400 women will die of breast cancer in Nevada this year
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from the editor
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A couple of months ago I was meeting with a scientist from Israel. As we were discussing the cannabis industry, he made a point that, although very obvious, came off so much more startling when delivered from someone who was on the outside looking in. He made the very prescient observation that it was interesting how America would legalize something and only then begin to study and research it. His very prophetic comment sums up, in a nutshell, the current vaping health crisis. As I write this, Georgia, Florida and Mississippi health officials have all just reported their first vapingrelated deaths, bringing the total number of U.S. fatalities from a lung disease that resembles a rare form of pneumonia to at least 13. Additionally, the number of people with lung illnesses linked to vaping has risen to 805, reported the Centers for Disease Control and Prevention in late September. Neither the Centers for Disease Control and Prevention (CDC) nor the Food and Drug Administration (FDA) can definitively say what is causing the illness. Although they have traced it to vaping, no single vaping product or ingredient has been linked to the illnesses, and health officials haven’t released a national breakdown of what product each sick person vaped. At this time, the suspected cause is a chemical exposure. All of this leads me to my point. Although e-cigarettes and e-liquids are legal and were first introduced into the U.S. in 2007, according to a historical timeline compiled by Consumer Advocates for Smoke Free Alternatives Association (CASAA), there were no FDA regulations on e-cigarettes until 2016. And even those FDA regulations have no teeth as the agency only requires sellers and manufacturers of e-cigarettes and
e-liquids to disclose ingredients to the agency—completely leaving out a check on quality of ingredients or safety testing of the product. In addition, products that were on the market before 2016 won’t have to be reviewed for safety until May 2020, and manufacturers who don’t sell directly to consumers don’t have to register or disclose ingredients at all. Now that there have been deaths attributed to vaping and e-cigarettes research and testing by the FDA and the CDC will finally begin. (By the way, I find it ironic that a product that is advertised and touted as a successful way to quit smoking or cut back on cigarettes would be potentially much more harmful than the product it was supposed to replace. But that’s a column for another day.) This also holds true for cannabis as my Israeli colleague pointed out. We have a potentially therapeutic compound that we have legalized in its medical form across more than half of the U.S. and, yet, on a federal level it remains categorized as a schedule 1 drug which means it has no accepted medical value. To study a schedule 1 drug, researchers must get approval from the Drug Enforcement Agency (DEA), which last weighed in on cannabis’ scheduling status in 2016. The agency head at the time, Chuck Rosenberg, concluded, “This decision is based on whether marijuana, as determined by the FDA, is a safe and effective medicine, and it’s not.” And there you have it, the unique and puzzling anomaly of American healthcare: Without researching it, how will we ever know?
october | elevatenv.com 5
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Ca
SEAS THE DAY
JIMMY BUFFETT TEAMS UP WITH SURTERRA WELLNESS TO DEVELOP CORAL REEFER CANNABIS LINE
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elevatenv.com | october
