The Vaping Epidemic and Fatal Lung Injuries

Vaping

By Michael Rass

Although e-cigarettes have been around for more than a decade, vaping rates have dramatically increased in recent years, particularly among teens. According to the Child Mind Institute, “e-cigarettes are now the most frequently used tobacco product among adolescents—some 2.1 million middle and high school students were e-cigarette users in 2017—far surpassing traditional combustible cigarettes.”

The Food and Drug Administration announced new steps in September to address the “epidemic of youth e-cigarette use,” issuing “more than 1,300 warning letters and civil money penalty complaints (fines) to retailers who illegally sold JUUL and other e-cigarette products to minors.” The Surgeon General warns that nicotine is harmful to children and young adults. “E-cigarettes typically contain nicotine as well as other chemicals that are known to damage health. For example, users risk exposing their respiratory systems to potentially harmful chemicals in e-cigarettes.”

Vaping products have risen in popularity among teenagers and young adults because they are considered a safer alternative to traditional smoking and provide a clandestine means of using marijuana. In a 2017 state survey, 27 percent of Colorado youths reported using e-cigarette products—the picture is not much different in other states. Vaping is also endemic among young adults in their twenties and thirties.

The popularity of vaping co-evolved with the widespread perception that marijuana use is harmless. In recent months, too many young Americans had to learn the hard way that neither vaping nor cannabis use is without risk, especially when the two are combined.

Colorado is now one of several states investigating severe lung injury associated with vaping. There have been at least nine cases in the Centennial State. Colorado parents Ruby and Tim Johnson told CBS that vaping nearly took their daughter’s life. Piper Johnson was diagnosed with Colorado’s first case of a vaping-related illness. The first-year college student had been vaping for more than two years.

As of October 29, the Centers for Disease Control and Prevention (CDC) reported 1888 vaping-related lung-injury cases in 49 states, the District of Columbia, and one US territory. Thirty-seven deaths have been confirmed in 24 states. Early symptoms of these lung injuries include coughing, shortness of breath, fatigue, chest pains, nausea, vomiting, and diarrhea.

Medically, it’s still unclear exactly what is going on. “Despite the accumulating data on the clinical and imaging features of vaping-associated lung injury, its pathology is poorly understood,” a number of Mayo Clinic specialists wrote in the New England Journal of Medicine in October. They did discover, however, that all of the cases they studied “had a history of vaping, with 71 percent of them having used marijuana or cannabis oils.”

The CDC currently recommends refraining from using e-cigarette, or vaping, products, particularly those containing THC (the psychoactive component of cannabis). Massachusetts Governor Charlie Baker took the drastic step of declaring a public health emergency and banning in-store and online sales of vaping products in the Commonwealth through January 25, 2020. On the same day, California health officials issued an advisory asking residents to immediately refrain from using e-cigarette devices until a statewide investigation into the risks associated with vaping is completed.

The Colorado Department of Public Health and Environment (CDPHE) is investigating all cases reported to them and advises that “the best way to protect yourself against vaping-related illness is to stop vaping.”

“Findings from other states show that most people who got sick used THC-only products or both THC and nicotine products. That is true in Colorado as well, but because the long-term health effects of vaping are unknown and as information on the illness emerges, our best advice is to consider not using vaping products.”

Coloradans who think they may have been sickened by any vaping product should contact their doctor, local public health agency, or poison control at 1-800-222-1222.

Harmony Foundation supports long-term behavioral change. When clients choose our program for recovery from alcohol and drug addiction, they are taught coping skills to help them avoid all addictive substances and embrace a healthy lifestyle. This is why we do not support vaping on campus and provide recovery skills classes that teach healthy choices.

Replacing alcohol or opioid misuse with increased nicotine intake is not a good idea. True recovery goes beyond abstinence from illicit drugs and alcohol. The goal of addiction treatment at Harmony is a comprehensive body-mind-spirit reset. The cessation of substance misuse is only one aspect of that reset.

