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What is Scromiting? = Screaming + Vomiting + A Large Dose of THC

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what is scromiting

Scromiting is the latest term used for an alarming health trend that pertains to teen marijuana use. “Scromiting ” is the combination of the words “screaming” and “vomiting”. Teens experiencing this marijuana-induced situation vomit violently. The vomiting is so severe and painful that it causes an individual to scream.  Stoners refer to it as greening out, refering to a “green” cannabis user taking in too much THC.

 

The use of marijuana on a daily or regular basis over an extended period increases the risk of scromiting. Presently, the daily use of marijuana among teens is at the highest level since 1991. As a result, there’s been an increase in the number of teens being rushed to the emergency rooms with these strange symptoms.

 

What Is Scromiting?

Scromiting is officially called Cannabinoid Hyperemesis Syndrome (CHS). It was first documented in scientific reports in 2004. Ever since searchers have concluded that scromiting is the consequence of prolonged use of marijuana. Most especially marijuana with high THC levels which is the primary psychoactive ingredient. Several experts believe that THC over-stimulates the receptors in the gut causing continuous cycles of severe and painful vomiting. 

 

A research carried out on CHS in 2018 concluded that scromiting is an increasingly complicated and prevalent problem for patients and healthcare providers.  The study also reported that scromiting is becoming a costly and commonplace incident in hospitals nationally. It also remarked that individuals who start using marijuana as teens have the highest chance of experiencing scromiting.

 

Symptoms of Scromiting

The major symptoms of  Cannabinoid Hyperemesis Syndrome include:

  • Periodic nausea, which advances to serious nausea

  • Changes in body temperature

  • Excessive vomiting, as frequent as five times every hour

  • Abdominal pain

  • Dehydration

  • Sweating

  • Weight loss over time, as symptoms repeat.

  • Fluctuations in body temperature

 

CHS is also defined as cyclical vomiting given the painful Cannabinoid Hyperemesis Syndrome symptoms often subsides and return after some days, weeks, or months. Even though a hot shower or bath can offer temporal relief for symptoms, halting the consumption of cannabis will prevent the recurrence of scromiting.

 

The Link Between THC Levels and Scromiting

It has been reported in several studies that high THC content in marijuana contributes to the increase in the number of teenagers suffering from scromiting. While the THC contents in cannabis products were between 2 and 3 present 20 years ago, THC contents today are as high as 90%.

 

Furthermore, the availability of cannabis-infused gummy edibles also makes it easier for teens to consume high levels of THC. Cannabis-infused gummy edibles take a while to kick in which implies teens often ingest more. And as expected, the THC also takes longer to leave the system. Frequent smoking and vaping can also result in scromiting incidents in teenagers.

 

Presently, fingers are being pointed to scromiting as a consequence of marijuana legalization. A study showed that incidents of CHS doubled in two various emergency rooms in Colorado soon after the legalization of marijuana in the state.

 

How Common Is Scromiting?

Data, as regards the frequency of occurrence of CHS, is not available. However, in a survey of ER patients, one-third of teens who consume cannabis at least 20 days in a month, had experienced CHS.

 

Virtually all teenagers who suffer from CHS consume marijuana at least once every week. A study carried out in 2017 shows that 97% of teenagers who suffer from scromiting use cannabis every week. Three-quarters of those interviewed had ingested marijuana constantly for over a year.

 

Little is still known on why some cannabis users suffer from CHS while others do not. Another strange thing about the condition is that cannabis is often used to reduce nausea which is caused by scromiting.

 

The Long-Term Effects of Chronic Teen Marijuana Use

Teenagers who abuse cannabis, especially cannabis with high THC contents are significantly more at risk for several mental and physical health conditions like scromiting.

 

Consumption of marijuana with a THC content of more than 10% increases the possibility of experiencing a marijuana-related psychotic episode. Teenage use of marijuana can also have some negative impact on brain development as an adolescent.

 

Another study carried out in September 2020 reviewed that marijuana use in adolescents is linked with an increased possibility of suicidal thinking and attempts. Individuals who consume cannabis before the age of twelve are more inclined to experience depression, schizophrenia, anxiety, and other mental illness

 

An American Academy of Paediatrics reported that high dose and usage of cannabis among teenagers is linked with a higher risk of anxiety, mood, psychotic disorders. A report from CDC also reported that students abusing cannabis are more likely to do badly in school or drop out in high school.

