Jun 5, 2024 02:14 AM
(This post was last modified: Jun 5, 2024 06:01 PM by C C.)
Cannabis use common among patients, with most using it to manage a symptom or health condition
https://www.eurekalert.org/news-releases/1047131
INTRO: One in six patients in primary care reported cannabis use, with 35% of those using at levels indicating moderate- to high-risk for cannabis use disorder, new UCLA research finds.
The findings, to be published June 5 in JAMA Network Open, suggest that most patients reported using cannabis for symptom management, despite identifying as recreational users, indicating the need for routine cannabis screening. Currently, few healthcare systems offer this screening in primary care settings.
“Patients may not tell their primary care providers about their cannabis use, and their doctors may not ask about it,” said lead author Dr. Lillian Gelberg, professor of family medicine at the David Geffen School of Medicine at UCLA and of health policy and management at the UCLA Fielding School of Public Health “Not asking patients about their cannabis use results in a missed opportunity for opening up doctor-patient communication regarding use of cannabis generally and for management of their symptoms. “
Thirty-eight states, three US territories and the District of Columbia allow cannabis for medical use, and 24 of these states also permit recreational use. Stigma over cannabis use has fallen likely due to these legal moves. While there has been an increased perception that its use is risk free, cannabis potency has increased.
The U.S. Preventive Services Task Force recommended in 2020 that primary care physicians screen their adult patients for use of cannabis and other substances. The following year the investigators implemented the UCLA universal electronic health record-based, self-administered survey on cannabis use and medical cannabis use. Patients complete this survey as pre-visit screening prior to their primary care visits as sent to them via the Epic patient portal... (MORE - details, no ads)
New Endocrine Society guideline for vitamin D supplementation
https://www.endocrine.org/news-and-advoc...-vitamin-d
INTRO: Healthy adults under the age of 75 are unlikely to benefit from taking more than the daily intake of vitamin D recommended by the Institutes of Medicine (IOM) and do not require testing for vitamin D levels, according to a new Clinical Practice Guideline issued today by the Endocrine Society. For children, pregnant people, adults older than 75 years and adults with high-risk prediabetes, the guideline recommends vitamin D higher than the IOM recommended daily allowance.... (MORE - details)
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But remember... D is a fat-soluble vitamin and can store in the body for long periods. As a result, an elderly (or even younger) person with poor kidney function might be prone to developing kidney stones if they're taking larger doses and retaining a large amount of vitamin D because of the poor kidney function.
https://www.eurekalert.org/news-releases/1047131
INTRO: One in six patients in primary care reported cannabis use, with 35% of those using at levels indicating moderate- to high-risk for cannabis use disorder, new UCLA research finds.
The findings, to be published June 5 in JAMA Network Open, suggest that most patients reported using cannabis for symptom management, despite identifying as recreational users, indicating the need for routine cannabis screening. Currently, few healthcare systems offer this screening in primary care settings.
“Patients may not tell their primary care providers about their cannabis use, and their doctors may not ask about it,” said lead author Dr. Lillian Gelberg, professor of family medicine at the David Geffen School of Medicine at UCLA and of health policy and management at the UCLA Fielding School of Public Health “Not asking patients about their cannabis use results in a missed opportunity for opening up doctor-patient communication regarding use of cannabis generally and for management of their symptoms. “
Thirty-eight states, three US territories and the District of Columbia allow cannabis for medical use, and 24 of these states also permit recreational use. Stigma over cannabis use has fallen likely due to these legal moves. While there has been an increased perception that its use is risk free, cannabis potency has increased.
The U.S. Preventive Services Task Force recommended in 2020 that primary care physicians screen their adult patients for use of cannabis and other substances. The following year the investigators implemented the UCLA universal electronic health record-based, self-administered survey on cannabis use and medical cannabis use. Patients complete this survey as pre-visit screening prior to their primary care visits as sent to them via the Epic patient portal... (MORE - details, no ads)
New Endocrine Society guideline for vitamin D supplementation
https://www.endocrine.org/news-and-advoc...-vitamin-d
INTRO: Healthy adults under the age of 75 are unlikely to benefit from taking more than the daily intake of vitamin D recommended by the Institutes of Medicine (IOM) and do not require testing for vitamin D levels, according to a new Clinical Practice Guideline issued today by the Endocrine Society. For children, pregnant people, adults older than 75 years and adults with high-risk prediabetes, the guideline recommends vitamin D higher than the IOM recommended daily allowance.... (MORE - details)
- - - - - - - - - -
But remember... D is a fat-soluble vitamin and can store in the body for long periods. As a result, an elderly (or even younger) person with poor kidney function might be prone to developing kidney stones if they're taking larger doses and retaining a large amount of vitamin D because of the poor kidney function.