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This is StarTalk Sports Edition. Today, we're going to talk
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about weed. Yeah, I said it. Marijuana and what effect
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that has, does, should, shouldn't have in sports. And I
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got Gary O'Reilly with me. Gary. Hey, Neil. All right.
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All right. Ex-footballer. Football, as in soccer, I guess I
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have to say. Yes, round ball. Round balls. And Chuck. Chuck.
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Yes.
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Always good to have you, dude.
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Yeah.
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Ex-weed smoker. Ex-weed smoker and current weed smoker.
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So there you have it. And future. There you have it.
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Just right there. Future weed smoker.
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So yeah. Okay. So what we've got here today is,
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other than Chuck having been a former weed smoker and
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possibly future one, We don't have particular expertise in what
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role any of this plays in athletic competition. So we
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combed our, searched our Rolodex and we came back to
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one of our previous guests. It's Stacey Gruber. Stacey, welcome
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back to StarTalk.
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Thanks so much for having me.
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Yeah, you're one of the world's experts on what marijuana
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does to the brain, to our thoughts, to our decisions,
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to our abilities. And let me just get your full
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Title here, Director of Cognitive and Clinical Neuroimaging at the
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McLean Hospital's Brain Imaging Center. And you're an Associate Professor
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of Psychiatry at Harvard Medical School. So you've got all
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the right stuff here. And your research includes neurocognitive models
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and multimodal brain imaging. And the best part here is
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you're assessing risk factors of substance abuse and the psychopathic
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pathology of it all. Did I get that right? You
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left out one thing, Neil. What?
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My hero.
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You left that part out. The only.
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Thing I would tell you is we started the MIND program,
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Marijuana Investigations for Neuroscientific Discovery.
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Or MIND.
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Oh, I see what you did there. Very good.
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Load full transcript
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Because there was really no data. up till very recently
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on the long-term effects of cannabis when people use it
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for medical purposes, as opposed to recreational or adult use.
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Really important distinction and factors into our talk today, for sure.
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Very excellent. So we'll get right to it. Many of
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us think about cannabis as a recreational drug and with
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very little sort of side effects to it from what's intended.
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And also medicinal use has been around for millennia, as
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I understand it. Thousands of Yeah, thousands of years. And
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so let me ask you, let's get straight into this
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because this is StarTalk Sports Edition. And Sha'Carri Richardson's Olympic band,
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all right, she was the 100-meter sprinter that was tested
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positive for cannabis. And so she got booted from the Olympics.
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She's not in her key event in the Olympics because
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she tested positive for cannabis. So I have to ask
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and start off this question. this segment. In what way
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does smoking weed increase your musculoskeletal reaction time and make
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you run faster? In what way does it enhance your
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performance in the 100 meter dash?
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It's a fantastic question. And I'll tell you, most people
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say things like, hey, If you can smoke weed or
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use cannabis and perform and win, you should get something
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for it because you're active.
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Two medals. You should get two medals.
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That's exactly right. And to your point, you know, cannabis
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has been around for thousands and thousands of years. First
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documented use was as medicine, you know, and it was
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part of our pharmacopeia since 1850. We prescribed it. Then
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it became illegal through a series of events that I
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know Chuck knows.
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You're not talking well, I know it.
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Exactly right.
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They just let Chuck out of jail. He just got out.
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The mid-90s saw us revisit this, and California was the
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first state to legalize cannabis for medical purposes. But in
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terms of sports, the Waterless, the World Anti-Doping Association, has
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cannabis on the list of prohibited substances. And you know,
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there's been a lot about this, especially with regard to
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Sha'Carri Richardson. And I think you have to meet two
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of three criteria to be on that list. It poses
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risks to your athletes. It provides a performance.
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Health risk, health risk.
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But I think the, I think that the language is
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pretty open and vague. That's part of the concern here. Okay.
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I risk winning the sport. Okay. There's a risk for you.
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There you go.
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And it violates the spirit of the sport, which is
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one of those casual caveats that anything can fall under.
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But to your point, Most studies to date document that
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one does not have improved, let's say, or faster reaction
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time or improved or increased coordination. Quite the opposite when
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we're talking about what we think of as typical conventional
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recreational or adult use of cannabis. That's not what we see.
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Individual constituents might confer some benefit, but when we're talking
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about flower, whole plant products typically used for adult or
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recreational purposes to change one's current state of being, we
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don't see improvements in reaction time. That's not what we
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see from a research perspective. And most of the science
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that leads us back to where we are now in
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terms of it being prohibited is a little bit questionable.
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And I think a lot of people are now taking
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a much closer look at exactly why it's on the list.
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Wow. Yeah.
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So, so does this have anything to do? I mean,
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I don't want to get into the whole history of weed,
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but you know, and reefer madness and why that happened and,
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you know, being connected to jazz.
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Reefer Madness, the public service film that was produced. Right,
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the public service film.
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And going back before that is the connection between black
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people and white people coming together. Believe it or not,
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that was the problem. Forget all that. 2020, I believe,
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they removed it from Schedule 1. I don't know if
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they actually removed it or did they take a vote,
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but I read about it sometime. So can you tell
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me about that?
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And what is Schedule 1? Just put us on the
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same page there.
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Great series of questions. So just a real quick history thing, again,
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to your point, it was part of our pharmacopoeia. Reefer
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madness really refers to a period of time in which
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the nation really fell under this spell. And there are
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a lot of psychosocial reasons that this happened. We won't
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get into it, but it fell out of favor. The
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Marijuana Tax Act made cannabis illegal. And it not only
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was removed from the pharmacopeia, which doctors used to prescribe,
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not recommend or suggest, prescribe, it became illegal. In the
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1970 Controlled Substance Act, it was placed in the most
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restrictive class, Schedule I. Schedule I, which by definition, gentlemen,
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no accepted medical value.
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Okay.
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That's where cannabis sits today.
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Chuck, to your point. Sitting right next to other drugs
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like what?
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Cocaine.
