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Old 06-27-2003, 09:20 PM   #11
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I'm not entirely certain if this even has any relevance, but I recall an interview app 15 years ago with Paul McCartney, (and not the interviewer - Frost perhaps) where he tried to put Paul on a hot-seat right away about his marijuana use.

Paul replied with something similiar to 'Is smoking tobacco good for you? Is drinking good for you? Is smoking marijuana good for you? Obviously, none of them are good for you. We all make choices, but I'm not here to be the poster-boy for marijuana.'

Most billionaires tend to be pretty well-spoken.
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Old 06-29-2003, 11:03 PM   #12
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Quote:
Originally posted by Corwin
I'm not making legal statements here.... I don't really see a justification for it being any less legal or less controlled if legal than alcohol, but when people start spouting off propaganda like 'alcohol is more dangerous than pot' it just bugs the shit out of me.
Well, hate to bug the shit out of you, but alcohol is in fact more dangerous than marijuana. In my freshman year alone, my roomate and a friend of mine from school nearly died from alcohol poisoning. Alcohol is a poison, and people can very easily die from ingesting too much. Thc poisoning is simply impossible.
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Old 06-30-2003, 08:12 AM   #13
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First, the study mentioned in the OP is consistent with virtually all of the other recent reviews of the long-term effects of cannabis use on cognitive function. For instance, there were two reviews published last year in the Journal of Clinical Pharmacology. According to the authors of one study, the findings "suggest that cannabis-associated cognitive deficits are reversible and related to recent cannabis exposure rather than irreversible and related to cumulative lifetime use" (Cognitive measures in long-term cannabis users. J Clin Pharmacol 2002 42:11, pp. 41-47). That is, there are deficits in memory in active users compared to nonusers, but these between-group differences disappear with a couple of weeks of abstinence.

The other study was a review of 40 previous studies. It reported that although just over half (22) of the studies reported subtle residual impairment, "the authors could not detect consistent evidence for persisting neuropsychological deficits in cannabis users" (Nonacute (residual) neuropsychological effects of cannabis use: a qualitative analysis and systematic review. J Clin Pharmacol 2002 42:11, pp. 48-57).

There are also studies which demonstrate that, in 'experienced' users, even the acute phase (the 'high') does not significantly adversely affect most cognitive functions. One study examining the affects of cannabis on cognitive ability appeared in Neuropsychopharmacology. In a nutshell "acute marijuana smoking produced minimal effects on complex cognitive task performance in experienced marijuana users," although it did increase reaction time and frequency of premature responses.

Quote:
Although the ability to perform complex cognitive operations is assumed to be impaired following acute marijuana smoking, complex cognitive performance after acute marijuana use has not been adequately assessed under experimental conditions. In the present study, we used a within-participant double-blind design to evaluate the effects acute marijuana smoking on complex cognitive performance in experienced marijuana smokers. Eighteen healthy research volunteers (8 females, 10 males), averaging 24 marijuana cigarettes per week, completed this three-session outpatient study; sessions were separated by at least 72-hrs. During sessions, participants completed baseline computerized cognitive tasks, smoked a single marijuana cigarette (0%, 1.8%, or 3.9% Delta(9)-THC w/w), and completed additional cognitive tasks. Blood pressure, heart rate, and subjective effects were also assessed throughout sessions. Marijuana cigarettes were administered in a double-blind fashion and the sequence of Delta(9)-THC concentration order was balanced across participants. Although marijuana significantly increased the number of premature responses and the time participants required to complete several tasks, it had no effect on accuracy on measures of cognitive flexibility, mental calculation, and reasoning. Additionally, heart rate and several subjective-effect ratings (e.g., "Good Drug Effect," "High," "Mellow") were significantly increased in a Delta(9)-THC concentration-dependent manner. These data demonstrate that acute marijuana smoking produced minimal effects on complex cognitive task performance in experienced marijuana users.
Effects of acute smoked marijuana on complex cognitive performance. Neuropsychopharmacology 2001 Nov;25(5):757-65.


Regarding cannabis use and lung cancer, the evidence is equivocal but consistent with a modest increase in risk, but unequivocal in showing that the increase in risk is small compared to the increase in risk from cigarette smoking. In fact, in the largest studies of cannabis users, there is no evidence for ANY increased mortality. Below are two abstracts from a previous thread.

