The Ensemble Effect, Not the Entourage Effect, Says Dr. Grinspoon

The Ensemble Effect, Not the Entourage Effect, Says Dr. Grinspoon

It’s a popular theme in marijuana use – the “entourage effect.” It’s defined as the broad-spectrum sense of wellness derived from consuming an unaltered or concentrated form of cannabis. All the natural chemicals found in cannabis are ingested simultaneously.

Any single chemical in isolation does not perform in the same way that a substance will when associated with other chemicals found in the original, natural source. The three primary components of the marijuana chemical cocktail include CBD, THC and the phytocannabinoid group of terpenoids.

CBD by itself performs different than CBD in conjunction with THC, and both perform differently when in the presence of terpenoids. Marijuana’s strength and effect varies by strain based on the ratio of these three components, among other factors.

“It’s a mixture of CBD, cannabidiol, THC and the phytochemicals, the terpenoids,” says Harvard Professor, Dr. Lester Grinspoon. “You need all three of them to get the best therapeutic effect.”

But Dr. Grinspoon says that he entourage effect, the broad-based experience cannabis users have when they consume marijuana containing all three components, is improperly named, Grinspoon told listeners of the Planet Green Trees Radio Show on Thursday, March 10. He prefers the term “therapeutic ensemble.”

“I think that the ensemble is a better idea than entourage, because the word ‘entourage’ implies one item moving in this direction – and it has company,” Dr. Grinspoon explained, “and it is [the item] that is responsible for that activity, and the others just go along. That’s entourage.

“The word ‘ensemble’” he continued, “means that these are the three things that are required for the best therapeutic effect, but you can manipulate the percentage of two of them.”

Those are THC and CBD, Dr. Grinspoon stated. “The phytochemicals, the terpenoids, they come with it, as long as it is derived from the bud, from the plant and not from some oil where all the phytochemicals have been distilled out. As long as you are getting it from the bud you can manipulate by mixing strains.”

Dr. Grinspoon illustrated the advantage of the therapeutic ensemble, and the effect seen when it is absent: “Cannabidiol is a non-psychoactive cannabinoid, which in fact opposes tetrahydrocannabinol, the psychoactive. If you take a large dose of CBD for therapy during the day and you try to use THC at night you won’t get high. On the other hand, you can make the THC high compared to the CBD, the ratio is reversed, and you will get a high. As long as you have the two of them, and the phytochemicals, the terpenoids, you will get a therapeutic effect.”

Charlotte’s Web, a strain of cannabis known for its high CBD and low THC ratio, was cited by Dr. Grinspoon as an example of plant manipulation to express effect. “People can use [that strain] for therapeutic utility and they won’t get high, and that’s great. On the other hand, there are some people who like to have more THC in it so they get somewhat of a high, because high equals antidepressant for some people and that is very important.”

The therapeutic ensemble is the key to maximizing medicinal effect. “In the world of the future we’re gonna have this therapeutic ensemble. You’ll be able to go into the medical store… and you can get a mix where you get the right ratio of cannabidiol to THC,” Dr. Grinspoon opined. “As long as that has terpenoids with it, it will be therapeutic.”

Advances in marijuana testing are making medicinal cannabis use more user-friendly by identifying the product’s ratio of components. Patients can look past flashy names to find medicine that will deliver consistent, predictable effects. “It will be very easy for [medical marijuana patients] to pick it out because it isn’t the name of the strain; it’s how much of these three constituents the marijuana-based medicine contains,” Dr. Grinspoon said.

One group that could benefit from this kind of targeted therapy: veterans. “PTSD is very responsive to cannabis,” Dr. Grinspoon related to PGT host, attorney Michael Komorn.

Dr. Grinspoon is a pioneer in marijuana science. During the interview he discussed some of his earliest experiences with marijuana and how they were influenced – some might say, peer-pressured – by a young Carl Sagan.

