New options and forms of medicine are around the corner in Missouri with the medical marijuana program underway. There’s no better time than the present to learn about the healing properties of the plant and to educate yourself about how and when to consume medicine for maximum healing effects while minimizing side effects.
While some may not know of other ways to use cannabis besides smoking, the use of herbs and medicinal oils are commonly used in three ways: By Inhalation, Orally (mucosal/SL and gut) and Topically.
Read on for more!
Average Onset Time: 0-5 minutes
Average Length of Effects: 1-3 hours
Examples: smoking, vaporizing, diffusing, breathing aromas
Inhaled herbs and aromatic compounds instantly enter the bloodstream through the lungs for immediate relief. Smoking, the most commonly-used mechanism, provides ease of use and rapid onset, however, the ignited and combusted compounds released are likely to cause irritation to the respiratory tract.
For a clearer experience, we offer deep-breathing inhalation in our CBD-infused oxygen bar at Radiance Float + Wellness. Diffusers can be used to augment the effects of inhaled, oral or topical medical marijuana.
Orally (Mucosal/SL or GI):
We can vary the mode of ingestion to optimize duration and efficacy. For extended coverage of relief, taking an oral preparation is perfect for discreetly medicating before and during the workday for intense, long-lasting relief. The main ways into the system in the digestive system is via mucosal (thin mucous membranes) or via the gut (stomach to liver).
Average Onset Time: Mucosal (M)- 15-45 minutes
Oral (O)- 30-120 minutes
Average Length of Effects: (M)- 2-4 hours
(O)- 6-8 hours
Examples: (M)- Oils, tinctures, lozenges, suppository
(O)- Edibles, teas, capsules,
The mucosa in the GI tract (cheeks, gums, sublingual, rectal mucosa) has the advantage of quicker absorption into the system since “first-pass” metabolism doesn’t occur and therefore, will take effect more quickly. More is absorbed in the mucosa instead of being lost to metabolism or poor digestion. When using sublingual (SL) preparations, I encourage holding it as long as you can; 2 minutes provides maximum absorption. More absorption means better efficacy and less waste.
If taste or the intoxicating effects of THC are undesirable, you can still get benefits from a suppository, which is found to cause less intoxicating effects perhaps because it is farther from the brain. When an oil or tincture is placed in food or drink or immediately swallowed, they act as an “edible” would.
The oral absorption refers to when the substance travels in the stomach, absorbs into the portal bloodstream from the intestines, and then to the liver for processing before coursing around the body for effect! Infused foods will provide long-lasting benefits, after a delayed onset. Anecdotal reports indicate stronger effects are seen if consumed with fatty foods and if consumed on an empty stomach. Many people report amazing benefits from sleep and pain control when using edibles at night.
Average Onset Time: 0-15 minutes
Average Length of Effects: 1-2 hours
Examples: lotions, oils, balms, salves, poultices, patches (designed to have extra duration)
This method is ideal for carrying in your purse or keeping handy at your desk during the work day.
How to Use: Apply topicals directly to where you are experiencing discomfort to relieve cramps and/or pain. Some topicals can even be applied to the temples for headaches.
Curious to learn more? Book your appointment with our doctors and ask us your questions!
Did you know? We humans each have an endocannabinoid system. Scientists understand that CB1 cannabinoid receptors are found in the brain and spinal cord and that the CB2 receptors are mainly found in the immune system, blood system and organs and glands thus activating these has the potential to affect the whole body!
The master controller of the endocrine system is housed in the brain. The main “highway” for hormonal communication is known as the HPA axis, the hypothalamus-pituitary-adrenal axis, which is known as the main route to the thyroid as well as our reproductive hormones.
When learning about Cannabis Medicine through the A4M, all of the physician experts stated they started with research in fatty acids and omega-3s. They were aware of the needed and healing properties of healthy fats on the brain and nervous system and their research paths lead to cannabis and other neuromodulatory lipids activating the endocannabinoid system.
Could it be that the combination of the prohibition of this plant and the fat-free craze of the 80s has led to the rise of debilitating chronic endocrine dysfunction?
By depriving our systems of this hormonally balancing plant, it is no wonder that the rates of endocrine, reproductive and fertility issues have increased at an alarming rate over the past 80 years.
Conditions like diabetes results in multi-organ system issues and conditions including neuropathies, glaucoma, insulin-sensitivity and pain. Conditions including neuropathies, glaucoma and pain are qualifying conditions under Amendment #2 for Medical Marijuana in Missouri.
It is very exciting to see how the future course of diabetes and chronic endocrine dysfunction will change with the reintroduction of medical marijuana and CBD Hemp medicine.
When seeking your medical marijuana card in order to manage immune dysfunction including your chronic disease of endocrine dysfunction, make sure to make an appointment with Dr. Z or another healthcity doctor who can help you make appropriate decisions at the dispensary. During the appointment, we will review your treatment goals and find some appropriate strains, review ratio and mode of use of cannabis medicine. You will receive a physician certification attesting that medical marijuana is deemed helpful in your condition under Amendment #2. Upon receiving your card from the State of Missouri DHSS, you will be allowed to purchase 4 oz of medical marijuana from dispensaries each month, and/or grow 6 plants for personal medicinal use.
BOOK NOW to learn more: www.healthcitystl.com/book
To be able to obtain your Missouri Medical Marijuana card, a state-licensed physician (M.D. or D.O.) must attest that you qualify for it. Among the list of conditions that qualify for the medical marijuana card in Missouri, includes, item E:
E. A chronic medical condition that causes severe, persistent pain or persistent muscle spasms, including but not limited to those associated with multiple sclerosis, seizures, Parkinson’s disease, and Tourette’s syndrome;
Item E is another great liberal category for the residents of Missouri. The state is allowing the use of medical marijuana to treat a symptom of disease (i.e., pain) as opposed to the disease itself (multiple sclerosis).