By Josh Bell Jimmy Buffett has spent decades perfecting the art of relaxing. The Florida singer-songwriter has only ever had one major mainstream hit song (1977’s “Margaritaville”), but he’s built an empire out of his image of the barefoot beachcomber, kicking back with a margarita or piña colada. While Buffett has perhaps been coy about including cannabis references in his music, it’s pretty much impossible to conceive of that laidback persona without imagining a joint to go along with the tropical drink. Buffett finally made the connection between marijuana and Margaritaville official with the launch of his Coral Reefer medical cannabis brand earlier this year in his home base of Florida. Buffett teamed up with Surterra Wellness for a line of “tropical influenced” medical cannabis vapes and pods (both CBD and THC), that are now available in Florida and slated to expand to other states (including Nevada) in the coming months. The brand is named after Buffett’s longtime backing band, the Coral Reefer Band, in a perfect integration of the singer’s musical and medicinal pursuits. “It never dawned on me that Coral Reefer would be anything other than a cool name for a tropical band born out of the Key West lifestyle in the mid-’70s,” Buffett said in the brand’s announcement. “But life is supposed to be about having fun and staying healthy enough to enjoy it. I think Coral Reefer will help a lot of folks do that.” Buffett’s philosophy that life is supposed to be about having fun has carried him through his career, allowing him to amass a business empire around the idea of chilling out. Buffett got his start in the Nashville country scene in the late ’60s, and he experimented with a folk-rock style on his mostly forgotten first two albums before coming up with the combination of country, rock and island sounds that has defined his music. That sound debuted on Buffett’s 1973 breakthrough album A White Sport Coat and a Pink Crustacean, which feature two perennial Buffett favorites that neatly illustrate both sides of Buffett’s musical personality, from the sensitive storytelling of “He Went to Paris” to the raucous party anthem of “Why Don’t We Get Drunk.” Buffett’s penchant for raucous parties helped him build the fan following known as Parrotheads, and the party-friendly atmosphere of Buffett’s concerts has persisted even as the singer himself is now in his 70s. Head to a Buffett concert, and you’re likely to find fans decked out in grass skirts, coconut bras, feathers, shark-fin hats (a reference to Buffett song “Fins”) and, of course, flip-flops, Buffett’s footwear of choice (he even wore them when giving the commencement address at the University of Miami in 2015). The alcohol will be flowing, and it won’t be hard to catch a whiff of cannabis, either. Parrotheads are as dedicated to the Buffett lifestyle as they are to Buffett’s music. These days, the Buffett brand is estimated to be a $1.5 billion-a-year enterprise, with everything from Margaritaville restaurants (like the one on the Las Vegas Strip at the Flamingo) to frozen foods to apparel to entire retirement communities. A stage musical based on Buffett’s music, Escape to Margaritaville, is currently touring the country and will be stopping at the Smith Center in Vegas January 7-12. It’s no surprise that the Coral Reefer announcement refers to merchandise including hats and t-shirts right alongside the traditional cannabis products. A 2018 New York Times profile was headlined “Jimmy Buffett Does Not Live the Jimmy Buffett Lifestyle,” highlighting just how much shrewd business sense goes into creating a brand built around relaxing.
CALEXICO AND IRON & WINE WITH NATALIE PRASS 04 ANGELS & AIRWAVES 05 BIG K.R.I.T. 09 MOTIONLESS IN WHITE WITH WE CAME AS ROMANS, AFTER THE BURIAL, & TWIZTID 11 UFO WITH ARMORED SAINT 16 SUM 41 WITH THE AMITY AFFLICTION, & THE PLOT IN YOU 18 HOBO JOHNSON & THE LOVEMAKERS 19 CLAIRO WITH BEABADOOBEE, & HELLO YELLO 23 AMON AMARTH WITH ARCH ENEMY, AT THE GATES & GRAND MAGUS 24 FACE TO FACE & LAGWAGON 25 CHRISTIAN NODAL 26 YELAWOLF 27 THE STORY SO FAR WITH THE FRIGHTS, HUNNY & JUST FRIENDS AN INTIMATE EVENING WITH SANTANA GREATEST HITS LIVE 05 FOBIA 07 SABRINA CLAUDIO 13 PANTEON ROCOCO 15 AS I LAY DYING WITH AFTER THE BURIAL & EMMURE 20 SIMPLE PLAN & STATE CHAMPS 23 ELECTRIC FEELS – INDIE ROCK & POP DANCE PARTY 25 THE DEAD SOUTH WITH SCOTT BIRAM & DANNY OLIVER 30 ALY & AJ 03 HANSON 07 A DRAG QUEEN CHRISTMAS 10 SNOOP DOGG 27 DJ QUIK DAVID LEE ROTH – ROCKS VEGAS 15 ANA BARBARA OCT
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Jimmy Buffett. October 19, 8 p.m., MGM Grand Garden Arena, $40-$212.
