2025 / Retrospective Cohort / Moderate evidenceAmong 80,787 hand fracture surgery patients, cannabis users had higher complication rates than non-users for infections, cardiac events, and malunion, though fewer complications than tobacco users.
2025 / Outbreak Investigation / Moderate evidenceA Wisconsin restaurant accidentally used hemp-derived THC cooking oil from a shared kitchen, causing 85 people to experience THC intoxication over three days in October 2024.
2025 / Prospective Cohort / Moderate evidenceAmong 1,242 people with chronic pain using illicit opioids in Vancouver, daily cannabis use was associated with 40% higher rates of opioid cessation, with effects stronger in men.
2025 / Clinical Study / Moderate evidenceClinical study found arthritis patients had significantly lower 2-AG (a key pain-regulating endocannabinoid) and altered inflammatory lipid profiles compared to healthy controls.
2025 / Placebo Controlled Trial / Moderate evidenceA placebo-controlled trial found THC caused pupil constriction (not dilation) and dampened the pupillary light reflex for at least 5 hours in cannabis-naive volunteers.
2025 / Cross Sectional Survey / Moderate evidenceA survey of 8,521 German teens found those who both smoke and vape perceive cannabis as least harmful and are most likely to intend to use it, while never-tobacco-users perceive the most risk.
2025 / Regulatory Assessment / Moderate evidenceEFSA determined delta-8-THC is equally potent to delta-9-THC and set a combined safety limit of 1 microgram/kg body weight, finding many food products contain above-natural delta-8 levels.
2025 / Cross Sectional Survey / Low evidenceAmong 1,300 U.S. adults who drink and smoke tobacco, 67% use both simultaneously, 56% also use cannabis, and over 40% combine tobacco and cannabis in the same session.
2025 / PET Imaging Study / Moderate evidencePET imaging of 62 participants found CB1 receptor availability was not different in PTSD overall but was significantly linked to emotional numbing symptoms, suggesting a specific endocannabinoid role.
2025 / Cross Sectional Study / Moderate evidenceJAMA study of 245 teens in a pain clinic found 25% used cannabis, with 77% using it to self-treat pain, sleep, or anxiety. Users had higher pain interference and depression scores.
2025 / Preclinical Study / Low evidenceMouse study found THC diverts placental stem cell development away from nutrient-exchange cells through CB1 receptor signaling, providing a mechanism for cannabis-related pregnancy complications.
2025 / Longitudinal Cohort / Moderate evidenceA 10-year study of 320 first-episode psychosis patients found that most immune markers only predicted outcomes in cannabis users, suggesting inflammation and cannabis interact in shaping psychosis trajectories.
2025 / Narrative Review / Moderate evidenceA review finds prenatal cannabis exposure affects multiple organ systems beyond neurodevelopment, including cardiovascular, metabolic, and growth outcomes.
2025 / Cross Sectional / Moderate evidenceA nationally representative survey found 26% of medical and 21% of recreational past-month cannabis users met CUD criteria, with daily users reaching 31-32%.
2025 / Animal Study / Preliminary evidenceIn mouse meningeal preparations, anandamide showed stronger suppression of pain-related firing than 2-AG, pointing to FAAH inhibition as a migraine target.
2025 / Randomized Controlled Trial / Moderate evidenceA two-week self-guided online intervention helped 69% of cannabis users meet reduction goals, vs. 49% in the control group.
2025 / Cross Sectional / Moderate evidenceA German survey of 702 CBD users found 38% self-medicate for sleep, pain, depression, and anxiety, with older and unemployed individuals most likely.
2025 / Animal Study / Preliminary evidenceIn mice, FAAH inhibition reduced anxiety while CB1 blockade and CB2 manipulation increased it.
2025 / Observational / Preliminary evidenceCBG relaxes human pulmonary arteries through endothelium-dependent mechanisms, modified by hypertension and high cholesterol.
2025 / Cross Sectional / Moderate evidenceA survey of 26,458 US workers found 7.4% used cannabis at or near work, with highest rates in legal states, high-risk jobs, and among medical cardholders.
2025 / Longitudinal Cohort / Strong evidenceFive years post-legalization in Canada, overall driving after cannabis use rose, but among consumers specifically, it slightly declined.
2025 / Animal Study / Preliminary evidence4F-MDMB-BUTICA caused mortality, deformities, behavioral changes, and gene expression alterations in zebrafish embryos.
2025 / Prospective Cohort / Strong evidenceFetal brain THC reaches 35-50% of maternal blood. A model predicts 3.7 nM THC from 10mg inhaled.
2025 / Randomized Controlled Trial / Strong evidenceA double-blind crossover trial found alpha-pinene at three doses did not counteract any THC effects in 19 adults.
