Your Blood Carries Endocannabinoids That Track Exercise, Stress, Sleep, and Inflammation

Circulating endocannabinoid levels rise with exercise and stress, follow a circadian rhythm tied to sleep, and are disrupted in chronic pain and PTSD.

Hillard, Cecilia J.·Neuropsychopharmacology·2018·Preliminary EvidenceNarrative Review·1 min read
RTHC-01691Narrative ReviewPreliminary Evidence2018RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Narrative Review
Evidence
Preliminary Evidence
Sample
Review of various studies on endocannabinoids in humans and animals.
Participants
Review of various studies on endocannabinoids in humans and animals.

What This Study Found

Endocannabinoids aren't just in the brain. They circulate in the bloodstream, and their levels shift in response to specific physiological states. This review mapped those patterns across multiple domains.

Energy balance was the most consistent finding: endocannabinoid signaling tracked with increased energy consumption and storage, supporting the system's role in appetite and metabolism. Physical exercise mobilized endocannabinoids — a finding that contributes to the "runner's high" hypothesis and may explain some of exercise's analgesic and mood-elevating effects.

2-AG, one of the two main endocannabinoids, followed a strong circadian rhythm that became dysregulated when sleep was disrupted. Circulating levels also shifted with inflammation, chronic pain, and stress. In PTSD specifically, endocannabinoid concentrations were altered in ways that suggested the system's stress-recovery function was impaired.

Key Numbers

  • 2-AG levels follow a significant circadian rhythm, disrupted by sleep loss
  • Exercise increases circulating endocannabinoid levels
  • Endocannabinoid concentrations altered in PTSD, chronic pain, and inflammation
  • Endocannabinoid signaling consistently associated with increased energy intake and storage

How They Did This

Comprehensive review of human studies measuring circulating endocannabinoid concentrations (primarily 2-AG and anandamide) in relation to physiological states and clinical conditions. Published in Neuropsychopharmacology. Covers energy balance, exercise, sleep, stress, pain, and psychiatric conditions.

Why This Research Matters

This review connects cannabis science to broader biology. The endocannabinoid system isn't just relevant when someone uses cannabis — it's active in exercise, sleep, eating, stress recovery, and pain processing every day. Understanding these baseline patterns helps explain why cannabis affects so many different things: it's acting on a system that already touches nearly every major physiological process.

The exercise connection is particularly interesting. If runner's high partly comes from endocannabinoids, then exercise and cannabis may be acting on overlapping pathways — which could matter for both addiction treatment and mental health.

The Bigger Picture

The paper's core insight is that measuring blood endocannabinoid levels can tell researchers something about how the system is functioning — but so many things influence those levels that they can't serve as a standalone biomarker. This complexity is actually the point: the endocannabinoid system is a crossroads where exercise, sleep, stress, pain, and metabolism all converge. Cannabis acts on that crossroads.

What This Study Doesn't Tell Us

Circulating endocannabinoid levels may not reflect brain levels or tissue-specific signaling. Many factors influence blood concentrations simultaneously, making it difficult to isolate individual contributions. The review synthesizes human observational data, which cannot establish causation. Methods for measuring endocannabinoids vary across studies.

Questions This Raises

  • ?Could endocannabinoid blood levels be used to guide personalized cannabis dosing?
  • ?Does regular exercise reduce the drive to use cannabis by naturally activating the same system?
  • ?How do circulating endocannabinoid disruptions in PTSD relate to self-medication with cannabis?

Trust & Context

Evidence Grade:
Comprehensive review of human observational studies. Strong pattern identification but based on correlational data that cannot prove causation.
Study Age:
Published in 2018. Endocannabinoid measurement methods and understanding have continued to improve.
Original Title:
Circulating endocannabinoids: from whence do they come and where are they going?
Published In:
Neuropsychopharmacology, 43(1), 155-172 (2018)Neuropsychopharmacology is a well-respected journal focusing on the effects of drugs on the brain and behavior.
Authors:
Hillard, Cecilia J.(17)
Database ID:
RTHC-01691

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

Summarizes existing research without a strict systematic method.

What do these levels mean? →

Frequently Asked Questions

Does exercise produce cannabinoids?

Yes. Physical exercise increases circulating endocannabinoid levels, which may contribute to runner's high and the mood and pain-relief benefits of exercise.

What happens to endocannabinoids when you don't sleep?

2-AG follows a circadian rhythm that becomes disrupted with poor sleep. This dysregulation may connect sleep loss to changes in appetite, mood, and pain sensitivity.

Read More on RethinkTHC

Cite This Study

RTHC-01691·https://rethinkthc.com/research/RTHC-01691

APA

Hillard, Cecilia J.. (2018). Circulating endocannabinoids: from whence do they come and where are they going?. Neuropsychopharmacology, 43(1), 155-172. https://doi.org/10.1038/npp.2017.130

MLA

Hillard, Cecilia J.. "Circulating endocannabinoids: from whence do they come and where are they going?." Neuropsychopharmacology, 2018. https://doi.org/10.1038/npp.2017.130

RethinkTHC

RethinkTHC Research Database. "Circulating endocannabinoids: from whence do they come and w..." RTHC-01691. Retrieved from https://rethinkthc.com/research/hillard-2018-circulating-endocannabinoids

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.