2025 / Randomized Controlled Trial / Preliminary evidenceA pilot RCT found 4 weeks of low-dose CBD (60mg/day) did not improve blood sugar control, gut microbiome composition, or inflammation in 16 overweight or obese adults.
2025 / Observational / Preliminary evidenceAn open-label study of 88 chronic pain patients found 58% achieved at least 50% pain reduction with full-spectrum cannabis, and 26% reduced or stopped other pain medications.
2025 / Retrospective Cohort / Strong evidenceAn Ontario population study found cannabis-related hospital visits were associated with 5.4x higher self-harm risk and 9.2x higher suicide risk over 3 years, even in those without pre-existing mental health conditions.
2025 / Animal Study / Preliminary evidenceCombining a CB1 blocker with a NOP receptor activator worsened colitis in mice, revealing a cautionary interaction between the endocannabinoid and nociceptin systems.
2025 / Animal Study / Preliminary evidenceCBD reversed elevated dopamine neuron activity in both male and female rats in a schizophrenia model and corrected memory deficits in males.
2025 / Cross Sectional / Moderate evidenceA survey of nearly 3,000 cannabis users in legal US states found two-thirds also used tobacco, with simultaneous use linked to higher cannabis problem severity.
2025 / Retrospective Cohort / Moderate evidenceAmong 33,000+ matched people with alcohol use disorder, cannabis use disorder was associated with 40% lower risk of alcohol-related liver disease and 14% lower mortality.
2025 / Cross Sectional / Moderate evidenceAmong people misusing prescription sleep aids, 55.5% also used marijuana, with two profiles: a common alcohol/marijuana/tobacco pattern and a riskier polysubstance pattern.
2025 / Animal Study / Preliminary evidenceMice lacking CB1 receptors in the hypothalamus had less joint damage and lower stress hormones with aging, suggesting the brain's cannabinoid system influences peripheral joint health.
2025 / Cross Sectional / Moderate evidenceIn 91 healthy adults, blood endocannabinoid levels showed no broad association with pain sensitivity, though anandamide was linked to pressure pain thresholds.
2025 / Case Report / Preliminary evidenceA child died after eating hashish, with forensic analysis revealing chronic exposure to multiple drugs including THC, cocaine, heroin, and fentanyl.
2025 / Cross Sectional / Moderate evidenceAmong 18-20 year old cannabis users in LA, use frequency stayed stable after legalization, though edible consumption increased.
2025 / Qualitative / Preliminary evidenceA pilot in a residential recovery program found clients and staff reported medical cannabis reduced cravings and managed symptoms.
2025 / Randomized Controlled Trial / Preliminary evidenceProtocol for a 200-teen RCT testing whether 8 weeks of cannabis abstinence reduces depression and suicidal ideation — using 8 daily phone surveys to capture the moment-by-moment relationship.
2025 / Review / Strong evidenceACOEM guideline found no quality evidence supporting cannabis for common work-related pain conditions and recommended against use in safety-sensitive positions.
2025 / Scoping Review / Moderate evidenceA review found CUD treatment success depends on duration, motivation, coping skills, self-efficacy, and therapeutic alliance, with sex, age, and comorbidity predicting who benefits.
2025 / Cross Sectional / Preliminary evidenceFirst analysis of cyclic vomiting and cannabis hyperemesis syndrome in Mexican patients found CHS patients had higher tobacco and alcohol use than CVS patients.
2025 / Animal Study / Preliminary evidenceA nano-formulated CBD preparation fully suppressed neuropathic pain in mice with a single dose by selectively quieting overactive pain circuits.
2025 / Cross Sectional / Moderate evidenceFirst-episode psychosis patients who showed cognitive deterioration had higher cannabis exposure and environmental risk scores than those who maintained cognitive function.
2025 / Animal Study / Preliminary evidenceCombining an anti-inflammatory lipid mediator with cannabinoid receptor agonists produced enhanced pain relief in diabetic rats beyond either treatment alone.
2025 / Longitudinal Cohort / Moderate evidenceBrazilian LGBTQ+ youth, especially those assigned female at birth, had nearly double the odds of cannabis use and started using substances earlier than heterosexual cisgender peers.
2025 / Prospective Cohort / Moderate evidenceChronic pain patients on medical cannabis reduced opioid use from 40mg to under 3mg daily over a year, but nearly half couldn't tolerate the cannabis treatment.
2025 / Longitudinal Cohort / Strong evidenceBiological drug testing in ER patients confirmed cannabis use increased nationally from 2008-2019, with the biggest increases in states that legalized recreational cannabis.