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Heroin. No, cocaine schedule two, sir.
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Okay. Chuck, did I ask you the question? I don't know.
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I was just thinking about cocaine.
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I'm not going to go there. That's fine.
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Okay, so schedule one. Who's to his left and who's
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to his right in schedule one?
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So cannabis sits in schedule one alongside things like heroin.
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So no accepted medical value, which people have, of course,
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begun to question because individual constituents from the plant. This
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place is complicated. There's over 400 compounds. A hundred of
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these interact with our brain and body system of chemicals
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and receptors. The question is, if there's no accepted medical
value,
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how is it that you have an FDA approved medication
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like Epidiolex, a single extracted purified compound for kids with
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pediatric onset seizure disorders? That's not only FDA approved, but
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not in Schedule 1. So Schedule 1, by definition, most
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restrictive class. And to your point, Chuck, cannabis remains illegal
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at the federal level. In 2018, you're thinking of the
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Hemp Act. The Hemp Act was passed, which basically said
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that all cultivars or chemovars, all plants basically of cannabis
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sativa L, that had less than 0.3% THC, the primary
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intoxicating constituent of the plant, is what gets you high.
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It's what our recreational adult users are typically looking for.
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Every plant that had less than 0.3% THC by weight
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was okay. It's industrial hemp. So it's a really interesting
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shift that we've had because this is the proliferation that
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we've seen of CBD high products, products high in CBD
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that may or may not have THC up to a
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certain point.
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The IOC, which banned Sha'Carri Richardson, where are they getting
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their information from? Are they getting it from Who is it? WADA?
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What is the acronym?
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I think it's the World Anti-Doping Association.
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World Anti-Doping Agency.
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Are they getting their insights from the World Anti-Doping Association?
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And are they getting it from outdated federal legislation? I mean,
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who's who's mind in the store here?
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Another really great question. So the question is, where does
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this science, where does the sort of evidence for this
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come from? And most people are turning back to some
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studies that happened in a review paper that was published
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in 2011, I think. And they lean into it pretty hard.
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And that was enough evidence to sort of maintain its
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current status. Whether or not it should remain there is
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something different. Again, I would say this. If we know
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that people who, let's just think of people
who smoke
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or vape cannabis for fun or recreational purposes. Is their
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reaction time faster? No. Is their coordination better? No.
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Okay.
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So take that.
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Do they even want to run in the race?
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No.
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Is there a competition where you can sit on the
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couch and eat donuts?
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Not everybody uses the same types of products, right? And
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so here's the big distinction. So when people think of
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things like that and they ask the question, should this
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or should this not be prohibited? Is it performance enhancing? Actually,
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from that perspective, no. But some people have raised the
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following question. Well, it relaxes people. It allows you to
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let things go. It's great for anxiety. Again, very low
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doses of THC, good for anxiety. Higher doses, not so much.
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Don't go there. Other constituents are great for that too.
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But if that's the case, if it's an indirect effect
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that we're seeing, it's not the same as a steroid,
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which allows you to build muscle significantly faster and with
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less effort, right?
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With an elite athlete, and we kind of bounce back
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into the Sha'Carri Richardson scenario here, what difference would there
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be for them to consume THC as opposed to CBD?
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I know each individual athlete will react differently. I appreciate
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that much. But in a broad stroke, could you explain
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that to us, Doctor?
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And just to be clear, THC is tetrahydrocannabis? Is that
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what that stands for?
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It stands for delta-9-tetrahydrocannabinol. And it is the primary intoxicating
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constituent of the plant. Again, lots of players here. The
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other big player here that people have spent a lot
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of time and attention on is cannabidiol or CBD.
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April.
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Non-intoxicating constituent of the plant, often touted for its therapeutic potential.
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So when we think about what could happen if you
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are exposed to large amounts of THC versus CBD, what
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you typically find is CBD, again, is not intoxicating. People
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use it for all sorts of reasons. There is very
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scant evidence here from a scientific perspective. You know, as
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a neuroscientist, we like to have empirically sound data.
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Evidence matters.
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Evidence matters, man. Exactly. And here, policy is outpaced science.
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So we want to be very clear about what these
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constituents do and don't do. And we don't know the
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whole thing yet. We really don't. It's a complex story,
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especially when we start thinking about multi-compound products, not just
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THC or just CBD, but the ways in which people
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typically use, right? Like Sha'Carri Richardson. So to your point, Gary,
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what do we expect? Again, products that are higher in
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THC typically are used for those who are looking for
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from a recreational perspective, looking to change their current state
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of being or sort of take themselves out of something.
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CBD is not intoxicating. Would you find that somebody has
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any physiologic change after using CBD? There've been some preclinical
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studies suggesting that. And there's some human studies suggesting it,
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but the evidence is pretty, pretty sparse. We have to
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do a lot more work in this area.
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All right, listen, when we come back after this break,
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this short break, what we really want to get to
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the bottom of is how is it that these chemicals
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that all extracted from weed can be banned or not banned,
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yet there's all manner of other chemicals that we take
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that do influence us physiologically that just get completely overlooked, like,
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for example, ibuprofen to get rid of pain, or even coffee.
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So when we come back, we're going to see how
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does everything else we do and ingest measure up to
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cannabis on StarTalk. We're back, StarTalk Sports Edition. We're talking
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about cannabis, marijuana. and what role it can play, has played,
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should or shouldn't play in athletic competition. And we've got Dr.
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Stacey Gruber, not her first rodeo with us here on StarTalk.
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This time we're just really trying to find out what's
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going on in the Olympics, how is it that Sha'Carri
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Richardson got banned, but more importantly for this segment, Stacey,
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I want to know, how is it that I can
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take sort of a non-steroidal anti-inflammatory drug.
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NSAID.
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NSAID. Okay. You've got an acronym for that. Non-steroid anti-inflammatory
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to NSAID. NSAID. And the Olympics and they'll find that
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in my pee or however they measure it and all
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is fine. Okay. But if I took a cannabinoid, that's bad.
