Marijuana addiction is real. Those struggling often face skepticism. - Dude I could quit anytime, it's not physically addictive

By David Ovalle and Fenit Nirappil
July 31, 2023 at 6:00 a.m. EDT

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Courtney, a 37-year-old mother who lives in Missouri, says marijuana has proved addictive. (Arin Yoon for The Washington Post)

Courtney took her first marijuana puffs at 17. Two decades later, she was raising a toddler son and hiding her dependence from most family members. She would light her pipe more than a dozen times a day, sneaking to the garage of her Missouri home while her son napped.

She still loves the earthy smell. But weed long ago stopped making her giggly. It was not unusual for the 37-year-old to lose her train of thought mid-conversation or zone out while playing with her son. Many times, Courtney said, she tried to quit, flushing her stash and dumping her pipe to no avail, except for the nine months she was pregnant. Courtney felt she was addicted.

“It’s been frustrating because you’re not taken seriously,” Courtney said. “People say it’s not as severe as meth, or alcohol, that it’s not that bad. They think it’s not an addiction.”

At a time when marijuana has been legalized for recreational and medicinal use in more than 20 states — and the potency of the drug has been increased many experts believe that most people can use it without significant negative consequences, not unlike enjoying occasional alcoholic drinks. But for users like Courtney, the struggles to quit are real and complicated by the powerful cultural perception that marijuana is natural and therapeutic, not a substance that can be addicting.

Courtney’s story reflects broader tensions about marijuana’s health consequences.

For decades, weed’s deleterious health effects were exaggerated, experts said, leading to excessive criminalization. But as legal recreational sales have expanded — Maryland in July became the latest state to permit sale of marijuana products for recreational use — the suggestion that marijuana is addictive has often met with derision, especially because science isn’t always clear on the benefits and harms. There can be reluctance to seek treatment. And other substances stir deeper fears and greater attention: Opioids are driving an overdose crisis killing more than 100,000 people each year in the United States.

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Over the years, Courtney tried to quit, flushing her stash and dumping her pipe to no avail, except for the nine months she was pregnant, she said. (Arin Yoon for The Washington Post)

“Because there are so many mixed messages in our society about cannabis, I think it’s very easy for people to minimize and rationalize problematic use of cannabis,” said Aaron Norton, a Florida mental health counselor who supports legalization of recreational and medical marijuana but believes it should be more tightly regulated.

[ Am I using too much cannabis? Ask yourself these questions ]

Courtney and other marijuana users interviewed by The Washington Post spoke on the condition that only their first name or initials be used because they fear being stigmatized or because relatives or employers are not aware of their use.

Twenty-three states and D.C. have legalized recreational marijuana, and all of those states except for Virginia and Minnesota have recreational sales up and running. Medical use is lawful in 38 states.

The number of regular users has increased. According to a 2019 federal government survey, an estimated 31.6 million people age 12 or older used marijuana within the past month, up from 22.2 million five years earlier. The estimate rose to 36.4 million in 2021, although the numbers are not directly comparable because researchers changed how they collect data.

Medical experts and even many proponents of legalized marijuana acknowledge it can be addictive — akin to alcohol or some prescription drugs. Estimates vary on the prevalence of what is known as cannabis use disorder. One study from researchers at Columbia University and the National Institute on Alcohol Abuse and Alcoholism found that nearly 3 in 10 users in 2012-2013 experienced cannabis use disorder.

“The majority of people who use cannabis products in general can handle it,” said Adrianne Trogden, a Louisiana addiction counselor. “But there are still people who cannot — and they need help.”

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Courtney retreats to her garage to smoke marijuana. (Arin Yoon for The Washington Post)

Darren Weiss, president of Verano, a cannabis company operating in 14 states, agreed that public health and industry officials should not dismiss the potential for cannabis to be abused, but maintained that concerns are often overwrought.

“Addiction is a fact of life,” Weiss said. “There are folks who are addicted to caffeine, to sex, to all sorts of different things.”

The rise in marijuana use among teens has been highly publicized, along with concerns about the effects of more potent products on the developing adolescent brain. In May, the National Institute on Drug Abuse published a study asserting that young men with cannabis-use disorder have an increased risk of developing schizophrenia, although critics have pointed to other studies that cast doubt on the extent of the role marijuana plays in psychotic episodes.

