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Dr. Peter Grinspoon

@grinspoon.bsky.social
1.1K followers 1.2K following 320 posts

Primary Care Doc. & #cannabis specialist Harvard Med. Substack: drpetergrinspoon.substack.com Books: Free Refills, Seeing Through the Smoke, Aging Well with Cannabis and CBD

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Dr. Peter Grinspoon @grinspoon.bsky.social · 09/06/2026
Among healthcare providers, 'most respondents (87%) endorsed the therapeutic promise of cannabis, 74% reported openness to recommending medical cannabis, and 95% supported its legal medical use.' (we've come a long way!) link.springer.com/article/10.1...
link.springer.com
Knowledge, attitudes, and concerns about medical cannabis among U.S. healthcare professionals - Journal of Cannabis Research
Background Cannabis is among the most widely consumed psychoactive substances, with increasing consumption due to growing legalization for medical and non-medical use. As access expands, healthcare pr...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 01/06/2026
Perceptions of medical #cannabis among healthcare providers: 'most respondents (87%) endorsed the therapeutic promise of cannabis, 74% reported openness to recommending medical cannabis, and 95% supported its legal medical use.' pubmed.ncbi.nlm.nih.gov/42216094/
pubmed.ncbi.nlm.nih.gov
Knowledge, attitudes, and concerns about medical cannabis among U.S. healthcare professionals - PubMed
Although most respondents reported having patients who use cannabis and were largely supportive of medical cannabis use, objective knowledge gaps and limited formal training were evident. These findin...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 28/05/2026
88% or Americans support legalizing medical #cannabis. It is difficult to think of anything else that 88% of Americans agree upon... www.pewresearch.org/short-reads/...
pewresearch.org
10 facts about Americans and marijuana
Nearly nine-in-ten U.S. adults say marijuana should be legal either for medical or recreational use. Just 11% say the drug should not be legal at all.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 19/05/2026
State medical #cannabis dispensaries and recreational cannabis legalization were associated with significant reductions in non-fatal opioid poisonings in the employer-sponsored insured population, particularly among male and younger populations. www.sciencedirect.com/science/arti...
sciencedirect.com
The association between state cannabis legalization and non-fatal opioid poisonings among adults with employer-sponsored insurance in the United States
Although many states have legalized medical and recreational cannabis, its association with non-fatal opioid poisonings remains unclear. This study ex…
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Reposted by Dr. Peter Grinspoon
Dr. Peter Grinspoon @grinspoon.bsky.social · 05/05/2026
Today, on Cinco de Mayo, my new book is officially out. Aging Well with Cannabis is for the canna-curious senior, family member, or caregiver who wants to understand whether cannabis can help with pain, sleep, anxiety, or quality of life. Available now. amazon.com/dp/1454962933
amazon.com
Aging Well with Cannabis: Feel Better, Sleep Better, and Live Better with Marijuana and CBD
Amazon.com: Aging Well with Cannabis: Feel Better, Sleep Better, and Live Better with Marijuana and CBD: 9781454962939: Grinspoon MD, Peter, Gruber, Dr. Staci: Books
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Dr. Peter Grinspoon @grinspoon.bsky.social · 08/05/2026
Very preliminary results: 'These findings suggest psilocybin shows promise as a novel treatment for cocaine use disorder.' (we don't have anything that works for cocaine #addiction) jamanetwork.com/journals/jam...
jamanetwork.com
Psilocybin in the Treatment of Cocaine Use Disorder
This randomized clinical trial evaluates whether, compared with placebo, the use of psilocybin in the treatment of cocaine use disorder yields a higher percentage of cocaine abstinent days, a greater ...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 05/05/2026
Today, on Cinco de Mayo, my new book is officially out. Aging Well with Cannabis is for the canna-curious senior, family member, or caregiver who wants to understand whether cannabis can help with pain, sleep, anxiety, or quality of life. Available now. amazon.com/dp/1454962933
amazon.com
Aging Well with Cannabis: Feel Better, Sleep Better, and Live Better with Marijuana and CBD
Amazon.com: Aging Well with Cannabis: Feel Better, Sleep Better, and Live Better with Marijuana and CBD: 9781454962939: Grinspoon MD, Peter, Gruber, Dr. Staci: Books
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Dr. Peter Grinspoon @grinspoon.bsky.social · 28/04/2026
The Trump Admin. pretends to care about people with #addiction, but this is an example of the many horrible policies they are enacting that is going to push up the overdose rate and end up needlessly killing people struggling with substance misuse. www.nytimes.com/2026/04/27/h...