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Don't they have similar effects on our bodies and what's
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going on there?
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So, you know, they really, again, these rules, these regulations,
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these guidelines, I think are set in place sometimes in
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the absence of clear evidence. And in the case of
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an NSAID, which is very clearly used as an analgesic
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or a pain reliever, which also helps with inflammation. These
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are actually two things that people often use cannabis for.
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You happen to raise a really good point. NSAIDs are
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legal and they are not illegal. Again, you know, sort
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of on the illicit substance, they're not in the controlled
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substance group and they're not in the CSA at all.
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So could someone make an argument that NSAIDs could themselves
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be performance enhancing because they help reduce inflammation or help
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with pain?
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Sure.
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Cannabis or marijuana, I think, is prohibited for a number
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of reasons. And they did change the amount of cannabis, quote,
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it's actually a metabolite of THC that's detected in the urine.
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They raised the limit of detections. from I think 15
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nanograms to 150 because people are using whole plant full
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spectrum products that are primarily comprised of CBD and other
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non-intox constituents. But you may still test positive for THC.
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So wait, nanogram, that's a billionth of a gram, nanogram.
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Astrophysicist who knows the lexicon.
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Did I hear that right? That's oh my gosh. Okay.
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That means they're really getting into your pee at that level.
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I'm just saying. If they know nanogram contents in my pee, damn.
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I'm just going to bottle first, Neil. Okay.
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So doctor, right.
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So here I am. I've gone into the lab and
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I'm being creative and I come up with a drug
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that's A, a stimulant. B, if I test it on mice,
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could be proven to improve muscle growth. And if I
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mix it with water... It's rich in antioxidants. Would WADA
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ban this drug?
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Great question.
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WADA, again, the.
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World Anti-Doping Agency.
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Yeah, it's a great question. I'm not sure what criteria
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they use.
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Okay, what if I called it coffee?
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Exactly.
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You know, I could make the same argument for so
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many things. It's, again, I have a feeling, and I
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could be wrong because I don't live in the WADA
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sort of bubble or in the IOC, the International Olympic Committee,
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But I have a feeling this has a lot to
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do with the fact that cannabis remains schedule one at
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the federal level.
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That's what I was wondering. If somebody thinks it's bad,
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then you don't want to be the one who says
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it's not bad.
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Right.
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Maybe that they're afraid to be the first out of
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the gate on that.
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And I think that there have been some some studies
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that have perhaps prematurely or perhaps without a huge amount
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of evidence behind it decided that it can, in fact,
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help people with their performance. So therefore, it must be
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a performance enhancing substance. That has really come under a
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fair amount of scrutiny these days. And again, when you
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do a comparison between cannabis and other substances, like alcohol,
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alcohol is not on the banned list.
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Right.
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So it sounds to me like water really should be,
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what are you talking about? What are you talking about?
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Or what are you out of your mind? Like that
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kind of is what water is.
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That's not. What the are you saying?
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So doctor, we kind of, immediately default to an impairment
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of cognitive skills on using cannabis or marijuana. But are there,
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and I do believe the term that you use is downstream,
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effects of cannabis use that could be seen.
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As an aid to performance?
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Performance not being I run faster, jump higher, but in recovery,
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maybe aid sleep. have an anti-inflammatory property. Do we have
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those downstream effects from this drug?
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Yeah, and why not ban sleep? Because getting sleep enhances
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your performance.
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It's the best thing you can do for your performance.
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The single best thing you can do actually across the
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board almost for anything.
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Right, so we should ban it because it enhances performance,
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I think.
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I think to your point, again, there's a difference between
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direct and indirect effects. And how do you start to
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measure what will or won't have an effect? you know, downstream.
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So some of these constituents have certainly been shown to
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be anti-inflammatory and help promote sleep, help reduce anxiety. Could those,
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you know, at some level help someone function day to day?
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Remember that athletic performance is also an extension of how
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that individual is in a given day. This young lady
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was quite brave and quite open and honest and told
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the world why she used it. And I think most
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people had a rather visceral response like, ah, I get that.
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She also knew what the stated sort of guidelines were
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and did it anyway. The point is, who's to say
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what is and isn't going to have a downstream effect?
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We know that exposure to cannabis or certain cannabinoids when
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an individual is very young can result in some decrements.
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Absolutely true. Sure. That's not necessarily the case for individuals
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as they get older. And we've had some evidence to
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sort of contradict what we've seen in the recreational consumers.
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But again, the story is pretty unclear here.
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How about this? There's some people, as we know, who
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have sort of genetic inability to process alcohol in ways
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that others do. Are there genetic variations in people's reactions
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to the cannabinoids or whatever?
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Cannabinoids. Yes, absolutely.
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And can I just dovetail on Neil's question? Can you
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answer that? Tell us about cannabinoid receptors in our brain
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because I've read somewhere that it's the only so-called drug,
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the THC being the psychoactive constituent, it's the only drug
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that actually our brain is already designed to latch onto.
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I heard that. I heard that too. I heard that too.
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I heard that a lot. People say I'm wired for weed.
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Quick primer, you have CB1 and CB2 receptors. They're part
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of the endocannabinoid system, a system of chemicals or receptors
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throughout the brain and the body. THC binds pretty effectively
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to CB1 receptors, for example. We also have things like
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mu and kappa receptors that are... again, are endogenous, but
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they are the targets for opioids. So, you know, it's
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not just cannabis. But to your point, the cytochrome P450
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enzyme system in your liver basically dictates how you process things.
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And again, really great point. Genetically, we are not all
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created equally. We're just not. And there are some groups
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that don't process alcohol, right? Some cultures, Ashkenazi Jews, for example,
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we don't have a ton of alcohol dehydrogenase, the thing
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that breaks down alcohol and allows us to process it effectively.
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So there are many people who are poor
metabolizers of THC.
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And as a result, they are often very, very high
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for a very long time. These are the people here
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that say things like, oh my God, I was, you know,
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I was out of my mind for 12 to 14 hours.