________

LINKS
CDPHE information on vaping and lung illness https://www.colorado.gov/pacific/cdphe/vaping-lung-illness

Surgeon General’s fact sheet on vaping. https://e-cigarettes.surgeongeneral.gov/

Harmony Foundation Announces Second Major Expansion During Its 50th Year

IOP

Colorado drug addiction program is celebrating it’s 50th Anniversary with a new intensive outpatient program with a unique twist and a Fort Collins Recovery Center. Gala celebrating milestone was held Oct 25 in Denver with special guest Carnie Wilson of Wilson Phillips. Continue reading “Harmony Foundation Announces Second Major Expansion During Its 50th Year”

On Having Fun Without Alcohol

Bar Zero

When I stopped drinking in April of 2005, I wondered if I would ever be able to have fun again outside of the bar scene. I feared I would never enjoy a live concert again, one of my greatest joys in life. As a single person, I had no idea how I’d ever go on a date again. “Who goes on a date and doesn’t drink?” For that matter, “Who goes out to eat at a nice restaurant (date or no date) and doesn’t have a glass of wine with their meal!?” (Did I mention the aperitif, the bottle of wine at dinner, and the after-dinner drinks that turned into shots towards the end of the evening?) I’d ruined all prospects of fun in my life! I determined I would always be, from that day forward; bored, boring, and surrounded by other bored and boring people. I was working in a bar. Most of my friends worked in bars and restaurants. Almost all my friends drank alcohol.

In those first few years as a non-drinker, I struggled to find activities that didn’t involve alcohol. However, more often than not, I participated in events that were drenched in alcohol and drug use and risked my new lifestyle and trajectory towards wellness. As a therapist, I would never have advised this to any of my clients. Why hang out in a candy shop if you are trying not to eat any added sugar? It seems the obvious choice would be to find a broccoli shop instead. But, broccoli shop? How bland, how boring, and how nonexistent! We needed a place that still felt like the candy shop without the candy! Still sweet, still vibrant, still FUN! Ok, enough with the metaphors. I wanted a nonalcoholic bar! A place for connection with other people making similar life decisions, a place without the risk but still social. I pondered that idea for a while, and then let it drop. It took several more years until that thought became a reality, in fact, it wasn’t until 2018 that I told this idea to a friend and she encouraged me not to ponder it anymore but to do it. Thank you, Allison! And, Bar Zero started to become a reality.

Once I started sharing this idea, I learned that so many others in recovery were longing for a space like this. I definitely was not the only one, and several people even mentioned calling it “SoBar,” which was our original name! I heard stories of friends in recovery having discussions about building a space just like this, a place for connection and community building for people in recovery. Many had the same questions I did in early recovery with the general theme being, “Will I ever have fun again?”

Just as this concept was forming and becoming something more than a shared idea, the sober curious movement started catching on. What timing! Now it’s not only those of us who consider ourselves “in recovery” looking for safe spaces, it’s also a new group of people looking for fun and for fewer hangovers yet still going out and enjoying a Friday night on the town! And, the press, the bar and restaurant industry and the general public are talking about not drinking! And, about drinking really tasty, alternative nonalcoholic drinks! They’re calling them “mocktails,” “zero-proof beverages,” “spirit-frees.” They’re being sold by Coca-Cola in a new line of nonalcoholic drinks called Bar None https://www.drinkbarnone.com/. They’re being made by distilleries, even! Non-alcoholic distilled beverages are made by Seedlip https://seedlipdrinks.com/us and starting to become more and more popular across the US after originating in the UK. And, the most fun part, local bartenders are starting to get excited and inspired to make high-end and delicious drinks without alcohol in them! Creativity and talent are showcased by the top bartenders in town and they are getting written up by local publications! https://coloradosun.com/2019/08/02/denver-sobriety-movement/

I’ve happily given interviews to the Denver Post (coming soon), Westword (twice!) https://www.westword.com/restaurants/sobar-could-soon-be-denvers-first-restaurant-for-and-by-the-sober-community-11105915 https://www.westword.com/restaurants/sobar-rebrands-as-bar-zero-with-plan-to-launch-catering-company-11408158, and Dining Out (also coming soon!) People are interested and getting involved with this new way of looking at drinking, or rather, not drinking and it is so thrilling to watch and experience!

Whatever they are calling these new drinks and establishments popping up across the country, I’m so excited to be a part of this shift, this movement! Without shame, without stigma, a lot more people are speaking clearly about what makes so much more sense, connection and a “life” without the booze yet still having a social outlet and space that includes delicious food and DRINKS!

Bar Zero is the space we’ve been craving. We are going to make it a reality. We need help doing that. Bar Zero is a 510 (c) 3 nonprofit organization and we have a long way to go before opening a brick and mortar restaurant. We are creating space for connection and community building. AND, also very excitingly, we are offering on the job training for people in early recovery from substance use problems. We know the “sober curious,” the “gray area drinkers,” those of us in recovery, and our communities at large need a place like this. Please help us bring this to Denver!