 

Signs of Teen Marijuana Use

Teenagers who consume cannabis frequently might display any of these symptoms if not all;

  • Talking loudly

  • Red eyes

  • Heightened appetite asides from usual mealtimes

  • Forgetfulness

  • Marijuana paraphernalia on in their room or on their person

  • Sleepiness

  • The smell of marijuana in their room or on their clothes

  • Grumpiness

  • Behaving bizarre and out of character

  • Loss of interest in activities they used to enjoy

  • Difficulty remembering and concentrating

  • Spending time with a new friend group

  • Stealing money from family and friends

Parents should be observant of their kids’ behavior and ensure they get the needed help to address cannabis abuse as well as issues that prompt cannabis abuse. 

 

Treatment for Teen Scromiting

The sure and only way to never experience or recover from scromiting is to stop consuming marijuana. Either through smoking, vaping, or consumption of cannabis-infused edibles

 

With CHS commonly occurring after long-term use of marijuana, teens who suffer from scromiting are probably addicted to cannabis. As a result, they will need a combination of treatments to stop using marijuana, treat scromiting and also address the cause of marijuana abuse.

 

Teens suffering from scromiting and wanting to address the underlying cause of marijuana abuse can reach out to various academies. These academies can uncover anxiety, trauma, depression, and self-worth issues that promote marijuana abuse.  Teens can also learn how to adopt healthy coping mechanisms to deal with different stressors in life. Most importantly, the family system needs fixing. Parents should learn how to create a safe environment that will enable their kids to turn to them for support when struggling with life’s challenges.

 

Conclusion

Scromiting is a severe health issue related to cannabis abuse. The pain is something no one should experience. If you’ve not experienced Scromiting, you should limit your cannabis intake to reduce the possibility of occurrence. If you notice a friend or family member exhibiting the symptoms discussed above, rush such an individual to the closest hospital. Health care providers will know what to do best.

 

WHAT IS CHS AND HOW DOES IT START, READ MORE…

HOW TO TREAT CHS THC OVERDOSE

HOW DO YOU TREAT A CASE OF CANNABINOID HYPEREMESIS SYNDROME?

OR..

GREENING OUT OR SCROMITING CURES

HOW TO AVOID GREENING OUT OR SCROMITING WITH CANNABIS!



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MLK Day: Cannabis and Civil Rights

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Happy MLK Day!

If Martin Luther King Jr. were alive today, he would almost certainly advocate to end the War on Drugs. Dr. King never spoke publicly about drugs or cannabis in particular: he was assassinated in 1968, two years before President Nixon signed the Controlled Substances Act (CSA). But it is well established that the War on Drugs was and is a war on minorities and people of color. It is the antithesis of equality and justice. And it is still going strong.

When I first wrote an MLK Day blog post five years ago, FBI data indicated that “marijuana arrests [were] increasing, even as more states legalize[d] possession and sale of the plant.” There were 663,367 marijuana-related arrests that year. In 2019, the number dipped to 545,601. In 2020 that number fell appreciably to 350,150 (likely accelerated by COVID). Still, that unacceptable number represents a cannabis arrest every 90 seconds throughout the United States. Most of those arrests cover simple possession, and a majority target people of color.

I am terribly, terribly disappointed in our leadership on this. Most of our leaders are cowards, starting at the very top. On the campaign trail, Joe Biden pledged to “decriminalize the use of cannabis and automatically expunge all prior cannabis use convictions.” That promise sits moldering right here on the “Black America” page of his website. Biden has done nothing. During the first year of his presidency, it seems likely that 300,000 (or more) Americans have been arrested and convicted of simple possession of marijuana. Penalties range from low-level misdemeanors to life imprisonment without parole in extreme cases.

We graded Joe Biden a “D” back in 2019 when canvassing the presidential candidates on cannabis. He was on the wrong side of the drug war for decades; and now the president is dragging his feet. We graded V.P. Kamala Harris somewhat higher, floating her a “B”. That seems like an error in hindsight. Since ascending to the White House, she also has disappointed.

Four years ago this week, I went after Harris pretty hard on this blog. I criticized her position on cannabis as “mostly just talk”, explaining:

There are several reasons why Ms. Harris has been catching significant flak for her half measures on cannabis, as compared to other officials: 1) she hails from California, the first state with a medical cannabis program and the world’s largest cannabis economy; 2) she comes from the executive side, having served as California Attorney General; 3) she is a celebrity national politician, who is often floated as a 2020 presidential candidate; and 4) she is constantly talking about the failed War on Drugs. In fact, she talks about it pretty much every single day.

