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00:00 Recording in progress. This is selected of Neuroscience. This subject is then

00:08 cannabinoid system and cannabinoids. So we talking a little bit about medical cannabinoids

00:15 they're related to epilepsy. So, lecture, we covered brain rhythms,

00:20 frequencies of these rhythms. And we about how abnormal synchronization can lead to

00:26 rhythms that will have certain features and the cellular level as well as certain

00:32 and synchronized activity that you can record E E G recordings. We talked

00:38 how there are pharmaceutical treatments for some these very hard to treat epilepsies and

00:43 there are also alternative ways to treat diseases. So we'll talk about the

00:48 system within a broader sense. A bit more about the reality of medical

00:53 and pharmaceutical preparations from cannabinoids and On Monday, we will have a

01:01 in depth like COVID-19 Neurological equation, in depth than we discussed at the

01:08 beginning of this course. And then week from today, we will have

01:13 final exam, review session and then have your final exam. Um So

01:23 move into our electric material. And this is myself. So if you

01:35 to contact me before, finally, can use this email is my

01:41 So I'm also an entrepreneur, um a business person you can say,

01:47 it's kind of a change for me being a scientist to becoming more involved

01:53 entrepreneurship. In about 2015, I a TED X talk in illness in

02:03 . And if you look up my name and X, you will find

02:07 talk. I'm gonna talk about epilepsy I talk about epilepsy and cannabis and

02:13 talk about different molecules and also representation that disease through, through musical

02:22 So at the very end, I with a friend of mine who's a

02:27 and he translated my seizure recordings that did here at the University of Houston

02:34 into, into musical rhythms. So you want to, you can watch

02:38 on your own. But that talk my mind and challenged myself an

02:44 And I became increasingly more interested in just what's in the lab, what's

02:50 the books and in the papers, also the reality of what is on

02:55 street, what's in the marketplace, things, the bad things and

03:00 And so I have quite a lot experience in understanding cannabis and cannabinoids.

03:07 I've used, I've served as an in Supreme Courts in Canada uh to

03:14 . It's called in front of her , the queen uh for uh different

03:21 involving cannabis and cannabinoids, as well providing expertise to the regulators and lawmakers

03:30 in Austin on Capitol Hill. And the past seven or eight years,

03:35 trained over 1500 medical doctors and registered , practicing nurses on on the subject

03:45 through materials that have been created by but approved by American Medical Association or

03:52 that is called continuous medical education. guess what? Learning never stops.

03:58 if you end up being a you have to take what is called

04:02 L E. So continuous legal education and you have to take them every

04:08 . If you are in medical you'll have to take C M E

04:11 continuous medical education. You have to yourself. And this is an emerging

04:16 in general, in medical practice and society. And so there's quite a

04:20 of interest in this particular area. this is being cut off. But

04:26 do we perceive cannabis for the last 100 years uh was predominantly shaped by

04:35 propaganda that is referred to as we madness. And in this course,

04:41 taught you a lot of times, at the history so that you

04:44 you can put things within place them a perspective, within a historical

04:50 Why things are where we are What Ramonica Hall did by drawing and

04:57 about plasticity where we are now, can we study plasticity in both of

05:01 dyes? And understanding that we have versus we had then 100 years

05:07 But the US government comes up with For Madness campaign in the 19

05:14 And that happens about a year or after the alcohol prohibition ends. So

05:19 some point, alcohol was prohibited in country. And if you look in

05:23 history in the twenties and thirties of alcohol, there's a lot of

05:29 there's a lot of trafficking of barrels alcohol and whiskey from Canada across the

05:34 , right? Al Capone Chicago, whole thing with uh with teamsters is

05:40 on and the gangs, but then becomes legal in 1932 and all of

05:47 agents that were chasing the teamsters and boozers, they're out of job pretty

05:52 . So it's the government and the interest that decides to criminalize cannabis.

05:59 , why should it be the Why should it be the special interest

06:03 not the medical doctors? In in other words, was the historically

06:07 outcry for medical community saying let's stop cannabis. And the reason why I

06:14 medical community is because at the beginning the 20th century, if you walked

06:18 the US pharmacies, most of the that you would find on the shelf

06:22 kind of a botanical, extracted preparations different plants from lavender and citrus and

06:29 cannabis. But also there was bad , opium and things like that.

06:34 was a lot of unregulated stuff. was no standardized way to produce these

06:39 extractions from different plants. So it a little bit of a danger

06:45 So there was a beneficial aspect of preparations and then dangerous aspects. But

06:52 was not the medical community that said cannabis is really dangerous. It was

06:56 propaganda media that portrayed cannabis as highly . Women cry for it. You

07:03 , men die for it. Men for it also because they get aggressive

07:09 created ecstasy, avalanche, frightful perversions beasts of men and women. There

07:16 a lot of racial undertones that white if they smoked to consume cannabis,

07:21 would end up having interracial relationships. you know, this was just all

07:26 the thirties, sex crays, innocent , victims of the new sex craze

07:32 that's what they presented cannabis and marijuana to you when you smoke it,

07:36 go wild, you have sex with and you go crazy and you're aggressive

07:43 . And we know that's really not case, but what was started in

07:47 thirties had repercussions throughout the laws, government, the research, the perception

07:55 cannabis. And unfortunately, what happened we got deprived of a lot of

08:01 medicinal and therapeutic applications of cannabis and because of this regulation that was dictated

08:09 the government and the special interests. also had an impact globally. So

08:15 the United States did that, when United Nations started uh listening to the

08:21 States is one of the most influential and changing the laws and now the

08:26 are changing everywhere in the United States in Europe and in Asia in many

08:31 ways. So what, what you know is what you don't know.