[ Parents are not ready for the new reality of teen cannabis use ]

Further fueling concerns among some experts: In the 1990s, THC, the psychoactive compound responsible for inducing a high, constituted about 5 percent of a typical joint or smoke from a bong or pipe, according to the Drug Enforcement Administration. Today, the THC content in smokable marijuana in recreational products can range between 15 and 21 percent, while products popular with young people such as edibles and oils can contain well over 50 percent.

Higher THC levels could increase the risk the brain will get conditioned to want more of the high-potency marijuana, said Nora Volkow, NIDA’s director. Last year, a study published in the journal Lancet Psychiatry found that higher potency THC was associated with an increased risk of cannabis use disorder.

Weiss questioned claims that higher potency marijuana is more likely to cause addiction. Still, he acknowledged that companies market to cannabis enthusiasts who will pay more for higher-potency products because of the economics of the industry.

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When Courtney talks about marijuana being addictive, she sometimes encounters skepticism. “It’s been frustrating because you’re not taken seriously,” she says. (Arin Yoon for The Washington Post)

If marijuana could be sold by pharmacy chains or liquor stores, Weiss said there would be more incentive to sell lower-potency products marketed at casual consumers. More sales of lower-octane marijuana to a broader customer base would equal higher revenue, he said.

“There are a lot of people who demonize industry and think we are pushing high potency, similar to what the tobacco industry did, as a way of hooking consumers … and it couldn’t be further from the truth,” Weiss said.

[ The weed you buy may not be as potent as promised ]

The Substance Abuse and Mental Health Services Administration estimates at least 16.3 million people in the United States had a cannabis-use disorder in 2021, putting it behind only alcohol. The agency’s yearly estimates rose in 2020 after it incorporated broadened American Psychiatric Association criteria on diagnosing substance use disorders.

Most cannabis-use disorder cases were characterized as mild, which means patients experience just two or three of 11 benchmark symptoms, such as increased tolerance, intense cravings or repeated attempts to stop marijuana use. An estimated 26 percent of cases are considered moderate, while 16 percent are severe, according to SAMHSA’s National Survey on Drug Use and Health.

“It’s the second-most common addiction Americans are struggling with, but nobody hears about it,” said James H. Berry, a psychiatrist and addiction expert at West Virginia University.

Still, experts caution that mild cases of cannabis-use disorder may not fit under what the public generally considers “addiction.” The effect on users’ lives may be less severe — perhaps marijuana smoking has merely caused friction with a spouse. For those patients, interventions are typically geared toward minimizing the drug’s harm, said Trogden, the Louisiana counselor: “Maybe some counseling sessions, [introducing] some coping strategies, or education on how to use responsibly,” she said.

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Courtney and her son play after she smokes a joint. (Arin Yoon for The Washington Post)

[ Sorry, weed probably isn't making you more creative ]

For people who consume medical marijuana, the risk of being misdiagnosed with a use disorder is a real threat, said Tammy Chung, an addiction researcher at Rutgers University. They can meet criteria for a use disorder, such as developing withdrawal symptoms and a higher tolerance for THC, despite being under the supervision of a medical provider.

“The threshold for cannabis-use disorder is relatively low,” said Chung, who has recommended revamping how the disorder is diagnosed.

E.H., a 44-year-old San Francisco-area schoolteacher, was never formally diagnosed with cannabis use disorder but had a medical marijuana card for years. He believes his decades of smoking marijuana day and night affected his life in profound ways. His habit was costing up to $300 a week, and he obsessed about needing to stay high. E.H. stopped using marijuana for a few years — until California legalized recreational marijuana in 2016. He waited in line at a dispensary for hours to buy a celebratory joint, then quickly spiraled back into daily use.


Today, he said he has been sober for nearly a year after joining Marijuana Anonymous. But he’s sheepish about telling people about his struggle lest they chide him for betraying the California counterculture cool of his youth.

“It feels like if you don’t smoke marijuana, you’re one of the sellouts,” E.H. said.

It’s not unusual for people to turn to recreational marijuana products, believing they treat assorted ailments — and doing so without a doctor’s guidance. Smita Das, an addiction psychiatrist at Stanford University, said she encounters patients who use marijuana to treat anxiety.