From a functional medicine standpoint, this is ideal. The symptom is the signal, usually released at the site needing attention. For example, the pain from a migraine is caused by smooth muscle spasms of the arteries of the brain or vasospasms; which results in the characteristic pulsatile or throbbing pain migraine sufferers know all too well.
As you can see from the chart below, CBD, d9-THCa, d9-THC, d8-THC, CBC, CBG are all beneficial for pain and CBD and THC for vasospasm and other symptoms of migraine like nausea in particular. Additionally, pain associated with diabetes or MS is the result of nerve pain and the same phytocannabinoid compounds, in a different ratio, maybe needed to treat nerve pain. A symptom approach with an adaptogenic herb like cannabis can truly address the underlying problem at the root and balance the body -- whatever the source of pain.
With new research emerging, it is found that the optimal ratio of relieving pain symptoms of varying etiologies is a ratio of CBD:THC in a 1:1 ratio. Meaning for every 1 part of CBD, 1 part of THC is needed to maximize the healing and pain relieving effects.
As you can see from the chart, having a medical marijuana strain that has a proportionate ratio of CBD, THCa, THC, d8-THC, CBCa, CBC, CBGa, CBDa can provide maximum relief for pain. Medicine can transition from a “pill for every ill” to a universal plant, just altering the ratio of active ingredients and terpenes and mode of ingestion.
Additionally, certain terpenes, of the cannabis plant can provide additional medicinal benefits and pain relief such as β-Caryophyllene. This terpene is more commonly known as the “active ingredient” in the essential oils such as clove, rosemary, cinnamon, and basil. β-Caryophyllene is the chemical compound that has therapeutic properties of decreasing inflammation, improving pain, relaxing nerves and improving sleep. β-Caryophyllene is also naturally occurring in certain strains of cannabis plants. It would be that cannabis plant with a favorable 1:1 ratio of CBD:THC phytocannabinoids, and terpenes associated with anti-inflammatory and pain modulating effects, like β-Caryophyllene, that would be the ideal form of medicinal marijuana in chronic pain conditions.
Since creating Radiance Float + Wellness, my mission was to offer natural health and wellness options to those primarily seeking treatment and preventive care while optimizing mental and physical health. The use of hemp and cannabis medicine along with the natural healing services at Radiance Float + Wellness, brings rapid relief and well-being to the body, mind and soul!
With a 1:1 ratio and needing higher levels of THC, psychoactivity is a possibility. One can vary the mode and timing of ingestion to maximize benefits and reducing side effects. Stay tuned for another post about various ways to consume medical marijuana and get medicated!
When seeking your medical marijuana card in order to manage chronic pain conditions, make sure to make an appointment with Dr. Z or another healthcity doctor who can help you make appropriate decisions at the dispensary. Our Guideright assessment can also help provide documentation and track improvement of pain symptoms. During the appointment, we will review your treatment goals and find some appropriate strains, review ratio and mode of use of cannabis medicine. You will receive a physician certification attesting that medical marijuana is deemed helpful in your condition under Amendment #2. Upon receiving your card from the State of Missouri DHSS, you will be allowed to purchase 4 oz of medical marijuana from dispensaries each month, and/or grow 6 plants for personal medicinal use.
BOOK NOW to learn more: www.healthcitystl.com/book
Make sure to take advantage of our special memberships for Chronic Pain, in addition to your MMJ card, healthcity patients are eligible for a special membership that includes 1 float, 1 cryotherapy, 1 infrared sauna session and unlimited BEMER for $25 per month to boost our natural endocannabinoids, relieve pain and augment the healing effects of this sacred plant.
With the passing of Amendment #2 in Missouri and the legalization of medical marijuana, patients finally feel free to discuss the use of medical marijuana in their treatment plan. If you’re curious to know how this sacred plant can help balance your immune system, read on!
With advanced functional medicine training through the American Academy of Anti-Aging Medicine in cannabis medicine, Dr. Z and the other physicians at healthcity are well-equipped to help those suffering with symptoms of immune dysfunction with a treatment plan that includes hemp and cannabis medicine, along with various therapeutic services at Radiance Float + Wellness.
To be able to obtain your Missouri Medical Marijuana card, a state-licensed physician (M.D. or D.O.) must attest that you qualify for it. Included on the list of conditions that qualify for the medical marijuana card in Missouri are: Cancer, HIV/AIDS, and any chronic debilitating disease that may be the result of an infection (Lyme’s disease) or autoimmune condition (RA or MS).
A Balanced Immune System
What is the common thread among food and seasonal allergies, cancer, viral infections, and autoimmune conditions? They all result from an imbalance of our immune system. As you can see from this image, the green zone indicates optimal balance.
Missouri is allowing the use of medical marijuana to treat immune system dysfunction. From a functional medicine standpoint, this will surely correct the underlying imbalance -- allowing for improved functioning and quality of life.
You may already understand that cannabinoid receptors are found in the brain and spinal cord. Scientists have now discovered that we also have CB2 receptors which are mainly found in the immune and blood system, and activating these has the potential to positively affect the whole body!
It is interesting to note how the rates of autoimmune disorders, seasonal allergies, food allergies, cancers, and chronic infections like HIV, Lyme and EBV have skyrocketed over the last 80 years, when these healing plants have been on prohibition. It is exciting to wonder how the future course of cancer and other diseases resulting from dysfunction of the immune system will change with the reintroduction of medical marijuana and CBD and hemp medicine.
I remember learning about a pharmaceutical agent, Marinol, in medical school. This drug was approved for the side-effects of chemotherapy and to improve appetite, nausea and wasting or cachexia seen in cancer and in AIDS patients. It is interesting that the same people who put Marijuana on the schedule 1 drug list, saying this substance has no medicinal value, would produce a synthetic isolate of THC and produce Marinol, to help those in need.
While the pharmaceutical industry may have been onto something, the full potential and healing properties of the plant are not seen in synthetic isolates.
