2014 / Observational / Moderate evidenceHeavy cannabis users showed altered connectivity in self-awareness brain networks, linked to less anxiety but worse memory, that partially persisted after one month of abstinence.
2014 / Observational / Preliminary evidenceAdding hempseed press-cake to gluten-free crackers increased fiber by up to 249% and provided 14.1g protein and 3.2g omega-3 per 100g in the optimized formulation.
2014 / Cross Sectional / Preliminary evidenceAmong 972 young adults using both cigarettes and marijuana, use patterns were correlated but quit motivation diverged: more desire to quit cigarettes but less confidence in success.
2014 / Review / Moderate evidenceReview of data from 1,000+ MS patients found Sativex did not cause cognitive decline at 12 months, did not impair driving, and maintained effectiveness at lower real-world doses.
2014 / Cross Sectional / Preliminary evidenceHawaii population survey found women with severe pregnancy nausea were 63% more likely to report marijuana use during pregnancy, though the direction of this relationship is unclear.
2014 / Animal Study / Preliminary evidenceMouse study identified 2-AG as the primary endocannabinoid regulating stress hormone recovery, with sex differences in timing and compensatory mechanisms when CB1 signaling is absent.
2014 / Review / Moderate evidenceReview presents evidence that CBD could serve as an antipsychotic agent through non-dopamine mechanisms, potentially augmenting standard medications and addressing metabolic and inflammatory components of schizophrenia.
2014 / Review / Moderate evidenceBroad review of cannabinoid medicine covered therapeutic potential in MS spasticity, pain, nausea, epilepsy, psychosis, and addiction, contrasting THC and CBD pharmacology.
2014 / Review / Preliminary evidenceReview of 165 studies found drug addiction involves both disrupted endocannabinoid signaling and neuroinflammation, suggesting cannabinoids could address addiction through anti-inflammatory mechanisms.
2014 / Longitudinal Cohort / Moderate evidenceColorado saw a significant increase in marijuana-positive drivers in fatal crashes after commercial medical marijuana expanded in 2009, while 34 comparison states showed no similar change.
2014 / Longitudinal Cohort / Moderate evidenceStudy of 11,667 middle schoolers found perceived peer norms predicted substance use in younger teens, while direct exposure to substance-using peers became more influential with age.
2014 / Animal Study / Preliminary evidenceComparison of endocannabinoid enzyme inhibitors in rats found the dual FAAH/MAGL inhibitor JZL195 had enhanced effects over the MAGL-only inhibitor JZL184, with notable species differences from mice.
2014 / Randomized Controlled Trial / Strong evidenceRCT of 246 neuropathic pain patients found THC/CBD spray achieved significant 30% pain response rates (p=0.034) and improved sleep quality versus placebo.
2014 / Cross Sectional / Preliminary evidenceCannabis use reduced inflammatory markers CCL2 and IL-17 similarly in MS patients and healthy controls, while anandamide was elevated in MS patients regardless of cannabis use.
2014 / Review / Preliminary evidenceTen-year review of the clinical endocannabinoid deficiency hypothesis argues growing evidence supports low endocannabinoid tone as a factor in migraine, fibromyalgia, and IBS.
2014 / Prospective Cohort / Moderate evidenceProspective study of 2,042 Chilean adolescents found cannabis misuse independently predicted new self-harm onset over 6 months, alongside depression, suicidal thoughts, and poor problem-solving.
2014 / Animal Study / Preliminary evidenceTHC disrupted learning-related hippocampal plasticity and neurogenesis markers in adolescent rats, but only during active training, with no effects in untrained animals.
2014 / Longitudinal Cohort / Moderate evidenceAmong 502 first-episode psychosis patients, cannabis users who reduced or stopped use after treatment contact showed the greatest symptom improvement at one year.
2014 / Cross Sectional / Moderate evidenceSurvey of 313 IBD patients found 83.9% reported cannabis improved pain, but Crohn's patients who used cannabis >6 months had 5x higher odds of requiring surgery.
2014 / Systematic Review / Moderate evidenceSystematic review mapped cannabinoid metabolism by liver enzymes (THC via CYP2C9/3A4, CBD via CYP2C19/3A4) and found generally low drug interaction risk at typical doses.
2014 / Systematic Review / Moderate evidenceSystematic review of 122 studies found exogenous cannabinoids suppress immune function and shift Th1/Th2 balance, potentially creating latent vulnerability to psychosis, especially during adolescence.
2014 / Longitudinal Cohort / Moderate evidenceStudy of 3,146 college students found 30% had used marijuana before college and 8.5% started during freshman year, with campus residence as a key risk factor for initiation.
2014 / Review / Strong evidenceReview of 7 randomized trials found Project TND consistently reduced hard drug use in all trials, with less consistent effects on alcohol (4/7) and marijuana (2-3/7).
2014 / Review / Strong evidenceComprehensive drug review confirmed Sativex significantly reduces MS spasticity in patients who respond to an initial 4-week trial, with early dizziness and fatigue as main side effects.
2014 / Review / Moderate evidenceReview of CBD for epilepsy found strong preclinical support for endocannabinoid system involvement in seizure control and growing anecdotal evidence for CBD, but called for rigorous clinical trials.