nytimes.com
U.S. Government Will Stop Paying for Test Strips to Detect Deadly Drugs
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Dr. Peter Grinspoon @grinspoon.bsky.social · 23/04/2026
Yes! Back since my brother Danny was a medical #cannabis patient 50 years ago, my family has worked toward providing education & care for medical #marijuana patients. This is incredibly ratifying! In truth, it should be declassified not just reclassified. www.nytimes.com/live/2026/04...
nytimes.com
Trump Administration Live Updates: Justice Dept. Loosens Medical Marijuana Restrictions
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Reposted by Dr. Peter Grinspoon
Dr. Peter Grinspoon @grinspoon.bsky.social · 21/04/2026
Half of older adults struggle with sleep. Yet many are still being prescribed sleeping medications that can cause confusion, falls, even memory problems. So why aren’t we talking more openly about cannabis? drpetergrinspoon.substack.com/p/half-of-ol...
drpetergrinspoon.substack.com
Half of Older Adults Struggle With Sleep
Why Aren’t We Talking About Cannabis?
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Dr. Peter Grinspoon @grinspoon.bsky.social · 22/04/2026
This study highlights the potential of CBMPs as an alternative to opioid treatment. (I've seen this work for years in primary care clinic.) www.tandfonline.com/doi/full/10....
tandfonline.com
Cannabis-based medicinal products for cancer pain: a two-year prospective analysis from the UK medical cannabis registry
Cancer pain affects approximately 50% of patients with cancer, significantly reducing quality of life. Opioids remain first line for treatment however many patients report inadequate pain relief or...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 21/04/2026
Half of older adults struggle with sleep. Yet many are still being prescribed sleeping medications that can cause confusion, falls, even memory problems. So why aren’t we talking more openly about cannabis? drpetergrinspoon.substack.com/p/half-of-ol...
drpetergrinspoon.substack.com
Half of Older Adults Struggle With Sleep
Why Aren’t We Talking About Cannabis?
272
Dr. Peter Grinspoon @grinspoon.bsky.social · 20/04/2026
Happy 420 Day from the Grinspoon family. On 5/5/26 my new book, "Aging Well with Cannabis" comes out, about how seniors and their families can use #cannabis safely and effectively. Pre-order now! www.amazon.com/Aging-Well-C...
amazon.com
Aging Well with Cannabis: Feel Better, Sleep Better, and Live Better with Marijuana and CBD
Aging Well with Cannabis: Feel Better, Sleep Better, and Live Better with Marijuana and CBD - Kindle edition by Grinspoon MD, Peter, Gruber, Dr. Staci. Download it once and read it on your Kindle device, PC, phones or tablets. Use features like bookmarks, note taking and highlighting while reading Aging Well with Cannabis: Feel Better, Sleep Better, and Live Better with Marijuana and CBD.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 20/04/2026
Sadly, there are still some doctors who I deal with that think this movie is a documentary... www.nytimes.com/2026/04/20/m...
nytimes.com
‘Reefer Madness,’ the P.S.A. That Backfired Spectacularly
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Dr. Peter Grinspoon @grinspoon.bsky.social · 17/04/2026
The medical journal TheLancet comes out against drug criminalization in favor of harm reduction. www.thelancet.com/journals/lan...