“But what we know is that actually [the marijuana] is probably worsening their anxiety over time,” Das said.

[ Does weed cause anxiety or treat it? Here's what experts say ]

People with more serious addiction issues confront challenges in seeking care, including a lack of affordable treatment and few beds in rehabilitation centers, said Eric A. Voth, a retired addiction specialist and member of the International Academy on the Science and Impact of Cannabis, an organization of doctors that educates about the potential harms of marijuana.

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Twenty-three states and D.C. have legalized recreational marijuana, and medical use is lawful in 38 states. (Arin Yoon for The Washington Post)

Voth said that while criminal courts often mandate treatment, for others living on the streets, “there’s really no one pressing you to get into treatment.”

He recalled a 24-year-old man in Colorado living under a bridge and dealing with psychiatric problems exacerbated by marijuana. He was finally accepted into a rehabilitation program that specializes in the intersection of addiction and mental health disorders and improved, but later relapsed on cannabis and then fentanyl.

The man’s mother said early recovery was complicated by doctors dismissive of THC playing a role in her son’s mental health crises.
“He gets mixed messages in the recovery world and in society, he sure does, too,” said the mother, who spoke on the condition of anonymity to protect her son’s privacy. “Young people are being told it’s totally safe.”

Ben Cort, who leads the Colorado center where the man was treated, acknowledged that activists sounding alarms about the health consequences of cannabis have a credibility problem following a history of racially disparate enforcement of drug laws and exaggerated claims about marijuana’s harmful effects.

“‘Reefer Madness’ comes out, then the stiff penalties and everybody’s like, ‘It’s weed. What’s the big deal?’” Cort said. “You went from this huge overstatement of risk to this dramatic understatement of risk.”

[ Bothered by weed smell, she sued her neighbor and won ]

Unlike with opioids, alcohol and even tobacco use disorders, no medication exists to treat marijuana addiction — although that could soon change. On June 8, French biopharmaceutical company Aelis Farma announced promising research on a drug that blocks harmful signals sent by THC to key receptors in the brain, without disrupting those receptors enough to cause harmful psychiatric effects.

Volunteers taking the drug reported marijuana had less of an effect, without experiencing withdrawal, said Meg Haney, director of the Cannabis Research Laboratory at Columbia University Irving Medical Center, who ran the NIDA-funded study. She said the drug could one day help compulsive users. “There’s evidence to show if you can go from being a daily smoker down to two, three, even four days a week, you already show important changes in your quality of life,” Haney said.

For now, treatment revolves around behavioral therapy. The Veterans Health Administration offers patients gift cards for canteen services if they forgo marijuana, a treatment known as contingency management. Health records show the rate of veterans under age 35 diagnosed with the disorder more than doubled between 2005 and 2019.

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For Courtney, Missouri's move to legalize recreational marijuana hasn't made quitting easier. (Arin Yoon for The Washington Post)

M.B., a 24-year-old from Southern California, credits her recovery to Marijuana Anonymous, modeled after 12-step programs such as Alcoholics Anonymous. Even within those groups, M.B. said, people with marijuana addictions aren’t always taken seriously.

“The problems that come up with cannabis-use disorder are very real. This was not always something that was talked about,” she said. “We were sort of laughed out of 12-step spaces.”

She smoked daily throughout her teen years before she was diagnosed with cannabis-use disorder when she was about 20. At rock bottom, M.B. said, she smoked or used a vape pen roughly every hour, often waking up at night to take hits. M.B. said she believes her habit led to at least one psychotic episode and to the draining of her finances, even as she lived at home with her parents. She spent so much buying weed that she stole money from family to pay bills.

[ A guide to marijuana terminology ]

M.B. joined the program online in 2020 during the height of the pandemic, although the withdrawals weren’t easy. For about a week, she couldn’t keep down food, suffered intense headaches and felt so uncomfortable that she showered constantly.

“I was really angry, crying all the time,” M.B. said. “I had really intense dreams that I was smoking.”

For Courtney, the young mother from Missouri, quitting wasn’t made easier after the state in fall 2022 became the 21st to legalize recreational marijuana. Missouri’s nascent weed industry has boomed — combined sales of recreational and medical marijuana could top $1 billion this year.
“You smell it in the air when you’re sitting at a stoplight,” Courtney said.

