Marijuana: Medical Miracle Plant or Myth?

In the last couple decades, feelings about marijuana have changed drastically nationally and internationally. In the USA, forty states have legalized medical marijuana and twenty-four of them have fully legalized it for adults to partake in. Despite this, marijuana remains illegal for recreation and medical use by the federal government. Therefore, marijuana is technically illegal in all fifty states with no medical uses.

A common argument for those that are for legalization of marijuana is that it has lots of health benefits, and up until recently many people thought marijuana was non-addictive or much less addictive than other drugs. So, is there any benefits to marijuana? Well, this is a complex question. Marijuana has multiple compounds that have an effect on your body, the most well known ones are THC and CBD (1). Many of these compounds have been found to effect certain areas of your body in a good way. So the question is not whether marijuana has benefits to it, but what in marijuana can be good for you and how much of an impact do these compounds really have on your health?

How does marijuana affect you?

The endocannabinoid system keeps your central nervous system in check by letting neurons know what to do next. Basically, when a presynaptic neuron releases neurotransmitters these bind to receptors on the postsynaptic neuron and either excite or inhibit the neuron. Following the binding of neurotransmitters is when the endocannabinoid system kicks into gear. The postsynaptic neuron will form endocannabinoids on demand which then act as a neurotransmitter in their own respect. These endocannabinoids travel back to the presynaptic neuron and bind to cannabinoid receptors which starts a chain reaction that leads to depolarization in the neuron which prevents further neurotransmitter release. Basically, it acts as a messenger from the postsynaptic neuron to tell the presynaptic neuron “we’re good, we don’t need anymore neurotransmitters”. This is a simplified version of this article that explains the endocannabinoid system in great detail, so if you are looking for a more in depth explanation this is a great place to start.

As mentioned earlier, marijuana has multiple compounds that can affect you. These compounds are known as cannabinoids. So to understand how marijuana affects you, you must understand what these compounds do individually. The cannabinoids in marijuana that will be discussed are THC, CBD, CBN, and CBC.

THC

The most dominant of these compounds is THC, more specifically Delta-9 THC. This is the main psychoactive compound in marijuana, or in other words, it is the compound that produces the high people experience when they use marijuana. While strains can make the percentage of all these compounds vary extremely widely, typically Delta-9 THC can range from 13-40% of the dry weight of the plant, but the average percentage of illicit marijuana was found to be 27% (2). For more details on how THC rates have changed over the years, check this article out.

Out of all the compounds in marijuana, this is the most problematic one. For your average person, THC is more harmful than it is good. Regular use can lead to reduced cardiovascular functioning, an increased risk of anxiety and depression, abnormal brain development, and a myriad of other things you don’t want to happen to you (3). For people experiencing extremely debilitating diseases such as Parkinson’s, THC can do wonders. For people experiencing these diseases, the benefits far outweigh the adverse health risks. THC has been found to be a cure for the motor symptoms of Parkinson’s and improved symptoms of tremors, rigidity, pain and sleep problems, but the research into this is extremely limited so do not take this as gospel (4). Currently medical THC is used for managing symptoms of chemotherapy such as nausea, chronic pain relief and muscle spasms. For a more in depth look at THC as a medical treatment, check out this article.

CBD

CBD is probably the second most well known compound of marijuana and it has gotten a great amount of attention in the last decade or so. CBD is non-psychoactive, which is one of the reasons it has gotten so popular. Those who are looking to reap some of the benefits of marijuana but don’t want to get high have turned to various forms of ingesting CBD. The best thing about CBD products is you do not need a prescription to obtain them and they are legal in all fifty states as well as federally.

CBD can have benefits for your overall health, giving it potential for use as a supplement. One of its main properties is its anti-inflammatory potential. CBD stimulates the release of anti-inflammatory cytokines which then diminishes the level of pro-inflammatory cytokines. This has made CBD a viable treatment for inflammatory diseases in the intestines, brain and skin (5). Inflammation in your body is beneficial in the short term as that’s how our bodies repair damage and fight disease. But long term inflammation can cause pain and damage to tissues and can increase your risk for neurodegenerative diseases such as Alzheimer’s, Multiple Sclerosis, and Parkinson’s (6). For more information on inflammation look here. For more in depth information and more benefits of CBD check out this article.

 

CBN

CBN is another cannabinoid in marijuana. This develops from THC as the plant ages and is one of the lesser known cannabinoids by the general public. CBN is another cannabinoid that is legal nationwide and is sold as a supplement either independently or in conjunction with CBD. It is mildly psychoactive, it doesn’t get you high like THC but those who take it report a relaxing or sleepy effect. Therefore, a reason people take CBN is to fall asleep better and to wake up less during the night.

CBN is similar to CBD in the sense that they both have anti-inflammatory properties, but the main advertised use for it is for a sleep medication. This can be very misleading though. Contrary to the other cannabinoids talked about here, there is absolutely zero evidence that CBN provides any benefits to sleep (7). While there is some evidence showing its anti-inflammatory properties, this evidence is very limited. CBN is a lesson in the misleading advertising of cannabinoids with the liberalization of views on marijuana and that many of these companies can claim things that are not true.

CBC

CBC is another lesser known compound in marijuana. Similarly to other cannabinoids, CBC has anti-inflammatory properties. But the thing that makes it special is it’s role in pain relief. Most other cannabinoids bind to cannabinoid receptors know as CB1 and CB2, but CBC has a very weak affinity to both of these, meaning it does not really bind well to either of these receptors. Conversely, CBC has a high affinity for TRPA1 and TRPV1 receptors.

TRPA1 and TRPV1 receptors play a large role in pain perception. When your body experiences a damaging stimuli, say you stub your toe, that release little messengers in your body which bind to both of these receptors. This causes them to activate and send a signal to your brain saying something is wrong, and that signal is what causes us to feel pain. CBC activates both of these receptors, which one would assume causes more pain and not pain relief. But the thing is, when these receptors become activated many times, they become desensitized or become inactivated. So when CBC activates these receptors, they become desensitized or inactivated, leading to a relief in pain (8).

What does all this information mean?