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There are other people who metabolize so effectively and so efficiently,
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they can have 30, 40, 50 milligrams of a product
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and these edibles, and they don't show an effect. So
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we are not all created equally and your genetic your
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makeup actually really will dictate how you process these products.
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But I look at your list of three criteria, right?
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Does it, or was it the IOC's criteria? Does it
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have the potential to enhance? Water, water. In New York
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City- W-A-T-E-R is pronounced water. So that's, I can't, it's
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hard for me to have this conversation.
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W-A-T-A, water.
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With water. Give me a, I need a cup of water.
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00:21:28.849 --> 00:21:30.730
I need a glass of water. Yeah, give me water.
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That's the water.
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00:21:32.490 --> 00:21:35.589
It's a very New York City accent. But, so these
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three criteria, does it have the potential to enhance performance?
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Is there a health risk? And does it violate the
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spirit of the sport? And I think coffee, you can
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put a check in all three of those boxes for coffee.
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And so, so, marijuana and other drugs also apparently but
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they're outlawed.
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Yeah it's a huge disparity i think and and one
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that people are really looking at much more closely now
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and again i think you know the other things you
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have to have two of the three criteria one is
420
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it violates the spirit of the sport one is it
421
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poses risk to the athlete and three i mean not
422
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in this order It enhances athletic performance.
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The spirit of the sport is I want to be
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as best as I possibly can be. That's the spirit
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of this. Faster, higher, stronger. That's the whole freaking point.
426
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Yeah.
427
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It's the mantra.
428
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Don't get me started on this.
429
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I thought the spirit of the sport was. I don't
430
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care if I win or lose if I smoke this weed.
431
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That's a new thing. That's the new Olympic motto.
432
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I'm going to smoke this weed and not give a damn.
433
00:22:40.509 --> 00:22:42.650
No, here's what you do. You put a couch instead
434
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of that rolling camera along the 100 meters and you
435
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sit on the couch and watch other people race while
436
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you smoke. Different kind of Olympics. Stacey, before we take
437
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a break, what about the sports where you can't be
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excited and pent up for it because you need the
439
00:23:03.619 --> 00:23:07.450
stability of precision, such as in the pistol shooting or
440
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in archery. Can we say that cannabis enhances your performance
441
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because it settles your physiology in a way that doesn't
442
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make you nervous and then miss your target?
443
00:23:21.230 --> 00:23:23.700
I would actually take the opposite perspective, which is that
444
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cannabis isn't one thing and it doesn't have one effect
445
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for all people, right? Some chemovars or cultivars or products
446
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are actually in some ways stimulating for people and they
447
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feel more energized. They feel you've, the term is euphorogenic. I,
448
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you know, I want to make, I want to do,
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I want to, I think we talked about this once before.
450
00:23:40.069 --> 00:23:43.250
So that wouldn't necessarily, you know, sort of support the
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point of settling. It would actually sort of go against
452
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when people feel really blah or down, they often use
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a little cannabis that might be a product or a
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strain or chemovar that, influences or increases their energy. So
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that would argue against that. Not all products are the same.
456
00:24:00.170 --> 00:24:02.009
Not all people are the same. And the ways that
457
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you use these products absolutely dictates the outcome. Okay.
458
00:24:05.769 --> 00:24:11.269
So the takeaway is weed is highly chemically complex and
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you can't generalize its effects as a product without thinking
460
00:24:17.890 --> 00:24:21.990
more precisely about the biochemistry of each of the molecules.
461
00:24:22.289 --> 00:24:24.650
That's exactly right. It's not one thing and it shouldn't be.
462
00:24:24.789 --> 00:24:25.690
One size does.
463
00:24:25.549 --> 00:24:30.349
Not fit all here. Yeah, but to my point, if
464
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there's some sports where you need to be calm relative
465
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to other sports where you need to be up, the
466
00:24:36.670 --> 00:24:39.589
same drug could help you in one and harm you
467
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in another, your performance.
468
00:24:41.710 --> 00:24:44.130
I think that would be true across multiple classes, yes.
469
00:24:44.410 --> 00:24:50.619
Okay, so enhanced performance doesn't always mean faster, higher, stronger,
470
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it can mean more laid back.
471
00:24:52.539 --> 00:24:57.259
Again, direct versus indirect effects, right?
472
00:24:57.319 --> 00:24:58.980
Exactly. We've got to take a quick break, but when
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we come back, more with Stacey Gruber, our marijuana expert
474
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up at the Harvard Medical School. And we're going to
475
00:25:05.569 --> 00:25:09.369
see what the future of sports legislation looks like in
476
00:25:09.410 --> 00:25:15.329
the face of new signs or not on StarTalk. We're back.
477
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Third and final segment for StarTalk Sports Edition. all about
478
00:25:20.190 --> 00:25:22.890
marijuana in sports. And of course we can't do this
479
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without the singular expert out there who thinks about this,
480
00:25:27.529 --> 00:25:32.299
who measures people's brains, who has all the fluency necessary
481
00:25:32.440 --> 00:25:37.000
to settle these arguments, Dr. Stacey Gruber. Again, welcome back, Stacey.
482
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And continuing our deep dive into this, what is gonna
483
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happen with the future of sports legislation in the face
484
00:25:47.079 --> 00:25:51.970
of your research, or more broadly research into the chemistry
485
00:25:52.289 --> 00:25:55.069
that might help us perform, but if not, it might
486
00:25:55.089 --> 00:25:59.200
help us recover from injury for having attempted to perform.
