2021 / Longitudinal Cohort / Preliminary evidenceA daily diary study of 97 young adults found that cannabis-related enhancement and social motives were the primary drivers of same-day alcohol and cannabis co-use, more so than alcohol-related motives.
2021 / Review / Preliminary evidenceThe pancreas has its own endocannabinoid system that helps regulate insulin secretion. Preclinical research suggests CB1 receptor blockers could protect beta cells from obesity-related inflammation and damage.
2021 / Cross Sectional / Preliminary evidenceYoung adult cannabis users fall into three pain groups: low pain (56%), multiple pain conditions (27%), and nonspecific pain (16%). Those with more pain were more likely to use cannabis medically and consume edibles.
2021 / Review / Preliminary evidenceA review found gestational cannabis exposure is associated with impaired placental blood flow, smaller birth size, and potential neurodevelopmental and metabolic risks in children, though definitive evidence remains limited.
2021 / Review / Preliminary evidenceDelta-8 THC is chemically similar to standard THC but sold unregulated in gas stations and online. The lack of safety standards has led to poisoning reports, including pediatric emergencies with children arriving unconscious.
2021 / Review / Preliminary evidencePreclinical research suggests that blocking endocannabinoid-degrading enzymes (MAGL and FAAH) could protect brain cells from Alzheimer's-related damage, reduce inflammation, and potentially improve cognitive function.
2021 / Review / Moderate evidenceCBD interacts with a wide range of medications including anti-epileptics, antidepressants, opioids, and even common drugs like acetaminophen. The interactions occur primarily through effects on liver enzymes that metabolize other drugs.
2021 / Review / Moderate evidenceA Nature Reviews Neuroscience paper found cannabis exposure during pregnancy and adolescence impairs brain development through epigenetic changes that persist into adulthood and can be passed to future generations.
2021 / Narrative Review / Preliminary evidenceA review of 10 clinical studies found CBD may reduce psychotic symptoms caused by THC and positive symptoms of schizophrenia, though results for treating cannabis use disorder were mixed.
2021 / Retrospective Cohort / Moderate evidenceA children's hospital study found that delayed recognition of cannabis exposure in kids led to twice as many diagnostic tests, four times the avoidable costs, and hospital stays averaging 18 hours versus 4 hours for adolescents.
2021 / Observational / Moderate evidenceA large genetic study found no causal relationship between cannabis use and type 2 diabetes risk. The analysis used genetic data from nearly one million people to separate causation from correlation.
2021 / Cross Sectional / Moderate evidenceA study of 921 driver fatalities in Ontario found more tested positive for THC (251) than alcohol (241). THC-positive crashes were spread throughout the week and more often involved multiple vehicles.
2021 / Review / Moderate evidenceOnly nabiximols is approved and safety-monitored for neuropathic pain. The many other cannabis products widely used for nerve pain lack adequate safety data, making it impossible to establish correct risk-benefit profiles.
2021 / Review / Preliminary evidenceCannabinoids alter immune function by changing which microRNAs immune cells produce. These tiny RNA molecules regulate gene expression, providing a molecular mechanism for the anti-inflammatory effects observed with cannabinoid use.
2021 / Case Report / Preliminary evidenceA Turkish clinic treated 33 autistic children with low-dose CBD-enriched cannabis for a median of 6.5 months. About a third showed improved behavior, and nearly a quarter improved in language, with no significant side effects.
2021 / Review / Moderate evidenceCBD's proven success treating severe epilepsy has opened the door to investigating its potential for depression, anxiety, PTSD, addiction, and autism. Preclinical and early clinical data show promise across multiple neuropsychiatric conditions.
2021 / Cross Sectional / Preliminary evidenceA study of 152 youths found that more severe cannabis use disorder was linked to poorer recognition of sad and fearful facial expressions, independent of conduct disorder. This could represent a pathway through which cannabis increases aggression risk.