Our first Fundraiser is planned for September 11th, 2019 at Dazzle Jazz in downtown Denver. In partnership with Friends and Family, a Colorado nonprofit group for people who work in the hospitality industry, we are putting on a Zero-Proof Beverage Mix-Off! See the details on this amazing event on our website https://barzerodenver.org/ on the event page and join us for a unique and fun evening. Denver’s top mixologists will compete for a spot on the Bar Zero beverage menu. A panel of guest celebrity judges will taste and rate original eye-catching, mouthwatering nonalcoholic drink recipes. And you’ll get to be the judge too, by tasting a collection of awesome Zero-Proof Beverages and helping to pick the People’s Choice Award winner, all while enjoying new food menu creations and pairings by Chef Paul Rose.

Bar Zero’s Mission: Connection through food, intentional community, and professional collaboration for a continued life worth living in recovery.

Harmony Fights Opioid Epidemic with HOPE

More than two-thirds of drug overdose deaths in the United States in 2017 involved opioids, according to the Centers for Disease Control and Prevention, escalating an epidemic the CDC says “continues to worsen and evolve.” From 2016 to 2017, opioid-related overdose deaths increased 12 percent overall, surging among all age groups 15 and older.

The CDC report’s recommendations for curbing opioid-related overdose deaths include “increasing naloxone availability, expanding access to medication-assisted treatment, enhancing public health and public safety partnerships, and maximizing the ability of health systems to link persons to treatment and harm-reduction services.”

Naloxone is a medication often used by first responders because it can rapidly reverse opioid overdose. It is an opioid antagonist—it binds to opioid receptors and can reverse and block the effects of other opioids. It can quickly restore normal respiration to a person whose breathing has slowed or stopped as a result of overdosing with heroin or prescription opioid pain relievers.

Medication-assisted treatment (MAT) is used to decrease opioid use, opioid-related overdose deaths, criminal activity, and infectious disease transmission. Medications used for the treatment of opioid use disorder are buprenorphine (Suboxone, Subutex), methadone, and extended release naltrexone (Vivitrol). Some of these drugs are controversial in the recovery community because they are themselves opioids.

The National Institute on Drug Abuse, a US government research institute, clarifies that contrary to what some critics say, “methadone and buprenorphine DO NOT substitute one addiction for another. When someone is treated for an opioid addiction, the dosage of medication used does not get them high–it helps reduce opioid cravings and withdrawal. These medications restore balance to the brain circuits affected by addiction, allowing the patient’s brain to heal while working toward recovery.”

The use of these medications should always be combined with behavioral counseling with the ultimate aim of ceasing all substance misuse.

HOPE – Harmony’s Opioid Programming Experience

Harmony has provided all clients with medication-assisted treatment for many years. This combination of education, counseling, and the use of medication in early recovery is part of the Harmony philosophy. HOPE expands MAT to include medications that alter the physical response to opioids, reduce cravings, and give the patient time to heal from the psychological, social, and spiritual wounds of addiction.

“It’s important to remember that MAT is only a small part of the picture,” says Harmony’s medical director Christopher Reveley. “That is why we call it ‘medication-assisted’ treatment, because by itself it is not the treatment. Used alone it has a low probability of being successful.”

At Harmony, HOPE begins with thorough medical and psychological evaluations. Collaboration with the patient, members of the interdisciplinary team and, when appropriate, family and referral sources, determine the most effective treatment plan. All HOPE clients are invited to participate in weekly support groups led by a professional addiction counselor. These groups address the unique challenges of early opioid recovery, including uncomfortable physical and psychological symptoms, cravings, and strategies to avoid relapse. In this setting, clients support each other and are educated about the process of recovery.

Medication-assisted therapy may help stabilize the patient for these challenges in early recovery. “It gives people an opportunity to step out of the chaos of addiction and consider other ways of being,” says Dr. Reveley. “I never felt that buprenorphine was meant as a lifelong or even long-term solution.” Although there may be exceptions. It all depends on the individual needs of the patient. Reveley remembers a patient who had been on methadone for 46 years. “He tried to taper off a dozen times and relapsed to heroin use every single time. His family was initially very opposed to him being on methadone but eventually they told him ‘this is working, your life depends on it.’ So there are people on either end of the bell curve but in most cases buprenorphine is only a small but important part of the solution.”