487
00:25:59.779 --> 00:26:01.880
Great question. And I wish I knew more about how
488
00:26:01.920 --> 00:26:05.900
these agencies made their decisions. In terms of the scientific literature,
489
00:26:06.019 --> 00:26:09.180
it is constantly evolving. Every day we have new reports, right,
490
00:26:10.000 --> 00:26:15.380
on different constituents or different approaches to addressing different symptoms
491
00:26:15.440 --> 00:26:18.539
or conditions using cannabis for medical purposes. How does that
492
00:26:18.599 --> 00:26:21.839
dovetail with our elite athletes and what they may or
493
00:26:21.859 --> 00:26:23.529
may not be using it for? Should there be a
494
00:26:23.569 --> 00:26:26.670
distinction in terms of what they're using and how? I
495
00:26:26.690 --> 00:26:28.349
think a lot of people are
very interested in this
496
00:26:28.490 --> 00:26:31.150
and for good reason. It's important to be up to
497
00:26:31.170 --> 00:26:34.450
date and to let science guide the policies, to allow
498
00:26:34.549 --> 00:26:36.259
people to live the way that they live and to
499
00:26:36.339 --> 00:26:40.519
understand if certain things are very comparable. It's really difficult
500
00:26:40.539 --> 00:26:42.500
for people to understand why one thing would be banned
501
00:26:42.599 --> 00:26:43.299
and another.
502
00:26:44.910 --> 00:26:48.150
Is there a comprehensive study that's done or being done
503
00:26:48.549 --> 00:26:52.009
that lets us know exactly how cannabis will affect us?
504
00:26:52.890 --> 00:26:54.690
I think there are lots of different studies that are
505
00:26:54.799 --> 00:26:57.970
currently underway that look at different aspects. But part of
506
00:26:58.019 --> 00:27:01.839
the problem is that cannabis remains illegal at the federal level.
507
00:27:02.180 --> 00:27:05.119
So doing research, depending on the type of research questions
508
00:27:05.140 --> 00:27:07.420
you want to ask, is not as easy as you think.
509
00:27:07.720 --> 00:27:10.519
And when we're talking about anything that is a cannabis
510
00:27:10.619 --> 00:27:13.920
chemo bar or cultivar, And its effect on whether it's
511
00:27:14.000 --> 00:27:16.299
athletic performance or all sorts of things, there's stuff that
512
00:27:16.319 --> 00:27:18.460
we know, and there's an awful lot that we don't know.
513
00:27:18.720 --> 00:27:21.700
The question will be, where does the intersection of some
514
00:27:21.759 --> 00:27:25.240
kind of benefit versus some kind of performance enhancement get made?
515
00:27:25.319 --> 00:27:26.769
I think that's a bigger question.
516
00:27:26.900 --> 00:27:31.170
So in 2020, Neil, the NFL, the NBA, Major League Baseball,
517
00:27:31.369 --> 00:27:36.250
and hockey all said no suspension if you test positive
518
00:27:36.569 --> 00:27:39.809
for cannabis out of season. Now, in season, they said
519
00:27:39.849 --> 00:27:44.420
you get a fine. Now, they obviously have moved away
520
00:27:44.599 --> 00:27:50.490
from the WADA, cannabinoids, bad, not happening, you're banned. So
521
00:27:50.930 --> 00:27:54.509
they must be using some kind of research, some kind.
522
00:27:54.250 --> 00:27:55.430
Of … Yes, somebody's plugged into them.
523
00:27:55.710 --> 00:27:59.349
Yes. So we are at an elite professional level saying,
524
00:28:00.109 --> 00:28:03.970
that's cool, but we're going to stick you on the
525
00:28:04.019 --> 00:28:07.740
naughty step with a big fine. But with WADA, it's
526
00:28:07.779 --> 00:28:10.980
an outright ban. So there seems to be a lag here.
527
00:28:12.029 --> 00:28:16.210
between what's happening here in the US and globally for WADA.
528
00:28:16.289 --> 00:28:18.170
And I think there might be a reason, but I'd
529
00:28:18.210 --> 00:28:20.569
like to hear what the doctor's thinking is.
530
00:28:20.650 --> 00:28:24.250
And if it's NFL, NBA, MLB, and NFL, that's the
531
00:28:24.269 --> 00:28:27.369
whole kit and the caboodle right there. Especially the caboodle,
532
00:28:27.529 --> 00:28:28.130
it's all in there.
533
00:28:28.170 --> 00:28:33.529
Highly technical term, the caboodle. Don't forget the caboodle. You know,
534
00:28:33.549 --> 00:28:35.650
I think it's a great point. And I think that, again,
535
00:28:35.789 --> 00:28:39.569
there is a sort of a philosophy and an approach
536
00:28:39.609 --> 00:28:43.190
to this. Remember that cannabidiol or CBD is not prohibited,
537
00:28:43.369 --> 00:28:45.990
but they changed the lower limit of detection from, I
538
00:28:46.009 --> 00:28:48.809
think it was 15 nanograms per mil to 150 for
539
00:28:48.849 --> 00:28:51.549
exactly this reason, I believe, to make sure that they
540
00:28:51.589 --> 00:28:55.720
were only looking for what they've considered current use as
541
00:28:55.799 --> 00:29:00.480
in right before competition. How that gets determined is a
542
00:29:00.579 --> 00:29:03.779
pretty slippery slope, I think. And to your point, Gary,
543
00:29:04.059 --> 00:29:06.059
it's a very, very important distinction when we talk about
544
00:29:06.079 --> 00:29:08.480
global versus more local decisions that are being made here
545
00:29:08.500 --> 00:29:09.900
in the United States. Absolutely.
546
00:29:10.049 --> 00:29:17.609
And so I would say, though, I might conjecture that
547
00:29:17.690 --> 00:29:20.609
part of this is due to the fact that we
548
00:29:20.650 --> 00:29:26.019
have decriminalized marijuana on a state level pretty much everywhere,
549
00:29:26.400 --> 00:29:29.000
not to mention the however many teen, I don't know
550
00:29:29.039 --> 00:29:31.859
if it's 13 or 19, the last I checked, states
551
00:29:31.920 --> 00:29:34.910
that say, yo man, you can go ahead and do this.
552
00:29:35.210 --> 00:29:37.609
So I think the removing of- It's not what.
553
00:29:37.529 --> 00:29:41.579
The legislation says. I didn't- Go ahead. That's the way
554
00:29:41.640 --> 00:29:42.059
I read it.
