Cannabis MOC

Hub

Mechanisms

  • CB1 receptor — primary THC target; downregulation drives tolerance and withdrawal
  • 11-OH-THC — active metabolite; explains edible potency and duration

Biometrics

  • HRV signatures — acute ↓ sympathetic; chronic baseline ↑ paradoxically
  • REM suppression — strongest consistent sleep signature; ~34 min same-night reduction
  • Sleep architecture — subjective ease ≠ objective quality; REM/N3 distortion

Risks

  • Psychosis risk — dose/potency-dependent; OR 1.4–5.7
  • Cardiovascular risk — RR 1.2–2.1 for ACS/stroke/CV death; smoked strongest
  • CHS — paradoxical vomiting from TRPV1 desensitization

Recovery

  • Cannabis withdrawal — onset 1–2 days; peak day 3; full resolution ~30 days; CB1 recovery lag + endocannabinoid tone collapse

Detection

Interactions