What all this information shows is that marijuana has the potential to be used as a treatment for certain diseases and that the information is quite limited, making its potential unknown. This also means the information on how effective it is and how bad it can be for you is also quite limited. When you consider the current information, your average person doesn’t have much benefit to consuming these compounds. There is much more research to be done into the effects, good and bad, and anything claimed by companies should be taken with a grain of salt. In all, marijuana isn’t going to be a miracle cure or sure fire prevention for diseases, but it won’t do you much harm if you partake every now and again. With anything, approach it with caution and educate yourself before you fully plunge into the world of marijuana.

 

  1. Atakan Z. (2012). Cannabis, a complex plant: different compounds and different effects on individuals. Therapeutic advances in psychopharmacology2(6), 241–254. https://doi.org/10.1177/2045125312457586
  2. Vernich, F., Stefani, L., Fiorelli, D., Mineo, F., Pallocci, M., Treglia, M., Marsella, L. T., & Tittarelli, R. (2023). Trends in Illicit Cannabis Potency based on the Analysis of Law Enforcement Seizures in the Southern Area of Rome. Toxics11(8), 648. https://doi.org/10.3390/toxics11080648
  3. Volkow, N. D., Baler, R. D., Compton, W. M., & Weiss, S. R. (2014). Adverse health effects of marijuana use. The New England journal of medicine370(23), 2219–2227. https://doi.org/10.1056/NEJMra1402309
  4. Patel, R. S., Kamil, S., Shah, M. R., Bhimanadham, N. N., & Imran, S. (2019). Pros and cons of marijuana in treatment of Parkinson’s disease. Cureus11(6), e4813. https://doi.org/10.7759/cureus.4813
  5. Leinen, Z. J., Mohan, R., Premadasa, L. S., Acharya, A., Mohan, M., & Byrareddy, S. N. (2023). Therapeutic potential of cannabis: A comprehensive review of current and future applications. Biomedicines11(10), 2630. https://doi.org/10.3390/biomedicines11102630\
  6. Singh, K., Bhushan, B., Chanchal, D. K., Sharma, S. K., Rani, K., Yadav, M. K., Porwal, P., Kumar, S., Sharma, A., Virmani, T., Kumar, G., & Noman, A. A. (2023). Emerging therapeutic potential of cannabidiol (CBD) in neurological disorders: A comprehensive review. Behavioural neurology2023, 8825358. https://doi.org/10.1155/2023/8825358
  7. Maioli, C., Mattoteia, D., Amin, H. I. M., Minassi, A., & Caprioglio, D. (2022). Cannabinol: History, Syntheses, and Biological Profile of the Greatest “Minor” Cannabinoid. Plants (Basel, Switzerland)11(21), 2896. https://doi.org/10.3390/plants11212896
  8. Lowin, T., & Straub, R. H. (2015). Cannabinoid-based drugs targeting CB1 and TRPV1, the sympathetic nervous system, and arthritis. Arthritis research & therapy17(1), 226. https://doi.org/10.1186/s13075-015-0743-x

Legality of Cannabis by Jurisdiction map is custom made by Wikipedia user Lokal_ProfilDerived from Blank USA, w territories 2.svg by Heitordp

The photo in THC section retrieved from https://www.henryford.com/blog/2023/01/what-you-should-know-about-marijuana

The photo in the CBD section retrieved from https://www.stbernarddrugs.com/post/whats-the-hype-over-cbd

The photo in the CBN section retrieved from https://www.extractlabs.com/product/cbn-gummies/

Featured image retrieved from https://www.cdc.gov/cannabis/faq/index.html

Is Cannabis an Effective Treatment?

The Endocannabinoid System

The endocannabinoid system (ECS) is involved in many functions of the brain, including modulating synaptic plasticity, learning and memory, homeostatic processes, mood, pain, perception, gene expression, neuroprotection, and making new proteins. Research has shown that the ECS is a promising target for many diseases, including neurodegenerative diseases, epilepsy, cognitive deficits, drug abuse and dependence, and potentially traumatic brain injuries (TBI). However, treatment through the ECS has a lot of complexities and additional understanding through continued research is essential. [1]

The Cannabis Plant

Figure 1: Cannabis Plant [2]
There are sixty active ingredients in the cannabis plant. Delta-9 THC is the major psychoactive ingredient which causes the effects we often think about in relation to cannabis. In research involving cannabis, a specific synthetic ingredient is usually studied rather than the whole plant. [1]

Cannabis as a Potential Treatment

Cannabis has been shown to have neuroprotective effects and show positive improvements related to numerous diseases. Treatment of cannabis in multiple sclerosis, which is characterized by demyelination of axons and death of neurons, has shown better motor function, decreased pain, and improvements in spasticity, spasms, and pain. In Alzheimer’s disease, cannabis has shown improvements in behaviors and dementia symptoms. Additionally, Huntington’s disease, traumatic brain injury, and epilepsy have shown promising results with treatment involving marijuana derivatives. [1]

A possible approach for taking advantage of the benefits and trying to limit the risks of cannabis being investigated, is to isolate specific active ingredients. A main ingredient being investigated for its therapeutic effects is Cannabidiol (CBD). CBD has been shown to benefit anxiety, inflammation, nerve-pain, arthritis, and seizures. [3,4] The FDA has not approved cannabis for any medical uses; however, synthetic derivatives of marijuana have been approved, including CBD in certain forms for specific ailments. [5]

Challenges

The ECS works throughout the body, which means receptors that will be affected by cannabinoids are also widespread. This makes targeting this system and developing effective therapies challenging since it is hard to predict exactly what will be effected and where. A cannabinoid binding to a receptor in one area seems to have different effects than if it binds in another area, making it hard to develop generalizable, consistent treatments. [1]

Cannabis has many potential therapeutic effects, but there are also many potential drawbacks to consider. Thinking, attention, memory, coordination, movement, decision making, and perception of time can all be negatively impacted, especially in younger individuals. Brain development, especially from repeated exposure to THC can be permanently impacted. [6] Repeated use of cannabis can result in tolerance and dependence. [1] Additional research is important to understand cannabis, the effects of its isolated active ingredients as well as when interacting together, long-term effects of cannabis use, and its potential therapeutic benefits.