555
00:29:42.059 --> 00:29:45.880
I read it as, hey, Chuck, go ahead.
556
00:29:45.900 --> 00:29:46.740
Go ahead.
557
00:29:46.980 --> 00:29:49.380
But I think when you strip it from the penal
558
00:29:49.460 --> 00:29:55.789
code that you allow people to say, okay, and you
559
00:29:55.809 --> 00:30:00.490
allow sports- organizations to say, hey, you know, if this
560
00:30:00.569 --> 00:30:03.789
is not illegal, if it is not like a class
561
00:30:04.089 --> 00:30:07.329
felony or whatever it was, it's not criminal, then who
562
00:30:07.390 --> 00:30:09.049
are we to say, like, you can't do it?
563
00:30:09.589 --> 00:30:12.109
So what really should be happening here, at the risk
564
00:30:12.170 --> 00:30:18.809
of being Captain Obvious, is governmental legislation should actually lead
565
00:30:19.130 --> 00:30:24.490
the scientific enlightenment on this and then let
the official
566
00:30:24.990 --> 00:30:27.539
sports organizations follow it. If you're going to have sports
567
00:30:27.599 --> 00:30:30.519
organizations allowing it, but in principle, they could have allowed
568
00:30:30.559 --> 00:30:34.819
it decades ago. Right. If the science was there, Stacey,
569
00:30:34.960 --> 00:30:39.900
if municipal federal legislation is at the core of this
570
00:30:40.160 --> 00:30:42.910
that everyone then reacts to, what access do you have
571
00:30:43.430 --> 00:30:46.089
to the writing of laws and members of Congress? And
572
00:30:46.150 --> 00:30:49.430
shouldn't you have a seat at the table there?
573
00:30:49.910 --> 00:30:51.470
You know, I think a lot of us are trying
574
00:30:51.509 --> 00:30:53.150
to have a seat. And I don't know that that's
575
00:30:53.210 --> 00:30:55.049
really the only pivotal point here. I think there are
576
00:30:55.109 --> 00:30:57.990
multiple points that are critical. You know, I think when
577
00:30:58.029 --> 00:31:01.029
you are involved in the conversation, you have a better
578
00:31:01.069 --> 00:31:04.210
chance of seeing things done comprehensively in a way that
579
00:31:04.250 --> 00:31:07.430
is centrist, that makes sense, that isn't motivated by other,
580
00:31:07.450 --> 00:31:11.190
you know, let's just say agenda items. I think it's very,
581
00:31:11.210 --> 00:31:13.470
very important. It's important to have.
582
00:31:13.490 --> 00:31:16.319
Emphasis on centrist, right? I mean, there's a point where
583
00:31:16.660 --> 00:31:19.440
you can land that is scientifically reasonable and sensible.
584
00:31:20.039 --> 00:31:22.319
It's, you know, let science be your guide. There is
585
00:31:22.380 --> 00:31:24.619
truth in science, right? We know that. And not everybody
586
00:31:24.640 --> 00:31:26.640
believes that, but I think there is truth in science.
587
00:31:27.079 --> 00:31:28.059
And if you allow.
588
00:31:27.900 --> 00:31:30.309
Science and- You don't think there is, you know there is,
589
00:31:30.349 --> 00:31:33.170
and we all know there is. If you allow- You
590
00:31:33.190 --> 00:31:36.650
don't have to have soft vocabulary on this show, okay?
591
00:31:36.809 --> 00:31:40.130
If you allow the science- Thank you. To take its
592
00:31:40.230 --> 00:31:44.650
place and allow decisions to be based on evidence and
593
00:31:44.710 --> 00:31:47.730
not rhetoric or other things.
594
00:31:47.970 --> 00:31:48.470
Politics.
595
00:31:49.210 --> 00:31:52.369
I think it's a different landscape. It's a terribly difficult
596
00:31:52.390 --> 00:31:54.730
landscape to navigate with regard to cannabis in this country,
597
00:31:55.130 --> 00:31:57.250
And across the globe, but especially in this country, the
598
00:31:57.289 --> 00:32:00.829
discord between federal and state regulations, and it's created a
599
00:32:00.910 --> 00:32:01.769
lot of confusion.
600
00:32:02.089 --> 00:32:06.750
If we think the problem lies with WADA, not water, WADA,
601
00:32:07.369 --> 00:32:11.390
World Anti-Doping Agency, the clue may be in the first
602
00:32:11.609 --> 00:32:17.940
of those words, world. Because as Chuck's highlighted, cannabis is
603
00:32:18.039 --> 00:32:19.920
pretty legal in just about every state.
604
00:32:20.660 --> 00:32:21.559
But world.
605
00:32:22.329 --> 00:32:25.190
hasn't all come to that conclusion yet. There are countries
606
00:32:25.250 --> 00:32:28.619
around the world where marijuana is illegal. And so they
607
00:32:28.680 --> 00:32:32.640
have a problem that is so multifaceted, they are not
608
00:32:33.079 --> 00:32:34.460
probably able to solve it.
609
00:32:34.460 --> 00:32:38.240
In one simple move. Because they are international, they need
610
00:32:38.259 --> 00:32:44.009
some international sensitivities. They can't all be... In Stacey's lab,
611
00:32:44.170 --> 00:32:44.930
that's what we're saying.
612
00:32:44.990 --> 00:32:47.359
Wow, that's a very good point, Gary. I didn't even
613
00:32:47.420 --> 00:32:50.519
consider that. So I have the answer. We must get
614
00:32:50.559 --> 00:32:55.549
the leaders of that country high.
615
00:32:55.990 --> 00:32:57.269
Why didn't I think of that?
616
00:32:57.289 --> 00:32:59.190
Diplomatic solution? I love it. There you go.
617
00:33:01.099 --> 00:33:06.839
The next UN General Council, I will be there. What's up, y'all?
618
00:33:06.859 --> 00:33:11.210
Handing out the... The next UN General.