But it’s all talk. As California Attorney General, Ms. Harris did little to advance her state’s interest as to cannabis. In 2014, when she was asked for her opinion on legalizing adult-use cannabis, her response was dismissive laughter. As a state Senator, she has failed to sponsor or even co-sign any bill to re- or deschedule marijuana (and there are some good ones). Aside from lots of talking, Harris’ one big move has been to put together a petition to decriminalize marijuana nationwide (but not to revise the CSA). My eight-year-old niece could do that.

When it became politically convenient for Harris to come around to marijuana reform, she did, including through her sponsorship of the MORE Act prior to leaving the Senate. But now Harris is the vice president, with the ability to advocate and shape drug policy like never before. It’s been crickets. In December, even some Republicans criticized Biden and Harris for “continued silence” on cannabis policy. It’s not a stretch to say that Dr. King would have agreed.

Outside of the White House, other federal representatives continue to fight for cannabis and drug policy reform. Elizabeth Warren and Cory Booker sent a stout letter to the Attorney General in October, requesting that the Department of Justice begin the marijuana descheduling process. The House Judiciary Committee cleared the MORE Act just a few weeks before that. Career advocates from Bernie Sanders to Earl Blumenauer continue to press forward relentlessly. We even have Republican proposed legislation at this point. But ultimately, Biden and Harris hold the keys.

It’s not all terrible news, I suppose. Aside from arrests trending downward, states continue to decriminalize marijuana; to legalize and license the plant; and to expunge convictions in fits and starts. Many local actors are doing what they can. But it’s not enough. As we wrote last year, regulation of cannabis – as well as the composition, orientation and momentum of the industry at large – is nowhere near where it needs to be on civil rights issues.

Change has to come from the top down, as well as the bottom up. Dr. King wrote that we have a moral responsibility to disobey unjust laws. We have a moral responsibility to change them too.

More than anything, marijuana reform is a civil rights and social justice issue. All of our readers should remember that today.





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CBD Water – Big Market Opportunity or Just the Next Crazy CBD-Infused Product Out There?

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Water is one of the most fundamental needs for the survival of humans. This is why CBD water is a brilliant innovation that speaks to the innate needs of cannabis users while promising an excellent high at the same time.

Many have heard about CBD water, but few have seen it on shelves, and fewer still have tasted it. The product has been described as exciting, convenient, and novel for so long, it’s surprising that it’s not yet mainstream. Several factors have stalled the progress of this product’s market, especially its high cost and basic formulation.

In the last few months, several dispensaries have begun to stock up on many CBD-derived products after consumers indicated interest. Products like candies, beverages, cosmetics, pet food, and several everyday consumer items have been infused with CBD. In this recent surge, one would have expected CBD water to be one of the most common products since everyone depends on water, but this is not so.

The first time CBD water was released into the market, what came to the minds of consumers was that it was a uniquely formulated cannabinoid-infused beverage. This description is correct! However, many producers have begun to cut corners in producing this good product.

 

The Promising Nature of CBD Water

CBD water can become the most crucial cannabis product before CBD flowers, oils, isolates, and other edibles. Consumers only need to gain access to its premium versions.

Based on its liquid nature, it has the edge over other cannabis products because hydration is an essential concept for people, irrespective of their line of work. For instance, athletes reach for their water bottles after training sessions; fitness enthusiasts also guzzle down water when they are done with each session, and artists and even office-goers take their hydration seriously. Everyone needs a bottle of water with a cup of coffee.

A bottle of CBD water provides a less obvious way of consuming cannabis. The unseemly bottle of water containing cannabis is a socially acceptable method of discreetly ingesting CBD at the workplace, parks, restaurants, and other public spaces compared with loosening the cap of a tincture popping a gummy, or rolling a stick of flower mid-activities in public areas. Dissolvable CBD powder that works in water is also a new market entrant in the CBD water craze.

 

The Chemistry of CBD Water

The production of CBD water employs a nanoemulsion theory, which allows the water to be compatible with the cannabinoids. In this product, emulsifiers are used to encase the CBD compounds in tiny droplets (which is why you can see the CBD particles in a bottle of CBD water). Cannabinoids are fat-soluble compounds, not water-soluble. This relative mixture of cannabis and water makes the cannabinoids bioavailable.