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“The glue that holds this thing together is authenticity,” Buffett told the NYT. “People can smell it if it isn’t real.” Even if he spends more time in business meetings and hotel rooms than on boats and beaches these days, Buffett still understands what drives his fans: the mentality of escape and relaxation. It wasn’t always that way. In 1976, Buffett was the first musician interviewed for the fledgling High Times magazine, and he told the pioneering cannabis publication, “I’m not going out there to try and sell my lifestyle to America. Because they aren’t going to buy it. They never have.” He was wrong, of course, and Buffett fans are better off for it. They can deck themselves out in Buffett gear, listen to his music on his custom satellite radio channel, eat at his restaurants, drink his cocktails, relax at his resorts and commune with their fellow Parrotheads at a Buffett show. Buffett may not have had many big radio hits, but you can bet that the entire arena will be singing along to favorites like “Cheeseburger in Paradise” (also, of course, the name of a Buffett-founded restaurant chain), “Volcano,” “Son of a Son of a Sailor” and “A Pirate Looks at Forty.” In addition to his business empire, Buffett has influenced a whole generation of musicians with his combination of country and island sounds, including stars like Kenny Chesney and Zac Brown (with whom he dueted on the 2011 hit “Knee Deep”). A 2014 study published in the academic journal Popular Music History, titled “Songs you know by heart: Alcohol, promiscuous sex, drugs and escape in Jimmy Buffett’s music,” analyzed the lyrics of 386 Buffett songs and determined that “Buffett’s music is more about escape and irony than deviant behaviors.” And, perhaps more importantly: “Furthermore, lyric themes remain largely unaltered even through an increase in his popularity and corporate sponsorship.” That’s scientific proof that, whether it’s cocktails or cannabis, Buffett knows exactly how to give his fans the relaxed, relaxing experience they crave.
OCT
FEEL NO
PAIN
CANNABIS’ ANTI-INFLAMMATORY PROPERTIES BRING PAIN RELIEF TO THOSE LOOKING FOR NATURAL HEALING
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elevatenv.com | october
By Justin Alexander
W
hether it’s a migraine, sore muscles post-workout, arthritis, neuropathy, aches and pain resulting from chemotherapy or numerous other pain-related ailments, cannabis can play a pivotal role in reducing inflammation and, in turn, the resulting hypersensitivity to pain. Scientists have found that cannabis works in conjunction with the endocannabinoid (EC) system, which is one of the body’s key systems regulating pain sensation. The EC system is composed of two sets of cannabinoid receptors, CB1 and CB2. CB1 receptors are found throughout the central nervous systems, while CB2 receptors are widely located on immune cells and therefore represent a target for influencing inflammatory pain processing, according to research published in the European Journal of Rheumatology. The study outlines increasing evidence showing that the EC system regulates the body’s immune response. For instance, the study found that in arthritis, persistent inflammation results in the infiltration of immune cells and the subsequent development of hypersensitivity. The mechanics of the body are a marvel and we are only at the tip of the iceberg in understanding how cannabis interacts with our EC system and CB1 and CB2 receptors. As more is discovered, cannabis-based medications offer a promising future of enhancing our body’s ability to function and represents a new therapeutic solution to deal with chronic pain.
HOT MESS KUSHMETICS’ HIGH JUMP BODY BUDDER “Our Body Budder was created for more intense aches such as from fibromyalgia, arthritis and ALS, but it can also be used for more temporary pains such as those earned from a hard workout or too much time standing,” says Hot Mess founder Heather Vanek of High Jump. “We packed 200 mgs of CBD into a tiny two-ounce jar of budder and used ingredients that would help your skin absorb it fast. As soon as the budder makes contact with your skin, the CBD begins communicating with your CB1 and CB2 receptors and gets to work right away. Within minutes you start to feel relief.” A terpene mix of linalool and eucalyptol gives Hot Mess’ High Jump Body Budder an extra punch and because it doesn’t contain THC you won’t notice any effects other than the elimination of pain. Apply once a day or every few hours as needed, it is guaranteed to absorb quickly without a greasy or oily feel.