There are now countless anecdotal reports and studies in other countries of cannabis medicine shrinking tumor cells and stopping the spread of cancer. These results are seen by using the full spectrum and all parts of the plant. Details of the miracles of this healing plant can be witnessed on the docuseries, The Sacred Plant,
With conditions such as cancer, higher THC strains are needed in sometimes greater ratio than 1:1 THC:CBD. Therefore, to counteract the intoxicating effects, one can choose to consume the plant in its raw form and use various methods of consumption to have healing without the high.
Since creating Radiance Float + Wellness, my mission was to offer natural health and wellness options to those primarily seeking treatment and preventive care while optimizing mental and physical health. The use of hemp and cannabis medicine along with the natural healing services at Radiance Float + Wellness, brings rapid relief and well-being to the body, mind and soul!
When seeking your medical marijuana card in order to manage immune dysfunction, including cancer, autoimmune conditions, infections and allergies, make sure to make an appointment with Dr. Z or another healthcity doctor who can help you make appropriate decisions at the dispensary.
During the appointment, we will review your treatment goals and find some appropriate strains, review ratio and mode of use of cannabis medicine. You will receive a physician certification attesting that medical marijuana is deemed helpful in your condition under Amendment #2. Upon receiving your card from the State of Missouri DHSS, you will be allowed to purchase 4 ounces of medical marijuana from dispensaries each month, and/or grow 6 plants for personal medicinal use.
BOOK NOW to learn more: www.healthcitystl.com/book
Make sure to take advantage of our special memberships for Immunity, in addition to your MMJ card, healthcity patients are eligible for a special membership that includes 2 floats and 2 infrared sauna sessions and unlimited BEMER for $25 per month to boost our natural endocannabinoids, detox the body and balance the immune system by augmenting the healing effects of this sacred plant.
With the passing of Amendment #2 in Missouri and the legalization of medical marijuana, my patients have been inquiring about this form of treatment, many with confusion and desperation. As a psychiatrist interested in natural and preventative functional psychiatric care, I knew I needed to study up on this plant and understand its ins and outs.
With advanced functional medicine training through the American Academy of Anti-Aging Medicine in Cannabis medicine, I am well-equipped to help those suffering with mental health issues with a treatment plan that includes hemp and cannabis medicine, along with various therapeutic services at Radiance Float + Wellness.
To be able to obtain your Missouri Medical Marijuana card, a state-licensed physician (M.D. or D.O.) must attest that you qualify for it. Among the list of conditions that qualify for the medical marijuana card in Missouri is item F:
F. Any debilitating psychiatric disorders, including, but not limited to, post-traumatic stress disorder, if diagnosed by a state licensed psychiatrist.
Without my training in Cannabis Medicine through the A4M, I would have thought that to be a rather large and vague category, as well as possibly harmful especially after seeing the harmful effects of recreationally-used cannabis on mood, anxiety and symptoms of psychosis.
I am not surprised by my psychiatric colleagues’ shock when I tell them I am recommending medical marijuana for mental health conditions, and I feel the need to re-educate them on the true medicinal use of the plant.
Dosing Cannabis for Mental Health
It turns out that each phytocannabinoid has unique properties in our body, as our bodies are designed to receive cannabinoids.
The healing properties are maximized by using the parts that are needed for the target condition, while supplying the “whole plant team,” meaning the nutrients work better together than in isolation.
With new research emerging, it is found that the optimal ratio of healing the brain or psychiatric conditions is a ratio of CBD:THC in a 20:1 ratio. Meaning, for every 20 parts CBD, 1 part of THC is needed and tolerated. THC does supply some beneficial properties such as improvement in mood, insomnia, and produces a “state of bliss,” however, using a recreational dose is NOT the same as using a medicinal dose and rapid side effects and dangers can ensue, including paranoia and tachycardia.
At the same time, cannabis medicine is very safe and there have been no known deaths from cannabis since the beginning of time. I wish I could say the same about all the psychiatric medications available to offer my patients.
Medicinal Benefits of Terpenes
First, what are terpenes? Terpenes are aromatic metabolites found in plant oils (in all plants).
There are more than 20,000 terpenes in existence and the cannabis plant produces at least 100.
Certain terpenes of the cannabis plant can provide additional medicinal benefits such as linalool. Linalool is more commonly known as the “active ingredient” in the lavender herb or essential oil. Linalool is the chemical compound that has therapeutic properties of decreasing anxiety, improving mood, relaxing nerves and improving sleep. Linalool is also naturally occurring in certain strains of cannabis plants. It would be that cannabis plant with a favorable 20:1 ratio of CBD:THC phytocannabinoids, and terpenes associated with optimal brain health, like linalool, that would be the ideal form of medicine marijuana in psychiatric conditions.
The Doctor Is In!
Since creating Radiance Float + Wellness, my mission was to offer natural health and wellness options to those primarily seeking mental health relief, as well as those interested in preventive care and optimizing mental and physical health.
The use of hemp and cannabis medicine along with the natural healing services at Radiance Float + Wellness, brings rapid relief and well-being to the body, mind and soul.
When seeking your medical marijuana card in order to manage psychiatric conditions, make sure to make an appointment with Dr. Z or another healthcity doctor who can help you make appropriate decisions at the dispensary.
During the appointment, we will review your treatment goals and the appropriate strain, ratio and mode of use of cannabis medicine. You will receive a physician certification attesting that medical marijuana is deemed helpful in your condition under Amendment #2. Upon receiving your card from the State of Missouri DHSS, you will be allowed to purchase 4 ounces of medical marijuana from dispensaries each month, and/or grow 6 plants for personal medicinal use.
BOOK NOW to learn more: www.healthcitystl.com/book
And, be sure to take advantage of our special memberships for PTSD and Psychiatric Conditions. In addition to your MMJ card, healthcity patients are eligible for a special membership that includes 2 floats per month for $25 to boost our natural endocannabinoids and augment the healing effects of this sacred plant.
Along with the medical marijuana movement in Missouri comes an influx of new vocabulary, too! Hemp, CBD, cannabis, medical marijuana: what is the difference between these and what do you need?