Footnotes

[1] Kendall, D. A., & Yudowski, G. A. (2017). Cannabinoid Receptors in the Central Nervous System: Their Signaling and Roles in Disease. Frontiers in Cellular Neuroscience, 10, 294. https://doi.org/10.3389/fncel.2016.00294

[2] What you need to know (and what we’re working to find out) about products containing cannabis or cannabis-derived compounds, including CBD. (2023). FDA. https://www.fda.gov/consumers/consumer-updates/what-you-need-know-and-what-were-working-find-out-about-products-containing-cannabis-or-cannabis

[3] DiLonardo, M. J., & Walker-Journey, J. (n.d.). CBD vs. THC: What’s the Difference? WebMD. Retrieved February 25, 2026, from https://www.webmd.com/pain-management/cbd-thc-difference

[4] What Is Cannabidiol (CBD)? Uses, Benefits, and More. (2018, August 3). Healthline. https://www.healthline.com/health/your-cbd-guide

[5] Medical Marijuana. (n.d.). Cleveland Clinic. Retrieved February 25, 2026, from https://my.clevelandclinic.org/health/articles/medical-marijuana

[6] CDC. (2025, July 24). Cannabis and Brain Health. Cannabis and Public Health. https://www.cdc.gov/cannabis/health-effects/brain-health.html

Seizures, Synapses, and the Science behind THC

The Brain’s Endocannabinoid System

The brain is constantly sending an receiving signals that keep our whole body functioning properly, but it needs help staying regulated. One main system in that brain that helps with regulation is one that many people have never heard of before, the endocannabinoid system (ECS).

The ECS is a network that helps regulate neurotransmitter release and neuronal signaling. When neurons become too active, the cell can produce molecules called endocannabinoids. These molecules activate CB1 receptors, which slow the release of neurotransmitters. The main two neurotransmitters it regulates are glutamate and GABA, with the goal of equilibrium of their levels [2].

  • If the neuron is releasing too much glutamate (an excitatory neurotransmitter, increasing activity), CB1 activation reduces that release. This is called depolarization-induced suppression of excitation.
  • If the neuron is releasing too much GABA (an inhibitory neurotransmitter, relaxing activity), CB1 can reduce its release as well. This is called depolarization-induced suppression of inhibition.

More about the ESC can be found here: https://www.frontiersin.org/journals/cellular-neuroscience/articles/10.3389/fncel.2016.00294/full

Triggering Seizures- The Problem

Epilepsy is a condition commonly characterized by seizures. Seizures are bursts of abnormal electrical activity in the brain, typically caused by an imbalance between excitatory and inhibitory neurotransmitters (figure 1) in the brain can cause these unstable electrical surges. When excitation is occurring significantly more than inhibition, increased activity causes neuron to fire uncontrollably, triggering a seizure. These can occur more often when the ESC can’t stabilize balance (figure 2), which happens most often in people with low amounts of CB1 receptors, or endocannabinoid levels and enzymes that produce and break down these molecules are abnormal[3].

Figure 1: Here is a helpful visual of how balance in the brain determines seizures. When unbalanced, impulses in the brain receive a “green light,”  leading to abnormal bursts of electricity, causing the seizure [1].

Figure 2: This diagram shows the imbalance between excitatory and inhibitory neurotransmission and how it contributes to seizure activation. Excitatory neurons release glutamate, increasing neuronal excitability. Inhibitory neurons release GABA, reducing excitability [4].

Therapeutic THC- A Solution?

THC is the primary psychoactive compound in cannabis, which partially activates the CB1 receptors, meaning it can bind to the same receptors used by the brain’s own endocannabinoids and activate them[3]. Since CB1 activation reduces glutamate release, THC can reduce neuronal over excitability, helping to control seizures[2]. Therefore, THC can function as an anticonvulsant by:

  • Reducing excitatory glutamate signaling

  • Enhancing inhibitory GABA pathways

  • Regulating ion channels that control neuronal firing

These mechanisms can lower seizure frequency or intensity in some individuals. THC also comes with psychoactive risks. At high doses, especially containing more than 15% THC, risks outweigh potential therapeutic benefits [5]. Side effects can include anxiety, cognitive impairment, and increased risk of dependence. Researchers are still working to determine the optimal THC dose, concentration, and cannabinoid combination to maximize anti-seizure effects while minimizing unwanted psychoactive outcomes[6].

This video has some additional information on THC’s interaction with CB1 receptors: https://youtu.be/ISUXrjBXHsE?si=OAVJVSV78OxVnVV-&t=41

Conclusion

Seizures occur when the balance between excitation and inhibition breaks down. The endocannabinoid system plays a central role in trying to maintain that balance. When it functions properly, it acts by suppressing inhibition or excitation to bring neural firing to equilibrium. Cannabinoids, like THC, activate this system, which can reduce seizure activity. However, dosing, safety, and long-term effects remain active areas of research.

Key Takeaways:

  • Epilepsy involves an imbalance between excitatory (glutamate) and inhibitory (GABA) signaling.

  • The endocannabinoid system regulates the balance of this signaling through CB1 receptors.

  • THC activates CB1 receptors to restore balance and reduce excessive neuronal firing.

  • Cannabinoids can act as anticonvulsants, but high THC concentrations pose psychoactive risks, making dosing important.

  • Ongoing research aims to refine cannabis-based therapies for safer, more effective seizure control.

References

*Featured image/ artstract created by AI.

[1] Devinsky, O., Jones, N. A., Cunningham, M. O., Jayasekera, B. A. P., Devore, S., & Whalley, B. J. 2024. Cannabinoid treatments in epilepsy and seizure disorders. Physiological Reviews, 104(2), 591–649. https://doi.org/10.1152/physrev.00049.2021

[2] Kendall DA and Yudowski GA. 2017. Cannabinoid Receptors in the Central Nervous System: Their Signaling and Roles in Disease. Front. Cell. Neurosci. 10:294. doi: 10.3389/fncel.2016.00294

[3] Springer C, Nappe TM. 2023. Anticonvulsants Toxicity. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK537206/

[4] Chudai Zeng & Chu Chen. 2025. Endocannabinoid signaling in epilepsy, Neurobiology of Disease. Volume 215, 107074, ISSN 0969-9961, https://doi.org/10.1016/j.nbd.2025.107074.

[5] Santiago Philibert-Rosas, Cameron J. Brace, Sanaa Semia, Barry E. Gidal, Bradley T. Nix, Anne F. Josiah, Melanie Boly, Aaron F. Struck. 2025. The role of cannabis in epilepsy illustrated by two case reports. Epilepsy & Behavior Reports. Volume 32, 100804, ISSN 2589-9864. https://doi.org/10.1016/j.ebr.2025.100804.

