, divisive borders, and rigid black/white duality thinking that limited human potential. We now steadily transition into the Age of Aquarius – an era of radical freedom, borderless oneness, and awakening to our divine capabilities.

 

This aligns with the Hindu concept of the great cycles of Yugas. The unevolved Kali Yuga age of materialism, corruption, and conformity is dying to make way for Satya Yuga – the golden age of spirituality, transparency, and unbounded consciousness.

 

The signs are all around us, if we have eyes to see them. Up is down and down is up. As the old fear-based structures collapse in confused chaos, revolutionary clarity begins to emerge. The veils are thinning. The dark unaware aspects of humanity are rising to the surface to finally be cleansed in the light of truth.

 

The ancient indigenous elders were right – the epochal year 2012 marked the beginning of our collective renaissance. What has seemed like apocalypse has actually been difficult rebirth pains. Take heart; we are midwives of the future being born!

 

From the Age of Pisces to the Age of Aquarius

 

The passing Age of Pisces corresponded with the rise of institutionalized religions demanding blind faith and obedience to rigid dogmas. Hierarchical authority structures dominated society from top to bottom. Questioning established beliefs was forbidden and often punished harshly. Conformity to approved reality tunnels was everything.

 

But we now enter the Age of Aquarius, characterized by radical freedom, decentralization, and transcending false dichotomies. Outdated categories dissolve into fluidity, nuance, and unity. No longer will corrupt earthly gatekeepers be able to suppress knowledge of our divine spiritual nature.

 

Where Pisces enforced exoteric religious laws and obedience to intermediaries, the Aquarian ethos centers on direct spiritual experience through altered and higher states of consciousness. Its energy liberates the sacraments of psychedelics and cannabis to facilitate this awakening after their suppression for so long. That suppression was a keystone of social control. But now legalization and decriminalization are the cracks splitting the dam open. The divine waters of expanded consciousness will soon flood over and reshape society.

 

Drug Reform as Sign of the Times

 

As cannabis steadily gains acceptance, the re-emerging science around classic psychedelics like psilocybin and LSD also expands minds. Suppressed and demonized for decades, we now learn these substances can rapidly heal PTSD, depression, anxiety, addiction and much more when used responsibly.

 

This revelation profoundly threatens those profiting from the broken systems of control. Why take Big Pharma psychiatric medications your whole life to manage symptoms when just a few psychedelic journeys can permanently transform trauma at its root? No wonder the guardians of dysfunction resist this knowledge getting out.

 

Yet the truth surfaces anyway, stronger than their feeble efforts at censorship. Widespread medicinal use of psychedelics would completely disrupt the sickness at the heart of social systems based on greed, scarcity and fear. A population that has felt inner peace, oneness and tapped their own sacred divinity has no use for the parasitic deceptions of those who rule by division and enslavement.

 

The ascension cannot be stopped – the old empire built on lies is doomed. Psychedelics are the ultimate antidote to centuries of programming and control. In their reflection, outdated power structures have no choice but to dissolve. The future is unity!

 

The Sticky Bottom Line

 

The signs are clear – a monumental global shift is underway and accelerating! We are taking back our sovereign minds and embracing our divine potential. The old traps we once accepted blindly now fail.

 

It is an exhilarating yet chaotic time to be alive. But have hope – the cracks in antiquated structures are rays of light heralding a new era. An era of unity, creativity, peace and abundance for all.

 

This isn’t coming without its fair share of issues. Right now, the whole “gender debate” is a side-effect of the changing of the times. While I personally do not subscribe to the idea that a “transwoman is a woman”, as it would deny their journey to becoming a transwomen and degrade the concept of a woman down to external appearances – I do see it as an indicator of the changing of a time.

 

I believe, that the pendulums are swinging, and that there will be pushing and pulling from all sides until they settle into a new configuration. In all likeliness, in the next 20-30 years, we’ll have more “structure” to these debates. New norms will be established and new ways of interacting will commence.

 

I believe the great turning away will be happening too. Institutions have shot themselves in the foot with the Pandemic. Nobody trusts them anymore, meaning we’re going to have to come up with something new to replace them.

 

Right now you’re seeing the rigor mortis of the old system. Isn’t it funny that a bunch of 80+-year olds are fighting for the Presidency of the US?  This is the old system desperately trying to hold on to power. All these major instructions will begin to fall, new institutions will arise. Hopefully, we embrace a decentralized world where the individual has the freedom to express themselves as they see fit. If they want to do a sex change, so be it. If they want to do drugs, so be it. It should be the choice  of the individual always.