08:36 in the 19 twenties, when we all of those different tinctures that I

08:40 telling you about the preparations and the on the shelves in the US

08:45 we didn't know exactly what was inside them. So of course, for

08:49 , for thousands of years, there reported, accounts of cannabis use for

08:53 medicinal purposes would be for recreational There's accounts of cannabis use that's originating

09:02 in the written uh language from 2500 from China area. Emperor. She

09:10 , that was detailing the medicinal impact cannabis. And from there, it

09:17 through Asia and other European and and hemisphere regions of the world. But

09:25 , even when the shamans were preparing concoctions, heating them, dissolving

09:30 And when these preparations were found on pharmacy shelves at the beginning of the

09:35 century, all the way through the of the 20th century, we didn't

09:39 exactly what the active ingredients were. if there was an medicinal effect,

09:43 there was an intoxicating effect that was and reported, but we didn't know

09:48 exactly in that plant because as you , plants can contain thousands of different

09:54 in them. What exactly is the ingredient that is causing this versus this

09:59 that. Until in the 19 sixties seventies, there was a development of

10:04 performance liquid chromatography, which is an chemistry technique. It is used to

10:10 , identify and quantify each component in mixture. So here you have your

10:16 , you have your mixture, you alcohol or you boil some roots and

10:20 and some uh uh kettle. And you want to see exactly what the

10:24 ingredients are. These in botanical not just can any botanical corporation,

10:29 put it into this solving solution. with the use of mps, this

10:36 solvent containing the mixture is it's passed a column, this H P L

10:46 column and this column is filled with absorbent material. And there are many

10:53 components in the sample. And these components or ingredients in the sample will

11:00 differently in time with the absorbent material this column. So the lighter molecules

11:09 travel faster and so on and so . Each component of the sample will

11:14 differently, causing different flow rates with components. And leading to the separation

11:20 the components as they flow out of column, they get placed in the

11:24 in the 60 seventies, it will printed on a chart. Now it

11:29 fed into the computer and in the you have the output that shows you

11:37 peaks where each one of these peaks a chemical that's present in this mixture

11:43 . And the amount of that a percentage of that chemical uh uh

11:49 that action. And it's called H L C. And that's what allowed

11:55 scientists to start separating individual molecules and ingredients uh and do it with a

12:03 greater efficiency. And you will hear word when you talk about botanical products

12:10 when you talk about cannabis products, particular, you hear these words C

12:14 A s which is certificates of analysis certificates of authenticity. So a lot

12:20 pharmaceutical products, you trust to just to the pharmacy and buy it.

12:24 don't ask for any test results because simply trust the system, the FDA

12:30 drug system in the pharmacy cell Uh when you go to obtain medical

12:39 products, there's no such trust for the manufacturers or the consumers. And

12:46 to see exactly what the elements are the product in the C O

12:51 these, these are done by analytical laboratories. So they cannot be done

12:57 the producer. Typically that will reveal at least what is in that

13:03 what is in that mixture that somebody's online or in the dispensaries or in

13:10 doctor's offices in some states. So 1964 Rafael Ulam uses liquid chromatography and

13:22 isolates and successfully describes the structure of H C which really stands for Delta

13:31 . Do you see he goes to police station and gets hashish. It's

13:38 Israel from the police station and hashish just another preparation of cannabis. It's

13:43 a different drug. It's just a preparation of cannabis. So he takes

13:49 to the lab. There's a great that talks about this story and the

13:54 and other related stories on youtube called scientist. And it's about Dr Rao

14:00 who passed about a month and a ago in his nineties. But so

14:05 discovers DH C and he gives uh C to uh some of the

14:12 he extracts it basically from, from the hashish. He separates that

14:19 gives it to monkeys and some monkeys sleepy and others are kind of a

14:23 and overreactive. And so he takes home and invites six guests plus his

14:30 and asks his wife to bake a , a chocolate cake and he puts

14:34 mg of T H C in uh slice of chocolate cake. And after

14:38 , he says all the guests you uh some of this cake and eight

14:45 for most, most of them are it. A couple of them are

14:50 , couple of them kind of stop . And then there's one or two

14:55 that are very uncomfortable that have paranoia have panic attack. And to this

15:03 , we know that this is the of Delta nine T H C on

15:06 individuals that for some individuals, it agreeable and makes them laugh and makes

15:12 happy and for others, they never to repeat that experience again. Um

15:18 it related to T H C in cannabis in general. Now, because

15:24 we have uh this molecule that we in the 19 eighties. Pharmaceutical companies

15:32 drugs to name drugs, na but really is just synthetic on T

15:39 C molecule. That's in the form the tablets, 2.5 mg of T

15:45 C for oppa stimulation of anti anti vomiting and chemotherapy and the terminally

15:54 patients. So that is available since eighties through pharmaceutical prescription. Um where

16:03 Kelsey Sebo if you have the qualifying , which is uh really severe effects

16:11 chemotherapy and severe nausea. This is of the prescriptions that a doctor can

16:16 you. So how did pharmaceutical companies find that out? Well, it

16:24 out that, you know, pharmaceutical always watch what's happening in the

16:27 In reality, what little scientists are in their little labs and how they

16:33 to good meetings and speak very loudly front of a lot of people.

16:37 there's some pharmaceutical person rep in the taking notes saying, oh, this

16:42 a really interesting result. Let us this further. So and 1972 United

16:50 government places cannabis on schedule one, is basically cannabis and T H C

16:55 says it is dangerous. It has medicinal value and it's addicting and particularly

17:03 Delta nine T H C and cannabis . And the reaction is such that

17:10 a year or two later, Oregon cannabis. So whenever you see,

17:17 you want to do something to suppress , typically the opposite happens, uh

17:25 the opposite happens, you know, gonna want to try to regulate

17:29 There's probably gonna be a way that gonna be some technological biological invention where

17:35 gonna be so widely available and regulated it's gonna be unstoppable. It's just

17:40 , that's just what happens, you , uh, uh, uh,

17:44 , a lawsuit with the defamation case is going on right now against one

17:51 the news networks that basically told lies one of the companies and that company

17:59 worth 80 million before this defamation but they just won 800 million from

18:05 company that lied and wanted to suppress . So, what did they

18:09 They made that company 10 times It had the opposite effect. So

18:15 , now you got decriminalization that decriminalization through the west coast. But most

18:20 , at the same time, we an AIDS and HIV problem and it's

18:26 real serious issue. We don't know to combat it. Advanced stages of

18:32 . A person is wasting away. very nauseated, they cannot eat

18:39 they're vomiting and they have what is the wasting syndrome, they're losing weight

18:43 the faster they lose weight, the they die. And so the hippies

18:47 the seventies that was before these drugs pharmaceutical uh preparations notice that if they

18:54 cannabis and cannabinoids or certain preparations of plants, cannabis plants that these patients