[6] Gómez-Nieto, R., López D. E., Garcia-Cairasco N. 2021. Challenges and Conundrums in Cannabinoid-Based Treatments for Epilepsy Syndromes and Associated Neurobehavioral Comorbidities. Frontiers in Behavioral Neuroscience. Volume 15. https://www.frontiersin.org/journals/behavioral-neuroscience/articles/10.3389/fnbeh.2021.781852

The Brain’s Hidden Barcode

Artstract created by Julia Wolf and Microsoft CoPilot

Imagine scanning a barcode at the grocery store. That pattern of lines tells the scanner exactly what the product is, how much it costs, and where it came from. Now imagine your brain doing something similar, using tiny chemical “barcodes” to decide how cells respond to various signals like cannabis, stress, or pain. Researchers have found that receptors in the brain use a system called phosphorylation barcoding to control how signals are processed. Understanding this hidden barcode system in cannabinoid receptors could change how we think about cannabis, brain signaling, and future medical treatments.

The Endocannabinoid System

Your brain has a unique signaling system called the endocannabinoid system (ECS). This system helps keep brain activity in balance in plays a major role in memory, mood, pain, and neuroplasticity. It works through cannabinoid receptors, especially CB1 receptors, which are some of the most abundant receptors in the brain. When neurons become active, they release endocannabinoids, mainly anandamide (AEA) and 2-arachinonoglycerol (2-AG). These molecules travel backward across the synapse and bind to CB1 receptors on the presynaptic neuron. The backward signaling reduces neurotransmitter release, acting like a brake that prevents neurons from becoming overactive.

CB1 receptors are a type of GPCR, which means they translate chemical signals into cell responses. When activated, they typically use G proteins for signaling, but they can also be phosphorylated and recruit other proteins, which leads to long term changes in brain function. Since CB1 receptors are so widespread, the ECS in involved in many neurological conditions like epilepsy, neurodegeneration, traumatic brain injury, and psychiatric disorders [1].

Figure 1. Endocannabinoids travel backward across synapses to calm brain cells. Repeated activation changes endocannabinoid receptors and impacts multiple signaling routes inside neurons [1].
To learn more about the endocannabinoid system, click here.

The Creation of Brain “Barcodes”

Neurons communicate using receptors on their surface. One of the largest and most important receptor families is called G protein-coupled receptors (GPCRs). These receptors detect neurotransmitters, hormones, and drugs and turn those signals into actions inside of the cell. GPCRs act as decision making sites, rather than simple on/off switches. When a GPCR is activated, enzymes called G-protein coupled receptor kinases (GRKs) add small chemical tags called phosphate groups to the receptor. Instead of just one tag, multiple spots can be tagged in different combinations. This pattern is known as the phosphorylation barcode. These barcodes are read by proteins called β-arrestins, which decide what happens next [2]. Some barcodes shut the receptor down, some pull it into the cell, and others activate new signaling pathways that can change how the neuron acts. Different molecules can create different barcodes on the same receptor, this means that the same receptor can send different messages depending on what binds to it, this is called biased signaling [3].

Figure 2. GPCR phosphorylation barcoding. Multiple phosphate tags create unique patterns that determine how the receptor signals inside the cell [4].
Phosphorylation Barcoding and the Endocannabinoid System

In the ECS, phosphorylation barcoding allows CB1 receptors to fine tune how cannabinoid signals are processed. Different phosphorylation patterns on CB1 receptors influence whether signaling continues at the cell surface or shifts to other pathways inside the neuron. These differences help explain how cannabinoid signaling can produce both rapid changes in neurotransmission and longer-term effects on brain function [2]. Different phosphorylation barcodes at CB1 receptors can lead to changes in gene expression and protein synthesis [1]. Also, barcodes explain why THC and cannabis affect people in different ways, since individuals and brain regions can generate distinct phosphorylation patterns in response to the same drug [5].

Why This Matters for the Public and Brain Health

Understanding phosphorylation barcoding in the ECS could help scientists develop better cannabinoid based treatments. Since cannabinoid receptors can send different messages based on their “barcode”, researchers may be able to design drugs that keep the helpful effects of cannabinoids, like pain relief and calming cells, while reducing unwanted side effects like memory problems or dependence. This could improve treatment for conditions such as chronic pain, epilepsy, neurodegenerative diseases, and mental health disorders.

To learn more about how endocannabinoids and cannabis are being studied as medical treatments, click here.

References

[1] D. A. Kendall and G. A. Yudowski, “Cannabinoid Receptors in the Central Nervous System: Their Signaling and Roles in Disease,” Frontiers in Cellular Neuroscience, vol. 10, no. 294, Jan. 2017, doi: https://doi.org/10.3389/fncel.2016.00294.

[2] N. R. Latorraca et al., “How GPCR Phosphorylation Patterns Orchestrate Arrestin-Mediated Signaling,” Cell, vol. 183, no. 7, pp. 1813-1825.e18, Dec. 2020, doi: https://doi.org/10.1016/j.cell.2020.11.014.

[3] S. B. Liggett, “Phosphorylation Barcoding as a Mechanism of Directing GPCR Signaling,” Science Signaling, vol. 4, no. 185, pp. pe36–pe36, Aug. 2011, doi: https://doi.org/10.1126/scisignal.2002331.

[4] H. Chen, S. Zhang, X. Zhang, and H. Liu, “QR code model: a new possibility for GPCR phosphorylation recognition,” Cell Communication and Signaling, vol. 20, no. 1, Mar. 2022, doi: https://doi.org/10.1186/s12964-022-00832-4.

[5] M. S. Ibsen, D. B. Finlay, M. Patel, J. A. Javitch, M. Glass, and N. L. Grimsey, “Cannabinoid CB1 and CB2 Receptor-Mediated Arrestin Translocation: Species, Subtype, and Agonist-Dependence,” Frontiers in Pharmacology, vol. 10, Apr. 2019, doi: https://doi.org/10.3389/fphar.2019.00350.

Featured image was created by Julia Wolf and Microsoft CoPilot

When Balance Becomes Overstimulation: How THC Hijacks the Brain

The brain has its own cannabis system, and long before humans cultivated marijuana, our neurons were already communicating using cannabis-like molecules called endocannabinoids.