Quote:
OBJECTIVES: The purpose of this study was to examine the relationship of marijuana use to mortality. METHODS: The study population comprised 65171 Kaiser Permanente Medical Care Program enrollees, aged 15 through 49 years, who completed questionnaires about smoking habits, including marijuana use, between 1979 and 1985. Mortality follow-up was conducted through 1991. RESULTS: Compared with nonuse or experimentation (lifetime use six or fewer times), current marijuana use was not associated with a significantly increased risk of non-acquired immunodeficiency syndrome (AIDS) mortality in men (relative risk [RR] = 1.12, 95% confidence interval [CI] = 0.89, 1.39) or of total mortality in women (RR = 1.09, 95% CI = 0.80, 1.48). Current marijuana use was associated with increased risk of AIDS mortality in men (RR = 1.90, 95% CI = 1.33, 2.73), an association that probably was not causal but most likely represented uncontrolled confounding by male homosexual behavior. This interpretation was supported by the lack of association of marijuana use with AIDS mortality in men from a Kaiser Permanente AIDS database. Relative risks for ever use of marijuana were similar. CONCLUSIONS: Marijuana use in a prepaid health care-based study cohort had little effect on non-AIDS mortality in men and on total mortality in women.
Sidney S, Beck JE, Tekawa IS, Quesenberry CP, Friedman GD., Marijuana use and mortality. Am J Public Health. 1997 Apr;87(4):585-90.


Quote:
The association between level of cannabis consumption and mortality during a 15-year follow-up was studied in a cohort of 45,540 Swedish conscripts. The relative risk of death among high consumers of cannabis (use on more than 50 occasions) was 2.8 (95% confidence interval (1.9-4.1)) compared with non-users. However, after control for social background variables in a multivariate model, no excess mortality was found. A high level of consumption of other drugs was also associated with increased mortality; the relative risk of high consumption (greater than 50 times) was 4.6 (2.4-8.5) compared with non-users. After adjustment for social background a relative risk of 1.2 (0.8-1.9) remained; for those having used drugs intravenously more than once, the relative risk was 1.6 (0.9-2.7). Among causes of death a strong predominance was found for violent death, suicide or uncertain suicide being the single most important accounting for 34.4% of all deaths. The proportion of suicides increased sharply with the level of cannabis consumption.
Andreasson S, Allebeck P., Cannabis and mortality among young men: a longitudinal study of Swedish conscripts. Scand J Soc Med. 1990;18(1):9-15.


Also, though there is indeed a higher prevalence of bronchitis and symptoms such as cough, weezing, and sputum production in cannabis smokers, there is no compelling evidence that smoking cannabis causes chronic obstructive pulmonary disorders, or COPD, even when the analyses is restricted to very heavy smokers (several joints per day). This is in contrast to cigarette smoking, where the evidence for increased risk of COPD is undeniable. According to the 1999 NAS Institute of Medicine report Marijuana as Medicine: Assessing the Science Base:

Quote:
Chronic Obstructive Pulmonary Disease. In the absence of epidemiological data, indirect evidence, such as nonspecific airway hyperresponsiveness and measures of lung function, offers an indicator of the vulnerability of marijuana smokers to COPD.154 For example, the methacholine provocative challenge test, used to evaluate airway hyperresponsiveness, showed that tobacco smokers develop more airway hyperresponsiveness. But no such correlation has been shown between marijuana smoking and airway hyperresponsiveness.

There is conflicting evidence on whether regular marijuana use harms the small airways of the lungs. Bloom and co-workers found that an average of one joint smoked per day significantly impaired the function of small airways.15 But Tashkin and co-workers146 did not observe such damage among heavier marijuana users (three to four joints per day for at least 10 years), although they noted a narrowing of large central airways. Tashkin and co-workers' long-term study, which adjusted for age-related decline in lung function (associated with an increased risk for developing COPD), showed an accelerated rate of decline in tobacco smokers but not in marijuana smokers.147 Thus, the question of whether usual marijuana smoking habits are enough to cause COPD remains open.
The abstract of Tashkin's 1997 paper:

Quote:
To assess the possible role of daily smoking of marijuana in the development of chronic obstructive pulmonary disease (COPD), we evaluated the effect of habitual use of marijuana with or without tobacco on the age-related change in lung function (measured as FEV1) in comparison with the effect of nonsmoking and regular tobacco smoking. A convenience sample of 394 healthy young Caucasian adults (68% men; age: 33 +/- 6 yr; mean +/- SD) including, at study entry, 131 heavy, habitual smokers of marijuana alone, 112 smokers of marijuana plus tobacco, 65 regular smokers of tobacco alone, and 86 nonsmokers of either substance were recruited from the greater Los Angeles community. FEV1 was measured in all 394 participants at study entry and in 255 subjects (65 %) on up to six additional occasions at intervals of > or = 1 yr (1.7 +/- 1.1 yr) over a period of 8 yr. Random-effects models were used to estimate mean rates of decline in FEV1 and to compare these rates between smoking groups. Although men showed a significant effect of tobacco on FEV1 decline (p < 0.05), in neither men nor women was marijuana smoking associated with greater declines in FEV1 than was nonsmoking, nor was an additive effect of marijuana and tobacco noted, or a significant relationship found between the number of marijuana cigarettes smoked per day and the rate of decline in FEV1. We conclude that regular tobacco, but not marijuana, smoking is associated with greater annual rates of decline in lung function than is nonsmoking. These findings do not support an association between regular marijuana smoking and chronic COPD but do not exclude the possibility of other adverse respiratory effects.
Tashkin et al, 1997. Heavy habitual marijuana smoking does not cause an accelerated decline in FEV1 with age. Am J Respir Crit Care Med 155(1):141-8.