19:03 a little bit of appetite. And is a known function of T H

19:07 . In cannabis, it raises appetite stimulant, and they would eat

19:11 little bit more and they reduce their . And because of that, they

19:16 a little bit happier and lived a bit longer, you know, and

19:20 , that's how it started. And pharmaceutical uh companies were taking note of

19:26 of this developed synthetic uh T H preparation. That synthetic means that it's

19:32 from other chemicals. It synthesized in lab has nothing to do with the

19:37 . There's no synthetic marijuana, there's synthetic banana, right. So,

19:44 preparations come about only in 4005. have 1 to 1 Delphin nine T

19:51 and CBD 2.7% 2.5%. About 1 1 to buckle spray. Buckle

19:59 That means you're spraying it into the . You always have to think about

20:04 you take different drugs. Something that swallow, drops into the stomach,

20:10 P A gastric juices metabolism, digestion into the digestive system, it's absorbed

20:19 the blood. So there's a delay and sublingual underneath the tongue and upper

20:27 regions. A lot of times we high absorption areas and buckle spray or

20:33 spray is a good way to deliver . Um Also talking about delivering medications

20:39 the brain. A good way is nasal spray to deliver something into the

20:43 too. As we saw the COVID-19 , can get into the brain through

20:47 nasal cavity. So can the So this is antipas uh it's against

20:55 and pains and multiple sclerosis. multiple sclerosis, C N S D

21:01 myelination. We talked about one of chromosomes involved chromosome 18, uh tremors

21:08 spasms of the symptoms because you demyelinated neurons and you're having tremors, not

21:15 able to control the signaling is not being able to control motor functions

21:20 having spasms of the, of the in the periphery. It's very painful

21:27 this drug is available and it was by a British company and it's available

21:32 the UK and over 25 different countries not in the United States in the

21:37 States. Uh The same company in developed a drug that is 10% cannabidiol

21:44 canna is the second major and most cannabinoid in the cannabis plant. 10%

21:54 solution drops. Basically tincture. It's anti convulsant or anti seizure medication for

22:01 the syndrome kids and epilepsies. So talked about sodium channel mutation. S

22:09 N one A gene mutation that leads sodium channel mutation. Both get the

22:13 channel mutations that can lead to sme severe myronic epilepsy, which is also

22:19 syndrome. And so now you understand lead up to this that this is

22:25 only approved pharmaceutical. So what Charlotte was taking? I was telling you

22:29 the previous lecture under the supervision of is not an approved pharmaceutical corporation.

22:34 was a state approved uh preparation under supervision of neurologists, but these are

22:41 approved drugs. But I think it's little bit shameful that for the plant

22:47 has been medicinally used for thousands of for the plant that has been misrepresented

22:56 so many ways uh to only have here in the United States, one

23:03 Alpha nine AC pharmaceutical and another one 10% CD D and sesame seed oil

23:12 some alcohol and strawberry flavor. It's think that this is a huge opportunity

23:20 the reason why I say that is this is not what the medical cannabis

23:25 use, the medical cannabis patients. is what the patients use, that

23:29 not medical cannabis patients, the medical patients have access to dozens of different

23:37 , different formats of products, different of T H C CBD CV,

23:43 , CBD A and so on and forth, all of these cannabinoids.

23:48 in reality, we have to reconcile is anecdotally is being used now by

23:54 of people in this country and hundreds millions around the world into some

23:59 some scientific and clinical framework, we what these different components are ratios and

24:05 what effect they may really have on disorders. But for now, it's

24:11 politicians that are deciding what effect cannabinoid have on different medical conditions like they're

24:21 with other things that are medical related . Now, if you recall,

24:26 talked about the endocannabinoid system. Um So what makes them very like

24:34 H C so much more worse than based H D? Because if it's

24:39 same chemical, you need all the extra chemicals in the plant to balance

24:43 out or something. That's a great . I'm gonna get to that in

24:50 two slides or so if you don't . OK. So, but one

24:57 I wanna remind you is what cannabinoid do that we discussed. I will

25:06 to that question. I wasn't OK the cannabinoid receptors. Do we discussed

25:11 the brain is that they're located preoptic activation of C G one receptor cannabinoid

25:17 . One, the neurons will block gated calcium channel will control ci inhibitory

25:24 transmission. So well, essentially the excitation in addition, can balance it

25:31 excited in our inventory. Synopsis two receptors are predominantly expressed on glial

25:37 and most of them microglial cells, remember the function of microglial cells.

25:41 when there is injury, when there an infection or something like that microglia

25:47 activated and they are regulating the inflammatory . The cytokine molecule amount in the

25:54 and unregulated amounts are bad because it there's too much inflammation. Inflammation in

26:00 is a signal for the immune system turn on the immune response because inflammation

26:06 difficult with consequence to injury or And so here you have a different

26:12 by microglia but CD one and CD in the brain, they are not

26:18 present in the brain and endo cannas CD receptors and they're synthesizing enzymes.

26:24 you have to have synthesizing enzyme that endogen. You have to have degrading

26:30 that degrade these endogen molecules. Uh will find endo Cannavino molecules, the

26:37 major endogen molecules. Although there are that we are discussing, the two

26:42 ones are anandamide. Ananda san means . So it's like a bliss like

26:49 or copy molecule. It's endogenous endo like an and to a G two

26:56 glycerol molecule, two major ends. throughout the body, there is virtually

27:05 cell in the human body and the will have a component of the end

27:09 system. CV one CV, two cannabinoid signaling synthesis of degradation in some

27:17 , right. So, endocannabinoid molecules interact with C B receptors throughout the

27:24 and the body. If they interact neurons, it will affect their neural

27:30 . If it interacts with microglial it will regulate inflammatory and repair processes

27:36 the microglial cell populations. But it different effects in different parts of the

27:43 . And CV two receptors are dominant the organs like that. Bone marrow

27:49 pancreas that are responsible for a massive immune response, a systematic immune response

27:57 the body. And so you can that there are some organs are dominated

28:02 by CV one receptors. Others are CV, two others will have equal

28:09 of CV one and CV two Cannabinoid receptor CV receptors are most predominant

28:15 protein coupled receptors in the brain. why they require a little bit of

28:20 . A little bit more than is to them typically. Uh But this

28:24 changing historically too, the endogen mino is a major body and brain homeostatic