PLANET M’S GREEN TEA LOTION, COOLING BALM AND GUMMIES
VERT’S UNLIMITED PURE CO2 EXTRACTED CBD OIL When you need relief from mental and physical pain, Vert has a CBD applicator which can be dabbed, vaped, applied or infused. “Our CBD Applicators are best for any ailment, as you can match the strain to whatever treatment you’re in
october | elevatenv.com 11
Planet 13 has a line of CBD products under the brand name Planet M available in both topicals and edibles that combat arthritis, gout, skin inflammation, nerve and muscle pain. “Planet M topicals utilize all of the oils extracted from the hemp plant as well as the ingredients such as arnica oil used in more traditional healing practices. While all of these oils that come from the hemp plant have arguably beneficial values, the main beneficial compound is CBD, impacting the endocannabinoid system and in recent studies has influenced the nervous system, which can be great for combating different types of pain,” explains Planet 13’s Brandon Zimmer of Planet M’s tea lotion and cooling balm, which should be applied one to two times per day for maximum benefit and users should expect to find relief in about 20 minutes. “Planet M CBD topicals absorb directly into the skin and combat pain directly at the source.” If you prefer body-pain relief in the form of an edible, try a Planet M multivitamin gummy. “The more consistently they're used, the better they work. CBD builds up in the fat lipids within your body and is great for anxiety, pain, and inflammation,” Zimmer says. “Taking our gummies is very similar to the concept of taking an ibuprofen but more natural and should be done more consistently to help preemptively fight off pain. Our gummies are a great way to reduce anxiety and inflammation in the body.”
elevatenv.com | october 12
need of. Many people look to our CBD Applicators as a higher potency alternative to commercially sold RSO, as most RSO sold in dispensaries also contains MCT Oil and shows with lower potencies,” says Margaux Hansberry, Vert’s Nevada sales manager. “We are adding CBD isolate to our triple refined strain specific oil so that customers still have the option of a sativa, hybrid, or indica experience to relieve pain with, depending on their needs.” When dabbed at low temperatures, Vert’s CBD Applicators have the characteristic taste of sweet cherries and provide instant relief. Used to make coconut oil suppositories, the 1:1 Vert Applicators provide a targeted full body effect that may be helpful in treating symptoms of cancer. “When I dab the Vert Applicator CBD oil, the calming, anti-inflammatory effects last for 2 to 3 hours, but my tolerance for both D9THC and CBD is fairly high. Other consumers may find they need more or less than a single dab to feel the effects for 2-3 hours,” explains Hansberry. “When using the Applicator to infuse a meal, the painrelieving effects are much more potent and sedative, lasting up to six hours. Of course, the more heat you add, the more terpene potency you’ll lose so our fully activated Vert Applicator oils are best used at low temperatures or with no heat to preserve the wide variety of terpenes that aid in the experience.”
REMEDY’S RESURRECTION OG LIVE RESIN SAUCE CONCENTRATE AND 2:1 PAIN BALM Ideal for back pain, Resurrection OG Live Resin Sauce from Remedy is a cross between two top shelf strains, Deadhead OG and Bio-Jesus. The former is known for expanding the cerebral state and producing a relaxed body feel, while the latter is all about mind-numbing potency. Both are exceptional for pain relief in their own right. Rich in myrcene, when they come together as a concentrate, they make the ideal dab to keep your body in line and feeling good, no matter the medical condition. Resurrection OG Live Resin Sauce offers an ultra-high with a strong and pungent gassy aroma. Remedy’s 2:1 Pain Balm is ideal for those who prefer a topical to soothe aches and irritations, sports and work injuries or those pains that are a result of aging. In addition, the product has a rich terpene profile of eucalyptol, pinene and limonene.
STATE FLOWER’S CHEM 91
KYND’S CBD SHARK Low in THC at only 7 percent, this flower is for those who crave the benefits of CBD but also enjoy the relaxing effects of smoking flower as it has a 2:1 ratio of CBD to THC. “The ratio of CBD/THC is great for those just trying to get back into smoking, and is great for low tolerances,” says Kynd’s David Robison, who notes CBD Shark may help those with muscle and joint pain. With a balance of THC and CBD, this strain is able to provide the medicinal side of both compounds and allows for activation of the CB1 and CB2 receptors within the body to give full body relief and relaxation. Mellow and relaxing, but with a euphoric glow, Robison says to take the low THC number seriously, as the entourage effect can lead to strong relaxation if you do not have much of a tolerance. “When vaping or smoking, you should expect effects to last three to four hours and start fading for another hour or so. Each person is different, so
october | elevatenv.com 13
Testing at a whopping 31 percent THC, Chem 91 is an all-purpose pain reliever that makes you feel great but won’t leave you down for the count. “I would recommend Chem 91 to anyone with mild aches and pains,” says The Apothecarium’s Hailey Stone. “Whether you’re dealing with inflammation or mild pain, Chem 91 should meet your needs as it has a blend of terpenes and cannabinoids that give the user a relaxing effect.” Its terpene blend includes caryophyllene, linalool, humulene, and myrcene and pain-relieving cannabinoids THC, CBC, CBD, CBG, and CBN. Plus, there’s limonene acting as a mood booster, which helps to balance out the relaxing effects of myrcene and caryophyllene. And even after the high begins to fade, the good-for-you mix of terps remain and wash over the body for a total wellness experience.