2025 / Animal Study / Preliminary evidenceCannabinoid receptor ligands reshaped energy metabolism in brain astrocytes, triggering calcium signaling, glycogen depletion, and increased metabolic output primarily through CB1 pathways.
2025 / Qualitative / Preliminary evidenceQualitative study found medical cannabis helped parents manage symptoms and be more patient, but stigma and legal fears created tension in their parenting identity.
2025 / Cross Sectional / Preliminary evidenceSurvey of 302 cannabis users found few perceived differences between vaping and smoking risks, though younger users and women saw more mental health benefits from vaping.
2025 / Cross Sectional / Preliminary evidenceMales with a specific MAOA gene variant who experienced childhood sexual abuse were more likely to use cannabis for coping, but this combination was associated with lower aggression.
2025 / Prospective Cohort / Moderate evidenceNearly half of regular cannabis users exceeded zero-tolerance driving THC limits after 48+ hours of abstinence, raising questions about per se impairment laws.
2025 / Pilot Study / Preliminary evidencePhase 2 trial found CBD reduced aromatase inhibitor joint pain in 44% of breast cancer patients, with an average 2.36-point improvement among completers.
2025 / Cross Sectional / Preliminary evidenceSurvey found nearly half of breast cancer patients used CBD, mainly for pain and insomnia, with mixed self-reported results.
2025 / Longitudinal Cohort / Moderate evidenceCannabis use among Washington State young adults continued rising through COVID while alcohol, cigarette, and e-cigarette use declined.
2025 / Cross Sectional / Preliminary evidenceBlood levels of endocannabinoid-related molecules differed in substance use disorder patients, with distinct patterns when ADHD was also present.
2025 / Randomized Controlled Trial / Strong evidenceFDA trial found 5.6% of healthy adults on consumer-level CBD doses developed significant liver enzyme elevations in 28 days.
2025 / Cross Sectional / Preliminary evidenceDepression was associated with 30% higher odds of frequent cannabis use among Black college students.
2025 / Cross Sectional / Preliminary evidenceBlack college students who started marijuana before 14 were 3x more likely to report suicidal ideation.
2025 / Retrospective Cohort / Moderate evidenceOlder chronic pain patients starting medical cannabis were 54% more likely to begin long-term opioids the following year.
2025 / Cross Sectional / Moderate evidenceAdolescents with incarcerated family members had significantly higher odds of early and current cannabis, alcohol, and nicotine use.
2025 / Cross Sectional / Moderate evidenceEuropean survey of 35,789 cannabis users found 42% also used CBD for similar reasons.
2025 / Cross Sectional / Preliminary evidenceSurvey of 1,302 small-scale growers: 82% also grew other plants, with most starting as gardeners before adding cannabis.
2025 / Animal Study / Preliminary evidenceLifelong dietary fatty acid composition influenced adult rat behavior and modified adolescent THC effects on anxiety and impulsivity.
2025 / Cross Sectional / Moderate evidenceCanadian study: neighborhood deprivation and gentrification linked to higher cannabis use; immigrant neighborhoods showed lower use.
2025 / Retrospective Cohort / Preliminary evidencePediatric palliative care cannabis clinic saw reduced hospitalizations and polypharmacy across 46 patients.
2025 / Retrospective Cohort / Preliminary evidenceTen-year study: all young children testing positive for cannabis had child protection activation, but caregivers rarely disclosed.
2025 / Cross Sectional / Moderate evidenceUK Biobank analysis of 25,000+ people found cannabis users had brain network patterns resembling younger brains and better cognitive performance.
2025 / Qualitative / Preliminary evidenceBC cannabis compassion clubs created harm reduction through structural (access, safety, quality) and operational (compassion, low-threshold) dimensions.
2025 / Observational / Moderate evidenceLegal Canadian cannabis vape products contained metal particles from device components in both liquid and inhaled aerosol.
2025 / Retrospective Cohort / Strong evidenceAmong 82,180 pregnancies, partner substance problems were linked to 89% higher odds of prenatal cannabis use.
2025 / Observational / Moderate evidenceProjection: German legalization may produce 19x more health harm from increased use disorder than gains from reduced contamination.
2025 / Cross Sectional / Moderate evidenceCancer survivors with four or more adverse childhood experiences had four times the odds of cannabis use, pointing to early trauma as a key factor in substance use patterns during survivorship.
2025 / Narrative Review / Moderate evidenceThiazide blood pressure medications have been unknowingly targeting the endocannabinoid system for over sixty years through the enzyme NAPE-PLD, generating protective anandamide signaling.