When one understands what these words mean, one can start to make better decisions and choices for his or her medical needs.
All in the Family
Cannabis refers to the plant family that contains different species with different phytocannabinoid ratios that are now seen to produce varied effects in the body. In this family, two commonly known species in this plant family are Hemp and Marijuana (a popular slang term).
Think of differing species within a plant family like differing genes in siblings or cousins within a human family. Or, you may be more familiar with differing species of plant families as it relates to essential oils, for example, German Chamomile and Roman Chamomile. The family (chamomile) has certain properties and functions regardless of what species expresses it, however, each species (German or Roman) may have a different expression of oils and properties that give varying medicinal benefits.
Hemp is a species of the Cannabis family that tends to have different properties, and this species is commonly known as “marijuana.”
Hemp, by definition and law, has less than 0.3% THC, which is the psychoactive compound of the plant that can have varied and unwanted side effects.
The plant has about 20% CBD, or cannabidiol (see below for more on CBD), therefore, you can gain a larger percentage of the healing CBD compound, along with the other compounds of the plant (CBN, CBC, CBG, etc.) -- termed the “entourage effect” -- without worrying about the “high.”
Hemp, by nature, is not a heavily flowering plant, therefore most phytocannabinoids (any cannabinoid that is naturally occurring within the cannabis family of plants) are obtained from leaves, stems, seeds, and the genetic makeup of the leaves, stems, seeds are greatly different than the flowering part of the hemp plant as well.
Being able to see percentages of phytocannabinoids that makeup the plant, similar to a supplement label, will be helpful to target treatment.
Besides medicine, hemp has many other uses including textiles, industrial, construction and animal feed. Fun facts: back in 1776, the Declaration of Independence was written on hemp paper and the early dollars were also printed on hemp.
Since prohibition, the use of plastics, synthetics, and crude oil has increased and we have seen the rates of chronic disease rise. We welcome hemp back into our lives and look forward to the new era of health.
Although marijuana is a commonly- and colloquially-used word, the origin is slang in nature and possibly degrading to the Latin culture. It’s not the term that was originally used as medicine. Marijuana was a made-up term, put together from the most common female name (“Mary”) and male (“Juan”) Hispanic names, when referring to that culture of “reefer madness.”
Marijuana has a higher percentage of THC -- the psychoactive part of the plant (see more about THC below), meaning it can alter your mental state or producing a “high.”
Marijuana is also a robustly flowering plant, therefore the oils, terpenes and phytocannabinoids from this plant will be more robust, rich or bioactive when obtained from a flowering plant or the “fruit.”
CBD / Cannabidiol
Cannabidiol (CBD) is a phytocannabinoid found in both Hemp and Marijuana which is found to interact with the endocannabinoid system in humans and animals. CBD is not psycho-active, or will NOT make you intoxicated or “high”. CBD is showing healing and therapeutic effects in seizures, inflammation, anxiety, insomnia, pain, gut issues and more. CBD is also known to counteract or “bring-down” the high when the consumption of THC is too much.
More research and anecdotal effects of CBD are being released daily now that it (CBD from hemp) is legal and the healing properties of the phytocannabinoids, therefore, different species of Hemp plant or strains can be tailored or chosen for different issues from neurological, immune, gut, bone, or mental health issues for customized medicine.
Tetrahydrocannabinol (THC) is the well known phytocannabinoid found in marijuana which produces intoxicating or psychoactive effects. When smoked this is the substance that makes one high. A small amount is present in hemp (0.3%), however concentrations of over 20% are found in marijuana. THC is found to be anti-cancer, anti-nauseous, anti-pain and anti-viral. It also improves appetite and wasting syndromes. THC may be an important healing component, however only in microdoses and in the correct ratio balance with CBD and other phytocannabinoids.
Terpenes are aromatic metabolites found in plant oils (in all plants). Terpenes are responsible for the aroma, flavors and therapeutic properties of the plant. There are more than 20,000 terpenes in existence and the cannabis plant produces at least 100. The presence and ratio of different terpenes can alter or boost the medicinal effects of the cannabis plant and be helpful in certain conditions.
Certain terpenes of the cannabis plant can provide additional medicinal benefits such as linalool. Linalool is more commonly known as the “active ingredient” in the lavender herb or essential oil. Linalool is the chemical compound that has therapeutic properties of decreasing anxiety, improving mood, relaxing nerves and improving sleep. Linalool is also naturally occurring in certain strains of cannabis plants.
While Missouri passed Amendment #2 and making “medical marijuana” legal in the state, the true medical term is Cannabis Medicine. As we understand more about the make-up of the cannabis plant and all the bioactive phytocannabinoids we will be better able to balance our body in preventative healthcare as well as specifically target ratios, strains, modes of ingestion to treat various issues from seizures, hormonal, immune, mental health, pain and gut related issues. What an exciting time for Missouri and what an exciting new form of healthcare!
Soon you’ll be able to obtain your medical marijuana card in Missouri! With the passing of Amendment #2 on November 6, 2018, qualifying patients of Missouri are now able to purchase four (4) ounces of medical marijuana for personal use per month, or grow six (6) plants for personal consumption. Talk about a new form of healthcare!
Anyone who is interested in alternative healthcare options -- whether it’s mental health treatments, pain relief, immune boosting, endocrine balance or neurological health -- should learn about the varied health benefits of medical marijuana! Anyone who is using medical marijuana for its benefits needs the protection, freedom and guidance your Missouri medical marijuana card can provide.
What are the steps to obtain the medical marijuana (MMJ) card?
First, you have to qualify.
Missouri is the 33rd medical-legal state in the nation. We are now able to study and implement the best parts of the medical marijuana movement from each state.
For a conservative state such as Missouri, the qualifying condition list is actually fairly broad, encompassing most known conditions that have benefited from medical cannabis, per reports from other medical legal states.
Will you qualify?
