Hemp seeds have an attractive nutty taste, and are now incorporated into many food preparations (Fig. 34), often mimicking familiar foods. Those sold in North America include nutritional (granola-type) or snack bars, “nut butters” and other spreads, bread, pretzels, cookies, yogurts, pancakes, porridge, fruit crumble, frozen dessert (“ice cream”), pasta, burgers, pizza, salt substitute, salad dressings, mayonnaise, “cheese,” and beverages (“milk,” “lemonade,” “beer,” “wine,” “coffee nog”). Hemp seed is often found canned or vacuum-packed (Fig. 35). Alcoholic beverages made with hemp utilize hempseed as a flavorant. Hemp food products currently have a niche market, based particularly on natural food and specialty food outlets.
For patients suffering from seizures, the legalization of cannabis would be a decisive turning point. Epilepsy makes you desperate. Seizures are painful, sometimes debilitating. And then there are the aftershocks: broken teeth, bruises and cuts, lost time, humiliation. People with epilepsy are often depressed, and have more than double the suicide rate of the population at large. Epilepsy is also associated with a syndrome known as Sudden Unexpected Death in Epilepsy, wherein a previously healthy person with epilepsy simply dies without warning or explanation. Grinding on without relief isn’t an option, but getting help is enormously expensive. Research conducted by Charles Begley, a professor of public health at the University of Texas, found that epilepsy treatment costs between $8,500 and $11,000 per year. Real Scientific Hemp Oil is no less expensive than its pharmaceutical counterparts, with no assistance from insurance. A single three-gram vial costs $149, while a six-pack of 10-gram tubes can cost $1,999 (or $1,599 on sale). HempMedsPx suggests a “serving size” of 0.5 ml twice daily. Only when these drugs are recognized as such will insurance pick up the tab.
No medication seemed to provide a great deal of relief for Harper’s symptoms. But in 2013, three years after their trip to Boston, Penny and Dustin caught an installment of CNN’s medical marijuana documentary and began researching what they could obtain in Texas, where medical marijuana is illegal. Their internet searches soon led them to HempMedsPx and Real Scientific Hemp Oil. The company sent Penny a vial of hemp oil, which she administered to Harper that September.
Hemp is a bast fiber crop, i.e. the most desirable (“long”) fibers are found in the phloem-associated tissues external to the phloem, just under the “bark.” The traditional and still major first step in fiber extraction is to ret (“rot”) away the softer parts of the plant, by exposing the cut stems to microbial decay in the field (“dew retting,” shown in Figs. 46 and 47) or submerged in water (“water retting, ” shown in Fig. 13). The result is to slough off the outer parts of the stem and to loosen the inner woody core (the “hurds”) from the phloem fibers (Fig. 14). Water retting has been largely abandoned in countries where labor is expensive or environmental regulations exist. Water retting, typically by soaking the stalks in ditches, can lead to a high level of pollution. Most hemp fiber used in textiles today is water retted in China and Hungary. Retting in tanks rather than in open bodies of water is a way of controlling the effluents while taking advantage of the high-quality fiber that is produced. Unlike flax, hemp long fiber requires water retting for preparation of high-quality spinnable fibers for production of fine textiles. Improved microorganisms or enzymes could augment or replace traditional water retting. Steam explosion is another potential technology that has been experimentally applied to hemp (Garcia-Jaldon et al. 1998). Decorticated material (i.e. separated at least into crude fiber) is the raw material, and this is subjected to steam under pressure and increased temperature which “explodes” (separates) the fibers so that one has a more refined (thinner) hemp fiber that currently is only available from water retting. Even when one has suitably separated long fiber, specialized harvesting, processing, spinning and weaving equipment are required for preparing fine hemp textiles. The refinement of equipment and new technologies are viewed as offering the possibility of making fine textile production practical in western Europe and North America, but at present China controls this market, and probably will remain dominant for the foreseeable future.
Despite advanced analytical techniques, much of the cannabis used recreationally is inaccurately classified. One laboratory at the University of British Columbia found that Jamaican Lamb’s Bread, claimed to be 100% sativa, was in fact almost 100% indica (the opposite strain). Legalization of cannabis in Canada (as of October 17, 2018) may help spur private-sector research, especially in terms of diversification of strains. It should also improve classification accuracy for cannabis used recreationally. Legalization coupled with Canadian government (Health Canada) oversight of production and labelling will likely result in more -- and more accurate -- testing to determine exact strains and content. Furthermore, the rise of craft cannabis growers in Canada should ensure quality, experimentation/research, and diversification of strains among private-sector producers.
In the 1970s, President Nixon declared a “War on Drugs” and signed into law the Controlled Substances Act of 1970. This law established a set of banned drugs and created the Drug Enforcement Administration (DEA). It also unintentionally outlawed one of the world’s oldest domesticated crop, hemp. This not only led to the demise of hemp, but also an increased misconception of the plant.
Animal studies have suggested a synergistic analgesic effect when cannabinoids are combined with opioids. The results from one pharmacokinetic interaction study have been reported. In this study, 21 patients with chronic pain were administered vaporized Cannabis along with sustained-release morphine or oxycodone for 5 days. The patients who received vaporized Cannabis and sustained-release morphine had a statistically significant decrease in their mean pain score over the 5-day period; those who received vaporized Cannabis and oxycodone did not. These findings should be verified by further studies before recommendations favoring such an approach are warranted in general clinical practice.
Fig. 3. Photograph of Cannabis sativa. Left, staminate (“male”) plant in flower; right, pistillate (“female”) plant in flower. Fig. 4. United States National Institute of Health, University of Mississippi marijuana plantation site, showing variation in plant size. A tall fiber-type of hemp plant is shown at left, and a short narcotic variety (identified as “Panama Gold”) at right.
Pain management improves a patient’s quality of life throughout all stages of cancer. Through the study of cannabinoid receptors, endocannabinoids, and synthetic agonists and antagonists, the mechanisms of cannabinoid-induced analgesia have been analyzed.[Level of evidence:1iC] The CB1 receptor is found in the central nervous system (CNS) and in peripheral nerve terminals. CB2 receptors are located mainly in peripheral tissue and are expressed in only low amounts in the CNS. Whereas only CB1 agonists exert analgesic activity in the CNS, both CB1 and CB2 agonists have analgesic activity in peripheral tissue.[48,49]