Reports say some bioscience companies utilize better techniques to create CBD water through water-soluble methods. Some CBD water products are infused with flavorings and colorings to appeal to regular products.

 

The Problem With CBD Water

The support for CBD water is currently at a simmer. That is why the product has been scarce despite being proven to provide relief for pain, inflammation, anxiety, and some other medical conditions. Here are a few factors creating a chokehold for the product.

 

Cost

CBD water is one of the most expensive CBD-derived products. This is the first thing that puts people off. In the UK, a 250ml bottle of CBD water with about 10mg of CBD costs £1.99, which is equivalent to about $2.7 in the United States. For a full bottle with as much as 500mg of CBD, the cost can be as high as £26 ($35) for a 10ml size.

 

Low CBD content

CBD water has a low cannabidiol content. The first products that were released into the market were highly concentrated. However, recent products contain only a minimal amount of CBD. Compared to edibles, isolates, and flowers, CBD water does not provide its value in cannabidiol to consumers. For such high-priced products like these, consumers expect only the best in quality and potency.

The majority of the bottled or canned CBD waters on the market are incredibly diluted and offer minimal impact to the user. For you to feel the effects of cannabidiol with CBD water, you need to gulp down at least two bottles. Even with this, the impact you think is more or less the same level as the effects felt when you take a drop of mid-strength full-spectrum CBD oil.

 

Degradation

 CBD water loses its potential benefits when exposed to light and air for days or weeks. Different labels package their products with various types of materials. The most common packaging is transparent plastic bottles. However, it has been discovered that while transparent containers are optimal for water, the container causes a gradual degradation of CBD compounds.

CBD is a meroterpene; it is part phenol and part terpene. This quality explains the gradual degradation observed when CBD products are exposed to light and air over a prolonged period. Placed on shelves under supermarket light, CBD water lost its potency well before customers purchased it. The only way to reduce this deterioration is to use opaque containers. However, these can not be revealed once opened. So either way, the content gets exposed to air or light.

Some companies have worked around this dilemma by producing CBD water in smaller opaque bottles and glasses that can be gulped down at once (with this new development, prices are expected to go even higher).

 

Bottom Line

The CBD water market is sinking at a fast rate right now. The questionable product design, the volatile nature of cannabidiol, and the hefty price tags all contributed to this massive downfall. The product has several utilities, but the downsides surrounding it are guaranteed to put people off. This does not mean you should not try the product. If you prefer convenience without worrying about the cost, you can carry on with these products. You would do well to exercise caution by purchasing only the recently produced bottles from licensed dispensaries. For people that care about the impact of this product on their wallets, it is better to avoid CBD water now until the manufacturers are ready to do what’s right. For its market to start swimming, CBD water has to live up to its hype.

 

WHAT IS CBD WATER, ACTUALLY, READ MORE…

WHAT IS CBD WATER

WHAT IS CBD WATER, EXACTLY, AND HOW DO YOU MAKE IT?

OR..

IS CBD WATER SOLUABLE

IS CBD WATER SOLUABLE, READ MORE!



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The Role of a Lawyer in Cannabis Deals

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From startups to multi-state operators, most cannabis businesses will engage legal counsel at some point. All of these companies – but especially smaller ones or less experienced ones – need to grapple with the question of what the role of a lawyer in cannabis deals will be. This can be a difficult question to answer. We’re here today to give the legal take on it.

A lawyer’s general role in a deal

Subject to a few exceptions I’ll discuss below, a cannabis lawyer’s role in a transaction does not extend to things like (1) negotiating business decisions, (2) agreeing to aspects of a transaction, or (3) advising on non-legal issues. In other words, lawyers don’t assume the role of CEO or the business development team. Instead, generally speaking, cannabis deal lawyers (1) negotiate legal aspects of a transaction and (2) draft transaction documents. If there is a regulatory element, they may also (3) assist with required regulatory filings. This is usually it.

Ethical constraints on lawyer roles

The practice of law is highly regulated. Lawyers need to abide by a host of ethical rules when they practice. The rules are even more demanding and complicated in cannabis transactions due to federal cannabis illegality. See the California Bar’s opinion for example. They change from state to state, so even what we’re talking about here may be different in each state.

A lawyer’s ethical obligations can be difficult for clients to grasp. Sometimes clients ask their lawyers to do something that would be totally normal for non-lawyers, but prohibited by legal ethics rules. Lawyers who do these things risk their licenses. Those who don’t may lose a client if the lawyer fails to explain their regulatory prohibitions well enough, or the client does not care about the rules.