These molecules help regulate mood, memory, appetite, pain, and synaptic plasticity.  They act as a kind of neural “volume control”, fine-tuning communication between neurons. This internal system, called the endocannabinoid system (ECS), is essential for maintaining balance in the brain.[1] Under normal conditions, it works beautifully. But what happens when that carefully balanced system is repeatedly overstimulated by external THC? This question sits at the center of current cannabinoid research.

CB1 Receptors and Neural Signaling

In their review, Kendal & Yudowski (2017) describe how CB1 receptors – the primary receptors activated by THC – are among the most abundant G-protein-coupled receptors (GPCRs) in the brain.[1] These receptors are densely expressed in the hippocampus, prefrontal cortex, basal ganglia, and cerebellum – regions responsible for memory, executive function, reward, and movement.

Under normal conditions, endocannabinoids are produced on demand. They briefly suppress neurotransmitter release to fine-tune synaptic signaling. THC, however, is not produced on demand. It persistently activates CB1 receptors.

Figure 1 (left): Mechanism of retrograde endocannabinoid (eCB) signaling via CB1 receptors in a neural synapse [1]

Kendall & Yudowski explain that repeated THC exposure leads to CB1 receptor desensitization – meaning the receptors become less responsive over time.[1] This contributes to tolerance. The brain adapts by reducing signaling efficiency, shifting intracellular signaling pathways, and altering neural communication. In other words, the brain compensates.

How THC Changes Brain Function

In the short-term, THC exposure is associated with a plethora of cognitive changes, including impaired short-term memory, reduced attention, slower reaction times, altered motor coordination, as well as anxiety. These effects are largely explained by CB1 receptor activation in the hippocampus and prefrontal cortex. For most users, these impairments are temporary, but intoxication can increase risky behavior like impaired driving.[2]

On the other hand, chronic overstimulation of CB1 receptors with repeated or early exposure can produce tolerance, increase the risk of heart disease or stroke, alter reward circuitry, and disrupt executive function.[3]

Adolescent exposure may be particularly concerning. The ECS plays a role in synaptic pruning and cortical maturation during development. Introducing THC during this window may interfere with normal circuit refinement.

Figure 2: The progression of prefrontal cortical maturation and synaptic refinement during adolescence. [4]

Epidemiological studies have linked heavy adolescent cannabis use to increased risk of cognitive impairment and psychiatric vulnerability. [5]

What This Means for Us

While cannabis legalization is expanding, the perception of harm is decreasing, and THC potency has increased dramatically over the past few decades. We now know that the ECS system is not just another neurotransmitter pathway – it is a central regulator of synaptic balance. Repeated exogenous stimulation, however, may shift that system away from homeostasis. So understanding how THC interacts with CB1 receptors is not about morals; it is about informed decision-making. Science does not suggest that all cannabis use leads to irreversible harm. It does suggest that timing, frequency, dose, and developmental stage matter. The ECS system evolved to maintain balance, but the real question remains, “What happens when balance becomes overstimulation?”

References

[1]

D. A. Kendall and G. A. Yudowski, “Cannabinoid Receptors in the Central Nervous System: Their Signaling and Roles in Disease,” Front. Cell. Neurosci., vol. 10, Jan. 2017, doi: 10.3389/fncel.2016.00294.

[2]

“Marijuana,” Cleveland Clinic. Accessed: Feb. 24, 2026. [Online]. Available: https://my.clevelandclinic.org/health/articles/4392-marijuana-cannabis

[3]

N. D. Volkow, R. D. Baler, W. M. Compton, and S. R. B. Weiss, “Adverse Health Effects of Marijuana Use,” N Engl J Med, vol. 370, no. 23, pp. 2219–2227, Jun. 2014, doi: 10.1056/NEJMra1402309.

[4]

B. C. Meyer Heidi, “Brain Science Has Discovered New Drug-Free Approaches for the Anxious Adolescent,” Scientific American. Accessed: Feb. 24, 2026. [Online]. Available: https://www.scientificamerican.com/article/adolescent-anxiety-is-hard-to-treat-new-drug-free-approaches-may-help/

[5]

M. Arain et al., “Maturation of the adolescent brain,” Neuropsychiatr Dis Treat, vol. 9, pp. 449–461, 2013, doi: 10.2147/NDT.S39776.

From Hemp to Health: A Closer Look at CBD

CBD and the Endocannabinoid System: 

Cannabidiol (CBD) has quickly become one of the most talked-about compounds derived from the cannabis plant. In the brain, CBD acts as an agonist in the endocannabinoid system (ECS). Although its mechanisms are not fully understood, CBD can interact with the two major cannabinoid receptors: CB1 and CB2.  CB1 receptors are largely localized in the brain and play a key role in the modulation of synaptic plasticity and homeostatic processes in the brain. When this signaling goes wrong, it may contribute to various CNS disorders such as Huntington’s Disease and Alzheimer’s Disease. Because of this, the ECS is becoming a source of interest as a new therapeutic target for such neurodegenerative diseases.[1]

To read more, you can find the article here: Frontiers | Cannabinoid Receptors in the Central Nervous System: Their Signaling and Roles in Disease

One promising source of treatment involving this system is CBD. As mentioned above, it has become increasingly popular as research continues to highlight its immense benefits.

Overview:

CBD is typically derived from the hemp cannabis plant, which contains less than 0.3% THC. Because of this low THC concentration, hemp-derived CBD products do not have psychoactive properties. This allows individuals to use it without experiencing a “high”.

Although researchers do not fully understand how CBD works, research suggests it can slow brain signaling and lower neuroinflammation. Neuroinflammation is involved in many neurological conditions, making CBD’s anti-inflammatory effects an important therapeutic use. Additionally, CBD helps modulate calcium levels in the brain. Since calcium plays a critical role in neurotransmitter release and cell survival, stabilizing calcium levels may help protect neurons from damage.[2]

Potential Benefits:

Based on limited but growing research, CBD has been associated with several potential health benefits:

  • Anxiety reduction
  • Reduced inflammation
  • Nerve-related pain relief [3]
  • Arthritis symptom management
  • Seizure disorders [4]

It is important to note that while these benefits are promising, more research is needed to confirm effectiveness and safety, especially regarding long-term use and side effects.