 

The Great Awakening has begun! It starts inside each of us. Shed limiting beliefs and see yourself and others with compassion. Darkness thrives in division – light is found in love. Step fully into your power. The promised future is ours if we simply accept it!

 

It starts by planting a seed, and letting it grow. Over the next 10-20  years, the society you know will be forever changed into something new. Old power structures will be taken down – sometimes violently. And a new age of spirituality will be born!

 

Put that in your pipe and smoke it!

 

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If The FDA Approves It, 5 Million Depressed Americans Could Benefit From a New Psychedelic Therapy

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With millions of people around the world suffering from depression, it’s a seriously worrying condition that affects countless families and societies as a whole.


It’s also still so highly stigmatized, hindering people from seeking help, a proper diagnosis, and treatment. And for those who do get treated, recovery may be futile. That’s because depression is so multifaceted – and it is such a complex condition. There are several social, familial, environmental, and biological factors at play at any given time. In addition, factors such as genetics, trauma, stress, and substance use also play a role.

 

When it comes to treating depression, responses are highly individual too. A medication and dosage that works well for some, may not work as well for others. Additionally, individuals with co-existing conditions including PTSD and anxiety, or people with specific genetic differences and brain chemistry, will respond differently to pharmaceutical medications. Even those who do respond, may find it takes a long time to work – and antidepression medications are notorious for their harmful side effects.

 

Enter: Psychedelic Mushrooms For Depression

 

Over the last few years, psychedelic drugs have become increasingly popular for their ability to effectively manage treatment-resistant mental health disorders including depression. Thanks to a growing acceptance of the therapeutic potential of psychedelics, individuals suffering from depression now have more hope than ever with a safe, natural choice.


And while there are many popular psychedelics to choose from, it’s none other than the psilocybin magic mushrooms which are the most famous of all. It’s also the most well-researched out of all other psychedelics whne it comes to depression, and there is a solid body of research proving its efficacy for treatment-resistant depression.

 

During a recent study from Emory University, UC Berkeley, and the University of Wisconsin-Madison, investigators sought out to better understand the demand for psilocybin therapy focusing on depression in the United States. The researchers analyzed data on the prevalence of depression, which were taken from national polls. From this data, they determined that roughly 5 million Americans would meet the criteria for psilocybin therapy if it were ever to be approved.

 

“Our findings suggest that if the FDA gives the green light, psilocybin-assisted therapy has the potential to help millions of American who suffer from depression,” explained Syed Fayzan Rab, the study’s lead author and an Emory MD candidate in a press release. “This underscores the importance of understanding the practical realities of rolling out this novel treatment on a large scale,” he said. The figures are also based on the FDA’s inclusion criteria taking into consideration factors such as regional variation, insurance coverage, and variability.

 

“While our analysis is a crucial first step, we’ve only scratched the surface in understanding the true public health impact psilocybin therapy may have,” explained Charles Raison, one of the study’s collaborators. Raison is also a lead researcher for one of the biggest clinical trials studying psilocybin therapy for depression. “Ultimately, the realizable potential of this treatment rests in the hands of regulatory bodies, policymakers, insurers, and the healthcare community at large,” he added.

“It’s our hope that these findings spur productive discussions and proactive preparations to optimize the benefit to patients while minimizing unintended consequences,” he said.

 

Why Psilocybin-Assisted Therapy Is Promising

 

There are many ways one can medicate with psilocybin. Some cosmonauts who already have had previous experience with recreational or spiritual use of psychedelics may feel confident enough to engage in psilocybin therapy through standard dosing or microdosing; there are several well-established protocols that one can utilize to do so safely without supervision of a medical professional.


However, for individuals who suffer from severe and treatment-resistant depression, psilocybin-assisted therapy may be the better route. It involves the administration of psychedelics (in this case, psilocybin mushrooms) under the supervision of a medical professional. Basically, it’s like replacing conventional antidepressant drugs with psilocybin mushrooms; in either case you’d be monitored by your doctor and you can participate in psychotherapy sessions with them while taking the drug.

 

Psilocybin Even More Effective Than Antidepressants?

Not only is there an increasingly solid body of research proving the efficacy of magic mushrooms, but now the studies also say that they’re safer and more effective than antidepressants. And when you combine it with the fact that it has little to no side effects, who wouldn’t want to take psilocybin magic mushrooms for depression?

A recent study demonstrated just this.


Researchers at the Centre for Psychedelic Research at Imperial College in London found that taking magic mushrooms were more successful at treating depression compared to the widely prescribed SSRI antidepressants. For the study, they focused on escitalopram, an SSRI antidepressant, and psilocybin.