Patients with the above diagnoses currently receiving treatments with poor effects, or interested in other options, will easily qualify! Simply bring a letter with a qualifying diagnosis, proof of your current prescription bottles, disability paperwork or pharmacy records. The healthcity doctor will review your condition with the list of the State approved conditions and can approve you for the medical marijuana card in Missouri.
Improving the current healthcare system
We have heard a lot of the barriers to care as well. Psychiatric, pain and substance misusing-patients have all expressed frustration about the lack of access to medical care.
Patients who were in the psychiatric system and left because it had nothing to offer them may be interested in the MMJ card, but now are calling because they are confused about the documentation process.
Know anyone who has felt like this?
“I don’t go to a psychiatrist anymore, they only give me Paxil and meds that don't work.”
“I don't see a (VA) doctor, because I don't want to take those meds anymore and they just chastise me for smoking weed.”
”I got off of methadone with marijuana and that is the only medicine I need.”
Is it true that cannabis medicine will help with cancer?”
These are some of the anecdotes that are reported to us.
We know that about one out of four people will be diagnosed with a mental health disorder, however, how many of them will seek treatment? If conventional treatments are marginally effective, sure to cause side effects and yield a life of chronic consumption of pills, not many will opt for treatment.
When they opt out of treatment, they may be “self-medicating” or searching for the answer. Since Dr. Z is a Missouri-licensed psychiatrist, she can confirm a psychiatric disorder which will qualify for the Missouri Medical Marijuana card. The healthcity team has a special diagnostic screening assessment tool, the GUIDERIGHT, that can help aid and guide a diagnosis of anxiety, PTSD, depression, bipolar disorder, chronic pain, substance abuse and/or eating disorders. The GUIDERIGHT assessment can provide a score, that in consultation with Dr. Z, will help make a diagnosis. This is great for those who haven’t been in care for awhile and are interested in pursuing alternative medicine.
The GUIDERIGHT assessment takes about 15 min to complete and costs an additional $25. It is standardized, scored and reviewed according to the latest DSM-V diagnostic criteria. If this additional piece of documentation is needed to help you qualify for the MMJ card, please arrive 20 minutes early to complete the assessment in our office.
What happens after qualifying?
Once you qualify for the card, it's easy from here on out! You will leave the healthcity doctor’s appointment with a paper copy of your “Physician Certification.” Keep this with you at all times. This will be the proof you need to carry with your medicine, until you obtain the physical MMJ card from the State.
Starting June 5th, 2019, the DHSS will have the patient card application form available to complete as well as the physician certification form for the doctor.
When the application for the card is available, the qualifying patient needs to apply online through the State for a MMJ patient card, caregiver card or cultivator card. They will also need to pay the fee and wait for the state issued card to arrive in the mail.
Once dispensaries open, qualifying patients can use their MMJ cards to purchase their medicine!
On July 5th, 2019, the State will start accepting the physician certifications for qualifying patients in an online form. The appointments from June will be charted and submitted as soon as validly possible. The early healthcity patients will be among the first to obtain their MMJ card in the state!
In 1937, the U.S. passed the Marijuana Tax Act and the plants of Hemp and Cannabis have since been on prohibition and deemed illegal with no medicinal benefits.
Countless movies and drug programs have demonized marijuana saying it causes psychosis or “reefer madness,” that it is the gateway drug to harder drugs and that it causes ones brain to fry and dull. It is a plant that grows like a “weed,” however, get caught with it and face criminal charges, years in jail and felony records that can haunt you for decades.
I reflect on this quote when educating myself and the community on cannabis medicine. The healing benefits of this sacred plant has been known for thousands of years, including by the U.S. government.
However, to the lay public, healthcare professionals, scientists and physicians, especially in the U.S., this plant has been demonized and its’ healing properties kept under wraps.
A lot of this information is going to be very different from typical perception and what you’ve seen and experienced. I urge you to remember, that everything can be misused or abused. However, when used in the appropriate manner, minding ratios of bioactive compounds and varying the mode of ingestion, one can see true healing powers from this plant, and with an open, neutral mind, I encourage you to learn the enigma about this healing plant and why fear has no place amidst its powers.
Not only were these plants on prohibition for the citizens of the U.S., the DEA also placed the plant/drug on the notorious Schedule 1 category of drugs -- deemed the most dangerous. Heroin, PCP and other illicit drugs are also on this list, and these drugs have no medicinal value and therefore forbids research as well. Barriers to consumption kept our country safe for sure, but disallowing research set back science, technology, health and wellness more than half a century.
Around the 1990s, scientists studying physiology discovered what they termed as the “Endocannabinoid System,” an intricate neuronal-immuno-endocrine communicating system of neuromodulatory lipids that checks the internal balance of each cell and corrects it.
It is the auto-leveler or auto-balancer of our body and without the ECS activated, we are “off,” out of balance, in a state of disease and a state of chronic dysfunction develops.
Interestingly, at the same time the plant was on prohibition, the war on drugs reigned and the dietary “low-fat” craze abounded. We’ve all heard that “weed stays in our system for 30 days.” This is because cannabis or marijuana and other plant oils are fat soluble. Healthy fats act as carriers for the phytocannabinoids of CBD and THC for max absorption into our bodies. The fat-free DARE nation the FDA launched in the ‘80s kicked off the birth of chronic disease.
Fast forward to 2019, and Missouri is gearing up to join the nation as the 33rd medico-legal state for medical marijuana. With about 20 years of research in the legal states and millions of anecdotal reports, it is now considered one of the safest medicines -- period.
There have been no deaths reported since the beginning of time and the medicinal use of marijuana was used for centuries in ancient cultures and civilizations as medicine and in religious traditions.
Now that we know the true healing qualities about this sacred plant, and we also know that we have an endocannabinoid system, putting two and two together shows that our bodies were designed with cannabinoids in mind.