Risks and Side Effects:

Along with its benefits, the minimal research we have also highlights several mild side effects associated with CBD use:

  • Dry mouth
  • Diarrhea
  • Decreased appetite
  • Drowsiness
  • Fatigue

Several factors can influence the likelihood of adverse effects. These include the product’s strength and purity, the amount used, the method of consumption, and possible drug–drug interactions.[5]

Methods of Use:

CBD can be administered in several ways:

  • Topical skin application – often used for muscle and joint pain
  • Sublingual absorption – typically oils placed under the tongue
  • Oral consumption – most common method involving pills and edibles
  • Smoking or vapor inhalation – allows rapid, direct absorption, but is associated with more severe and long-term side effects [6]

Final Thoughts:

CBD is a promising compound with anti-inflammatory and neuroprotective potential, but it is not a cure-all, and the absence of long-standing research must be acknowledged. Even so, it is a beneficial example of how using the ECS as a therapeutic target can reach millions of people with all types of disorders.

[1] Debra A. Kendall and Guillermo A. Yudowski, “Cannabinoid Receptors in the Central Nervous System: Their Signaling and Roles in Disease,” Frontiers in Cellular Neuroscience 10 (January 2017), https://doi.org/10.3389/fncel.2016.00294.

[2] “CBD vs. THC: What’s the Difference?,” WebMD, accessed February 17, 2026, https://www.webmd.com/pain-management/cbd-thc-difference.

[3] WebMD, “CBD vs. THC.”

[4] “What Is Cannabidiol (CBD)? Uses, Benefits, and More,” Healthline, August 3, 2018, https://www.healthline.com/health/your-cbd-guide.

[5] Healthline, “What Is Cannabidiol (CBD)?”

[6] Healthline, “What Is Cannabidiol (CBD)?”

Rethinking Alzheimer’s: What the Future of Treatment Might Look Like

Alzheimer’s is a brain disorder that slowly damages memory and thinking. An affected brain has Amyloid-beta plaques that build up between brain cells as well as Tau tangles inside the cells.

These changes in the brain disrupt communication between neurons and can ultimately lead to their death, contributing to memory loss. [1]

According to the Alzheimer’s association, over 7 million Americans are living with Alzheimer’s disease with that number being expected to rise to 13 million in the next 25 years. [2]

 

This picture was sourced from Alzheimers Research UK

For more information about Alzheimer’s affects click here

Treatments of Alzheimer’s Disease in the past:

Aduhelm, a drug that was approved for a short time in 2021, showed that removing the beta-amyloid plaques was able to reduce cognitive decline. [3] It was the only new drug that was approved for the treatment of Alzheimer’s since 2003. [4]

Most approved drugs target symptoms not stopping disease progression. Stopping the disease progression is the huge hurdle in Alzheimer’s research. This is mostly due to late initiation of treatments and incorrect targets for treatment. Additionally, there is a wide gap in knowledge of the complexities involved in the pathophysiology of this disease. [4].

Scientists can’t just fix a single spot. They would have to rebalance an entire network of cellular communication. Inside brain cells are protective signaling systems, including pathways known as PI3K and Akt. These pathways help cells survive, repair damage, and regulate important processes. When they stop working properly, the neurons become more vulnerable thus contributing to plaque buildup and eventually cell death. Trying to adjust these pathways without disrupting other functions is extremely complex. [5] Additionally, the complexities of this disease would require a combination of treatments [4].

But what if Alzheimer’s isn’t just about plaques- but about how brain cells process energy?

What the future may hold:

The future of Alzheimer’s treatment may not rely on removing plaques in the brain. Instead, the focus may be on the restoration of the insulin pathways.

Is Alzheimer’s Type 3 Diabetes?

Brain cells need glucose to function, and insulin helps the cells in our brains use that energy. In a brain affected by Alzheimer’s, the cells become Insulin resistant like in type two diabetes. Because of this, some scientists have begun referring to Alzheimer’s as Type 3 diabetes.

 

This inability to properly use glucose causes a struggle for cells to produce the energy needed to communicate. This energy failure is what can cause the PI3K and Akt pathways to stop functioning properly. [5]

 

This image was sourced from News Medical & Life Sciences

This shift in understanding has opened new possibilities for treatment. Now, researchers are exploring therapies that improve insulin signaling and restore the brains’ ability to use energy effectively.

One medication that researchers are exploring is Metformin, a drug commonly prescribed for type 2 diabetes. Metformin improves the body’s sensitivity to insulin and is being investigated to support the brains’ ability to use glucose efficiently. [6]

Alzheimer’s disease research has long been focused on amyloid plaques and tau tangles, and many treatments have been focused on removing these proteins. But targeting plaques alone has not been enough to stop the progression of the disease suggesting deeper disruptions, such as impaired insulin signaling, are also involved. Therefore, the future of Alzheimer’s treatment may depend on restoring the brains energy balance, protecting pathways like PI3k and Akt and combining multiple therapies rather than relying on a single target.

  1. Alzheimer’s disease fact sheet. (2023, April 5). National Institute on Aging. https://www.nia.nih.gov/health/alzheimers-and-dementia/alzheimers-disease-fact-sheet
  2. Alzheimer’s disease facts and figures. (n.d.). Alzheimer’s Association. Retrieved February 18, 2026, from https://www.alz.org/alzheimers-dementia/facts-figures
  3. Aducanumab to be discontinued as alzheimer’s treatment | alz. Org. (n.d.). Alzheimer’s Association. Retrieved February 18, 2026, from https://www.alz.org/alzheimers-dementia/treatments/aducanumab
  4. Yiannopoulou, K. G., Anastasiou, A. I., Zachariou, V., & Pelidou, S.-H. (2019). Reasons for failed trials of disease-modifying treatments for alzheimer disease and their contribution in recent research. Biomedicines, 7(4), 97. https://doi.org/10.3390/biomedicines7040097
  5. Akhtar, A., & Sah, S. P. (2020). Insulin signaling pathway and related molecules: Role in neurodegeneration and Alzheimer’s disease. Neurochemistry International, 135, 104707. https://doi.org/10.1016/j.neuint.2020.104707
  6. Daly, T., & Imbimbo, B. P. (2025). Long‐term metformin use for Alzheimer’s disease prevention? Alzheimer’s & Dementia, 21(4), e70147. https://doi.org/10.1002/alz.70147
    ChatGPT was used in the formation of this post

Alzheimer’s Disease: Understanding the Stages and How Your Diet Can Make a Difference

Alzheimer’s Disease: Understanding the Stages and How Your Diet Can Make a Difference

Most people have some knowledge of Alzheimer’s Disease (AD). Whether it be a relative who suffers its effects, or through vivid depictions in media, AD is one of the most prevalent examples of a neurodegenerative disease. Its prevalence, however, masks some important aspects of its progression, as most people only become aware of it in its later stages. People, therefore, are aware of its position as a malady that afflicts many in their old age, but don’t have a solid understanding of how the disease progresses, or what we can do to reduce the risk.