Rick Thompson

Rick Thompson

By Rick Thompson · Thu Mar 17, 2016

Listen to the entire interview with Dr.Grinspoon on Planet Green Trees here.

PLANET GREEN TREES RADIO – LIVE EVENT – THURSDAY SEPT 24, 2015

PLANET GREEN TREES RADIO – LIVE EVENT – THURSDAY SEPT 24, 2015

LIVE EVENT
THURSDAY SEPTEMBER 24, 2015

PLANET GREEN TREES RADIO

At  O’Mara’s Restaurant – 2555 12 Mile Rd., Berkley, Michigan.

On the South West corner of 12 Mile Road and Coolidge

Omaras Planet Green Trees_150423_1

O’Mara’s is a local family restaurant with absolutely delicious food and drinks.

If you can’t make it to the live show be sure to tune in to the Planet Green Trees Show LINK

The best resource for everything related to Michigan medical marijuana with your host Attorney Michael Komorn. Live every Thursday evening from 8 -10 pm eastern time.

Channel 4 Komorn Autism Panel 02

 

Michael Komorn is recognized as a leading expert on the Michigan Medical Marihuana Act. He is the President of the Michigan Medical Marijuana Association (MMMA), a nonprofit patient advocacy group with over 26,000 members, which advocates for the rights of medical marijuana patients and their caregivers. Michael is also the host of Planet Green Trees Radio, a marijuana reform based show, which is broadcast every Thursday night 8-10 pm EST. Follow Komorn on Twitter.


 

If you or someone you know is facing charges as a result of Medical Marijuana recommended to you as a medical marijuana patient under the Michigan Medical Marijuana Act, contact Komorn Law and ensure your rights are protected.

Contact us for a case evaluation at 800-656-3557

PLANET GREEN TREES RADIO – LIVE EVENT – THURSDAY SEPT 24, 2015

Planet Green Trees Talk Radio Goes Remote in Berkley

April 23-2015 – After 5 years and hundreds of episodes of Planet Green Trees Talk Radio… the ” All about Medical Marijuana Radio Show” broadcasted live on the road. The live event took place at  7pm on Thursday, April 23, at O’Mara’s Restaurant located at 2555 12 Mile Rd., Berkley, Michigan.

Omaras Planet Green Trees_150423_1

O’Mara’s is a local family restaurant with absolutely delicious food and drinks.

 

Although the show usually delves into the minutia of the Michigan Medical Marijuana Association, legal issues and other cannabis reform topics. The plan for that night focused on the Michigan Medical Marihuana Act 101. A bare bones basic discussion to educate the interested about the Michigan Medical Marihuana Act and how to participate in the program with peace of mind.

Hosted by Michael Komorn, a leading medical marijuana attorney in Southfield and the president of the Michigan Medical Marijuana Association along with Chad Carr, Jamie Lowell, co-founder of Ypsilanti’s 3rd Coast Compassion Center, Rick Thompson, from the Compassion Chronicles, Attorney David Rudoi and Steve Milller. Conversation, education and live music happened throughout the evening.

Those who attended gained insight regarding the confusing Michigan Medical Marijuana laws and left with lot more knowledge than they came with.

Listen to the PGT Talk Show Episode 245 here

Jury Selection In Marihuana Cases

Jury Selection In Marihuana Cases

A jury trial is fundamental to our democratic system of government. Every American citizen should embrace this responsibility by participating, and ensure justice prevails.

by Michael Komorn

I just picked a jury in a marihuana case, there were several perspective jurors who were excused, who will not sit on our jury because of the answers they gave during the jury voir dire. This is not the first time this has happened.