Quote:
Corwin:
. . . when people start spouting off propaganda like 'alcohol is more dangerous than pot' it just bugs the shit out of me.
By any rational measure of dangerous, alcohol is far more dangerous than cannabis.

For one, the ratio of recreational dose to fatal overdose is thousands of times higher with alcohol. Something like 10-20 times the recreational dose of alcohol can easily kill you, equivalent to a blood alcohol level of 0.4-0.6%, which is easily consumable in one night, whereas with cannabis the LD50 is so high that it cannot be ascertained, but is clearly thousands of times the average recereational dose. It would be impossible to ingest enough cannabis to kill yourself, unless you have a major heart condition, in which case jogging could kill you also.

For another, the excess mortality associated with cannabis abuse is not signficantly different from zero, whereas that associated with alcohol abuse is very signficantly above zero. Same with permanent injury, such as alcohol-related dementia. I'm sorry if that bugs you, but its hardly 'propaganda.'

Patrick
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Old 06-30-2003, 08:36 AM   #14
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Preach it, Brother Patrick! :notworthy :notworthy :notworthy

marijuana causes fairly extensive brain damage

It does? That's news to me. Do you have some evidence to back up this claim?

Brain damage heals fairly quickly.

I think what you might want to say is something like the brain is capable of recovering from or compensating for some injuries to varying extents. Physical brain damage is typically permanent; when neurons die, they stay dead and are not replaced. E.g. when someone has a stroke, a region of the brain may be permanently killed; this region never heals as in recovering its functionality, but the person may (or may not) recover functionality that was affected by the death of that region.
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Old 06-30-2003, 08:59 AM   #15
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I'm not aware of any evidence that marijuana kills neurons. I would like to know if there are any studies showing this, and if so, how it compares to other sources of neuronal death like alcohol or aging. If marijuana was killing neurons, you would expect long-term cognitive impairment from heavy use, just as you get with alcohol. The fact that we don't see this is good evidence that marijuana is not killing significant numbers of neurons.

As for lung damage, the amount of marijuana smoked by your average pot head is far less than the amount of tobacco smoked by your average cigarette smoker. Moreoever, most of the harmful tars in marijuana smoke can be removed with a water pipe. Or at least it could if the pipes weren't illegal...

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Old 06-30-2003, 09:31 AM   #16
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Well, hate to bug the shit out of you, but alcohol is in fact more dangerous than marijuana. In my freshman year alone, my roomate and a friend of mine from school nearly died from alcohol poisoning. Alcohol is a poison, and people can very easily die from ingesting too much. Thc poisoning is simply impossible.
And if you ingest THC in the same amounts, it's about as toxic.

Beer bongs are a bad idea. Always have been. You have to work pretty damned hard to actually poison yourself with either one.

Quote:
I think what you might want to say is something like the brain is capable of recovering from or compensating for some injuries to varying extents.
Let me switch into anal-retentive mode... (since we seem to be going down that path. Again.)

The damage caused by marijuana tends to be short term and recovery from it once use of marijuana ceases tends to be the norm.

Recovery from the equivalent damage due to ingestion of alcohol tends to be permanent, however, said damage tends to be much less common, and is usually accompanied by other physical damage, most notably to the liver. (You have to be a pretty committed hardcore drinker to achieve the same level of damage.)

Is that specific enough? Or should we start enclosing tissue samples in posts?
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Old 06-30-2003, 10:00 AM   #17
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Quote:
Originally posted by theyeti
Moreoever, most of the harmful tars in marijuana smoke can be removed with a water pipe. Or at least it could if the pipes weren't illegal...

theyeti
That's exactly what I thought, but as it turns out, its not clear that waterpipes deliver the highest THC/tar ratio smoke. According to a 1996 study of waterpipes, unfiltered cannabis cigarettes, and vaporizers, the waterpipes actually performed relatively poorly:

Quote:
Contrary to popular impression, waterpipes don't necessarily protect smokers from harmful tars in marijuana smoke, according to a new study sponsored by MAPS and California NORML (National Organization for the Reform of Marijuana Laws). The reason is that waterpipes filter out more psychoactive THC than they do other tars, thereby requiring users to smoke more to reach their desired effect. The study does not rule out the possibility that waterpipes could have other benefits, such as filtering out gases, but it suggests that other methods, such as the use of high potency marijuana, vaporizers, or oral ingestion are needed to avoid harmful toxins in marijuana smoke.
Marijuana Water Pipe and Vaporizer Study

That study also looked at vaporizers. The theoretical advantage of the vaporizer is that it can heat the cannabis to a temperature high enough (~160C) to vaporize the THC, but too low to produce the carcinogens created by combustion, such as benzene and toluene. While the vaporizers that were tested in the 1996 study turned out to be not very good, a more recent study by the same author showed very promising results with a new vaporizer. This time, the tests were for cannabanoids and individual substances known to be in cannabis smoke, rather than simply a cannabanoids/tar ratio.