2025 / Observational / Preliminary evidenceTreatment-seeking adolescents used multiple cannabis products including delta-8 and delta-10 THC.
2025 / Randomized Controlled Trial / Strong evidenceCBD raised anandamide but this did not correlate with blood pressure reduction in 66 hypertensive patients.
2025 / Prospective Cohort / Moderate evidenceCannabis purchase task measures predicted young adult use frequency three months later.
2025 / Review / Moderate evidenceA review found insufficient evidence for cannabis in PTSD treatment, while Polish medical marijuana clinic websites marketed it aggressively as a therapy.
2025 / Observational / Preliminary evidenceOf five cannabinoids tested against MRSA biofilms, CBN was most effective at reducing biomass and viability, while each cannabinoid showed a different mechanism of action.
2025 / Observational / Moderate evidenceA 28-day daily diary study found cannabis use days were associated with slightly more physical activity, more drinking, and more cigarette smoking.
2025 / Observational / Preliminary evidenceVaped THC promoted Candida albicans growth, biofilm formation, and virulence gene expression in a dose-dependent manner in vitro.
2025 / Systematic Review / Strong evidenceA meta-analysis of 47 longitudinal studies identified cannabis use as a novel risk factor for violence in psychosis (OR=3.34), comparable to criminal history (OR=3.50).
2025 / Systematic Review / Moderate evidenceA systematic review of 42 studies found high-potency cannabis may be linked to problem use, but evidence was "very low" certainty across all health domains examined.
2025 / Cross Sectional / Preliminary evidenceA survey of 93 IBD patients found 54% used cannabis, with over 50% reporting symptom relief and 19% reducing opioid use.
2025 / Animal Study / Preliminary evidenceGDNF brain injection in cannabis-addicted rats reduced anxiety, reversed sperm morphology damage, decreased DNA damage, and improved sperm viability.
2025 / Randomized Controlled Trial / Moderate evidenceIn a smoking cessation trial, 47% of participants also used cannabis and increased their cannabis consumption while reducing cigarettes at similar rates to non-users.
2025 / Review / Moderate evidenceA review found cannabis use in people with HIV is associated with reduced inflammation, improved gut health, and unique microbiome changes, though HIV reservoir effects remain unclear.
2025 / Observational / Preliminary evidenceA survey of 24 pediatric cancer patients in a medical cannabis program found most reported symptom relief for nausea, appetite, and pain with minimal side effects.
2025 / Longitudinal Cohort / Strong evidenceA 9-year LA study found most young cannabis users were "Uncontrolled," but harm-reduction rules like avoiding use at work and while driving increased after legalization.
2025 / Retrospective Cohort / Strong evidenceIn a Kaiser prenatal program, 80% of 20,398 cannabis-positive pregnancies completed assessment and 88% of those needing help attended counseling.
2025 / Animal Study / Preliminary evidenceCBD nanoparticles restored gut barrier function, reduced inflammation, and normalized metabolites in stressed rats, performing comparably to standard antidepressants.
2025 / Retrospective Cohort / Moderate evidenceAnalysis of 130 cannabinoid-related seizure reports found 68% of individuals had pre-existing risk factors, with drug interactions the most common contributor.
2025 / Cross Sectional / Preliminary evidencePain clinic patients with nerve pain used THC/CBD products more frequently than those with other pain types—possibly reflecting a gap in conventional treatment.
2025 / Observational / Preliminary evidenceCBD and its metabolites reduced human neural stem cell viability at clinically relevant concentrations and altered differentiation markers, raising prenatal safety concerns.
2025 / Narrative Review / Preliminary evidenceAfter legalizing private cannabis use, South Africa faces the challenge of workplace testing—this paper proposes impairment-based THC thresholds over zero-tolerance approaches.
2025 / Review / Moderate evidenceA review finds significant species differences in cannabinoid receptor distribution that may explain why animal cannabinoid pain studies fail to translate to human clinical trials.
2025 / Observational / Preliminary evidenceAn fMRI study found daily cannabis users had normal brain value signals for cannabis but disrupted signals for food rewards, supporting reward-narrowing theories of addiction.
2025 / Longitudinal Cohort / Strong evidenceA 10-year study of 3,299 people with HIV found 26% were consistently high cannabis users, associated with depression, tobacco use, and older age.
2025 / Longitudinal Cohort / Strong evidenceYouth cannabis use slightly decreased after Canadian legalization (15% to 12.3%), but risk factor profiles shifted toward anxiety and mental health indicators.
2025 / Cross Sectional / Strong evidenceUS national survey data found adults with HIV are 3.35x more likely to co-use tobacco and cannabis, with associations modified by race and state cannabis laws.