Tricky attorney-client issues in cannabis deals

Sometimes clients ask lawyers to do things that, while not necessarily unethical, may be outside a lawyer’s wheelhouse or just something that lawyers don’t do, like give tax advice (okay, tax lawyers don’t count here). Most of the time, the questions though straddle the border of what a lawyer can do. All of our cannabis attorneys have been asked to assist in some of these “gray areas” in the past. Here are some common examples:

Can you help us negotiate a purchase price or some other key non-legal business term?

Lawyers should not be advising on what purchase price to offer or how much to pay in a deal. If a lawyer has experience in an area and understands market prices, they can convey that information to the client when asked. But the payment terms are solely up to the parties. They are business terms.

That said, lawyers can help clients in negotiating a purchase price based on information and business decisions provided by the client. For example, a lawyer representing a buyer who wants to pay $X less than the purchase price, or to restructure the purchase price in some manner, can certainly help negotiate with the seller’s lawyer. In this example, the buyer’s lawyer can explain why legal issues flagged by that lawyer and business issues flagged his or her client mandate a lower or different price.

Your cannabis lawyers are experts in this field. Is this company really worth $X?

This too is a really tricky question for cannabis lawyers to answer. Lawyers are not expert valuators. Some lawyers may have information on what is market in a deal. But no two deals are alike and most are very different. Good cannabis lawyers will then diligence the transaction and the target business or assets (minus any diligence that needs to be done by CPAs or other experts) to determine whether what the seller says is true. Clients use this information, in part, to value deals. Our cannabis lawyers have seen prices drop or get restructured many times after finding skeletons in the closet during diligence.

What are the tax implications of this cannabis deal?

Most cannabis transactional lawyers know at least some information about tax to give some high-level tax information to clients. But complex tax questions are best answered by CPAs or tax attorneys. In many of our cannabis M&A or transactions or cannabis real estate transactions, we work with a client’s CPA early in the process to identify the most tax-efficient structures for the deal.

Can you introduce us to one of your other cannabis clients to do X deal with?

Some states may have rules that restrict or prohibit a lawyer’s ability to do something like this. Even in ones that don’t, lawyers need to be very clear that they do not represent both sides in a transaction, which is prohibited in almost all cases by ethical rules. And there are tons of other problems if a lawyer wanted to take a finder’s fee or broker fee for doing such an introduction.

Can you hold money in escrow?

The answer here depends on state law and a lawyer’s risk tolerance for holding money in trust generally– and especially for cannabis money. Many lawyers will not act as escrow on a transaction. A truly independent escrow company is better in the event of a dispute over release of escrow proceeds. Some lawyers nevertheless perform these services. If a client wants to save money in a transaction this is probably good information to determine at the outset of the attorney-client relationship.

You are a real estate attorney. Can you advise me on an employment dispute?

This is probably the most common type of question ALL lawyers get. Clients often think that because we went to law school and took the bar, we know everything about all areas of the law. We don’t. A lawyer typically focuses on a relatively narrow area or areas of the law. This can irritate clients who may just want one lawyer or firm to handle everything.

This problem is particularly challenging for sole practitioners or very small firms who need to either “figure out” a brand new area of the law in a short time (rarely a good call) or farm the work out (which neither lawyers nor clients like). Our cannabis team fortunately has experience in many different areas but even we need to refer specialized work out from time to time.

It’s good for clients to figure out what they need from a firm when engaging the firm. But it can often be hard to predict what kind of legal needs will crop up in the future.

So what is a lawyer’s role in a deal?

We’ve now talked about what lawyers can’t do. Now let’s talk about the actual role of lawyers in cannabis deals. In a cannabis deal, a lawyer’s role is to do some or all of the following:

  • Identify legal and regulatory issues that would affect the transaction (including federal law issues)
  • Advise clients on the legal impact of a transaction on their business
  • Conduct due diligence on the target asset or business OR, if representing a seller, guide it through the diligence process
  • Draft and negotiate definitive agreements
  • Assist with regulatory or legal disclosures or permitting as required by the deal
  • Guide clients through closing and post-closing legal obligations

This is a short list, but each bullet point can include a lot of substantive work and advice. The process of buying and selling a cannabis businesses or assets, or doing any other kind of deal for that matter, can be long and complicated. Good lawyers will know what they can and can’t do and advise clients to reach out to qualified professionals where needed.



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