 

“This is important because improving connectedness and having greater meaning in life can significantly enhance a person’s quality of life and long-term mental health,” explained David Erritzoe, the study’s co-first author and a clinical director at the Imperial College in London.

 

“The study suggests that psilocybin therapy might be a more holistic treatment option for depression, addressing both the symptoms of depression and overall well-being. This could make a substantial difference in the overall happiness and daily activities of those suffering from depression, providing a more joined-up approach to mental health treatment,” Erritzoe added.


The study’s authors also reported that the patients who were in psilocybin therapy reported better outcomes compared to those who were being treated with escitalopram.

 

Conclusion

 

There’s no doubt that psilocybin therapy already helps so many people with depression and other mental health conditions – imagine if the FDA approved psilocybin-assisted therapy? We hope this is the kind of medical and regulatory breakthrough we can look forward to in the near future – stay tuned!

 

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PSYCHEDELICS TO CURE DEPRESSION, PATIENT ZERO BEGINS…



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Oregon Cracks Down on THC Inflation and Testing Labs

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On September 25th, the Oregon Liquor and Cannabis Commission (OLCC) sent notices to seven licensed testing laboratories, proposing license cancellation in some cases and suspension or fines in others. The notices center on alleged THC inflation, and extend back to instances identified in 2023. We only have eleven labs in Oregon accredited to do this mandatory work, so OLCC chasing seven of them is a big deal.

This story broke yesterday afternoon in the Portland Business Journal (“Journal”). See: Oregon cannabis labs face shutdown in testing crackdown. I’m guessing that link is paywalled for most of our readers, so I’m glad to have this platform to share some thoughts below.

The proposed suspension and cancellation notices

An obvious question here is why OLCC has proposed to expel some of these licensees, but only suspend or fine others. We’re talking about Category I violations across the board, after all, and the default sanction for any Category I violation is license revocation.

Here, though, the Commission seems to be looking at conduct in two distinct camps: a) conduct that simply could be negligence (and specifically, lazy sampling); and b) attempts to rig results by adulterating products. All seven labs got dinged on “a”, while three also got dinged on “b.”

In the “a” notices, charges include: i) failures to ensure an entire batch of marijuana was available for sampling, and ii) insufficient sampling increments. In the “b” notices, OLCC alleges that “the Licensee’s employees, agents or representatives intentionally added a cannabinoid concentrate, kief [], to the samples taken for testing.” Which is not great.

A long time coming

Controversy around cannabis testing is an old story in Oregon. Prior to OLCC regulation, we had “medical marijuana” from 1998 to 2014 with no testing requirements whatsoever. In 2014, after dispensary licensing commenced, the Oregon Health Authority (OHA) issued poorly-written testing rules that no one really followed. In those days lab shopping was common, dozens of harmful pesticides were allowed, and OHA didn’t even have the authority to regulate producers or labs, anyway.

In 2015, the Oregonian published a landmark investigative piece called “A Tainted High” exposing all of this and more. In 2016, the OLCC program launched, with more testing rules and more enforcement authority, at which point a serious testing bottleneck ensued. Once things cleared up, focus shifted to microbiological and heavy metal contaminants, alongside inflated THC numbers. In 2019, the Secretary of State recommended shelf audits at dispensaries, which eventually did occur.

The latest noise around testing was the aspergillus litigation, where the Cannabis Industry Alliance of Oregon (CIAO) won a temporary stay of enforcement on testing for that mold, and OHA abandoned rules on the topic. In 2023, we also got House Bill 2931, which creates a state-run cannabis reference lab. In June of last year, I wrote:

Why did everyone, including industry, feel a state cannabis reference lab was needed? First, for as long as the OLCC program has existed (and even before that, in the OHA medical program), agencies have fielded complaints from cannabis licensees around testing. Those complaints include allegations of labs spiking potency levels on test samples, and of labs falsifying failed test results. From there, you have the related concepts of “lab shopping” by licensees and “pay to play” testing with labs.

State agencies have argued that to properly regulate licensed labs, an independent mechanism to verify test results is needed. Audits have similarly recommended this. The newly created reference lab will provide: a) a neutral, third-party source for testing and re-testing; b) quality assurance review for licensed labs; and c) a mechanism to audit complaints from licensees about faulty lab testing. This is a positive development.

So, everyone has been looking at this for a while. And now we’re full circle on this inflated THC thing– a problem that is not unique to Oregon.

What happens next?

All of the OLCC labs that received the September 25th notices have until tomorrow, October 25th, to request a hearing before an administrative law judge. This is a critical deadline; hopefully all of them have done so. The rules also require an answer to be filed with any hearing request, but traditionally OLCC affords licensees up to two weeks prior to any prehearing conference to make the submission. (This is not advice.)