She tried Marijuana Anonymous meetings online, but it wasn’t the right fit. She considered an outpatient treatment center, but the nearest was 45 minutes away — too far to drive while raising a toddler.

Instead, her group therapy came in the form of a Reddit forum dedicated to supporting people who want to stop consuming marijuana products. The forum is dotted with stories on the effects of withdrawal, including panic attacks, insomnia and bouts of crying, but also triumphs: long anxiety-relieving walks, regular yoga, improved family time.

A few days after detailing her struggles to a reporter, Courtney reflected on the future. Did she want her son growing up to see her smoking marijuana so often? So she smashed her glass pipe and flushed her remaining weed.

The cravings weren’t as bad as she feared. But she has suffered irritability, headaches, a loss of appetite, night sweats and vivid dreams. “I still feel like the worst is ahead of me,” Courtney said after five days without using.

She and her husband earlier bought tickets to attend a three-day music festival, where the smell of marijuana wafting in the air would be a certainty. They decided to forge ahead with a plan: If she felt uncomfortable, they would leave.

The last night of the festival, Courtney relapsed with a smoke. But since then, Courtney says, she has been clean for two months.

“I’m doing really well,” she said. “I feel clearheaded and more present.”

Source (Archive)
 
That would be a misunderstanding of the medicine.
The actual statement would be "there is no physical addiction, and the psychological dependence is very low in comparison with other no physical addiction drugs, such as cocaine and amphetamine, which cause severe psychological addiction"
Physical addiction with withdrawal syndrome is largely the domain of CNS depressants and downers, like opiates (strongest), benzos and barbiturates. Other downers that are not chemically related, for example glutethimide, also produce physical addiction and corresponding withdrawal syndrome.
You won't get this from weed. There is no physical manifestation of stopping, at most there is a psychological craving to smoke more, but you will not get tremors, salivation, diarrhea, insomnia, shivers and so on. And the cravings will be very weak compared to those you'd get from stims.
If you get physical withdrawal symptoms after you stopped weed or other THC products, your drugs were likely laced with something else. Or your mind is playing tricks on you, which is hardly exceptional for heavy weed smokers.
IDK, our ERs here get lots of kids and young adults who green out. mostly vomiting, naseau and psychotic breakdowns.

Weed growing can be quite variable in the end result potency even if you know what you're doing, and those batches that end of being 28% obviously get a higher price, but what happens to all the kinda middling or accidentally cross-bred stuff? It goes on the market...at a reduced price. So that's the truth, sure they're pursuing good batches but "the erb god put in dee erf" seems to cooperate only some of the time so there's only so much they can actually do at a mass production scale. Most really high potency stuff comes from very carefully tended relatively small hydro grows...that shit's expensive, we're talking about an increase of $20/3.5g to $40-$50/3.5g (3.5g meaning 3-6 nugs depending on size of nug), and often shit like that is sold in 1g or 2g amounts to get even better return. It doesn't seem like anyone has really cracked the code on consistent but also affordable high octane shit which is what would be needed to sustain the claim about trying to hook people with higher potency stuff across the board unless we're going all the way back to the 60s when "weed" meant sub 10% brick/ditch weed, in which case okay, but the mass produced stuff is universally lower potency to this day and the advances that got it above 10% happened well before proper commercial production which we saw under the legalization schemes.

there's a weed virus that's killing a shit ton of plants. of the plants that aren't killed the thc level drop like a rock. And since weed is illegal federally, they can't ask the government for research funds to cure it.
 
IDK, our ERs here get lots of kids and young adults who green out. mostly vomiting, naseau and psychotic breakdowns.
Of course they do, but that has nothing to do with withdrawal and physical dependence, that is what we would call a severe intoxication.
Weed tends to amplify your already existing moods, sometimes to very high levels, it can also create disorientation, and in CNS intoxications vomiting and nausea are common, it's basically a milder poisoning.
I will abstain commenting on the psychotic breakdowns cause I'm gonna piss people off.
 
Remember in English class when you were taught to sum up your article in your first couple of paragraphs then expand from there?

None of these fucking journalists do, they start with some waffling life story of some nobody and talk irrelevant nonsense for multiple paragraphs before getting to the fucking point.