2014 / Animal Study / Preliminary evidenceUnexposed offspring of THC-exposed rats showed compulsive heroin-seeking behavior and altered striatal brain circuitry, suggesting transgenerational epigenetic effects of parental cannabis exposure.
2014 / Review / Moderate evidenceReview found synthetic cannabinoids are full CB1 agonists with higher potency than THC (a partial agonist), explaining their increased potential for adverse reactions and toxicity.
2014 / Animal Study / Preliminary evidenceMice with a genetic variant in neural cell adhesion showed delayed but lasting cognitive damage from juvenile THC exposure, while normal mice did not, supporting a gene-environment interaction.
2014 / Cross Sectional / Moderate evidenceAnalysis of 72,053 high school seniors found simultaneous use of alcohol and marijuana was associated with the highest rates of unsafe driving, exceeding concurrent or single-substance use.
2014 / Review / Moderate evidenceReview for cardiologists documents temporal associations between marijuana use and heart attacks, sudden cardiac death, stroke, and arterial disease, urging awareness as legalization expands.
2014 / Randomized Controlled Trial / Moderate evidenceFirst human study of THCV found it increased brain responses to both food reward and aversion, suggesting potential for obesity treatment without the depressive effects of rimonabant.
2014 / Case Report / Preliminary evidenceCase of a 38-year-old man who developed cannabinoid hyperemesis syndrome from K2 synthetic cannabis, diagnosed after extensive negative workup, with symptoms relieved only by hot showers.
2014 / Review / Moderate evidenceReview of endocannabinoid-based pain therapy highlights FAAH and MAGL inhibitors as promising approaches that boost natural pain-modulating molecules locally, potentially avoiding psychoactive effects.
2014 / Cross Sectional / Preliminary evidenceStudy of 463 adolescents found COMT gene methylation was linked to smoking, and a specific genotype-methylation interaction influenced high-frequency cannabis use.
2014 / Case Control / Strong evidenceLarge case-control study found cannabis-positive cord tests were associated with 2.3x higher odds of stillbirth, with smoking showing an independent dose-response relationship.
2014 / Cross Sectional / Preliminary evidenceSurvey of 514 CVS patients found 81% used marijuana, reporting symptom improvement. Hot showers were used by 67%, more commonly among marijuana users but not exclusively.
2014 / Animal Study / Moderate evidenceAdolescent monkeys given THC for 6 months showed persistent impairment in spatial working memory (still maturing) but not object working memory (already mature).
2014 / Randomized Controlled Trial / Strong evidenceRCT of 7,079 students across 7 European countries found "Unplugged" reduced cannabis use, smoking, and drunkenness, with cannabis and alcohol effects persisting at 15 months.
2014 / Cross Sectional / Moderate evidencePopulation survey of 4,014 Ontario adults found those screening positive for ADHD reported more substance use but no more collisions or driving after drinking or cannabis use.
2014 / Randomized Controlled Trial / Moderate evidenceRCT of 1,734 Australian students found a computer-based prevention program increased drug knowledge, decreased pro-drug attitudes, and reduced cannabis use frequency in females.
2014 / Case Report / Preliminary evidenceCase report of CHS presenting as cyclical vomiting relieved by hot baths in a chronic cannabis user, emphasizing the need for emergency department recognition.
2014 / Randomized Controlled Trial / Moderate evidenceDouble-blind trial of 52 cannabis-dependent users found escitalopram (SSRI) added to CBT did not improve abstinence rates (19% overall), anxiety, or depression compared to placebo.
2014 / Randomized Controlled Trial / Moderate evidenceCannabis cues flashed for 33ms (below conscious awareness) activated reward brain circuits in dependent users, with activation correlating with craving and years of use.
2014 / Animal Study / Preliminary evidenceDrug discrimination study found that mimicking THC's subjective effects in rats required simultaneously boosting both anandamide and 2-AG through dual enzyme inhibition.
2014 / Animal Study / Preliminary evidenceCB1 neutral antagonists reduced the aversive emotional effects of morphine withdrawal in rats, but FAAH inhibitors (which boost anandamide) did not.
2014 / Review / Strong evidenceAAN guidelines gave Level A (highest) recommendation for oral cannabis extract for MS spasticity symptoms and pain, while noting ineffectiveness for objective spasticity measures.
2014 / Systematic Review / Strong evidenceOfficial AAN guideline recommends oral cannabis extract for MS spasticity symptoms and pain (Level A), with Sativex for symptoms/pain/urinary frequency (Level B).
2014 / Animal Study / Preliminary evidenceCB2 receptor agonist reduced pain behaviors and protected pancreatic tissue from damage in a rat model of chronic pancreatitis without affecting brain function.
2015 / Review / Strong evidenceACOG formally recommended that pregnant women stop marijuana use due to neurodevelopmental concerns, and that obstetricians not prescribe marijuana during pregnancy or lactation.
2015 / Review / Moderate evidenceReview of cannabis in cancer care covers established uses (chemotherapy nausea, wasting) and emerging potential for cancer pain (possibly synergistic with opioids) and preclinical antitumor effects.