Another interesting fact that came up on my discovery about medical marijuana and cannabis medicine was that in 2003, the U.S. government obtained patent #No. 6,630,507, which states that “cannabinoids protect the brain from damage or degeneration caused by certain diseases, such as cirrhosis.” Specifically it reads:
“It has surprisingly been found that cannabidiol and other cannabinoids can function as neuroprotectants, ….[they found] unanticipated antioxidant property of the cannabinoids in general (and cannabidiol in particular) ..of preventing or treating diseases caused by oxidative stress, such as neuronal hypoxia, by administering a prophylactic or therapeutically effective amount of a cannabinoid to a subject who has a disease caused by oxidative stress.”
ALL diseases are caused by oxidative stress, especially all chronic disease. Is this true? If this is true, and the government knew about it for so long, I’m saddened and angered by them withholding education, guidance and potentially life-saving treatments from our nation's healthcare providers, veterans and citizens.
It is interesting to note that the rates of chronic disease, especially mental health including autism and anxiety, immune conditions like auto-immune disorders as well as cancers, and GI concerns like IBS and leaky gut are at an all-time high! Could adding cannabinoids back into our system act like the best chiropractic adjustment and put everything in perfect alignment and balance?
From all the research and testimonials I’ve heard, I’m certainly encouraged by what we’ve seen so far, and intrigued by what we have yet to learn about the plant’s unique healing properties and magical enigma.
The endocannabinoid system (ECS) is an “organ system” similar to the respiratory or digestive system in the body.
Centuries and centuries went by without any knowledge of this system or its purpose. When it was discovered, in 1990, its physiological mechanism was also discovered and scientists proclaim that the ECS is perhaps the most important physiologic system involved in establishing and maintaining human health- which is homeostasis, or bringing balance to the body.
The ECS is comprised of endocannabinoids or neuromodulatory lipids and their receptors. The ECS receptors are mainly located within the central nervous system (CNS) up and down the brain and spinal cord. There are also ECS receptors in our immune system organs like the thymus, lymph nodes and the gut and in our endocrine system, as well.
Our endocannabinoid system responds to our natural endocannabinoids (cannabinoids that are produced INSIDE our body), like anandamide and 2-AG, as well as phytocannabinoids (the cannabinoids that are found in plants such as hemp and cannabis and include CBD, CBN and THC. THC, CBD, CBN, CBC, CBG and more yet to be identified are phytocannabinoids that mimic the structure and function of our endocannabinoids. Supplementation or treatment with phytocannabinoids will activate the ECS and bring our body into balance.
We are finding as with any other plant nutrient, we can have deficiencies. In these conditions, patients can take supplements with phytocannabinoids and use methods to increase our endogenous cannabinoids (endocannabinoids).
Scientists are confirming that conditions such as fibromyalgia, migraines, PTSD, IBS and more are endocannabinoid deficiency states, we need to correct this deficiency to achieve optimal health.
In order to correct these deficiencies, a supplement in its most natural form is ideal. An organic, full-spectrum hemp or cannabis oil with third party tested absorption will support and activate our ECS, (all vertebral animals have an ECS system, therefore it's great for our fur babies too!).
Cannabinoids have been shown to be helpful in various conditions including: seizures, mental health issues such as depression, anxiety, PTSD, bipolar disorder, schizophrenia, eating disorders and substance abuse; chronic pain conditions, especially neurological and inflammatory pain, gut issues including nausea and IBS, insomnia, skin conditions and many more.
Read more on our blog for more information about the endocannabinoid system and how we can activate it to maximize its output!
On November 6, 2018 the State of Missouri residents voted and approved constitutional amendment #2 allowing access to medical marijuana for qualifying patients certified by a Missouri State-licensed physician. We anticipate that there will be serious wait times and encourage you to get ahead of the game and obtain your Physician Certification as soon as possible!
We are booking for appointments with our doctor who will review your medical documentation and provide a Physician Certification for Medical Marijuana in Missouri.
Appointments start as early as February 6th, 2019.
Bring your State approved Identification and the $195 evaluation fee and you will be one step closer in obtaining your medical card by early summer!
Send an email to: [email protected] or call 314-200-1555 to make an appointment.
Visit: www.healthcitystl.com to learn more about the process.
While the State continues to work on the official certification form and application process, you will have the required information at the ready when applications are being accepted resulting in you being one of the first to obtain your medical marijuana card when the dispensaries open. We will be happy to provide updated information and an updated physician certification prior to date of submission if needed. We keep an eye on the law and pass the information on to you!
Step 1: You must visit a state-licensed physician (not a nurse practitioner or physician's assistant) to obtain a physician certification.
Step 2: Apply for an identification card from the Missouri Department of Health and Senior Services (DHSS).
Step 3: Once your application is approved and you receive your identification card, go purchase medical marijuana from a state-licensed dispensary.
No. Luckily Dr. Thomas qualifies and has a wealth of knowledge regarding Cannabis Medicine. Additionally, she is a State-Licensed Psychiatrist and understands that CBD and Cannabis medicine have a very important role in management of psychiatric disease.
You will leave the office with a physician certification. This means that Dr. Thomas will have reviewed your medical information, confirmed or made the diagnosis of a qualifying medical condition as defined under Amendment 2 in the State of Missouri, and has determined that the medical use of marijuana may be beneficial to the qualifying patient.
The actual medical card will be issued by the State of Missouri and not directly by the physician. We are following the laws and deadlines of the DHSS, currently the early submitters can anticipate to have their card by the summer of 2019!
While proving oneself is never easy, a history of old prescription medications, a pharmacy print-out list, a letter from your primary care physician, among others, are great to have at the ready. Everyone in the state is looking forward to reducing the opioid crisis and if people with pain could switch to a safer, non-habit forming substance, like marijuana, the state would be a better place.
Please review the intake process and if documentation is lacking, consider taking our Guide Right Assessments for chronic pain.
Many people, with various types of pain, have had very successful clinical benefits with pain relief, greater function, and the ability to stop using other pain medications with the use of Cannabis medicine. Many scientific studies have shown and continue to see pain relief from the cannabis plant, due to its effect on pain signaling and inflammation. When THC, CBD, and the plant's other natural components work together, as a whole, it can be biochemically, a very powerful, natural herbal medicine.