28:30 regulatory system. It reacts to the . It has a certain base level

28:37 endo cannabinoid production. And then if a situation with the newborn, there

28:45 an increased production of human milk. in that milk, there will be

28:49 production of endo cannabinoid molecules. So like smoking cannabis or consuming T H

28:57 alleviates uh nausea and gives people stimulates appetite. The same way endo

29:05 is a happy ananda, the happy molecule, but also stimulates suckling newborn

29:13 suckling so that it encourages the child go back and get more milk and

29:18 be hungry for that milk and be . So uh it will respond to

29:24 and stress. It will respond to to immune or help a mass immune

29:32 . It will stimulate appetite, it interact with the memory and in

29:40 it can influence forgetting. So cannabis or persistent cannabis use can have a

29:49 effect on short term memory and later long term memory. So,

29:56 then the cannabinoids that are inside the , why would they want to help

30:02 forget things? Because if you recall that forms these memories, although it

30:09 store these memories and recalls these memories different parts of the cortex and different

30:15 of the areas is a part of limbic system. Amygdala is a part

30:20 the limbic system. There's the emotional centers here and inevitably really strong memories

30:28 the strongest memories have a strong emotional , either happy, a really negative

30:37 component. And if you are not to get out of that happy ecstasy

30:45 , that's, that's not very You should start forgetting because there's there's

30:49 in life some place or if you unable more. So to get out

30:53 the sad state like grieving state, can be overwhelming. It could be

31:00 and physically challenging and sometimes debilitating when lose a really close loved person,

31:06 sibling, your parents and your So over the years, a person

31:14 survive because that's part of the mechanism forgetting mechanism to help you get over

31:20 . And forgetting is not only just the stories, it's forgetting the emotion

31:24 is associated with what happened or at the impact or the strength of that

31:31 , inflammation already talked about thermal regulation also some other impacts. Now.

31:38 you have endogenous and you have phyto and you have a, a lot

31:44 phyto cannas over 100 different phyto cannas and CPA CDC, the G C

31:52 C C, the G C And this is just an example of

31:56 of them and phyto cannabinoids like T C, for example, structurally are

32:01 similar to the endo cannabinoids. And , a lot of phyto cannabinoids like

32:06 H C will interact with the CV and therefore just like endo cannabinoids,

32:11 can control neural transmission through CV one . T H C will also bind

32:16 CV, two receptors. And therefore can control inflammatory responses in the brain

32:20 well. And then they will have targets. Cannabinoids will have other

32:27 not just CD receptors, but other receptors in the brain and in the

32:32 and in the body, as I CD receptors are widely distributed through the

32:37 and the tissues. So typically, we take medications and this is another

32:44 to think about how you're consuming things general. We do it through oral

32:50 , and we typically don't even do that is called sublingual, but we

32:56 sublingual would be placing something under your and waiting for it to dissolve or

33:01 drops under your tongue and meditating for minutes without trying to swallow it or

33:07 like that. Uh, typically, , we swallow medications, uh,

33:14 tablets, uh, even in botanical , you can have them in preparations

33:20 tinctures or oils. A lot of people will drop it on their tongue

33:24 swallow it or wash it down or because it can taste really bad if

33:29 a bad product. So um and gummies are everywhere. Everything is in

33:37 , right? You can go low a gummy, you can go high

33:41 a gummy. Everything. Vitamins for are in gummies. And what do

33:47 do with the gum? Pop it your mouth? Chew, chew,

33:50 , chew, maybe chew chew So there isn't much of it lingering

33:56 in the sublingual or these areas that was telling uh that would have a

34:01 of absorption. So all of it in the stomach gets fully digested.

34:06 for cannabinoids, this is in the of Texas for medical cannabis. This

34:11 the only way that patients can access cannabinoids is through oral injection, ingestion

34:18 tinctures and through gummies. Um And when doctors recommend any medicine or any

34:27 ingredient, for example, like T C, they say stark low goes

34:32 , start low. You wanna start a low dose, go slow.

34:35 means weight. What is the reaction that drug on whatever condition you're

34:41 a lot of the drugs that you will have a delayed fat. You

34:46 ibuprofen and you don't expect for your to be gone in two seconds.

34:51 know that you have to put up it for another 10, 15,

34:55 minutes and maybe it's gonna help or a little or help a lot in

34:59 cases it completely. So the, , there's a delayed effect with ingestion

35:06 we have an hour to two Once that effect starts happening through the

35:13 uh the digestive system, the effect prolonged 68 hours from ingesting it.

35:19 T H C gets oxidized in the . It's called a secondary metabolite,

35:24 liver metabolite called 11 0 H or 08 T H C which also has

35:30 strong intoxicating effect. So, in drug, remember, we talked about

35:36 figgy and I said Charlotte figi was anti seizure drugs that were targeting Gaba

35:43 and that's where ethanol binds. So seizures were still not being controlled and

35:49 was like drunk, walking around basically a drunk person in the middle of

35:55 day, a child. So that's you have to take this into effect

35:59 a lot of active ingredients and drugs have a medicinal effect, stop

36:05 but also will cause you to feel . In this case, T H

36:10 can have a medicinal effect in stopping or stopping spasms or something like that

36:15 stopping seizure. But in the case T H C, not CV D

36:20 T H C, it will also a higher intoxicating your. And if

36:25 do it through the ingestion, it's double whammy because you're getting intoxication from

36:30 nine T H C that you consumed half an hour or so. And

36:34 getting a secondary intoxication by the metabolite is produced in your body. And

36:40 where the problems come in. Also guns, most of all cannabis companies

36:44 are highly responsible, making them look little, you know, sponge bob

36:49 pants and things like that, you , packaging which, you know,

36:52 don't see that with alcohol, you , moonshine is typically not sitting in

36:57 little juice squirt like looking bottle. know, the kids would grab on

37:02 way out to, to their So that's, that's irresponsible. The

37:07 thing is that they get left around most of the poisonings in Children is

37:14 these kind of products that are left . So little kids typically can't roll

37:18 joint but they can grab a gummy the table top, it's not stored

37:24 . They get poisoning, they they get rushed to the hospital,

37:30 clean out their stomachs, typically go to school the following day, but

37:34 a really traumatic experience because they don't what's really going on, what they

37:39 because they just ate something that was vitamin, they thought, you

37:43 so there's a lot of cases like , it's negative effects that are coming

37:48 . The other thing is adults, impatience of adults, they may have

37:53 with cannabis, they may have consumed or smoked it and they smoked it

37:57 and the effects are not on the . And Denver, Colorado,

38:01 Washington. You name it. One the big states. We have a

38:06 of dispensaries, robust programs for medical recreational. One of the most favorite

38:11 , uh, keywords for Google is the nearest dispensary to the airport?