Buprenorphine can be an important tool, especially in early recovery from opioid use disorder. The medication offers patients the opportunity to start living a “normal” life, far removed from the drug culture lifestyle they may have been immersed in while using heroin and other opioids. People are dying every day from opioid overdoses, especially in the age of the fentanyl scourge. Buprenorphine may provide the buffer that enables them to launch into sustained recovery. It is a buffer that can save people with addiction from a potentially lethal overdose.

Harmony has been treating addiction for 49 years and HOPE is now offered to all Harmony clients with opioid use disorders. The program involves enhanced medical, counseling, and case management services specifically tailored to meet these clients’ unique needs.

The Harmony care team works closely with clients who choose to include buprenorphine in their treatment strategy. This will typically involve full participation in HOPE and a recommendation for participation in Harmony’s Transitional Care Program (TCP), an intensive, 90 day intensive outpatient program coupled with monitored sober living and medication management by Harmony providers. When clinically indicated or to accommodate client preference, Harmony’s case managers may refer clients to other programs with similar services.

If you or someone you know is struggling with opioid use disorder and needs help, call Harmony at 970-432-8075 and one of our admissions specialists can discuss next steps.

The Insurance Dance with Recovery in Mind by Jim Geckler

Collaboration

We recently received a Facebook post regarding frustration over Harmony’s handling of payments made through insurance. I wanted to use this opportunity to discuss questions and concerns about our partnerships with insurance partners and how we believe it helps benefit access to treatment.

First and foremost, insurance companies make it easier for us to cover some of the cost of treatment, a service that many of us do not plan for when the time requires it. When we consider our personal relationships with insurance partners, how many of us would be able to have yearly physicals, emergency procedures, or access to treatment? As a provider, Harmony works with our insurance partners to provide the appropriate level of care for the appropriate period of time.

Harmony has a 49 year history of providing a residential level of care; this is the highest level of care for people suffering from substance use disorder. We have a responsibility to our clients to stabilize them medically, assess their conditions, provide them with a diagnosis, work with them to create a foundation for sustained recovery, and construct a comprehensive continuing care plan which will support their recovery. The relationships we have fostered with insurance partners has allowed us to work collaboratively to support access to care along the continuum. Under the umbrella of the American Society of Addiction Medicine (ASAM), together, insurance companies and treatment providers alike are held to the highest standards of care for addiction treatment. This common language, reviewed in tandem with insurance providers determines what level of care an individual requires.

Sometimes there is disagreement.  For example, when Harmony feels that a client would be better served by remaining at a residential level of care and an insurance provider feels they would be successful at the next level.  Other times, a client would like to remain in treatment, however our expert clinical and medical staff believe they are ready to move toward self-management of their own recovery at a level of care which empowers them to practice the early skills of recovery they learned here. In most cases, to arrive at a decision to move a client to the next level of care, involves a conversation with our Medical Director and a physician reviewing the case for the insurance company. We work to keep people at the appropriate level of care indicated by our clinical staff recommendations based on the client’s progress.

Harmony has a dedicated utilization review team, clinical professionals who work with our insurance partners, staff, and clients to keep people at the level of care which will provide them the greatest opportunities for success. When it is determined that funding for residential care has ended, we work to inform the client as quickly as we are able. Unfortunately in this situation the determination for a shift in levels of care is immediate, funding ceases that day. In order to ease the transition for clients and families, Harmony is committed to absorbing the expense of an additional night’s stay for clients. This is not common practice and comes at a fair cost. For example, in the month of July, we provided $28,000 in housing and care at no additional expense to clients. We are able to continue to do this through the generosity of our donors. We recognize the challenge and frustration of learning at 4 pm that one no longer has financing for treatment, however we are dedicated to continue to support our clients during this transition period.

There is nothing magical about 28 days of treatment. We have heard the 28 day timeframe used for many years, growing in public awareness with the Sandra Bullock film. The reality is that proven success is driven by long term engagement in treatment within a full continuum of care, at multiple levels  increasing the opportunity  for self-management.

We will always remain committed to providing access to treatment whenever possible, using all means necessary to help individuals receive treatment that can build an early foundation of recovery.  This could look like something as short as a few days or as long as 4 months.  Either way, our partnerships with insurance and our recommendations for treatment will always be the focus in providing individualized care for clients.