You’re here for the big question, though, which is: does OLCC plan to go to the mat on this, with massive fines, suspensions and license cancellations? I don’t think so, necessarily, but it’s obviously a case-by-case thing. Much will depend on the underlying testimony and reports; whether a lab owner knew what their employees were allegedly doing; how the licensees respond; etc. But as I told the Journal: “They can’t have no labs. OLCC may push for labs to come to them and say we’re sorry, it will never happen again, and show internal (standard operating procedures) and maybe creative solutions” in order to safeguard testing.

Is this just a problem for labs?

No. I told the Journal that “it’s not fair just to blame the labs.” And it’s not. With kiefing, in particular, the lab employees would have received the concentrate from customers in most or all cases. This behavior is ultimately driven by market pressures: for whatever stupid reason, the strongest weed tends to attract the most interest and highest prices. (Thankfully, alcohol doesn’t work this way.)

But I digress. Before signing off, I’d like to highlight one final quote I gave the Journal. It’s this: “They’re going after the labs, then the employees involved, then all the producers and wholesalers who are implicated. You saw the first wave, but you’re going to see more.”

Anyone else receiving a violation notice from OLCC will have the same opportunity to respond, and hopefully settle, as the labs. All of this will take some time to play out.

___________

If, in the coming weeks and months, you are one of the unfortunate licensees or permittees on the receiving end of an OLCC charging document, I recommend you start your reading here. Then, give us a call. We can help.



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Maternal Cannabis Use Does Not Lead to Higher Rates of ADHD or Behavior Disorders in Children Says New Massive Medical Study

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Let’s get one thing straight right off the bat: it’s generally best for expecting mothers to avoid consuming any substances during pregnancy. That’s just common sense. But as someone who’s watched his wife go through the miraculous and downright brutal process of pregnancy twice, I can tell you firsthand – growing a human ain’t no walk in the park.

Pregnancy is hardcore, period. You’re bloated, in pain, and your organs are literally rearranging themselves to make room for a tiny squatter. And don’t even get me started on morning sickness. For some women, it’s more like all-day, soul-crushing nausea that makes you wonder why our species hasn’t gone extinct yet.

It’s no wonder that for centuries, cannabis has been viewed as a natural remedy for these pregnancy woes. Our ancestors knew a thing or two about plant medicine, after all. But in recent decades, we’ve been bombarded with warnings that maternal cannabis use increases the risk of behavior disorders and ADHD in children. Scary stuff for any parent-to-be, right?

Well, hold onto your bongs, folks, because a new study is challenging that narrative. This isn’t some small-scale research either – we’re talking about a massive study involving over 100,000 participants. And guess what? They found no link between maternal cannabis use and an increased risk of ADHD or behavior disorders in offspring.

Now, before you start planning a pregnancy hotbox party, let’s take a deeper look at this study and what it really means. We’ll also compare the risk profiles of cannabis to some of the currently accepted medications for morning sickness. Because let’s face it, those pharma-approved pills aren’t exactly risk-free either.

So strap in, dear readers. We’re about to embark on a journey through the complex world of pregnancy, cannabis, and the ever-evolving landscape of medical research. It’s time to separate fact from fiction and give expectant mothers the information they need to make informed decisions about their health and the health of their future little ones.

First off, let’s talk scope. This isn’t some rinky-dink study done in a college dorm room (though those can be fun too). We’re looking at a behemoth of a research project that makes most studies look like a kiddie pool next to the Pacific Ocean.

The researchers, a team of brainiacs from Kaiser Permanente Northern California, the University of California, and The Permanente Medical Group, analyzed data from a whopping 141,570 children born to 117,130 pregnant individuals. That’s more people than the entire population of Topeka, Kansas, folks. The study covered births from 2011 to 2018, giving us a solid chunk of time to work with.

Now, here’s where it gets interesting. Of these 117,130 pregnant individuals, 4.6% screened positive for cannabis use during early pregnancy. That’s about 5,388 cannabis-using moms-to-be, if my back-of-the-rolling-paper math is correct.

So, what did they find? Hold onto your hats, because this might blow your mind: maternal prenatal cannabis use was not associated with an increased risk of offspring developing ADHD or disruptive behavior disorders (DBD). In fact, the adjusted hazard ratio for ADHD was 0.84, which is science-speak for “Nope, no link here.”