38:16 you go to the dispensary and pick a pack and they get back in

38:21 with their friend on the way to conference and they pop the pack and

38:26 gummy and they're sitting in the cab you feel anything five minutes, 10

38:30 like no, I don't. dude, let's take another one,

38:33 know, so take another one and then what happens another 15,

38:38 minutes? You're already feeling the onset this another little bit later. You're

38:43 the secondary effect and you just added on top and that's when people,

38:47 , I have to stay in the room tonight. You know, I

38:50 do much. I couldn't attend the . So just knowing all of these

38:54 is important, it's related to anything you consume, anything that you

38:58 But knowing this is important because this very prevalent surrounds us and many different

39:04 around the world. Another way that like to deliver cannabinoids is topical

39:09 There are CD, one CD, receptors in the nerve endings that we

39:14 . But that means you have to through the skin. So it has

39:18 be transformed. So there are a of T H C or CBD creams

39:22 things like that. You know, of all, they would claim

39:25 you know, they make your skin and look look beautiful. We don't

39:29 about that. They may interact with B one receptor CV two receptors,

39:32 only if they cross. So cream not equal to cream, you

39:37 and I explained yesterday that there are like l'oreal lanco and you know,

39:44 Acid, Eva Longoria and you how much they should get paid to

39:49 Hyaluronic acid on TV, millions of . How much are they paying 20

39:54 to run around to make sure that newest preparation with Hyaluronic acid is going

39:58 be even more effective, even a penetration rate, longer lasting, you

40:04 , higher sheen on the skin, of this, you know,

40:08 huge serious industries and a lot of is not present in medical cannabis

40:15 So if you have those developments in pharmaceutical world or in a really

40:20 you know, well funded cosmetics world over the counter world for creams

40:25 that level of uh uh sophistication, level of funding and that level of

40:32 is not present yet at the state medical cannabis programs. So now,

40:39 inhalation and suppositories are the best way get active ingredients, especially if you

40:48 to get them into the brain and the digestion of the table. We're

40:53 here. So we want to get into the brain in the absence of

40:57 into the nose to get into the . We're gonna think about sublingual

41:03 We're gonna think about inhalation preparations which be both combustion, which is smoking

41:11 vaporization, which is heating. The is when you heat plant matter like

41:21 like mint like basil, whatever at point it ignites, it starts combusting

41:30 that is called smoking. So when , when the cigarette is lit

41:35 it's smoking, it's combusting. But vaporization and in very smart medical

41:42 the temperature can be controlled. Combustion typically 400 centigrade and above in smart

41:48 devices including in cannabinoid delivery devices in that are approved for use in the

41:55 in Israel. There are deliveries that no heat or use very low heat

42:00 a lot of active ingredients like phyto that we're talking about and other volatile

42:06 like tapes that we talked about when talked about olfaction that are present in

42:11 plant as well, they will evaporate much lower temperatures than 400 centimeters.

42:17 they will have operated 253 103 They never reached that combustion temperature.

42:25 . But why is it effective? inhalation goes into the lungs and then

42:29 there into the blood stream and there a quick delivery then into the brain

42:35 the blood brain barrier, these So the blood brain barrier, soluble

42:40 and cannabinoids. And that's an effective . The same with suppositories, anal

42:46 vaginal suppositories because there's a lot of uh uh uh and blood vessels around

42:56 areas and placing it, suppository gives absorption into the blood there,

43:06 If you put something from the it drops into the digestive system,

43:10 not from the other way around, the bottom. So there it goes

43:14 into the blood. Again, it a very effective way of delivering

43:19 It's unpleasant. People don't like to it. And for the most

43:24 it's uh also if you want to it into the blood, it's a

43:27 effective way of doing it. So slide is what I call cannabis one

43:33 one. And this slide hopefully will your question about why synthetic cannabinoids have

43:39 stronger effect, uh which is not the case with pharmaceutical synthetic cannabinoids,

43:46 it's definitely the case with illegal synthetic or semi illegal synthetic annoys. So

43:52 one oh one, what is cannabis ? Cannabis plant is a variety of

43:57 plants. It is typically described as , sativa, cannabis indica, cannabis

44:03 dual. Most of the plants have interbred and most of them are hybrids

44:09 all of these different sativas and And there's a new system that is

44:15 developed, type one, type type three and that's based on the

44:18 of CBD and T H C. for now, federally in the United

44:24 , what we have legal federally is or industrial hemp. And the regulator

44:31 that hemp that typical is grown is plans, but they don't have to

44:36 , the stocks are being used, leaves are being used, the males

44:40 being grown male plants because male plants seeds. Ok? And the regulator

44:48 that the level of T H C this finished plant matter, harvest of

44:52 matter shouldn't exceed 0.3% of T F . 0.3% is three mg per

45:01 So magical talent with gummy can be 5 mg 10 mg, uh Marinol

45:09 was 2.5 mg of T DC. even here, you have low levels

45:15 C Delta nine C. But uh European countries said it's gonna be 0.2%

45:23 then the Italians came and said it's be 0.6%. And then the Swiss

45:29 the Czech said is gonna be So is there a cut-off in T

45:36 C that distinguishes low T H C industrial harm plants from medical marijuana

45:44 No, who determines the cut-off. in Italy. They think it's 0.6

45:51 , they think it's 0.3. Czech would think. They think it's

45:56 And that's also different what it is the plant versus what it is in

46:00 food. You know, it would different regulations of the consumption of Canada's

46:04 and CBD products in different states and countries that are also regulated. So

46:09 pretty complicated. Now, I T C, Canada is typically, it's

46:13 plants that are grown to be shorter stockier with really large flowers. They're

46:18 cola or buds and contain up to T H C, uh 36% T

46:25 C by weight. That's a But this is a genetic cut off

46:30 the plant has to do something else just have T H C. It

46:33 to have leaves, it has to stems and it has to have

46:36 It does a lot of other things it to survive. So these are

46:42 T H C preparations. There are state regulated medical or adult use programs

