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The Peter Attia Drive

#81 - Debra Kimless, M.D. & Steve Goldner, J.D.: Cannabis – the latest science on CBD & THC

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 25 November 2019

⏱️ 132 minutes

🧾️ Download transcript

Summary

In this episode, Dr. Debra Kimless and Steve Goldner share their knowledge on the science, policy, and market evolution of medicinal cannabis. We start with the differences between THC and CBD, how they work in the body, and how they act on the brain. We discuss the many potential benefits of using CBD, THC, hemp in the various forms of administration (smoking, vaping, edibles, oils, etc.) as well as some of the safety issues including the recent uptick in incidents of hospitalization and death linked to vaping. Debra and Steve are both involved with the company, Pure Green—Debra the Chief Medical Officer and Steve the founder and CEO—whose aim is to create the safest, most efficacious form of delivery of cannabis. Their bigger mission is to shift the perception of the cannabis plant, garner acceptance of its medicinal benefits, and ultimately get it descheduled on a federal level so more people can access cannabis for a range of chronic ailments.

We discuss:

  • Debra and Steve’s background reason for their interest in medical cannabis [7:00];
  • The history of medical use of cannabis [11:15];
  • How THC, CBD, and other cannabinoids work [16:00];
  • Hemp—What it is, special uses, and the 2018 farm bill [22:45];
  • The legal status of CBD, Deb and Steve’s clinical trial, and how CBD differs from THC [30:15];
  • The safety profile of THC [35:00];
  • Is marijuana as a gateway drug? [45:30];
  • Smoking vs. vaping vs. edibles—Benefits, risks, and mechanistic differences [53:30];
  • Can you build up a tolerance to the effects of THC? [1:15:00];
  • What do people generally want to get from using marijuana? [1:17:15];
  • Cannabinoid synthetics [1:22:30];
  • Efficacy of CBD oils as a sleep aid [1:25:00];
  • Pure Green Cannabis [1:30:30];
  • Anecdotal evidence and managing the hype surrounding cannabis in medical treatment [1:38:45];
  • Aspirations for the future of medicinal cannabis, and the legal challenges that await them [1:45:15];
  • Descheduling cannabis: A human rights issue [2:04:00] and;
  • More.

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Show notes page for this episode: https://peterattiamd.com/debrakimless-stevegoldner/

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Transcript

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0:00.0

Hey everyone, welcome to the Peter Atia Drive. I'm your host, Peter Atia.

0:10.0

The drive is a result of my hunger for optimizing performance, health, longevity, critical thinking,

0:15.7

along with a few other obsessions along the way. I've spent the last several years working

0:19.6

with some of the most successful top performing individuals in the world, and this podcast

0:23.8

is my attempt to synthesize what I've learned along the way to help you live a higher quality

0:28.3

more fulfilling life. If you enjoy this podcast, you can find more information on today's

0:32.5

episode and other topics at peteratiamd.com.

0:41.6

Hey everybody, welcome to this week's episode of The Drive. I'd like to take a couple of

0:45.6

minutes to talk about why we don't run ads on this podcast and why instead we've chosen to

0:50.3

rely entirely on listener support. If you're listening to this, you probably already know,

0:55.0

but the two things I care most about professionally are how to live longer and how to live better.

1:01.1

I have a complete fascination and obsession with this topic. I practice it professionally,

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and I've seen firsthand how access to information is basically all people need to make better

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decisions and improve the quality of their lives. Curating and sharing this knowledge is not easy,

1:16.3

and even before starting the podcast, that became clear to me. The sheer volume of material

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published in this space is overwhelming. I'm fortunate to have a great team that helps me

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continue learning and sharing this information with you. To take one example, our show notes are

1:31.2

in a league of their own. In fact, we now have a full-time person that is dedicated to producing

1:35.9

those, and the feedback has mirrored this. So all of this raises a natural question, how will we

1:41.9

continue to fund the work necessary to support this? As you probably know, the tried and true way

1:47.5

to do this is to sell ads, but after a lot of contemplation, that model just doesn't feel right to

1:53.4

me for a few reasons. Now, the first and most important of these is trust. I'm not sure how you could

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