thelancet.com
The cost of punitive drug legislation
On March 10, at the 69th session of the Commission on Narcotic Drugs, UNAIDS, the UN Development Programme, and the International Network of People who Use Drugs launched a joint guidance note: Decrim...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 13/04/2026
When they piloted reimbursing medical #cannabis in Worker's Compensation, 'patients reported meaningful reductions in pain, improvement in function, increased quality of life, and psychosocial stability...A modest reduction in opioid use was observed" journals.lww.com/joem/abstrac...
journals.lww.com
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Reposted by Dr. Peter Grinspoon
Dr. Peter Grinspoon @grinspoon.bsky.social · 09/04/2026
My mother Betsy, at age 95 (doing great!), gets to see the 18th book published by either her husband (Dr. Lester Grinspoon -- 11 books), her son @DrFunkySpoon (David Grinspoon -- he has 4 awesome books), or me -- this is my third: "Aging Well with Cannabis and CBD" out on 5/5/26.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 09/04/2026
My mother Betsy, at age 95 (doing great!), gets to see the 18th book published by either her husband (Dr. Lester Grinspoon -- 11 books), her son @DrFunkySpoon (David Grinspoon -- he has 4 awesome books), or me -- this is my third: "Aging Well with Cannabis and CBD" out on 5/5/26.
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Reposted by Dr. Peter Grinspoon
Dr. Peter Grinspoon @grinspoon.bsky.social · 08/04/2026
It’s a common idea in addiction medicine, but it doesn’t reflect reality. Most people who use substances don’t become addicted. Some even benefit. At the same time, misuse can be devastating. Both are true. drpetergrinspoon.substack.com/p/with-drugs...
drpetergrinspoon.substack.com
With drugs, is it correct to say: “all use is misuse”?
Do most people end up addicted? Can there be benefits?
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Dr. Peter Grinspoon @grinspoon.bsky.social · 09/04/2026
It is excruciating as a primary care doctor to see awful diseases, which we have successfully controlled for a century, rear back due to the idiotic, ignorant policies of the Trump Administration, especially the most brainless of all, anti-vaxxer RFJ Jr. www.kuer.org/health/2026-...
kuer.org
Measles outbreak spreads in Utah, hitting people without the vaccine
What started as a small outbreak of measles along the Utah-Arizona border has spread to every corner of the Beehive State.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 09/04/2026
We see the tragic effects of the "novel psychoactive molecules" in the addiction clinic I work at. It is an unregulated disaster (which, IMHO, would be better if we decriminalized drugs...). www.nytimes.com/interactive/...
nytimes.com
The Fast-Changing Chemistry of New, Dangerous Drugs
Today’s illicit chemists can quickly cook up drugs far more dangerous than fentanyl.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 08/04/2026
This is a great interview with Dr. Staci Gruber in USA Today #cannabis www.usatoday.com/embed/video/...
usatoday.com
Medical marijuana is having a moment in clinical trials
Cannabis has medical promise, but doctors still can’t prescribe it. A Harvard psychiatrist explains why science and policy lag behind.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 08/04/2026
It’s a common idea in addiction medicine, but it doesn’t reflect reality. Most people who use substances don’t become addicted. Some even benefit. At the same time, misuse can be devastating. Both are true. drpetergrinspoon.substack.com/p/with-drugs...
drpetergrinspoon.substack.com
With drugs, is it correct to say: “all use is misuse”?
Do most people end up addicted? Can there be benefits?
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Dr. Peter Grinspoon @grinspoon.bsky.social · 06/04/2026
This is an amazing article -- my brother David @drfunkyspoon.bsky.social is the scientist who is interviewed; he injects some bad needed idealism into this entire issue. www.nytimes.com/2026/04/06/o...
nytimes.com
Opinion | What’s the Point of Sending People Into Space? An Astronaut, Scientist and Journalist Debate.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 02/04/2026
Really excited about this article today, about my new book, 'Aging Well with Cannabis' Link to preorder: www.hachettebookgroup.com/titles/peter... www.besteveryou.com/post/aging-w...