If there is a name in the first paragraph that isn't who the story is about its not worth bothering to read. It'll be someone entirely uneducated in what they're talking about pontificating on a topic rather than the journo finding someone with actual knowledge.

"Lived experience" as the highest form of credibility is an absolute cancer.
 
Really though the addiction part is a bit of red herring if you want to just talk about weed = bad. Anything can be addictive in the wrong hands, and anything that can blunt mental anguish (which weed does) can create dependency. Society can survive addicts, they've always been there.

What I'm less sure it can survive and it's just a lot harder to make the argument about, is the mass impact of a huge chunk of people, even if they aren't addicted, being subject to the mellowing effects of weed, even if they aren't all mellowed out at the same time all the time. The stuff you are okay with letting go while high or proximate to being high previously, and how this will impact the quality of jobs done, is something that is hard to quantify but I have strong suspicions is the true societal problem with weed, as a poster on the previous page alluded to rather more humorously.

The other thing which I don't think gets enough research is how ganja effects your sleep cycles. I vaguely recall hearing that being under the influence fucks with your REM sleep, and if that's at all true, draw that shit out over months and it's no wonder inveterate stoners seem like weed zombies...they might not have gotten proper rest in a long time.
 
Really though the addiction part is a bit of red herring if you want to just talk about weed = bad. Anything can be addictive in the wrong hands, and anything that can blunt mental anguish (which weed does) can create dependency. Society can survive addicts, they've always been there.
That's something that has always annoyed me when people talk about how xyz is addictive; it's always "IT ACTIVATES THE PLEASURE CENTERS IN YOUR BRAIN!" Like no shit? People enjoy eating, fucking, exercising, smoking, drinking, etc. Unless there's something I'm missing, such as people oversimplifying how this works, it doesn't feel much different than the anorexics who hide behind "diet advice" when they explain the process of food digestion.
 
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That was really big in the United States as well awhile back. The government would ban the active chemical, and they'd come out with something slightly different and sell that for awhile until they got around to criminalizing that chemical too. It was a weird time when that first came out. It was around the same time as the bath salt craze. They started selling the synthetic weed and the bath salts (synthetic meth) in convenience stores, next to the boner pills and vitamin supplements. Sex shops even sold a type of bath salt that was synthetic ecstasy. It was pretty widespread for a bit then it all started to disappear. Now, the bath salts are gone afaik, but they're selling some type of bootleg Oxycontin pills in the convenience stores.

The only place I heard that the synthetic weed (they call it Mojo) is still popular is in jails. I guess it's easier to smuggle it in.
It's actually far worse now, but more stealthy.
The bath salts thing were a number of slightly modified amphetamines/MDMA-related substances, like Mephedrone, although more accurate they are cathinones, name coming from Kath, some sort of stim chewable veggie from the Middle East. The other "designer drugs" would be the "Spice"-weed like shit, that's synthetic cannabinoids.
While governments clamped down on most of the initial stuff, it never really stopped, and to make things worse, the synthetic "let's just add some halogen molecules to some illegal drug see what happens lol" drive has reached opiates, which is where the real danger is.
Now we have all sorts of designer opiates that one can order from China in kilogram quantities, while the doses are in micrograms. isotonitazene comes to mind. As one of these gets popular, it also gets difficult to order, so the Chinese switch to some other novel derivative.
The dangers are incredible; none of these drugs are safety-tested. We have decades, even centuries of data on morphine and heroin. We have decades on amphetamine, meth, MDMA. Centuries on weed.
We have basically nothing on these designer drugs. People that take them, well, you're alpha-testing some potentially lethal shit.
Dealers are ruthless and use these cheaper, novel drugs to increase the potency and profit margins. You think you buy heroin, but you buy some fentanyl+derivatives combo. You think you buy fentanyl, but it's isotonitazene and hell knows what else.
It'll get worse and worse too.
 
"I smoke weed constantly and never leave my house, it makes me lose all will to do anything. Why is my mental health in such bad shape, bros?"
Help me balance my budget, my family is dying.

