The Hotflash inc podcast

76. Dr Mikhail Kogan: Medical marijuana + menopause


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Dr Mikhail Kogan came to medical marijuana via his work as a geriatrician at GW Medical Faculty Associates and as an associate professor of medicine at George Washington University School of Medicine & Health Sciences in the US. 

He co-wrote one of the most comprehensive books on the subject of cannabis in health care, Medical Marijuana, published in 2021. Although he’s not a menopause marijuana specialist (no one really is, yet), he has really helpful insights as to why the research still needs to catch up with what doctors are seeing in patients, coffee is more addictive than cannabis, and what “going low and slow” really means when it comes to experimenting. 

He joined us as part of last year’s Menopause Shift Summit, and if you didn’t catch him there, you can catch him here. 

Highlights:

  • Why cannabis can be a ‘godsend’ for older adults
  • Whatever medical problem we can think of, cannabis has a role 
  • A reminder that cannabis was the most heavily used medicine before the 1930s 
  • A look at our body’s own unique ‘endocannabinoid’ system – what he calls the oldest hormonal system in our body
  • The potential role of reductions in that system in our perimenopause experience
  • The myth that there is no cannabis research – and an overview of what that research shows
  • His prediction about cannabis for Alzheimer’s and Parkinson’s
  • Low-and-slow and the ‘J curve’ and dosing 
  • Why he says the cautionary advice over cannabis from addiction specialists is very different from medicinal applications 
  • Back to myths, he’s also talking about medical marijuana and addiction
  • His top advice for what and how to buy


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