give yourself room to experiment,” says Robison, who notes as an aside that this strain also contains ocimene, a rare terpene.
SEVENTH SENSE CBD DEEP RELIEF CREAM
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elevatenv.com | october
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With the light refreshing scent of chamomile and green tea, Seventh Sense CBD Deep Relief Cream, which is 98.5+ percent pure CBD, is the perfect topical with which to massage muscles after a long day, making for a pleasant and relaxing aromatherapy treatment. “We have highquality formulas that are comparable to the best skincare products in the market,” says Julia Fulton, Seventh Sense spokesperson. “The inclusion of CBD only enhances their benefits. Added ingredients like arnica and peppermint are known for their pain-relieving qualities. We use hempsourced CBD isolate that is grown domestically to provide benefits.” Overall the Seventh Sense product line addresses a wide range of skincare needs for body, face and therapeutic effects. The deep relief cream is soothing on the skin and can be massaged in to effectively work sore muscles. It isn’t greasy and absorbs quickly, making it convenient and appealing to use. Some users have reported relief within minutes of use. “Specifically for the deep relief cream, in addition to the added skin benefits, fragrance contributes to consumers’ overall positive reaction to the product. Our deep relief cream comes in a variety of fragrances that don’t have the typical medicinal characteristics associated with pain relief products,” adds Fulton.
EVERGREEN ORGANIX HERBAL RELIEF SALVE Ideal for joint pain and inflammation, Evergreen Organix’s Herbal Relief Salve is infused with not only THC and CBD, but also contains arnica, camphor, and menthol for an all-around painrelieving experience. “The targeted topical application allows consumers to apply to specific areas for pain relief. We recommend this product for those suffering from arthritis, joint or muscle pain,” says Jillian Nelson of Evergreen Organix.
One of our favorite things is the soothing essential oils contained within the salve that produce a cooling/tingling sensation. Made from locally grown herbs and, in turn, immersed with the fresh smell of camphor and menthol, Evergreen’s salve is great for a neck rub to find relaxation at the end of the day. Experts say that topical salves hold the most medicinal value of any cannabis format with effects that last anywhere from a few hours to all day.
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october | elevatenv.com 15
Recommended for arthritis, carpal tunnel, neuropathy, and for application before and after workouts, Gnome Serum’s Joint & Bones Body Cream provides fast relief due to a combination of natural ingredients. The full spectrum CBD cream is rich in natural healing compounds including sweet birch oil, turkey tail, arnica, and peppermint. “These compounds are made synthetically today for pain relief medications. Birch oil is ideal for eliminating the pain associated with a wide range of musculoskeletal conditions, from arthritis to athletic muscle fatigue. You can use birch essential oil in homemade liniments and massage oils to take advantage of its natural pain-killing properties,” says Gnome Serum CEO and founder Greg Kerber. “Turkey tail is a medicinal mushroom with an impressive range of benefits. It contains a variety of powerful antioxidants and other compounds that may help boost your immune system. Arnica, traditionally used to treat bruising, is derived from a yellow mountain daisy that grows in Europe and is also known as leopard's bane. It reportedly increases circulation by stimulating white blood cell activity, thereby decreasing the amount of healing time and reducing inflammation.” In addition, terpenes found in Gnome Serum’s Joint & Bones cream include a mix of β-caryophyllene, which eases pain and curbs the damaging consequences of chronic inflammation, and humulene, an antiinflammatory that manages pain. Lesser known cannabinoid CBC contributes to the overall analgesic effects of cannabis. Plus, this product can also help with migraines when applied to the neck on the carotid artery with immediate results that typically last between 18 and 24 hours.