46:48 country nationally regulated is in Canada and . This is very different from synthetic

46:54 street phenomenons. Synthetic was seeking out as a synthesized molecules. Right

47:02 There is a different kind of a that we have is because a lot

47:06 CV D products are being converted into eight T H C delta 10 T

47:15 C hex A hydro canal H H and this is done from the natural

47:25 . So the precursor could be natural CBD, but to turn CBD into

47:30 A or delta 10 or H H . Another cannabinoid, it's semisynthetic

47:36 You're using a different uh potentially unapproved definitely non-standardized acid wash and things like

47:45 to, to change the chemical structure CBD into these other molecules move the

47:51 bomb around. So those are semi and they're present in the stores

47:55 And the reason why you will see A delta 10 is sold here and

48:00 of these different cannabinoids in the Vape or the smoke shops is because the

48:06 u government approved Delta 90 C under Hump farm bill federally. But a

48:15 of manufacturers said, oh, we'll just, you know, they

48:19 say anything about Delta eight or Delta . So we'll stuff the gummies.

48:23 , CV D wasn't selling very So they said we're gonna convert and

48:28 the gummies with Delta eight and Dave 10 here is the issue with all

48:33 these semi synthetics is that we don't their binding properties to the receptors.

48:40 don't know much about their medicinal but we don't know, we only

48:45 anecdotally and only recently all sorts of . You know, when people

48:49 oh, I didn't do much to . I didn't feel my legs for

48:52 hours, you know, and things that. So now, maybe I'll

48:56 to your question in a second if don't mind. But, and before

49:01 was on the market, which this , this is new. This is

49:04 only a year ago or so, , these just popped up. It

49:07 very popular, those same smoke shops these chops carried real synthetic cannabinoids that

49:14 not have natural precursor that was simply from chemicals into this white looking powder

49:21 placed typically on some plant matter, mt whatever uh placed in packets,

49:31 with us. Coach spies different variations it. The regulators were chasing

49:36 They were available on these uh shady that were available also in the parks

49:40 on the streets, people peddling them drug dealers. Now when T H

49:46 . But if the cannabinoids bind to receptors, there are a lot of

49:51 are partials, which means that they that receptor will stick to activate protein

49:58 dissociate it degraded and the cyclo can repeat. But with the long

50:05 especially these full synthetic an they can what we call full agos, which

50:13 it will bind and they will stick that and then we'll stick to it

50:19 seven days, two weeks. So binding properties and the fact of how

50:26 binds and how it dissociates is very affected. And most of the natural

50:32 , they seem to have a half of like I indicated through ingestion about

50:36 to 8 hours through inhalation, probably to 4 hour half life. But

50:42 synthetics, we don't know their half , we don't know their degradation because

50:48 enzymes have to degrade these molecules. if it's something that is simular to

50:53 molecule or something that is natural, it's easier to degrade. But certain

50:58 and certain formulations become very hard to . So there might be an accumulation

51:03 them in the brain again causing almost a chronic or long term effect on

51:09 transmission. It's not the plasticity or to psychosis. So, synthetic cannabinoids

51:15 dangerous. It can lead to schizophrenia psychosis from just a one or two

51:20 uses because the both the doses are defined and regulated. So luckily that's

51:26 of a going away, but it's replaced with this mild or semisynthetic form

51:31 cannabinoids, which I believe will be fairly soon too. Do you have

51:37 question? I was just, I like I was like, yeah,

51:45 , so, so this is, is a, this is another great

51:48 . Um uh Why is cannabis not ? And why is fentaNYL number

51:58 So cannabinoid receptors, you'll find them brains C B receptors, but they're

52:04 areas like areas they're in areas that nucleus solita that control nausea, that

52:12 vomiting opioid receptors. You'll find them brains stone, but in the nuclei

52:20 the regions that control vital body breathing and heart rate. Number

52:27 So the location of the receptors and structures of the brain as you're learning

52:31 this course. So what are different in the brain are doing what they're

52:35 for? So, in this opiate receptors in the structures that control

52:40 body functions. Number one, number , it's uh the dynamic of the

52:48 and dynamics of any chemical system or system. The best analogy that I

52:54 use is the following with opiates. this is not just with fentaNYL,

52:58 with prescription opiates, there's an effective , an effective dose. I don't

53:04 what exactly it is for different But let's say an effective dose is

53:08 to 2 mg. The fact of for opiates, why do people take

53:12 because they have pain and the painkillers work and they take a lot of

53:18 and, and still don't work. so they go to opiates. So

53:23 mg is the fact that those which it alleviates the pain, partially half

53:29 . It depends. But a lot people that are taking opioid treatments,

53:34 will have pumps and their pumps are and they push the palm and it

53:40 them another dose of opiates, they again, gives you another dose of

53:45 or you don't see very well. instead of that one tablet, you

53:51 it four. And for opiates, 45 times higher dose of the effective

53:59 is a lethal dose. So it's a rubber band. But that rubber

54:04 , you can only stretch it this and it breaks with cannabinoids and phyto

54:13 . This dynamic range is huge. the effective dose, let's say let's

54:19 crude. And let's say for uh experiences a joint is an effective dose

54:26 alleviate their pain, of course. but also get high, let's say

54:31 an effective doses of joint to reach lethal dose, you would have to

54:37 about 1000 joints in about 15 And I always say that not even

54:44 doggy dog, you can do So that's why they, you can

54:50 , you can pass out, it negative effects on people that are pro

54:58 that have depression of certain molecules intoxicating . Ultimate T H C is not

55:04 . Other cannabinoids may be. But , so this system has a huge

55:10 range from effective those being here to dose that you cannot even reach.

55:15 like this rubber band that you stretch stays down until we let it go

55:19 see it comes back, you So, so those are great.