Quote:
MAPS and California NORML have completed a first, preliminary round of experiments demonstrating the feasibility of testing the Volcano vaporizer (www.vapormed.de). Conducted by Chemic Labs, this $30,000 feasibility study indicated that the Volcano does produce remarkably clean vapor containing THC and other cannabinoids. We have raised an additional $25,000 from a grant from the Marijuana Policy Project (first grant proposal rejected, second approved) and have just completed a follow-up "protocol" study conducted according to FDA standards. This is the first vaporizer study designed to detect a broad spectrum of toxins in the gas phase of cannabis smoke or vapor, and will provide the necessary quantitative data to apply for FDA approval of human trials using the vaporizer. The results show that the vapor contains no detectable levels of a wide range of toxins present in marijuana smoke, but does contain substantial amounts of cannabinoids.
Vaporizer Research: An Update, MAPS 13:1, Spring 2003

So, it looks as if at least some vaporizers can give you smokable cannabis with more of what you want and less of what you dont want. This is good news, since most smokers are not interested in using alternative administration routes such as eating.

Another point I would make is that the best way to protect your lungs is, first, to reduce your consumption. Many if not most smokers smoke far more than they need to achieve the desired result. The thing is that past a certain dose range, taking in more does not enhance the effects, while probably increasing the risk of doing harm. IMHO, if you're smoking more than 2 grams a day, you're wasting your money, and are probably not doing your lungs any good either.

Also, as Ive said before, the most effective way to reduce your total intake of cannabis-associated tars and so on is to smoke the most potent form available. With modern strains that have been selectively bred for THC content, the 'desired' effect requires no more than 2-3 inhalations, as opposed to perhaps 10-20 inhalations with average commercial cannabis. So, simply by keeping all other things equal but smoking the most potent varieties, you can reduce your tar intake by 50-90% or more.

Patrick
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Old 06-30-2003, 10:02 AM   #18
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So, simply by keeping all other things equal but smoking the most potent varieties, you can reduce your tar intake by 50% or more.
Or if you're really worried about tar.... you can just make brownies....
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Old 06-30-2003, 10:06 AM   #19
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Exclamation hmmm... does corwin do a lot of weed?

Quote:
And if you ingest THC in the same amounts, it's about as toxic.
how so?

Quote:
The damage caused by marijuana tends to be short term and recovery from it once use of marijuana ceases tends to be the norm.
how do you know this?

Quote:
I'm not aware of any evidence that marijuana kills neurons.
I don't think that cannabis kills neurones- smoking kills neurones. Why? because when you smoke you ingest monoxides. This is typical when you apply a lot of heat to bud or hashish. Bear in mind that the first 'hit' on a bowl of weed evaporates the thc, yielding that clean, fresh feeling. Then carry on burning the weed and it turns BLACK- you're smoking vegetable matter. Alright, there's probably thc in the vegetable matter, but the 'other' matter is what I question.

Suffice to say, I don't know 'what' it is, but it used to make me feel groggy and tired. I don't think all of that is attributable to the effects of nervous exhaustion.

Quote:
With modern strains that have been selectively bred for THC content, the 'desired' effect requires no more than 2-3 inhalations, as opposed to perhaps 10-20 inhalations with average commercial cannabis.
10-20 inhalations *belly laugh*> don't forget about tolerance, which you did mention. And, if you need to inhale 20 times, then you've probably got a high tolerance, and you're smoking for smoking sake. And, if you're mixing with tobacco, which most users do, then it isn't just thc you're after.

And, commercial cannabis, varies, from really shite untreated crap, to bud that shatters coz its glazed with thc rich sap!
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Old 06-30-2003, 10:09 AM   #20
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Originally posted by Corwin
Or if you're really worried about tar.... you can just make brownies....
That's true. In fact, you don't get any of the combustion byproducts (i.e. carbon monoxide) that way. However, on the down side. brownies are relatively inefficient, they take a long time for the effect to begin, and it takes a long time for the effect to wear off. This makes it difficult to self-regulate the dose. It also makes them not as effective for treating nausea in chemotherapy patients, since many medical marijuana patients can't hold down the brownies to begin with. However, there has been some discussion of developing a sublingual administration route, which would largely overcome those problems (but alas would not be available to recreational users).

Patrick
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