The Three Stages of AD

AD begins quietly. The first stage is characterized by the gradual accumulation of beta-amyloid plaques. At this point, AD is still early in its progression, and lacks the distinctive calling cards of late stage AD. Those unfortunate enough to be in the first stage usually wouldn’t know about it, as the first stage can last from 10-20+ years before progression onto the second stage.1 Compared to people in further stages, people in the first stage still function fine, as neurodegeneration hasn’t begun to kick in. If caught, this is the ideal stage to treat Alzheimer’s, as the beta-amyloid accumulation is early enough to treat; however, many don’t, as the requisite blood tests are not commonplace in our day-to-day routine.

Stage two is where neurodegeneration begins. Brain cells start to deteriorate and cognitive changes emerge, though most people can still manage day-to-day life. This is when many people receive their diagnosis, and hence the stage where most pharmaceuticals are targeted – the aim being to prevent accumulation before even more damage to the brain. By the third stage, patients are in the worst of the neurodegeneration. Suffering permanent damage to the brain, treatments look at repairing damaged connections in the brain, as beta-amyloid accumulation is too far gone to prevent. Patients usually lose most of their grip with reality and are relegated to assisted living communities for constant care.

The Insulin Connection

To understand how diet plays a role, it helps to know what’s going wrong at the cellular level. Alzheimer’s is defined by two features: neurofibrillary tangles (NFTs) formed through abnormal changes in a protein called tau, and the beta-amyloid plaques described above. Both are tied to insulin. When you eat, your body releases insulin to help cells use energy from food. Two enzymes – GSK-3B and PI3K – are central to how insulin affects the brain. When insulin signaling works properly, GSK-3B is kept in check, which limits tau changes and plaque deposition. When it doesn’t, GSK-3B becomes overactive and accelerates the processes that define AD.2 Healthy signaling protects the brain; disrupted signaling does the opposite. 

How Diet Fits In: What You Can Do

Diets high in sugar and unhealthy fats increase insulin resistance, making it harder for insulin to do its job. It’s worth noting that roughly 80% of Alzheimer’s patients also have dysfunctional glucose regulation, including type 2 diabetes, which is not likely a coincidence.3 High-fat diets also promote chronic neuroinflammation, further accelerating plaque accumulation and NFT formation. While a healthy diet won’t make you immune to AD, the link between diet, insulin, and brain health is real, and it’s something you can act on without overhauling your life.4 Being more mindful of sugar and calorie intake, and gradually reducing ultra-processed foods, is a meaningful step. Small, consistent choices add up, and when it comes to brain health, they may matter more than we once thought.

 

(1) Staff, M. C. Alzheimer’s stages: How the disease progresses. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/alzheimers-disease/in-depth/alzheimers-stages/art-20048448 (accessed 2026-02-17). 

(2) Akhtar, A.; Sah, S. P. Insulin Signaling Pathway and Related Molecules: Role in Neurodegeneration and Alzheimer’s Disease. Neurochem. Int. 2020, 135, 104707. https://doi.org/10.1016/j.neuint.2020.104707. 

(3) Janson; Laedtke; Parisi; O’Brien; Et., A. Increased Risk of Type 2 Diabetes in Alzheimer Disease. Diabetes 2004. https://doi.org/10.2337/diabetes.53.2.474. 

(4) What Do We Know About Diet and Prevention of Alzheimer’s Disease? National Institute on Aging. https://www.nia.nih.gov/health/alzheimers-and-dementia/what-do-we-know-about-diet-and-prevention-alzheimers-disease (accessed 2026-02-17). 

Can’t remember what you had for lunch? Your diet can possibly influence your risk for Alzheimer’s.

Why should I care about this?

When you eat, your body needs a hormone called insulin in order for your body to utilize the energy in the food. Recent evidence suggests that insulin plays a very important role in the mechanisms behind Alzheimer’s and other neurodegenerative diseases. Often, the foods that taste so good to us, such as ultra-processed foods with large amounts of sugar and unhealthy fats, are not so great for insulin pathways. Therefore, if something that we can control like our diet can influence our risk for a disease as terrible as Alzheimer’s, we should do what we can to avoid developing it.

How insulin can affect Alzheimer’s

Alzheimer’s is characterized by two things, the first thing being NFTs that are formed through abnormal phosphorylation of a protein called tau, and the formation of something called Amyloid-beta plaques which will be referred to as AB plaques from this point forward (1). For a more detailed explanation of the ins and outs of Alzheimer’s, check out this article. Insulin pathways are what we call the chain of events that occur after the introduction or removal of insulin. Some components of these pathways can contribute to the formation of NFTs and AB plaques. One of these components involves an enzyme called GSK-3B, which is essential for metabolism of glucose but it also plays a role in tau phosphorylation. When insulin is not bound to a receptor, GSK-3B is activated, and when GSK-3B is activated, it promotes tau phosphorylation and deposition of AB plaques (2). Therefore, we want insulin to bind and deactivate GSK-3B in order to help prevent the formation and accumulation of NFTs and AB plaques. Another component worth talking about is another enzyme called PI3K. When PI3K is active, it inhibits GSK-3B. When PI3K is not functioning properly, it can lead to overactivation of GSK-3B, causing an excess of tau phosphorylation and AB plaque deposition (2). This is another reason why we want our insulin pathways to be working properly.

How does your diet affect insulin signaling?

Insulin binds to receptors that start the chain reactions of insulin pathways and without them, insulin would simply float there and do nothing. Insulin resistance refers to the ease at which insulin can bind to these receptors, meaning a higher insulin resistance makes it more difficult for insulin to bind properly. Type 2 diabetes is the development of high resistance to insulin, a disease that is characterized by unhealthy diets in those who develop it.