55:24 . What, what causes like how you get addicted to, to something

55:28 opioids? Like what causes that Wow, I'm not gonna get into

55:36 because it's such a complicated subject There's so many different aspects. There's

55:44 receptor aspect, there is emotional, is a societal aspect, econo socioeconomic

55:51 , it's like all sorts of stuff addiction. Now in general is cannabis

55:59 . Uh it's likely addictive. So in 10, 1 in 11 people

56:03 have cannabis use disorder with opiates. more, it's way more addictive,

56:09 uh you know, we don't have to go into it. And then

56:13 colleagues like in psychology and I will you shouldn't talk about that. That's

56:16 course. You know, I can about the problem of addiction and how

56:20 deal with it. And also different uh uh substances that a person can

56:27 addicted to and go about their life not or die, right? If

56:36 addicted to alcohol, uh you you know, you have difficult

56:44 your opioids, crystal, nothing. lot of people end up on the

56:50 . It's a very difficult time. nonfunctional member of the society.

56:55 No. Um, caffeine, no . Right. But stop drinking coffee

57:04 now tomorrow. Never. Don't drink again. You'll be like, wait

57:07 second. I want coffee. I , it's not like you're gonna have

57:11 or sweat at night thinking about So, withdrawal symptoms may be different

57:16 this is also about withdrawal. That's I don't want to get into

57:19 It's really complicated, you know. but uh so it, it

57:26 it all depends what kind of substance so addiction is so complicated, but

57:31 is a cannabis use disorder and there some famous people that use cannabis daily

57:39 the time. Snoop doggy dog, seems to be pretty well set in

57:44 with whatever he's doing right. Uh are business people, there are these

57:50 publicly traded cannabis companies that make billion revenues run by executives that smoke and

57:56 cannabis, not just smoke, they it in different ways. Uh And

58:01 know, they have 500 employees and and reporting to the federal agencies on

58:07 stocks and shares and all of So this is a little different but

58:12 don't see, you know, opiate pharmaceutical companies, the CEO S running

58:19 with opioid pumps, you know, just, that's just, is just

58:23 possible. It something that you'll see people that run uh wineries, for

58:29 , there is a certain level with tolerance and addiction where you can operate

58:34 , you know, have maybe you to use it every day, but

58:38 , you know, you, you're addicted. I don't know how to

58:42 this. I'm not into, I'm you, the psychology professors would be

58:48 , stop, tell them to take course. Well, you think about

58:53 , I want you to think about plant in general and this plant has

58:57 many different uses. This is what's unique about this plant. This is

59:02 the special interests hated it. So you were producing lumber in the thirties

59:08 forties and you were making paper hemp regrow 16 18 ft tall every

59:15 every season, the trees will So what's the threat to your lumber

59:21 paper industry, hemp? So, interests that grants lumber would like to

59:27 production of hemp. These tall plants seeds have a lot of essential fatty

59:35 . So, omega three and omega from the stems that have a lot

59:41 cellulose and stems have highly conduct materials are even more conductive than graphene.

59:47 they can be used for construction. can be used for installation. So

59:51 can build hemp houses and it's a good installation material for the houses too

59:58 doesn't combust easily. Ok. Um sprouts will have this interesting molecule can

60:07 in a, when you go to grocery store. I always say you

60:11 buy a big bag of potatoes for bucks or you can go to the

60:17 and micro granic section and get some sprout, little Packett or some other

60:25 sprouts or something for uh maybe 8 for a little packet. Uh And

60:33 because a lot of seedlings and a of sprouts will contain very high levels

60:39 enzymes. So they will be super in certain certain molecules and certain enzymes

60:46 this stage of growth. So sometimes more beneficial to be a sprout more

60:51 than to eat a one mature plant get that same one enzyme. So

60:57 I I and uh cannabinoids, CBD H C and the third major cannabinoid

61:05 talk about in a minute C B . And in fact, there are

61:10 versions are produced in these uh glandular on cannabis, flowers and cannabis

61:20 But a lot of times people will that uh cannabis has 1000 uses.

61:27 I use them seed oil on my . It has a great ratio of

61:31 three, omega six. It has of the best protein uh amount in

61:37 seeds. So stop buying we which animal derived if you're working out and

61:45 muscles and try hemp seed protein powder the hemp seed powder, trust

61:51 it's nutty, it's tasty and it need like vanilla or something. It

61:57 better than vanilla, but you should it. So has high level of

62:03 , very nutritious chia hemp seeds and seeds, probably some of the best

62:09 in the world from as far as know, nutrition aspects. Uh and

62:13 omega three and omega six. Olive is another great source. And I

62:18 , I see all that oil food is medicine. Um This is

62:27 anatomy where you have female flowers that'll these cola uh here and you will

62:35 the trico that are translucent that have , you zoom into the trico.

62:40 have this mushroom like stem like appear it has its own, very sophisticated

62:49 cellular machinery. How does that Uh It has a very sophisticated cellular

63:00 and this central metabolite droplet on top contain cannabinoids and the aromatic Turpin

63:09 And you'll have a lot of cannabinoid here in the disc cells, you'll

63:13 pers cannabinoid intermediaries and presyn faces that synthesize C B G A CBD A

63:23 T H C A, Doctor T C A mole. So the three

63:32 cannabinoids that are produced by the plant not CBD C B G or T

63:39 C, but it's CD G A is the mother of CV G A

63:47 the mother of T H C So cannabis plant doesn't produce T H

63:55 , it produces T H C So now we have United States government

64:01 this poor plant on schedule one, it has T H C. It's

64:07 in schedule one and doesn't have DH and that's DH C A oops,

64:12 when the scientists are not involved in processes and cannot explain it,

64:16 So how does, and what is difference between T H C and T

64:19 C T H C A is So if you eat raw T H

64:24 A raw can plant to eat it heating it or any other way of

64:31 it or boiling it or whatever your get high. So it produces DH

64:40 A but with heating or decarboxylate taking the C L O H A carboxyl

64:45 , it turns into a neutral canna C C B G A into C

64:48 G CD D A to CBD. look at how these three major,

64:55 are they major cannabis because they are prevalent in cannabis plant. There's a

65:01 of CBD in hemp, there's a of T H C in, in

65:04 cannabis plants. Uh and there's C G also, which is their

65:12 A lot of it in most of cannabis plants at a different growth

65:17 So now they're major, but they're the only ones. There's a lot

65:23 different phyto cannabis, as I over 100 but they're major ones,

65:28 also present in the plant. They're the major ones because they're the major

65:31 on the market. So through the programs, there's a lot of

65:36 And through medical cannabis programs, it's focused on, unfortunately, delta no

65:41 H C but there's also C B and a number of other cannabis as

65:46 . And remember we talked about how and phyto cannabinoids can interact with the

65:53 U receptors. So let's look at these three major phyto cannabinoids interact with

66:00 C B one receptor. So T C is an agonist to C B

66:06 receptor that means it's going to activate . One cause the closure of calcium

66:13 regulate neurotransmitter release. CBD is what call negative allosteric modulator and it will

66:23 bind to CV one receptors, but will dampen activity to CV one

66:31 So if it was in the presence TV, C C T C would

66:36 CV one receptors. Her mouth is of a problem. Cascade CBD would

66:42 a stimulation and C B G is antagonist CV one or something.