besteveryou.com
Aging Well with Cannabis: Expert Insights on Sleep, Pain, Anxiety, and Better Living
Discover how cannabis may help older adults manage pain, anxiety, and sleep challenges. Expert guidance on safe use and living well at every stage of life.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 02/04/2026
Physicians and nurses urgently need to learn more specific information about medical #cannabis to advise patients so patients don't have to rely on Budtenders (who, unsuprisingly, per this study, give very inaccurate (and with pregnancy, dangerous) advice! www.sciencedirect.com/science/arti...
sciencedirect.com
Dispensary Budtender Guidance Versus Clinician Consensus: A Comparative Study of Medical Cannabis Advice
Medical cannabis (MC) patients frequently rely on budtenders, dispensary staff without formal medical training, for therapeutic guidance. This study e…
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Reposted by Dr. Peter Grinspoon
Dr. Peter Grinspoon @grinspoon.bsky.social · 24/03/2026
In many ways, #alcohol is the most dangerous drug of all. Please see my blog: drpetergrinspoon.substack.com/p/the-most-d...
drpetergrinspoon.substack.com
The Most Dangerous Drug of All
It is lurking in most of our homes.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 24/03/2026
It sounds like they are having a lot of success with #MDMA in Australia for #PTSD www.nytimes.com/2026/03/24/h...
nytimes.com
MDMA Therapy in Australia Shows Results, but the Cost Is Limiting Access
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Dr. Peter Grinspoon @grinspoon.bsky.social · 24/03/2026
I agree that many people are undereducated about the potential harms of #cannabis (addiction, teens, pregnancy, mental health, cardiac...). The harms can also be wildly exaggerated, which is why we need to be measured & reasonable when discussing it. www.bostonglobe.com/2026/03/24/o...
bostonglobe.com
Too many people are engaging in risky behavior with marijuana - The Boston Globe
Public education is needed on how to consume responsibly.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 24/03/2026
In many ways, #alcohol is the most dangerous drug of all. Please see my blog: drpetergrinspoon.substack.com/p/the-most-d...
drpetergrinspoon.substack.com
The Most Dangerous Drug of All
It is lurking in most of our homes.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 23/03/2026
Same is true for primary care doctors at @MassGenBrigham; everyone wants to leave -- we haven't had even a cost of living adjustment for 5 years; this is why it's hard to find a PCP. 'www.bostonglobe.com/2026/03/23/busi…
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Dr. Peter Grinspoon @grinspoon.bsky.social · 23/03/2026
'Mindset over molecule: comparing self-transcendent and mystical experiences across recreational psilocybin, MDMA, and cannabis use' (set and setting) (yes, #cannabis is a psychedelic...) link.springer.com/article/10.1...
link.springer.com
Mindset over molecule: comparing self-transcendent and mystical experiences across recreational psilocybin, MDMA, and cannabis use - BMC Psychology
Background Self-transcendent and mystical experiences may be key mechanisms underlying psychedelics’ therapeutic effects, yet how these experiences differ across substances remains unclear. This study...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 23/03/2026
At Week 24, outcomes in chronic pain, anxiety, depression, and quality of life improved [with #cannabis] www.tandfonline.com/doi/full/10....
tandfonline.com
Canadian real-world evidence: observational 24-week outcomes for health care practitioner authorized cannabis
With the increasing use of medical cannabis (MC), there is growing evidence suggesting that MC may be an effective therapeutic for chronic sleep, pain, and anxiety conditions. However, further eval...
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Reposted by Dr. Peter Grinspoon
Dr. Peter Grinspoon @grinspoon.bsky.social · 17/03/2026
Check out my latest post on #cannabis in seniors. drpetergrinspoon.substack.com/p/pain-sleep...
drpetergrinspoon.substack.com
Pain, Sleep, Anxiety: Where Medical Cannabis Can Actually Help
How older adults are using low-dose cannabis to manage some of the most common symptoms of aging.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 20/03/2026
To confirm what we have always known (despite Drug War propaganda) about #Cannabis 'Alcohol and tobacco cause far more harms to people who consume them, and to society overall, than marijuana does, according to a new government-funded study' journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
Drug harms in Canada: A multi-criteria decision analysis - Jean-François Crépault, Cayley Russell, Mark Asbridge, Matthew Bonn, Michael Chaiton, Karleigh Darnay, Robert Henry, David C. Hodgins, Elaine...