Interestingly, 80% of Alzheimer’s patients also have type 2 diabetes. When we eat an excess amount of calories, our cells adjust the amount of receptors in order to avoid overactivation of insulin pathways caused by the high levels of insulin released. Highly processed foods are characterized by high levels of sugar and unhealthy fats which are extremely calorically potent and therefore they increase insulin resistance (3). By increasing insulin resistance, we make it more difficult for insulin to do its job, which consequently results in less activation of PI3K and therefore less deactivation of GSK-3B. Additionally, diets that are high in fat can result in chronic neuroinflammation, which also contributes to AB plaque accumulation and NFT formation (4).

What should you do now?

You don’t need to necessarily follow a strict diet to prevent Alzheimer’s, nor will following one make you immune to Alzheimer’s. AB plaque accumulation and NFT formation are heavily influenced by insulin signaling, but they are also influenced by other things as well. Chances are, other consequences of an unhealthy diet are more likely to kill a person much before they start to develop Alzheimer’s, such as high blood pressure, diabetes, heart failure and a higher risk of cancer. If anything, these should be a much more compelling reason to change your diet. Being more aware of what you are eating, like how much sugar is in something and how many calories, can go a long way in changing eating habits. Changing your diet doesn’t mean following a well-known diet or only eating healthy foods, it can simply involve reducing the amount of unhealthy things you eat. As with everything in life, moderation is key. So maybe next time you get some candy, get the normal sized package instead of the share size. Or before you upgrade your meal at McDonald’s to a large, think about if paying an extra thirty cents for more food is really needed or if you simply want to do it because it is a better deal.

 

  1. Breijyeh, Z., & Karaman, R. (2020). Comprehensive Review on Alzheimer’s Disease: Causes and Treatment. Molecules (Basel, Switzerland)25(24), 5789. https://doi.org/10.3390/molecules25245789
  2. Akhtar, A., & Sah, S. P. (2020). Insulin signaling pathway and related molecules: Role in neurodegeneration and Alzheimer’s disease. Neurochemistry international135, 104707. https://doi.org/10.1016/j.neuint.2020.104707
  3. Ede, G. (2016). Avoiding Alzheimer’s Disease Could Be Easier Than You Think. Psychology Today. https://www.psychologytoday.com/us/blog/diagnosis-diet/201609/avoiding-alzheimer-s-disease-could-be-easier-you-think\
  4. Song, M., Bai, Y., & Song, F. (2025). High-fat diet and neuroinflammation: The role of mitochondria. Pharmacological research212, 107615. https://doi.org/10.1016/j.phrs.2025.107615

When Tau Twists: Understanding Neurofibrillary Tangles in Alzheimer’s Disease

Alzheimer’s Disease and Neurofibrillary Tangles:

One of the most common neurodegenerative diseases, Alzheimer’s Disease (AD), is a form of dementia characterized by two hallmarks: amyloid-β plaques and neurofibrillary tangles (NFTs). An important discovery has been made linking insulin resistance to the formation of these hallmarks. The activation or inactivation of key molecules in the insulin signaling pathway, such as PI3K, Akt, GSK-3β, and mTOR, can either increase or decrease phosphorylation. Modulation in phosphorylation creates insulin signaling deficiencies, leading to what is known as “brain insulin resistance”. When insulin signaling in the brain is dysfunctional, AD symptoms are accelerated, and the formation of amyloid-β plaques and NFTs is promoted.[1] To read more about the connection between “brain insulin resistance” and Alzheimer’s Disease click here.

Understanding these AD hallmarks is essential for better diagnosis and treatment techniques. In this post, we will explore the formation, structure, and importance of neurofibrillary tangles.

The Formation and Structure of NFTs:

To begin, it is important to note that tau proteins play an essential role in stabilizing microtubules in the brain. The formation of NFTs begins when hyperphosphorylated tau proteins detach from these microtubules. Without the adherence to microtubules, tau proteins misfold and twist into paired helical filaments, which then accumulate inside the neuronal cell body. These paired helical filaments eventually condense into the large, dense masses known as NFTs.[2] This process is further outlined in the image below.[3]

The Spreading of NFTs:

A significant aspect of NFTs is how they spread throughout the brain. They use a prion-like mechanism, in which misfolded tau proteins induce the surrounding functional tau proteins to adopt their misshapen conformation. Along with this rapid spreading mechanism, NFTs remain even after the host neuron dies. These tangles remain behind as extracellular remnants, contributing to ongoing neurodegeneration.[4]

The Maturity Levels of NFTs:

NFTs develop through three progressive stages:

  1. Pretangles
  • Diffuse cytoplasmic tau staining
  • Perinuclear tau accumulation (surrounding the nucleus)

This is the earliest stage, where tau buildup begins, but dense bundles have not yet formed.

  1. Mature Tangles
  • Densely packed bundles
  • Nuclear shrinking

At this stage, the tangles have fully formed, disrupting cellular function.

  1. Ghost Tangles
  • Extracellular remnants
  • Loosely arranged bundles without a nucleus

These remain after the host neuron has died and act as a lasting marker of damage outside of the cell. [5]

Why NFTs Matter:

Understanding NFTs is critical because they represent both a mechanism of cell degradation and a measure of disease progression. By targeting tau misfolding, aggregation, or spread, researchers hope to slow or halt neurodegeneration, serving as a promising therapeutic target for Alzheimer’s Disease.

[1] Ansab Akhtar and Sangeeta Pilkhwal Sah, “Insulin Signaling Pathway and Related Molecules: Role in Neurodegeneration and Alzheimer’s Disease,” Neurochemistry International 135 (May 2020): 104707, https://doi.org/10.1016/j.neuint.2020.104707.

[2] “What Are Neurofibrillary Tangles and How Do They Form?,” ScienceInsights, November 27, 2025, https://scienceinsights.org/what-are-neurofibrillary-tangles-and-how-do-they-form/.

[3] “Hyperphosphorylation of Tau Protein. Hyperphosphorylation of the Tau…,” ResearchGate, accessed February 10, 2026, https://www.researchgate.net/figure/Hyperphosphorylation-of-tau-protein-Hyperphosphorylation-of-the-tau-protein-causes-the_fig1_376735971.

[4] ScienceInsights, “What Are Neurofibrillary Tangles and How Do They Form?”

[5] Christina M. Moloney et al., “The Neurofibrillary Tangle Maturity Scale: A Novel Framework for Tangle Pathology Evaluation in Alzheimer’s Disease,” bioRxiv, June 6, 2025, 2025.06.02.657435, https://doi.org/10.1101/2025.06.02.657435.

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