The increasing acceptance and legalization of cannabis have led to greater awareness of its effects, both positive and negative. While many focus on the potential benefits of marijuana, it's crucial to understand the potential for dependence and withdrawal, especially among regular users. This article delves into the symptoms of marijuana withdrawal, particularly focusing on its connection to weight loss, and provides guidance on managing withdrawal and seeking help when needed.
What is Marijuana Withdrawal?
Marijuana withdrawal is a set of symptoms that can occur when someone who has been using marijuana heavily and regularly stops or significantly reduces their use. It happens because the brain and body have become accustomed to the presence of THC, the primary psychoactive ingredient in cannabis. When THC is suddenly removed, it can disrupt the body's natural balance, leading to various withdrawal symptoms.
Causes of Marijuana Withdrawal
Scientists continue to study the exact mechanisms behind marijuana withdrawal. However, it is known that it involves complex interactions, including:
- THC-induced neurobiological changes: Regular THC use can alter brain function, leading to tolerance and dependence. Tolerance means needing larger doses of THC to achieve the same effects, while dependence means the body requires THC to avoid withdrawal symptoms.
- Genetic and epigenetic factors: Individual genetic makeup can influence the likelihood and severity of withdrawal symptoms.
- Environmental factors: External factors like stress levels and social support can also play a role.
- Co-occurring conditions: Having existing mental health conditions or other substance use disorders can increase the risk of withdrawal.
- Personality traits: Certain personality traits may make individuals more susceptible to dependence and withdrawal.
- Stress response: How someone's body responds to stress can also affect the withdrawal process.
Common Symptoms of Marijuana Withdrawal
Not everyone who stops using marijuana experiences withdrawal, but it's more likely in those who use it regularly, especially in high amounts. The severity of symptoms can vary from person to person.
Psychological Symptoms
- Anger, irritability, and aggression: Increased feelings of frustration and a short temper.
- Nervousness and anxiety: Feelings of unease, worry, and apprehension.
- Restlessness: Difficulty sitting still or relaxing.
- Depressed mood: Feelings of sadness, hopelessness, and loss of interest.
- Insomnia: Difficulty falling asleep or staying asleep.
- Disturbing dreams and nightmares: Vivid and unpleasant dreams.
- Loss of focus: Difficulty concentrating or paying attention.
- Cravings for cannabis: Intense urges to use marijuana.
Physical Symptoms
- Decreased appetite, which may lead to weight loss: Reduced desire to eat, potentially resulting in a drop in weight.
- Headaches: Pain in the head.
- Nausea and vomiting: Feeling sick to the stomach and throwing up.
- Excessive sweating: Sweating more than usual.
- Abdominal pain: Pain or discomfort in the stomach area.
- Shakiness (tremors): Involuntary trembling or shaking.
- Stomach problems
- Chills
- Sweating, including cold sweats
Marijuana Withdrawal and Weight Loss
One of the notable symptoms of marijuana withdrawal is a decreased appetite, which can lead to weight loss. THC affects the brain's endocannabinoid system, which plays a role in regulating appetite. When someone uses marijuana regularly, THC can stimulate appetite, often leading to increased food intake. When marijuana use stops, this stimulation is removed, and appetite can decrease significantly.
Read also: Benefits of couples massage detailed
Timeline of Marijuana Withdrawal
The onset, duration, and intensity of marijuana withdrawal symptoms can vary. However, a general timeline looks like this:
- Onset: Symptoms typically begin within the first 24 to 48 hours after stopping or significantly reducing marijuana use. Withdrawal symptoms can start as early as 24 hours since last use.
- Peak: The severity of symptoms usually peaks around day three. Marijuana withdrawal symptoms typically start 1-3 days from the last dose.
- Duration: Symptoms can last for up to two weeks, but some symptoms may persist for three weeks or more, especially in those who have used marijuana very frequently. Marijuana withdrawal starts between 1 and 3 days after the last use, peaks between the second and sixth day, and typically lasts about 2 weeks.
Detailed Breakdown of Withdrawal Timeline:
- Days 1-3: Restlessness, difficulty sleeping, anxiety, irritability, and a general lack of focus or inability to focus are common during the first few days of withdrawal.
- Days 4-7: Symptoms from the initial days may continue, with the addition of abdominal cramps, nausea, headaches, sweating, chills, loss of appetite, and weight loss in some individuals.
- Days 7-10: Cravings, irritability, and a lack of concentration persist to varying degrees during this period.
Risk Factors for Marijuana Withdrawal
Several factors can increase the risk of experiencing marijuana withdrawal:
- Frequency of use: Daily or near-daily use is more likely to lead to withdrawal symptoms.
- Dosage: Using high amounts of marijuana increases the risk.
- Method of consumption: Using edibles or tinctures, as well as vaping, daily and in high amounts is more likely to cause at least mild withdrawal symptoms if you stop abruptly.
- Length of use: The longer someone has been using marijuana, the more likely they are to experience withdrawal.
- Underlying mental health conditions: Individuals with anxiety, depression, or other mental health issues may be more prone to withdrawal symptoms.
- Previous substance use disorders: A history of other substance use disorders can increase the risk.
Managing Marijuana Withdrawal
While marijuana withdrawal is generally not life-threatening, it can be uncomfortable. Here are some strategies to help manage the symptoms:
Self-Care Strategies
- Stay hydrated: Drink plenty of water to help flush out toxins and maintain bodily functions. Avoid sugary and caffeinated beverages.