PTSD is an anxiety disorder usually diagnosed after experiencing or witnessing an intense trauma in which escape is limited. Dr. Thomas is a board-certified psychiatrist and is very comfortable in making a diagnosis of PTSD. Should you require extra time or sensitivity regarding a trauma diagnosis, please inform our staff and we will do everything we can to accomodate your needs.
Please review the intake process and if documentation is lacking, consider taking our Guide Right Assessments for PTSD and other psychiatric conditions.
Often, the underlying causes of pain or other illnesses are related to nutritional, environmental, physical, and stress related-factors. In addition to finding safe effective herbal medication, the most important steps you can take are to learn about how each of these can impact your health, your pain level and life and what you can do to start transforming the way you feel.
A functional approach looks at the person as a whole and understands one action can cause a different reaction elsewhere. We want all reactions to work in balance for the betterment of the body. Healthcity's connection with Radiance Float + Wellness can offer various wellness programs that you can incorporate into daily life.
Directly on our website. Click on one of the schedule now appointment tabs. You then can choose to book a new patient evaluation or an existing patient follow up visit. The available time slots will be self-evident. You will be prompted to upload documentation that can help the doctor confirm your diagnosis. Your insurance card maybe requested if you are planning on taking the Guide Right Assessments. You will also be prompted to pay for your appointment with a debit/credit card at the time of scheduling.
Only Missouri residents will able to apply for a qualifying patient card in Missouri, but Amendment 2 “does allow for reciprocity for patients with cards from other states to be protected from arrest and prosecution if they come to Missouri with those cards.” Furthermore, a Missouri-qualifying patient card will only protect a cardholder in Missouri, unless other states have reciprocity written into their laws or constitutional amendments.
The cost for the doctor's appointment and physician certification is $195. Under most circumstances, one office visit per year is all that is required. Should you need more guidance on the use of medical cannabis with regards to your condition, follow-up wellness appointments can be arranged with Dr. Thomas at her practice at Radiance Float + Wellness.
The DHSS (Department of Health and Social Services) has an $25 application fee for a patient card and also a $25 charge for a caregiver card.
No, only a Missouri-licensed dispensary facility will be able to dispense medical marijuana.
Dispensaries are anticipated to open no later than January 2020. Keep checking back to the DHSS site, and the Healthcity website to keep abreast of the latest!
It's it too early to say and also depends on the strain, formulation (e.g. plant, concentrate, edible, ointment), amount, frequency of use, and dispensary variation in cost. Quality and diversity will be ensured.
With medical marijuana dispensaries scheduled to open later this year or "no later than Jan 2020," St. Louis and all Missouri residents will soon have access to medical marijuana. In order to purchase medical cannabis at Missouri dispensaries, patients must be seen by a physician licensed in the state of Missouri. Follow the steps below to obtain your MMJ card and be ready once the dispensaries open!
Intractable migraines unresponsive to other treatment
A chronic medical condition that causes severe, persistent pain or persistent muscle spasms, including but not limited to those associated with Multiple Sclerosis, Seizures, Parkinson’s disease, and Tourette’s syndrome.
Debilitating psychiatric disorders, including, but not limited to, Post-Traumatic Stress Disorder, if diagnosed by a state licensed psychiatrist.
Human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS)
A chronic medical condition that is normally treated with a prescription medication that could lead to physical or psychological dependence, when a physician determines that medical use of marijuana could be effective in treating that condition and would serve as a safer alternative to the prescription medication.
Any terminal illness
In the professional judgment of a physician, any other chronic, debilitating or other medical condition, including, but not limited to, Hepatitis C, Amyotrophic Lateral Sclerosis, Inflammatory Bowel Disease, Crohn’s Disease, Huntington’s Disease, Autism, Neuropathies, Sickle Cell Anemia, Agitation of Alzheimer’s disease, Cachexia and Wasting syndrome.
On November 6, 2018, Missouri residents voted to approve constitutional amendment #2, allowing access to medical marijuana for qualifying patients certified by a Missouri State licensed physician. Missouri joins the nation as the 32nd medicolegal state. Built into the law are deadlines by when each item needs to be completed. So far, the state has met all expected deadlines and is working at a furious pace! We are trying to keep ahead of the timeline and will share updates with you. The state anticipates that at least 2% of Missouri residents will apply for the card. Since it is the recommendation from a physician that could be considered the “rate-limiting step,” we anticipate that there will be serious wait times and encourage you to get ahead of the game and obtain your physician certification from your healthcity doc as soon as possible. Should time lapse or if the State is facing delays and should the validity/expiration of the Physician Certification be in question, we will be happy to provide updated information and an updated physician certification prior to date of submission.
Zinia Thomas, M.D. is a state licensed psychiatrist who is entrusted to review medical documentation, compare your condition to the list of state approved conditions and then make the determination that medical cannabis may be of medical benefit in your conditions. Dr. Thomas is merely giving a recommendation or certification, NOT a prescription, for medical cannabis. The treatment of certain conditions with MMJ are dependent on the ratio, strain, and activation of our endocannabinoid system and should not only be guided by dispensary employees. Dr. Thomas encourages wellness follow up appointments for guidance using this healing plant.
Effective date: February 01, 2019
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Dr. Zinia Thomas, M.D. is duly licensed by the State of Missouri to recommend medical marijuana certifications for those who qualify. She is actively practicing and board certified in Child, Adolescent and Adult Psychiatry and practices with an Integrative/Functional Medicine approach. She holds her certification in Cannabis Medicine through the American Academy of Anti-Aging Medicine (A4M) and has been using CBD, terpenes, essential oils and other natural healing treatments for mental health conditions at her primary practice, Radiance Float + Wellness. She has witnessed the incredible healing power of CBD and essential oils on anxiety/PTSD, pain, insomnia, mood, inflammation, malignancy, seizures, IBS and many more conditions, and is looking forward to implementing medical cannabis in her practice.