619
00:33:10.970 --> 00:33:12.609
Meeting is going to be held in a park across
620
00:33:12.650 --> 00:33:13.170
the street.
621
00:33:14.410 --> 00:33:17.059
Wait, if you got them all high... That would end
622
00:33:17.230 --> 00:33:19.539
all war. There'd be more solved by that.
623
00:33:19.720 --> 00:33:21.960
Instead of things like a G20 summit, you could ask
624
00:33:21.980 --> 00:33:23.539
for an OG20 summit.
625
00:33:23.579 --> 00:33:25.359
Yo, nice. And it wouldn't be OG20, it'd be OG420.
626
00:33:25.400 --> 00:33:25.619
What?
627
00:33:25.740 --> 00:33:26.059
What?
628
00:33:26.240 --> 00:33:26.819
Is that tough?
629
00:33:31.680 --> 00:33:32.599
That's right, that's right.
630
00:33:32.619 --> 00:33:39.440
We just solved world peace here on StarTalk. There you go. Yeah. Dang.
631
00:33:39.480 --> 00:33:41.460
Yes, people need to get on board for sure and
632
00:33:41.559 --> 00:33:44.279
at least come together and review what we know, what
633
00:33:44.319 --> 00:33:46.039
we don't know, and then whatever we don't know, we
634
00:33:46.240 --> 00:33:50.460
should address specific empirically sound research studies to help clarify.
635
00:33:50.480 --> 00:33:53.019
Because Stacey, I say this because I've been invited to
636
00:33:53.319 --> 00:33:58.160
various committees and commissions that serve Washington interests because I
637
00:33:58.200 --> 00:34:01.240
have expertise that they value. And so it's not a
638
00:34:01.440 --> 00:34:04.819
weird thing for someone with expertise to be brought into
639
00:34:05.079 --> 00:34:09.920
the room. And so I'm gonna vote you into Congress.
640
00:34:10.039 --> 00:34:13.420
How about that? It'll be on the weed ticket.
641
00:34:13.699 --> 00:34:21.139
It's a green ballot. I have testified at Congress previously
642
00:34:21.199 --> 00:34:27.690
and I very often contributed. And I continue to do
643
00:34:27.730 --> 00:34:30.250
that in lots of different ways. I'm happy to continue that.
644
00:34:30.809 --> 00:34:33.650
So forgive me for even thinking that had not already happened.
645
00:34:33.670 --> 00:34:35.389
No, no, no. But to your point, to your point,
646
00:34:35.429 --> 00:34:37.250
we really need a little bit more science and a
647
00:34:37.250 --> 00:34:40.460
little less rhetoric to help guide the discussions, both in
648
00:34:40.480 --> 00:34:41.699
this country and across the globe.
649
00:34:42.019 --> 00:34:47.639
Well, I think Chuck solved that. So I think part
650
00:34:47.659 --> 00:34:50.320
of the problem is, regardless of what Congress does, there
651
00:34:50.340 --> 00:34:53.059
are influential politicians who might think one way or another
652
00:34:53.119 --> 00:34:55.280
about it. And they have their followers who just do
653
00:34:55.300 --> 00:34:56.079
what they say, right?
654
00:34:56.380 --> 00:34:59.500
Even our president, actually. Even our president, who I think
655
00:34:59.519 --> 00:35:02.119
has done a great job in shepherding us through this
656
00:35:02.179 --> 00:35:03.019
COVID crisis.
657
00:35:03.500 --> 00:35:05.460
Thinking about the science. Thinking about the science.
658
00:35:05.480 --> 00:35:09.619
He's let the science lead him. He is adamantly opposed
659
00:35:09.719 --> 00:35:13.889
to marijuana being decriminalized on a federal level.
660
00:35:14.010 --> 00:35:19.289
Because he's the reefer madness generation. That's why. That's why.
661
00:35:20.489 --> 00:35:22.250
I just love the term reefer madness.
662
00:35:23.159 --> 00:35:26.320
So are we still in the wake of the war
663
00:35:26.380 --> 00:35:26.880
on drugs?
664
00:35:28.800 --> 00:35:29.239
Oh, good question.
665
00:35:29.260 --> 00:35:32.420
And we're waiting to get out of that wash to
666
00:35:32.659 --> 00:35:33.119
find us.
667
00:35:33.139 --> 00:35:39.139
Because that spills into sports committees. Yes.
668
00:35:39.239 --> 00:35:41.699
I think a lot of folks, again, are taking a
669
00:35:41.760 --> 00:35:45.590
much closer look these days. But again, there is the
670
00:35:45.690 --> 00:35:49.170
Office of National Drug Control policy and the ideas and
671
00:35:49.349 --> 00:35:54.829
the sort of scientific evidence that allow people to make
672
00:35:54.909 --> 00:35:57.699
good sound decisions needs to be up to date and
673
00:35:57.739 --> 00:36:00.179
it needs to be read and understood.
674
00:36:00.199 --> 00:36:01.960
What a concept.
675
00:36:02.219 --> 00:36:02.539
Yeah.
676
00:36:02.559 --> 00:36:05.719
Tell me about it.
677
00:36:05.820 --> 00:36:06.380
Wow.
678
00:36:06.400 --> 00:36:08.280
Can we just extend that.
679
00:36:08.110 --> 00:36:12.130
To everything that we do? It's just everything that we do.
680
00:36:12.329 --> 00:36:13.909
Let me, let me ask this though, because I know
681
00:36:13.929 --> 00:36:14.730
we're running short on time.
682
00:36:14.750 --> 00:36:15.449
We're running really short.
683
00:36:15.530 --> 00:36:19.170
I know we're running really short. Um, I have seen
684
00:36:19.250 --> 00:36:22.320
people get very upset and heated in this debate. And
685
00:36:22.360 --> 00:36:25.940
they talk about the fact that marijuana is indeed addictive.
686
00:36:26.260 --> 00:36:29.039
And the reason why it should not be allowed for use...