- Eat healthy foods: Focus on fresh fruits, vegetables, and lean protein to nourish your body. Avoid processed foods, which can worsen mood and energy levels.
- Exercise regularly: Aim for at least 30 minutes of exercise each day to boost mood and help remove toxins through sweat.
- Get enough sleep: Establish a regular sleep schedule and create a relaxing bedtime routine to improve sleep quality.
- Find support: Surround yourself with supportive friends and family members who can offer encouragement and understanding.
- Soothe yourself: Use breathing and relaxation techniques. Go for a walk. Listen to music. Take a bath.
- Distract yourself: Find a new activity. If you become fixated on using marijuana, then you need to find another activity to busy yourself with. The best kind of activity is something physical where you end up concentrating on the task at hand instead of thinking about using marijuana.
Medical and Therapeutic Interventions
- Tapering: If you use cannabis regularly and often, gradually reducing your cannabis use may help you ease into a cannabis-free life. If you only use cannabis occasionally, you may be able to stop entirely without any step-down.
- Medical consultation: Consider making an appointment with a doctor or a substance use disorder specialist to discuss your options.
- Medication: Your healthcare professional might recommend dronabinol (Marinol), a synthetic drug that mimics THC, to help prevent symptoms of withdrawal. Certain anxiety or sleep medications may also help with symptom management. Evidence indicates that gabapentin may be useful for the anxiety of withdrawal. An antidepressant called mirtazapine may help for depression and insomnia. There are ongoing clinical trials to aid marijuana withdrawal symptoms. The two main drugs being tested with are buspirone (and anti-anxiety medication) and zolpidem (a sleep aid). Buspirone can help for sleep. The US Food and Drug Administration (FDA) currently has not approved of any drugs or medications to specifically treat marijuana withdrawal.
- Behavioral therapy: Cognitive behavioral therapy (CBT) can help you recognize unhelpful triggers, thoughts, and behaviors and make healthier decisions.
- Detoxification center: These short-term programs are designed to help people get through the initial drug-free phase. They provide assistance and medical attention as you manage the symptoms of withdrawal.
- Inpatient rehabilitation center: These medical facilities are designed to assist people for more than 25 days. These facilities help a person stop using drugs, including cannabis, and then manage the underlying issues that led to drug use and may lead to relapse if not dealt with correctly. These are also helpful for people dealing with multiple substance use disorders.
- Intensive outpatient programs: Outpatient rehabilitation programs often require multiple meetings or sessions each week with a therapist, substance use disorder expert, or another mental health specialist. However, youâre not required to check into a facility, and youâre free to come and go on your own.
- Support groups and therapy: One-on-one therapy may be useful as you cope with the underlying factors that contribute to cannabis misuse. Likewise, connecting with people who face many of the same scenarios and questions as you in a support group can be a good way to find accountability and support during this next phase of your life.
- Process group therapy: In a group setting, professionals will facilitate a discussion about each personâs recovery journey.
- Wilderness therapy: Spending time in nature can help you escape the toxic roots of your addiction.
Cannabis Hyperemesis Syndrome (CHS)
While managing marijuana withdrawal, it's important to be aware of another condition associated with long-term marijuana use called Cannabis Hyperemesis Syndrome (CHS). CHS is characterized by severe, persistent nausea and vomiting.
Symptoms and Phases of CHS
- Prodromal phase: This phase is typical among adults who have used marijuana since they were teenagers.
- Hyperemetic phase: The hyperemetic phase typically lasts 24 to 48 hours, causing intense and recurrent vomiting and nausea. Those with CHS experience persistent nausea and vomit extensively, up to five times per hour.
- Recovery phase: During recovery, people stop using marijuana.
Management of CHS
- Immediate medical care: Seek medical attention immediately if you experience recurrent vomiting.
- Stopping cannabis use: Cannabis hyperemesis is a rare condition that typically disappears when you stop using cannabis.
- Hot showers or baths: Many people compulsively bathe or shower to relieve symptoms, allowing the hot water to soothe their nausea.
- Medications: Some medications might also reduce nausea.
- Addiction treatment: Those who frequently experience CHS might also seek professional addiction treatment to end their reliance on marijuana.
Is Marijuana Addiction Real?
The DSM-5-TR lists marijuana as an addictive drug. The DSM-5-TR states people who regularly use marijuana might display similar symptoms and behaviors observed with other forms of addiction. Those who develop cannabis use disorder exhibit impaired control, risky behavior, social impairment, or physiological adaptation. Cannabis can also cause dependence and withdrawal. Withdrawal occurs when the brain cannot achieve equilibrium without a drug. It is possible to become dependent on marijuana without becoming addicted, but typically, showing symptoms of withdrawal is indicative of cannabis use disorder.
Read also: How digestive health affects weight loss
Seeking Professional Help
Most people can manage marijuana withdrawal on their own with self-care strategies and support from friends and family. However, in some cases, professional help may be necessary. Consider seeking professional help if:
- Symptoms are severe and interfere with daily life.
- You have underlying mental health conditions.
- You have a history of substance use disorders.
- You are unable to manage withdrawal symptoms on your own.
- You relapse or have strong cravings.
Read also: Weight Loss Meds & BCBS
tags: #weed #withdrawal #symptoms #weight #loss