Background: Multi-criteria decision analysis (MCDA) has been used to quantify drug harms in the United Kingdom, the European Union, Australia, and New Zealand. ...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 18/03/2026
At baseline, cannabis users performed modestly better on tests of numeric memory and fluid intelligence, but no significant differences were observed in longitudinal cognitive change. (#cannabis does not contribute to dementia in older patients) www.thelancet.com/journals/lan...
thelancet.com
The efficacy and safety of cannabinoids for the treatment of mental disorders and substance use disorders: a systematic review and meta-analysis
There was some evidence that cannabinoids can reduce symptoms of cannabis use disorder, insomnia, tic or Tourette's syndrome, and autism spectrum disorder, but the quality of this evidence was general...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 17/03/2026
Check out my latest post on #cannabis in seniors. drpetergrinspoon.substack.com/p/pain-sleep...
drpetergrinspoon.substack.com
Pain, Sleep, Anxiety: Where Medical Cannabis Can Actually Help
How older adults are using low-dose cannabis to manage some of the most common symptoms of aging.
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Reposted by Dr. Peter Grinspoon
Dr. Peter Grinspoon @grinspoon.bsky.social · 10/02/2026
Check out my latest blog. How do you know when your drug use is addictive or if it is reasonable? How does it affect your family? What are the guardrails? How do you distinguish "safe" drug use from #addiction? drpetergrinspoon.substack.com/p/recreation...
drpetergrinspoon.substack.com
When Drug Use Crosses the Line
How to tell and how to help
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Dr. Peter Grinspoon @grinspoon.bsky.social · 17/03/2026
This study also showed improved sleep, autistic symptoms and Tics in tourettes -- why aren't these findings in the news articles? also, many of the RCTs they used were done during the War on Drug which was only looking for harms #cannabis www.thelancet.com/journals/lan...
thelancet.com
The efficacy and safety of cannabinoids for the treatment of mental disorders and substance use disorders: a systematic review and meta-analysis
There was some evidence that cannabinoids can reduce symptoms of cannabis use disorder, insomnia, tic or Tourette's syndrome, and autism spectrum disorder, but the quality of this evidence was general...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 16/03/2026
Happy to be included in this article about the use of #cannabis by older patients. www.bostonglobe.com/2026/03/16/b...
bostonglobe.com
A surge in older cannabis customers is a boon at dispensaries, a concern for doctors - The Boston Globe
While younger cannabis enthusiasts still outnumber older ones, adults 65 and up were the fastest-growing segment of users during most of the past decade.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 13/03/2026
Interesting pilot study where a single dose of #psilocybin was far more effective than #nicotine patches for smoking cessation. #Psychedelics jamanetwork.com/journals/jam...
jamanetwork.com
Psilocybin or Nicotine Patch for Smoking Cessation
This pilot randomized clinical trial compares prolonged smoking abstinence rates in smokers receiving psilocybin with those receiving the nicotine patch with both groups receiving manualized smoking c...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 13/03/2026
'Cannabis use in older adults does not appear linked to faster cognitive decline or higher dementia risk.' (we didn't think it did, but good to confirm...) #cannabis mentalhealth.bmj.com/content/29/1...
mentalhealth.bmj.com
Cannabis use, cognitive function and dementia risk in older adults: observational and genetic analyses
Background The cognitive effects of cannabis use in older adults remain unclear, despite increasing use for medical and recreational purposes in this age group.Objective To investigate associations be...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 12/03/2026
#cannabis for female orgasmic disorder/difficulty 'Research dating back to the 1970s shows that cannabis can improve orgasm function, quiet intrusive thoughts, heighten arousal, and deepen bodily connection.' link.springer.com/article/10.1...
link.springer.com
Cannabis and the Future of Treating Female Orgasmic Disorder/Difficulty - Current Sexual Health Reports
Current Sexual Health Reports - Female Orgasmic Disorder/Difficulty (FOD) affects up to 72% of premenopausal women, yet no FDA-approved pharmacological treatments exist, and current therapies...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 11/03/2026
Honored to speak on cannabis addiction at the United in Compassion medical #cannabis conference in Brisbane, Australia. It is a fantastic conference!