2021 / Randomized Controlled Trial / Preliminary evidenceIn a controlled THC study of 36 men, both a genetic variant (AKT1 rs1130233) and DNA methylation independently influenced how THC affected fear-related brain activity, with the epigenetic state partially mediating the genetic effect.
2021 / Cross Sectional / Preliminary evidenceAn fMRI study found adolescent-onset cannabis users learned new words significantly slower than non-users. Brain imaging revealed disrupted activation in the parahippocampal gyrus, midbrain, and thalamus during learning.
2021 / Pilot Study / Preliminary evidenceA pilot trial of 16 adults with treatment-resistant Tourette's found a THC/PEA combination reduced tics by over 20% within one week. Twelve of 16 participants chose to continue treatment in the extension phase.
2021 / Cross Sectional / Strong evidenceCannabis vaping doubled among U.S. adults from 2017 to 2019, tripling among 18-24 year olds. While not linked to respiratory symptoms, cannabis vaping was strongly associated with heavy drinking and other high-risk behaviors.
2021 / Cross Sectional / Preliminary evidenceAmong 878 fibromyalgia patients using CBD, 72% reported substituting it for other medications. Over half substituted for opioids, and most said they reduced or stopped those medications entirely.
2021 / Cross Sectional / Preliminary evidenceA COVID-19 survey of 353 medical cannabis users found over half increased use of alcohol, sleep aids, or other substances. About 40% attributed this to changed cannabis access during the pandemic.
2021 / Cross Sectional / Preliminary evidenceA survey of 2,701 fibromyalgia patients found about a third currently use CBD, mainly for pain. Most reported improvement, but two-thirds who told their doctor did not ask for physician guidance on CBD use.
2021 / Review / Preliminary evidenceA review found cannabis does not appear to treat the underlying inflammation in IBD but consistently reduces abdominal pain in both animal and human studies, offering potential symptom relief alongside standard therapy.
2021 / Randomized Controlled Trial / Moderate evidenceThe first placebo-controlled trial of smoked cannabis for PTSD in 80 veterans found all groups improved, but no cannabis preparation outperformed placebo over three weeks. The strong placebo response complicates interpretation.
2021 / Review / Moderate evidenceMost state cannabis regulatory systems ignore behavioral science evidence. This review argues that applying psychology to understanding consumers, industry tactics, and regulatory design could substantially reduce cannabis-related public health harms.
2021 / Systematic Review / Moderate evidenceA Cochrane review of four trials (126 participants) found very low to low certainty evidence that cannabinoids have little or no meaningful effect on cognition or behavioral symptoms in dementia. The evidence base is too small for conclusions.
2021 / Retrospective Cohort / Moderate evidenceAdverse event reports from recreational cannabis in France tripled between 2012 and 2017, reaching 2,217 cases. Psychiatric effects were most common (51%), and cannabinoid hyperemesis syndrome emerged as a new concern from 2015.
2021 / Review / Preliminary evidenceCannabinoid receptors (CB1 and CB2) are found on nearly all immune cell types within tumors. Activating these receptors can modulate cancer-related immune responses, opening potential therapeutic avenues.
2021 / Review / Moderate evidenceDespite growing legalization, key questions about cannabis and driving remain unanswered, including the dose-response relationship, tolerance effects, edible impairment timelines, and differences between medical and recreational users.
2021 / Review / Moderate evidenceAn NCI workshop found strong evidence for cannabinoids treating chemo nausea and some evidence for cancer pain, but highlighted underappreciated risks including infections, drug interactions, and the challenge of Schedule I research barriers.
2021 / Review / Moderate evidenceCannabis has established medical uses for pain, nausea, spasticity, and epilepsy. However, high-THC exposure causes adverse effects across nearly every body system, with children at particular risk for serious neurological toxicity.
2021 / Randomized Controlled Trial / Moderate evidenceA simulator study of 85 adults found occasional cannabis users showed significant driving impairment after smoking, while daily users showed a non-significant trend. Daily users had 5-6 times higher blood THC but drove slower as a compensatory behavior.