66:48 C B G will antagonize C P receptor. Therefore, it will not

66:55 an effect of neuro transmitter. And why things with cannabinoids and cannabis are

67:02 complicated. Even just looking at single receptor target like C P one

67:09 for example, prefers to bind to receptors. So it has higher binding

67:14 to serotonin receptors than cannabinoid receptors. that means that besides binding to cannabinoid

67:21 , these three major phyto cannabinoids can interact with other neurochemical and receptor systems

67:29 the brain. So, what do know about these three major phyto

67:37 Well, there's a lot of positive medicinally that we know from T H

67:42 CBD. Some of it is only or merging with C B G,

67:49 there's some negative effects as well. what does this mean psychotropic high effect

67:56 ? It's too high but it also an Panter neuroprotective analgesic appetite stimulation,

68:02 and anti cancer problems. Does that there are all of these medications with

68:06 with T H C and all of now? But it has been reported

68:13 affected and hasn't been taken through the trials and proved to be a pharmaceutical

68:19 like this, two other drugs I . So they're still staying in a

68:25 of Explorer studies. But when you a medical program, that means you

68:33 a supervising medical physician that is working you adult use or recreational is another

68:40 . Uh, there's no regulation there certain states. If you're a certain

68:44 , it's up to you. if you wanna get drunk on

68:47 get drunk on alcohol. If you pass out on gummies and pass out

68:50 gummies, you know, but for use, it's with the supervision of

68:55 doctor and they will decide what what product you may want to

69:01 And they'll be more knowledgeable about the on these cannabinoids and clinical literature and

69:06 on these cannabinoids. It doesn't mean there are all of these uh approved

69:12 and regimens that exist. So this kind of a trial and error just

69:16 a neurologist would do with the seizure using pharmaceutical anti seizure medications. As

69:22 saw with Charlotte piggy, she used cocktail of medications and was still having

69:27 seizures a day. So now is to T H C anxiety and panic

69:34 , just like from the very early of isolated T H C, increase

69:38 heart rate, low rate of addiction dependency. It's used, it's called

69:42 use disorder. And when people consume levels of T H C or concentrated

69:48 H C preparations. They can experience is called hyper syndrome. Vomiting,

69:53 coughing, really painful in the inability to swallow as they eat

70:00 Uh sometimes requiring hospitalization, sometimes a shower because it interacts through these uh

70:08 R P receptors that are also temperature . So, cannabidiol is the

70:14 So if T H C can be psychotic eventually, right, can induce

70:21 and panic attacks and CD detains these and panic attacks. So again,

70:28 neurologist, you in our cases, , your physician and his oncologist will

70:33 benefits versus harms. Can this person and smoke this product? Can they

70:40 ingest it? Is it gonna cause too high? What's the benefit?

70:45 their metabolism and all of that is be taken into consideration? But CBD

70:52 much, much safer and as far having any negative or side effects,

70:56 has only mild side effects, drowsiness and digestion and, and many

71:02 clinical trials, patients that are taking and clinical trials, very low percentage

71:07 them exit out of the trials, means that they can tolerate some of

71:11 mild side effects. But it's mostly approved as an or anti session of

71:19 . But it has been shown to all of these other properties from aioli

71:24 analgesic to neuroprotective properties and antipsychotic C B G is a CV one

71:32 antagonist and there's expe experiential reports. will buy this the best counteract negative

71:39 of T F C because mechanistically T C is an agonist and CBD is

71:44 antagonist. And as far as other , anxiety, sleep or energizing effect

71:49 C B G that is still all for grabs and for determination. But

71:56 , in this country, we still have this synthetic Delta nine G C

72:00 pharmaceutical preparations. And this 10% can a dial preparation for uh seizure,

72:07 , seizure medication for Dr syndrome. uh the fact of the matter is

72:14 we need a lot of these Which ones of these are gonna be

72:18 to cancer, which ones are gonna stopping just nausea versus stopping the growth

72:24 the cancer tissue in the brain, example, right? So we need

72:29 of these answers. We need to in this middle layer. And I'm

72:32 the only person that uh believes that a lot of therapeutic applications of

72:38 This is the last slide I'm gonna you today. And uh this is

72:44 paper that was published by the National of Sciences, Engineering and Medicine,

72:50 health effects of cannabis and canna. got together the over 100 smartest

72:56 scientists and medical doctors and said go there, search all the literature,

73:01 everything clinical trials and tell us is really bad stuff or is there any

73:08 stuff? And so they determine that conclusive or substantial evidence of cannabis or

73:13 . Its cannabis, cannabis plant canals effective for the treatment of chronic pain

73:20 and the treatment of chemotherapy induced nausea vomiting. For improving patient reported multiple

73:26 plasticity symptoms, oral anatomies, moderate on short term sleep, Apne

73:32 apnea, fibromyalgia, chronic pain, that's limited evidence on many things,

73:38 evidence of more things, limited evidence more things. So we need to

73:42 in this gap. And I always that it would be really nice as

73:47 , we can study and order chemicals we can order chemicals that are schedule

73:51 chemicals, even cannabinoid from different pharmaceutical . But what's really difficult has been

73:58 difficult and it has been made very by the government is to study the

74:01 cannabis plant, the extracts from this or the products that are in thousands

74:06 the dispensaries around the country. It's a closed channel. This is here

74:11 this is here and the bridge doesn't from the dispenser into the university or

74:18 the clinics. And I think that is very necessary if there's gonna be

74:23 medicinal uh and scientific applications for specific conditions of those different formulations made from

74:32 . So I'll stop here and we'll on Monday to continue and finish talking

74:39 cannabinoids. A couple of slides. This is a good slide. Tomorrow

74:45 4 20. today's 4 19, see everyone on

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