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Blending high levels of THC, CBD, b-caryophyllene, b-pinene, and humulene as well as many other of the top painrelieving terpenes and cannabinoids found in cannabis, City Trees’ cartridge has it all for those who do not want to take the traditional pain management route. “Our pain (relief) vape was developed to address any type of pain from very minor to severe. It works extremely well for people dealing with severe lower back pain and sciatic nerve pain as well as people dealing with Crohn's and colitis,” relays City Trees’ COO Don Decatur. “People have most commonly reported inflammation relief and relaxation of muscles and nerves. This blend is very relaxing and provides indica-like effects.” Depending on your tolerance, the relief can last anywhere from one to four hours. “Our Pain blend is extremely medicinal by design. The fun happens after you experience its pain relief and can go about your day or night like nothing ever happened,” says Decatur.
VIRTUE LAS VEGAS’ PRIVATE RESERVE INDICA HYBRID Popular with the medical community, Virtue’s Private Reserve Indica Hybrid is a potent strain with THC clocking in at around 32 percent. It is pungent and earthy and gives an overall happy, relaxed effect that relieves pain, migraines and insomnia. After the first inhale, it works its way through your body’s bloodstream eliminating the kinks in your body. It has been called a one-hit wonder geared toward those who are experienced smokers who suffer from chronic pain. As an added bonus, it works well for other ailments like restless leg syndrome and anxiety.
GENES GIVE SHAPE TO NEVADA HEALTH LANDSCAPE STATEWIDE HEALTHY NEVADA PROJECT ARMS RESIDENTS WITH GENETIC KNOWLEDGE OF BREAST CANCER
18
elevatenv.com | october
by Beth Schwartz
E
very year an entire month is dedicated to the awareness of breast cancer. That might seem like overkill if it weren’t for the fact that breast cancer is the most commonly diagnosed cancer in women regardless of race or ethnicity, according to the Centers for Disease Control and Prevention (CDC). In fact, while we are on the topic of overkill, breast cancer is the leading cause of cancer death among Hispanic women, and the second leading cause of death among Caucasian, African American, Asian/Pacific Islander, and American Indian/Alaska Native women notes the CDC in its Cancer Incidence and Mortality Data. As it relates to Nevada, the American Cancer Society estimates that 2,190 women will be diagnosed with breast cancer in 2019 in the state. ACS also estimates that 400 women will die of breast cancer this year in Nevada. However, the news is not all gloom, doom and death. The survival rate for breast cancer patients has improved. Four of every five diagnosed women in Nevada are now surviving the disease, according to the Nevada Cancer State Plan: 2016-2020 Refining Strategies for the Future of Cancer Control. The mortality rate for breast cancer has declined over the past decade due to earlier diagnosis as a result of improved screening and treatment that can help find cancer at an early stage before symptoms appear. Now there is a new weapon in the arsenal of Nevadans who are looking for additional ways to be proactive about their breast healthcare. Although this new healthcare tool delivers an array of sophisticated information about your genetic makeup, all it takes to get some helpful answers about your predisposition to certain diseases is as easy as spitting in a vial.