Rent- 1800
Food- 200
Gas- 300
Weed- 600
Video games- 800
Its not addictive lol. Its just the kind of retard who sits inside and smokes weed every day is also the kind of retard who had zero willpower or drive to begin with. Just stop doing it. Its easy. Calling it addictive is just a way to shift the blame off of yourself. If you have seen someone with an actual addiction like heroin completely fuck their life up, sell their car, and steal from their grandma for a little black tar then you know that its not even remotely close to the same.
This kind of reasoning is why people don't ask for help. After all, other people have it worse so why would I ever be taken seriously? Not just for addiction, but for depression as well. There's nothing wrong with you, but you can't find the will to change and know you'd be mocked if you asked for help so why bother? If everyone else acts like your problem doesn't matter, then it doesn't matter. Insisting it does matter makes you into an attention seeking joke.
 
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Rent- 1800
Food- 200
Gas- 300
Weed- 600
Video games- 800
Have you tried not paying rent? You'll have 1800 to spare if you start now.

Here we have the typical reefer addict, you can tell by the beady eyes, erractic behaviour and short burst of violence that he consumed a whole marijuana. Just because it comes from de eath don't smoke the sticky sticky
 
Virtually everyone i know smokes and is also doing it on the daily and every single one of these people goes apeshit when due to some unforseen event (dealer isn't picking up the phone, no money at the end of the month etc.) they're not able to smoke. When i was in highschool, I saw niggas pawning their PS1 games for pennies on the dollar or stealing coffee and razorblades to pawn off when they didn't have money for weed. Behaviour you'd expect from heroin junkies.
The potential for psychological addiction is undeniably real and i think it is getting worse with the high THC strains becoming more prevalent.
 
Tobacco is a man's drug. I am convinced that the only drugs that do not castrate the society that employs them are tobacco and to an extent alcohol. Cannabis on the other hand turns you into a gay hippie. There is no getting around this, the only effects of weed is to rewire your brain into being a sedated bugman with loose magical thinking. Using it in moderation is just being moderately homo-ified. It intrinsically deprives you of rational capacities, degrading you to the level of the brute beasts of the field. Tobacco instead engenders masculine contemplation. The most gay of all the drugs. If you have to become a useless junkie, at least do meth or something.
Both nicotine and alcohol are linked to erectile dysfunction. Ever heard of Whiskeydick? I've been getting a lot of commercials on the radio about the side effects of vaping too that mention ED.
The weed of that era was not at all like what we have today. Much less potent. They were wrong, but their error was kind of understandable.
The potential for psychological addiction is undeniably real and i think it is getting worse with the high THC strains becoming more prevalent.
I hear a lot of the issues related with weed nowadays is that its bred for higher THC content and lower CBD content, so you get more high but less of the alleged benefits of CBD, which stupidizes people faster and harder.
 
After watching that degenerate gambler dude on Jersh's last MATI episode, I'm more glad than ever that I don't have an addictive personality.

It's bad enough seeing an intoxicated person be a slave to their behavior, but at least it's obvious they're in a chemically altered state. It's somehow more horrifying watching a stone sober person be overcome by irrational madness by the lights and noises of a slot machine.
 
The weed of that era was not at all like what we have today. Much less potent. They were wrong, but their error was kind of understandable.
THC content in weed has gotten incredibly more potent as the years have gone by and so many smokers are oblivious or intentionally deaf to the facts. It used to be 2% THC before 1990s. Now popular strains are about 25%-30%. And oils and dabs can be 90% THC. The percent of CBD, the compound that doesn't make you high, has gone down. I don't know if this is intentional or a byproduct of increasing the content of THC.
The demands of the people have brought this. People got more interested in weed, they wanted a stronger high as their bodies got used to the THC, the market met the demands and now we have super strong weed that teens smoke because we have normalized weed and vaping. It's horrifying.
 
All of the reefer madness posters in this thread will never know the joy that is going out for a 6-8 mile trail run in the woods while stoned.
Being high by itself is uncomfortable enough as it is, but now you're in a potentially unfamiliar environment and having light hallucinations. Yeah, that sounds like a great idea.

I don't understand how people find the sensation to be enjoyable, personally.
 
M.B. joined the program online in 2020 during the height of the pandemic, although the withdrawals weren’t easy. For about a week, she couldn’t keep down food, suffered intense headaches and felt so uncomfortable that she showered constantly.
That sounds like Cannabis Hyperemesis Syndrome. It can only be treated by stopping weed or hot showers.
 
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