Jim Geckler is the Chief Executive Officer for Harmony Foundation.

Nature and Mental Health at Harmony

Mental Health and Nature

On any given day at Harmony you can witness life’s challenges and know that a compassionate soul is there to help along the path of healing. The mental health professionals are part of a team at Harmony and work with clients in a way that combines the natural beauty of our campus with the intrinsic values of each client.

To further explain how we know being in nature can help heal, I’d like to share a study out of Stanford University which suggests that time spent in natural settings may improve brain health.

“As more and more of us live in cities, we spend less time in natural settings, including parks. Studies also show that people in urban settings without access to green spaces have higher levels of psychological problems than those with access to green spaces. Is there a definitive connection between time spent in green spaces and mental health? The answer is yes. In a series of two studies, Stanford researchers believe there is a connection between time spent in green spaces and a decrease in “morbid rumination,” what is more commonly thought of as brooding over the negative aspects of our lives.”

“This study investigated the impact of nature experience on affect and cognition. We randomly assigned sixty participants to a 50-min walk in either a natural or an urban environment in and around Stanford, California. Before and after their walk, participants completed a series of psychological assessments of affective and cognitive functioning. Compared to the urban walk, the nature walk resulted in affective benefits (decreased anxiety, rumination, and negative affect, and preservation of positive affect) as well as cognitive benefits (increased working memory performance). This study extends previous research by demonstrating additional benefits of nature experience on affect and cognition through assessments of anxiety, rumination, and a complex measure of working memory (operation span task). These findings further our understanding of the influence of relatively brief nature experiences on affect and cognition, and help to lay the foundation for future research on the mechanisms underlying these effects.”

The study further asks, what does this mean for everyone?

1. “Spend Time in Natural Settings – What can it hurt to take a daily walk in the park or spend time sitting on your back porch looking at the creek (if you’re lucky enough to have that situation)? Take your lunch to a natural setting and spend vacation time at least partially in the outdoors. Doing so will immediately improve your mental health.
2. Move – Movement is good for us. No doctor in the world says that it’s healthy to sit at home and do nothing. But instead of going to the gym, find a nature trail to hike or bike, golf, or take a stroll in the green belt. Even if you don’t get your heart rate up to aerobic activity levels, you’ll still mentally benefit from the movement.”

The healing journey for a client at Harmony can include a client expressing their emotions in a calmly lit room, moving forward on a walk to the river at Rocky Mountain National Park or learning a really cool coping skill. One of many examples of coping skills taught to clients is called 5,4,3,2,1 where one is taught to evoke all five senses. This is a great coping skill where a client is taught to tap into all 5 senses within as a viable resource. Another experience often happening at Harmony is witnessing clients as well as staff simply spending time with Cooper, our therapy dog.

As a mental health provider at Harmony, I have noticed clients seemingly more calm during sessions when we are taking a walk together in nature. I believe they appreciate the fact we are walking and talking side by side as opposed to sitting across from one another. Clients have stated, “Wow, this is better than sitting in an office, this is a nice place to get treatment.”

Since Harmony offers outings each week at an indoor climbing gym or hike in the park, depending on the weather, clients are able to take advantage of the natural beauty and the healing attributes of moving Harmony has to offer.

Harmony is a special place that helps client’s feel safe, accepted and cared about. For some on their path of healing it is a beginning, for others it is a renewal; for all whose path includes a stay at Harmony, it is a step toward healing in the arms of nature’s embrace.

Kelly Baker, MA, LAC, LPC, NCC
Mental Health Professional, Harmony Foundation, Inc.

References:
http://well.blogs.nytimes.com/2015/07/22/how-nature-changes-the-brain/?mwrsm=Facebook&fb_ref=Default&_r=0
http://www.pnas.org/content/112/28/8567.abstract
http://www.sciencedirect.com/science/article/pii/S0169204615000286
http://www.girlscouts.org/

Listening to the Seen and the Unseen

— Carol O’Dowd, MPA, M.Div, RP President, Colorado Association of Psychotherapists

Recovery, whether from addiction or a difficult situation, is aided by listening to the seen and the unseen. Often, how we listen causes us to not see what is in front of us. Have you ever walked into a familiar room to meet with family, friends or business associates and someone points to a new decoration or a piece of furniture in the room? You sat there wondering, “How did that get there?” Sometimes objects go for days being unseen. Our ancestors go unseen flowing as DNA in our veins while being powerful forces making us, us. Some of us grew up in households where we were trained to be addicted whether to alcohol or other substances. We learned to be pawns in a game with our unseen emotions.