687
00:36:29.079 --> 00:36:31.780
Or as a gateway drug as well. Right. Because you
688
00:36:32.239 --> 00:36:35.000
can become addicted to it. And that it is indeed
689
00:36:35.039 --> 00:36:38.360
a gateway. All of those things, those tropes that we've heard,
690
00:36:38.760 --> 00:36:40.550
can you just talk about it? I don't care if
691
00:36:40.590 --> 00:36:45.010
it's true or not, just from a scientific... What does that.
692
00:36:44.710 --> 00:36:47.309
Mean, Chuck? You mean answer whether or not it's true?
693
00:36:47.510 --> 00:36:49.110
What the hell kind of... It's a.
694
00:36:49.070 --> 00:36:51.389
Giant essay type question. I don't care whether it's true
695
00:36:51.409 --> 00:36:52.949
or not, but can you talk about it?
696
00:36:52.989 --> 00:36:55.809
Yeah, exactly. Compare and contrast.
697
00:36:55.989 --> 00:37:00.679
Really quickly, two schools of thought. Is cannabis or marijuana addictive?
698
00:37:00.719 --> 00:37:02.860
There are certainly people who wind up with what we
699
00:37:02.900 --> 00:37:05.219
call cannabis use disorder. In the old days, we would
700
00:37:05.260 --> 00:37:07.980
call it abuse versus dependence. Now we have a new term,
701
00:37:08.199 --> 00:37:11.550
cannabis use disorder. And the numbers of individuals who use
702
00:37:11.590 --> 00:37:14.449
cannabis who wind up with cannabis use disorder vary depending
703
00:37:14.489 --> 00:37:17.130
on the study that you're looking at. And it's really
704
00:37:17.170 --> 00:37:19.159
important to keep in mind that you have to actually
705
00:37:19.860 --> 00:37:22.260
meet the people who are using the cannabis and talk
706
00:37:22.280 --> 00:37:24.719
to them about their use, as opposed to just assuming
707
00:37:24.760 --> 00:37:27.010
that because they use daily, they must have a use
708
00:37:27.030 --> 00:37:31.030
disorder first and foremost. Number two, gateway phenomenon, gateway hypothesis,
709
00:37:31.050 --> 00:37:33.789
gateway theory. The use of cannabis will obviously lead to
710
00:37:33.829 --> 00:37:36.130
the use of harder drugs because people who use cannabis
711
00:37:36.289 --> 00:37:39.110
or people who use heroin often used cannabis first. That
712
00:37:39.159 --> 00:37:41.719
doesn't mean that the use of cannabis led to heroin use.
713
00:37:41.840 --> 00:37:44.400
In terms of the receptors in your brain, again, these
714
00:37:44.420 --> 00:37:48.070
things get turned on In terms of exposure to certain
715
00:37:48.110 --> 00:37:51.510
substances like drugs or sugar or sex or all sorts
716
00:37:51.570 --> 00:37:54.630
of things. So the gateway hypothesis is one that I
717
00:37:54.670 --> 00:37:56.760
think most people have sort of let go of at
718
00:37:56.780 --> 00:38:00.559
this point. There's not really great evidence suggesting that one
719
00:38:00.659 --> 00:38:02.969
leads to another. Is there an overlap in those who
720
00:38:02.989 --> 00:38:07.730
use drugs? let's say, quote, harder drugs who have used cannabis? Sure.
721
00:38:08.070 --> 00:38:10.880
And why is that? Usually that's more a factor of
722
00:38:10.920 --> 00:38:13.860
their sort of psychosocial experiences and people who are.
723
00:38:14.300 --> 00:38:17.199
Or just practicality. You know, if my first drug is
724
00:38:17.280 --> 00:38:19.889
probably not going to be heroin, okay? It's going to
725
00:38:19.909 --> 00:38:23.690
be some other drug. So B implies A, but A
726
00:38:23.750 --> 00:38:26.690
does not... give you B, right? In that case.
727
00:38:26.730 --> 00:38:28.969
Sort of the transitive property, A equals B, B equals C.
728
00:38:28.989 --> 00:38:30.849
So A equals C, but not in this case.
729
00:38:30.889 --> 00:38:31.449
Not in this case.
730
00:38:31.469 --> 00:38:33.869
I don't think there's a huge amount of support for
731
00:38:34.030 --> 00:38:38.019
absolutely clear cannabis leads to the use of harder drugs.
732
00:38:39.099 --> 00:38:41.300
I don't think that that's really been well put.
733
00:38:41.320 --> 00:38:43.559
Okay. All right, guys, we got to end it there.
734
00:38:43.579 --> 00:38:45.820
This has been wonderful, Stacey, to have you back on.
735
00:38:45.840 --> 00:38:48.539
My pleasure. And this conversation is not going to end here.
736
00:38:48.599 --> 00:38:52.000
You know it. All right. Marijuana is with us to stay.
737
00:38:52.719 --> 00:38:54.619
And it's going to show up in all kinds of ways.
738
00:38:54.679 --> 00:38:56.719
And you don't just have insights on sports. You have
739
00:38:56.739 --> 00:39:00.619
insights into all facets of society where marijuana could manifest
740
00:39:00.699 --> 00:39:03.570
and all of its chemical derivatives. So anyhow, I just
741
00:39:03.590 --> 00:39:05.269
want to thank you for being on StarTalk again.
742
00:39:05.289 --> 00:39:06.170
Thanks for having me.
743
00:39:06.590 --> 00:39:08.570
And Gary, Chuck, always good to have you here as
744
00:39:08.610 --> 00:39:11.170
my co-host. Pleasure, Neil. Thank you. Always a pleasure. All right.
745
00:39:11.190 --> 00:39:14.289
This has been StarTalk Sports Edition, all about cannabis in sports.
746
00:39:14.489 --> 00:39:17.880
I'm Neil deGrasse Tyson, as always, bidding you to keep
747
00:39:17.909 --> 00:39:18.300
looking up.