2021 / Case Report / Preliminary evidenceA medical cannabis patient experienced a dangerous spike in warfarin blood-thinning levels (INR 5.2) after increasing his THC dose by just 7.35 mg, likely because both drugs compete for the same liver enzymes.
2021 / Prospective Cohort / Strong evidenceIn a study of nearly 3,000 people with psychotic disorders, cannabis users had lower quality of life and worse functioning. Neither starting nor stopping cannabis changed outcomes within one year, suggesting accumulated effects from years of use.
2021 / Cross Sectional / Preliminary evidenceAmong 446 methadone patients, frequent cannabis users were 71% less likely to report a nonfatal opioid overdose in the past year (3% vs 9%), though the cross-sectional design prevents causal conclusions.
2021 / Review / Preliminary evidenceA practical clinician guide finds cannabis may help some IBD symptoms but does not reduce inflammation. Clinicians should discuss dosing inconsistencies, dependence, and cannabinoid hyperemesis syndrome with IBD patients who use cannabis.
2021 / Review / Moderate evidenceSynthetic cannabinoids (Spice, K2) are far more potent than natural cannabis, with 207 compounds identified in Europe. As full receptor agonists, they cause severe toxicity including renal damage, respiratory depression, and death.
2021 / Review / Preliminary evidenceCannabis and THC show no benefits for athletic performance and may impair cardiovascular function during exercise. CBD shows more promise for recovery, potentially aiding sleep, pain management, and mild traumatic brain injury recovery.
2021 / Systematic Review / Moderate evidenceAlmost all cannabis driving research uses ~6% THC products, while consumers buy flower at 20%+ THC and concentrates above 60%. This gap means the true impact of modern cannabis on driving may be significantly underestimated.
2021 / Randomized Controlled Trial / Preliminary evidenceIn a small simulator study, cannabis users who felt stimulated showed less driving impairment than those who felt stoned. Subjective experience predicted steering behavior, while actual lane control was predicted by cannabis dose.
2021 / Systematic Review / Strong evidenceA BMJ clinical guideline weakly recommends trying non-inhaled medical cannabis for chronic pain when standard treatments fail. The recommendation balances small improvements in pain, function, and sleep against mostly minor, temporary side effects.
2021 / Prospective Cohort / Moderate evidenceA study of 2,577 mother-child pairs found prenatal cannabis exposure (with tobacco) was linked to higher stress hormone levels in children at age 6, suggesting lasting effects on the developing stress response system.
2021 / Retrospective Cohort / Strong evidenceAnalysis of over 239,000 traffic-injury emergency visits in Ontario and Alberta found no increase in driver injuries after Canada legalized cannabis in October 2018, including no increase among youth drivers.
2021 / Case Report / Preliminary evidenceA daily cannabis user with no symptoms of gastroparesis had 500 mL of stomach contents during surgery despite proper fasting, raising concerns about hidden aspiration risks in cannabis users undergoing anesthesia.
2021 / Cross Sectional / Moderate evidenceOne in ten licensed Ontario high school students reported driving within an hour of using cannabis. Cannabis dependence was the strongest predictor (OR 12.7), followed by low perceived risk and pro-legalization attitudes.
2021 / Systematic Review / Preliminary evidenceA systematic review found only five studies on cannabis and head and neck cancer, none with standardized dosing. No conclusions about benefits or harms could be drawn from this extremely limited evidence base.
2021 / Case Report / Preliminary evidenceEight infants with treatment-resistant West syndrome received CBD-enriched cannabis oil. Four achieved more than 50% seizure reduction, with EEG improvements in seven of eight. Side effects were mild and temporary.
2021 / Cross Sectional / Preliminary evidenceA survey of 281 MS patients in Argentina found over a third use cannabis, but most never discussed it with their neurologist. Chronic pain and younger age were the strongest predictors of use.