Another option is to listen and notice the messages we hold and consciously choose which ones we want to play with instead of letting them play us. When the voice in our head is an old message from Mom, Dad or a memory of destructive family argument from long ago, we can create space between us and the message. We can take a moment to breathe in and hold in our fist the ghoul of anger, fear, frustration or the voice crying out “Go get a drink.” We can then set down the unseen emotion, unclasp our fist and release it. We can breathe out lovingkindness into our pain and sorrow. We can breathe in lovingkindness that we send to that space in our body where we held the destructive emotion. We can tell that portion of our body to relax. We can breathe out lovingkindness to the ghoul in front of us and tell it, “I do not need you right now. Please stay here. For the next 20 minutes I have a project to do a without you.”

Yes, those unseen emotions and old tapes can be so powerful, they keep returning. The practice is to listen carefully so that you can choose the ones you want to influence you. Seeing them as thoughts or emotions gone awry, you can put them inside a doll, rock, pencil holder or other object. Then pick them up and set them aside. If only for a moment, you can walk away without them. Although they may return, each time, they do so with less force. You can listen instead to acts of kindness from those in your past. In one moment you can listen to messages from the unseen to guide you to see more of the world right in front of you. You can consciously choose to spend time with people, animals and spirit beings who inspire you to live in a world of peace.

Go to www.coloradopsychotherapists.com for the mental health services offered by a wide diversity of mental health professionals.
Contact me at president@coloradopsychotherapists.com if you want to join a group that will be exploring the practice of deep listening on Sunday mornings starting in February.

Testing Cannabis Edibles for Potency

cannabis-edibles

Last month we wrote about what is known as “marijuana tourism,” the act of traveling to states where recreational marijuana use is legal. With four states allowing adult cannabis use, there are a number of options for people who want to experience the end of marijuana prohibition first hand. A number of marijuana tourists are not regular users, and may or may not have ever used extremely potent strains of marijuana or edibles that can be purchased at pot shops. In the state of Colorado, researchers found that emergency rooms have seen a surge of visits by out-of-staters experiencing marijuana-related medical problems. Many of the incidents involved marijuana edibles which, it turns out, can be difficult to gauge with regard to the dosage of tetrahydrocannabinol (THC) present in such products.

There is a growing concern about inconsistent and inaccurate dosage information listed on the labels of marijuana edibles, which can mislead potential users. In response, scientists have developed a new method for measuring the level of marijuana compounds present in edibles, Science Daily reports. The scientists exhibited their work this week at the 251st National Meeting & Exposition of the American Chemical Society (ACS).

“Producers of cannabis edibles complain that if they send off their product to three different labs for analysis, they get three different results,” says Melissa Wilcox, who is at Grace Discovery Sciences. “The point of our work is to create a solid method that will accurately and reliably measure the cannabis content in these products.”

Jahan Marcu, Ph.D., from Americans for Safe Access and vice-chair of the newly formed ACS Cannabis Subdivision, points out that inconsistent and inaccurate labeling is important because eating cannabis is different than smoking, according to the article. Cannabis edibles are metabolized differently than when marijuana is inhaled, which can produce a stronger high that comes on slowly and has a longer lasting effect.

“It’s a lot easier for an individual to control their dose when smoking,” Wilcox says. “The effects of edibles can take a while to happen. You eat them, and then wait to see how you feel in an hour or two. If you ingested too much, you could be in for an unexpectedly bad experience.”

The current method employed for analyzing the potency of edibles involves using a high performance liquid chromatography (HPLC), the article reports. Marcu notes that HPLCs were not designed to have food injected into them, the sugars, fats and starches hinder the machines ability to produce accurate results. In order to combat the problem, the researchers developed a technique that separates the cannabinoids from the rest of the food. They then inject a liquid containing only the marijuana compounds into the HPLC.

People traveling to take part in the marijuana experience should be fully aware of the risks present with cannabis use. While the drug is legal for both medical and recreational use in a number of states, it does not mean that the drug cannot have adverse effects on people and it can also be habit forming. If you believe that cannabis use is negatively affecting your life, please contact Harmony Foundation.