Dr. Thomas is passionate about educating and using cannabis medicine for various issues, including preventative health benefits with its anti-inflammatory action and ability to maintain homeostasis or balance in the body. In addition, our St. Louis, MO cannabis doctor will provide you with education on the benefits and side effects of medical cannabis, and on the proper strains and ratio of CBD:THC for your condition so that you can have a targeted treatment plan with medical knowledge helping you make educated decisions at the dispensaries.
The choice is yours! You can steer your own ship and take charge of your own health. Just make sure to schedule a renewal appointment for your Missouri Medical Marijuana card, as the cards expire 1 year after date of issue from the state. However, should you require more guidance with the medical benefits of cannabis medicine or aren’t getting the desired effects to meet your goals, Dr. Thomas can schedule more frequent follow-up appointments at her other location.
At Radiance Float + Wellness, one can also incorporate natural services such as Float Therapy, IV Nutrient Therapy, the Infrared Sauna, Cryotherapy and more into a treatment plan for the most common conditions managed with cannabis medicine, including PTSD, chronic pain and cancer.
With the opening of healthcity with several locations around the metro area in early February 2019, we look forward to being among the first physicians to educate and provide the residents of Missouri access to this sacred healing plant for medicinal benefits. It is known that PTSD is an endocannabinoid deficiency state, it only makes sense to correct this deficiency to become whole again. We look forward to combating the opioid epidemic by allowing access to this safe, natural herbal medicine in hopes of lessening the dependency and chronic consumption of powerful, synthetic pharmaceuticals for pain. Rest assured, we have also seen amotivational syndrome, tachycardia, heightened anxiety and symptoms of paranoia in practice, and Dr. Thomas can help manage and optimize effects, while minimizing side effects by varying the ratio of CBD:THC and the mode of delivery into the system. Dr. Thomas and the staff at healthcity are here to help you every step of the way in obtaining your Missouri medical marijuana card and enjoy an improved quality of life with cannabis medicine. Click here to book or call/text us at: 314-200-1555 or email us at [email protected], and we’d be happy to answer any questions before or after your appointment.
The cannabis plant has many different healing constituents. Plant medicine is a balance and synergy of all the compounds of the plant. Only THC and CBN can cause a "high". The other phytocannabinoids such as CBD, CBG, CBC, CBDv, and THCv have their unique properties and effects that confer the healing properties.
The top conditions found to be effectively managed with cannabis medicine, including PTSD, chronic pain and cancer are the same conditions that Dr. Thomas has been managing with good success though services at Radiance Float + Wellness. In order to complement the treatment plan involving cannabis medicine, the patients of healthcity are eligible for special discounted membership to be able to make your new form of healthcare affordable, safe and effective.
POST-TRAUMATIC STRESS DISORDER (PTSD)
PTSD is known as an endocannabinoid deficiency state. It’s no wonder that the Receptra CBD oil was flying off the shelves at Radiance Float + Wellness. By ingesting CBD, our receptors are activated and our endocannabinoid system kicks in for increased healing. Float Therapy is also known to be healing to the brain and body because when one removes sensory input, the brain is free from distraction and focused healing, problem-solving, meditation and visualization can occur with renewed creativity and focus. Without distraction or the stress of gravity, healing will intensify. Float Therapy has been shown to improve anxiety states including PTSD. These studies were confirmed by looking at fMRI imaging (pictures of the brain), which showed calmed and relaxed brains after one float!
In addition to your Physician Certification, Healthcity patients get an exclusive membership:
2 floats therapy sessions per month to target PTSD symptoms: $25/month
Pain is the most dreaded symptom, it's hard to describe, it's hard to understand for others, it's hard to manage or get any relief without multiple side effects both physically and psychologically. As a physician, Dr. Thomas took an oath to do no harm. To avoid contributing to the opioid crisis, she has already found natural effective pain management techniques that she’s incorporated into Radiance Float + Wellness for everyday relief. BEMER vascular therapy, cryotherapy, float therapy and the infrared sauna all provide different, yet synergistic, effects to decrease inflammation, remove toxins, absorb nutrients like magnesium and improve circulation, ultimately decreasing pain at the root, not simply putting a cover on and letting the fire of disease brew.
1 cryotherapy session, 1 float session, and 1 infrared sauna session per month, as well as unlimited BEMER vascular therapy: $25/month
When faced with a cancer diagnosis, the fear is intense. Everyone knows that chemotherapy is toxic, but we are never educated about other options and in fact, most of the time we are scared into not choosing conventional chemotherapy treatments. The use of medical cannabis has been used for cancer, wasting and cachexia for decades. Cancers are often well-treated with the sacred plant and guidance from the healthcity docs can help you in choosing strains, adding certain terpenes and making sure the ratio is right for you on your healing journey. Both CBD and THC are shown to have tumor-destroying properties and can slow the spread of cancer, as well as improve appetite, decrease pain and contribute to a better quality of life. At Radiance Float + Wellness, we have been honored to help people alone and confused on their path of seeking natural treatments. We have found ways to optimize the body and slow the growth of cancer. We encourage a combination of drinking Kangen water, a hydrogen-rich alkalizing water, the BEMER vascular therapy mat to improve microcirculation, and the Infrared Sauna for the most effective detoxification.
In addition to your Physician Certification, Healthcity patients get access to an exclusive membership:
2 Infrared Sauna sessions, unlimited BEMER vascular therapy, and unlimited Kangen water per month: $25/month
IV Nutrient Therapy with high-dose Vitamin C and other nutrient IVs, like glutathione, are powerful tools in the fight against cancer. High-dose Vitamin C (75-100 grams IV) is shown to have intense tumor-fighting activity while not harming our normally developing cells. We can offer special pricing to healthcity patients via the high-dose Vitamin C “IV League Package”. This covers 1 month (12 infusions) of high-dose Vitamin C IV Nutrient therapy for the most rapid healing through nutrients: $1800/month