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Dr. Peter Grinspoon @grinspoon.bsky.social · 11/03/2026
In this pilot randomized clinical trial, 1 dose of psilocybin with manualized CBT significantly increased long-term abstinence compared with nicotine patch treatment with CBT. #psychedelics jamanetwork.com/journals/jam...
jamanetwork.com
Psilocybin or Nicotine Patch for Smoking Cessation
This pilot randomized clinical trial compares prolonged smoking abstinence rates in smokers receiving psilocybin with those receiving the nicotine patch with both groups receiving manualized smoking c...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 10/03/2026
CBD use as a substitute or adjunct to medications was common among US adults particularly for pain medications. (fewer NSAIDs = fewer ulcers and less kidney damage...) #cbd #cannabis pubmed.ncbi.nlm.nih.gov/41725772/
pubmed.ncbi.nlm.nih.gov
Self-reported use of cannabidiol as a substitute or adjunct for approved medications - PubMed
CBD use as a substitute or adjunct to medications was common among US adults particularly for pain medications. These patterns underscore the need for better evidence and clearer guidance on dosing, product quality, and co-use with other treatments.
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Dr. Peter Grinspoon @grinspoon.bsky.social · 06/03/2026
Amazing study: GLP-1 drugs [Wegovy, Ozempic...] 'associated with reduced risks of developing various incident SUDs [addictions], suggesting a broad preventive effect across multiple substance types.' www.bmj.com/content/392/...
bmj.com
Glucagon-like peptide-1 receptor agonists and risk of substance use disorders among US veterans with type 2 diabetes: cohort study
Objectives To investigate whether initiation of glucagon-like peptide-1 (GLP-1) receptor agonists is associated with both reduced risks of incident alcohol, cannabis, cocaine, nicotine, opioid, and ot...
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Dr. Peter Grinspoon @grinspoon.bsky.social · 05/03/2026
Agree that teens need to avoid #cannabis use ("Just Say Wait"), but sensationalist @WSJ article ignores fact that teen usage of #marijuana is NOT rising with legalization (and weed has, unfortunately, always been easy to get for teenagers...) www.wsj.com/us-news/educ...
wsj.com
High Schools Are Losing the Struggle to Block Pot—Even During Class
Legalization makes marijuana culturally acceptable and easy to get; ‘it was a party in the bathroom.’
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Dr. Peter Grinspoon @grinspoon.bsky.social · 04/03/2026
This article on need to study effects of #cannabis on older adults (I agree..) neglects that patients are using medical #marijuana INSTEAD of more dangerous pharmaceuticals like NSAIDS, opioids, benzos and hypnotics (e.g., Ambien) which is harm reduction. journals.sagepub.com/doi/full/10.....
journals.sagepub.com
Cannabis, Aging and Cognition: An Urgent Need for Research - Deepak Cyril D’Souza, Prakash Gupta, Ashley M. Schnakenberg Martin, Michael C. Stevens, Godfrey D. Pearlson, 2026
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Dr. Peter Grinspoon @grinspoon.bsky.social · 04/03/2026
Poll of Massachusetts residents found that they overwhelmingly oppose a proposed ballot initiative to roll back the state's marijuana legalization law, 63 percent to 20 percent. Editorial: great idea to start locking up Black people for #cannabis use again www.marijuanamoment.net/massachusett...
marijuanamoment.net
Massachusetts Ballot Measure To Roll Back Marijuana Legalization Is Opposed By Most State Residents, Poll Shows - Marijuana Moment
Massachusetts voters will have a chance to vote on a ballot initiative in November that would roll back the state’s adult-use marijuana law—and a new poll shows that an overwhelming majority of reside...
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