If you believe in medical cannabis, and or that Marijuana should be legal and you find yourself on a jury in a marihuana case here are some things to remember:

During the Jury Selection, you will be asked if you can put your personal or philosophical feelings aside, and be fair to both the prosecutor and the defense.
During the Jury Selection, you will be asked if despite your beliefs you will follow the law as it is given to you, and apply the facts to the law when you deliberate.
These are common question asked during the jury selection also known as voir dire, with the overall goal of the process to select persons who will put aside there personal beliefs, as the Judge will direct , and render a just verdict.
The same questions are asked to prospective Jurors, who have family members or relatives who are police officers, ie Madam juror despite being married to the Chief of police for 25 years and despite the fact that your husband is a police officer, will you be able to put that fact aside and be fair to the defendant in this case.
10 out of 10 times the answer of the Police Chief’s wife will be yes. I can follow the law, and will follow the instructions that the Court gives me.
Please note that the Police Chiefs wife’s answer allows her to stay on the jury.

Unfortunately as we saw today, from the many prospective jurors who were asked if they could be fair in our case involving marihuana, the answer ” no, I could not be fair because I could never convict someone of a marihuana charge” had them removed for “cause”, and they did not even have a chance to sit and judge the case.
Or said another way the ideal person who should be on our jury will not be. As they were excused from the jury box, and exited the court room, I could not help but think to myself, that I bet they really could be fair in this case, that they really could follow the law as the Court instructed them, that they could apply the law to the facts of the case, and also put aside whatever beliefs they had about marihuana to render a just verdict.
We all have biases, beliefs and preconceived ideas of the world, anyone who participates in the jury process is asked to put those feelings aside, and listen to the specific facts of the specific case, which will not come until after the jury has been selected. Those who are against marijuana prohibition should be more open minded and objective in their answers, just as any other perspective juror would be.

Unfortunately the answer “I could never convict a person for marihuana because it should be legal” actually has a serious and negative effect on the fairness of the trial. ”

If the wife of the Police Chief can sit on the jury, and put aside the stories she has heard at dinner every night for her entire marriage, then so can those who oppose marihuana prohibition. If she can follow the law, be fair and render a fair verdict, then so can those who oppose marihuana prohibition. The distinction here is in the semantics and the desire to render a just verdict by participating in the jury trial process. The issue is not what you believe but whether you can be fair. Being fair means listening to the evidence and rendering a just verdict. So to all of you, who believe in ending marihuana prohibition, remember there is a time and place for that discussion, and it is not during a jury selection. Despite your convictions, remember being on a jury is the quintessential American experience, embrace it, be one with it, put your beliefs of the world aside, and tell the court you can be fair. Your roll in all this chaos will be better served having you sit and be that juror who can render justice.

If you or someone you know is facing charges as a result of Medical Marijuana prescribed to you as a Medical Marijuana patient under the Michigan Medical Marijuana Act, contact Komorn Law and ensure your rights are protected.

Michael Komorn is recognized as a leading expert on the Michigan Medical Marihuana Act. He is the President of the Michigan Medical Marijuana Association (MMMA), a nonprofit patient advocacy group with over 26,000 members, which advocates for medical marijuana patients, and caregiver rights. Michael is also the host of Planet Green Trees Radio, a marijuana reform based show, which is broadcast every Thursday night 8-10 pm EST. Follow Komorn on Twitter.

Planet Green Trees 147: Your Duty as a Juror in a Medical Marihuana Case

You have a duty as a juror in a medical marihuana case.
https://www.youtube.com/watch?v=ExilbcAyPSA

Subscribe to Komorn Law on YouTube

If you or someone you know is facing charges as a result of Medical Marijuana prescribed to you as a Medical Marijuana patient under the Michigan Medical Marijuana Act, contact Komorn Law and ensure your rights are protected.

Michael Komorn is recognized as a leading expert on the Michigan Medical Marihuana Act. He is the President of theMichigan Medical Marijuana Association (MMMA), a nonprofit patient advocacy group with over 26,000 members, which advocates for medical marijuana patients, and caregiver rights. Michael is also the host of Planet Green Trees Radio, a marijuana reform based show, which is broadcast every Thursday night 8-10 pm EST. Follow Komorn onTwitter.