But wait, it gets even more intriguing. When it came to DBD, they actually found an inverse association. The adjusted hazard ratio was 0.83, suggesting that children of cannabis-using mothers were slightly less likely to develop disruptive behavior disorders. Now, before you start recommending pot for pregnant ladies, remember that correlation doesn’t equal causation. But it’s certainly food for thought.

Let’s hear it straight from the horse’s mouth. The study concludes, and I quote, “Maternal prenatal cannabis use was not associated with an increased risk of offspring ADHD or DBD.” That’s about as clear as it gets, folks.

Now, why is this important? Well, for starters, it challenges the long-held belief that cannabis use during pregnancy is a one-way ticket to behavioral issues for the kid. This study, with its massive sample size and rigorous methodology, provides some serious scientific firepower to counter those claims.

But here’s the kicker: the researchers aren’t saying “Go ahead and blaze it, preggo!” They’re quick to point out that while these findings are significant, they don’t suggest that marijuana use during pregnancy is risk-free. There’s still a lot we don’t know about the long-term effects of prenatal cannabis exposure.

What this study does do is open the door for more nuanced, evidence-based discussions about cannabis use during pregnancy. It gives us a solid foundation to question some of the fear-mongering that’s been going on and to push for more research in this area.

In the world of science, a study like this is like dropping a boulder in a pond. The ripples are going to be felt for a long time, potentially influencing everything from public health policies to individual decisions made by expectant mothers.

Now, I’m not here to bash Big Pharma (well, maybe a little), but let’s take a look at some of the common medications prescribed for morning sickness. It’s like a chemical alphabet soup, and the side effects? Well, they might just make you want to puke.

First up, we’ve got Doxylamine. Sounds fancy, right? It’s an antihistamine that’s often combined with vitamin B6 to combat nausea. But here’s the kicker: it can cause drowsiness, dizziness, and even movement disorders. Because that’s exactly what a pregnant woman needs – to feel like she’s stumbling around in a fog.

Then there’s Metoclopramide, a “promotility agent” that sounds like something you’d use to clean your toilet. It stimulates stomach and bowel movement, which is great if you want to spend even more time in the bathroom. Side effects? Oh, just little things like depression, anxiety, and tardive dyskinesia – a fun little condition that causes uncontrollable movements. Lovely.

For the overachievers in morning sickness, we’ve got Ondansetron. It’s often prescribed for hyperemesis gravidarum, which is fancy doctor-speak for “holy crap, I can’t stop puking.” But watch out for those pesky side effects like headaches, constipation, and oh yeah, potential heart rhythm problems.

Now, let’s talk about Mirtazapine. It’s an antidepressant that they pull out when nothing else works. Because apparently, the solution to not being able to keep food down is to take a drug that can cause increased appetite and weight gain. Makes perfect sense, right?

And for the grand finale, we’ve got Corticosteroids. These bad boys are reserved for severe cases, probably because their potential side effects read like a medical textbook’s index. We’re talking increased risk of gestational diabetes, preeclampsia, and low birth weight. But hey, at least you’re not nauseous anymore!

Now, here’s where things get interesting. The LD-50 (that’s the dose that’s lethal for 50% of test subjects) for these drugs ranges from about 500mg/kg to 1000mg/kg in rats. For cannabis? It’s estimated to be around 1260mg/kg when orally ingested. That’s higher than any of these pharmaceutical options.

So, let me get this straight. We’re okay with giving pregnant women drugs that can cause everything from movement disorders to depression to potential heart problems, but a plant that’s been used for centuries to combat nausea is off-limits? A plant that, I might add, has a higher LD-50 than these lab-created concoctions?

Look, I’m not saying cannabis is risk-free during pregnancy. We need more research, and every woman should make an informed decision with her doctor. But when I see the list of side effects for these “approved” medications, I can’t help but wonder: are we really making decisions based on health and safety, or are we stuck in a prohibition-era mindset?

It’s time we start asking some hard questions about our approach to morning sickness treatment. Why are we so quick to reach for the prescription pad when Mother Nature might have a gentler solution? Why is it okay to give pregnant women drugs with laundry lists of side effects, but not one that grows out of the ground?

I don’t have all the answers, folks. But I do know this: when it comes to pregnancy and cannabis, we need to cut through the fear-mongering and look at the facts. Because at the end of the day, what matters most is the health and well-being of mom and baby. And sometimes, the best medicine might just be the one that’s been growing in our backyards all along.

 

Source:

https://themarijuanaherald.com/2024/10/study-of-over-100000-finds-

maternal-marijuana-use-not-associated-with-increased-risk-of-adhd-or-behavior-disorders-in-children/

https://pubmed.ncbi.nlm.nih.gov/39400201/

 

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