You know those episodes where you feel both called out and taken care of, all at once, yeah, this is one of those.

In this conversation, we sit down with Dr Rick Pescatore, an ER doc who has seen way too many people show up sick from the plant they thought was helping them. He is deep in the trenches with Cannabinoid Hyperemesis Syndrome, CHS, and gut brain health, and he still actually respects and uses cannabis himself. This is harm reduction, not fear mongering.  

• What CHS actually is, not the Facebook version

  How heavy, high potency use can flip cannabis from nausea relief into brutal, cyclic vomiting, stomach pain, hot shower obsession, and endless ER visits.  

• Why this is showing up more now

  We talk concentrates, dabs, vapes, and how 80 percent THC products plus all day use is a very different game than your uncle’s old school flower.  

• How to tell if it might be CHS, not “a bad batch”

  Red flags, how long it usually takes to show up, what doctors look for, and why so many people get misdiagnosed with everything from gastritis to anxiety before someone finally says the word CHS.  

• What “respecting the plant” actually looks like

  Frequency, potency, tolerance breaks, why switching from constant dabs to more measured use can literally give people their life back, and how to think about your own risk without panic.  

• Rick’s gut brain work and BellyMD

  How years in the ER pushed him into gut brain health, dismissed patients, and building BellyMD to actually support people with invisible gut issues, plus how that connects back to cannabis, stress, and CHS.  

• A doctor who actually knows the culture

  We get into his own relationship with cannabis, how he keeps his use intentional, and why talking honestly about risk is one of the most pro cannabis things we can do

By the end, you are going to walk away with a clearer map of,

• Who is most at risk for CHS

• What early warning signs to stop ignoring

• How to talk to your doctor without getting dismissed

• Practical ways to reduce your risk while still enjoying the plant

This episode is not medical advice, it is education so you can have a smarter conversation with your own doctor.

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