Enter Healthy Nevada Project. Launched on September 15, 2016, the Healthy Nevada Project is a clinical study that offers free genetic testing to any Nevadan interested in learning more about their health and genetic risks, including breast cancer. Funded by Reno-based Renown Institute for Health Innovation, the Healthy Nevada Project is the largest community-based population health study in the world. “The overarching goal of the project is supposed to understand what drives health outcomes and then hopefully to improve them. We are all keenly aware of having an extremely complex and bloated healthcare system in the U.S. serving some but not all,” explains Joe Grzymski, Chief Scientific Officer at Renown Health and principal investigator of the Healthy Nevada Project. “But the fact of the matter is we also don’t really have a good grasp of what causes some people to transition from being healthy to being sick and others not. “I always use the example when I am talking about genetics of someone like Keith Richards who has incredibly abused his body and yet still survives, and you hear about your friend or colleague who has passed suddenly from an unknown disease or sickness. So, we are aggregating all of these determined data, socioeconomics, behavior, environment,
results in a responsible and medically valid manner, walking study participants through the next steps. “It’s up to the study to educate and then hope the individual follows the recommendations of the licensed genetic counselor and goes to their doctor and says, ‘Hey doc, I have a BRCA 1 mutation. What should I do?’ “The hope here is to use this study to further bolster and embolden medical research in Nevada. Unless you live without any access to any media, health outcomes, health research, public health funding, mental health availability, almost every aspect of public health research—Nevada is at the bottom,” Grzymski grimly notes. “And so, doing something here I would argue is probably even more important because it’s going to help bring in new funding, it’s going to help bring in new research, help bring in new doctors—all of the things that are lacking. There is a much more comprehensive picture besides a population health study run by Renown Health and a faculty member at Desert Research Institute—the implications will trickle down to the Nevada health community.” [Editor’s Note: For those interested in participating in the Healthy Nevada Project, you must make an appointment at a designated UMC Quick Care office, fill out consent paperwork, and spit in a vial. healthynv.org]
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medical information when available, and then, of course, genetics and tying it all together to better understand what makes people sick and what keeps them healthy.” Since its launch in 2016 the total size of the study has reached about 45,000 people with approval to recruit up to a total of a quarter million Nevadans to participate in the Healthy Nevada Project before its completion. “You need a really good sample size to understand the links between all of those health determinants and factors I mentioned,” expounds Grzymski. Specifically, the Healthy Nevada Project is looking for the occurrence of inherited genetic variants in the state’s population that increase the risk of four diseases: Hereditary Breast and Ovarian Cancer Syndrome, Familial Hypercholesterolemia (FH), and Lynch Syndrome, a precursor to colon cancer. Hereditary breast cancer is associated with the BRCA genes, which stands for BReast CAncer gene. There are two BRCA genes that are being reported on by the Healthy Nevada Project: BRCA1 and BRCA2. Everyone has the BRCA1 and BRCA2 genes, therefore a pathogenic BRCA mutation can affect both men and women. Grzymski estimates between 1 and 250 and 1 in 300 Nevadans will carry a pathogenic mutation for BRCA 1 and 2. This study is important because screening for BRCA gene mutations most often happens after a person has already been diagnosed with breast cancer rather than before. For those who decide to get testing prior to any diagnosis the cost of BRCA testing is generally out of pocket and ranges from $475 to about $4,000, depending on the number of areas you are having tested. Grzymski and his team are tasked with getting Nevadans key genetic information before diagnosis. “What we are hoping will happen is if we screen enough individuals and we report and educate on those risks, they will follow guidelines and the overall cancer risks will go down in the population,” he explains. “And over time as we communicate with more and more people, we should see the proportion of individuals with those inherited risks, their outcomes improve. Of course, that’s the billion-dollar question because it will take time and we will need to follow these individuals over a significant period of time.” Individuals who participate in the Healthy Nevada Project study and consent will receive medically important results back. “Ninety-nine percent of the people in the study say ‘yes, I want to receive results’ and if they check that box and say ‘I want to receive results’ and they have one of those conditions, then we re-identify them,” says Dr. Grzymski. “It’s a really important part of the study to return those results and give people the proper information.” From that point the Healthy Nevada Project has a partnership with a genetic counseling company who has licensed genetic counselors trained specifically to return the
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Whether a patient is searching for a form of cannabis to help alleviate symptoms of anxiety or they are interested in finding a strain to help tackle symptoms of pain and nausea resulting from chemotherapy, the American Cannabis Nurses Association (ACNA) trains its members to advocate for their patients’ needs. With a mission of advancing excellence in nursing practice through advocacy, collaboration, education, research, and policy development pertaining to the use of cannabis for health benefits, ACNA was formed in 2006 during the Patients Out of Time Fourth National Clinical Conference on Cannabis Therapeutics in Santa Barbara, California. It was established as a nursing organization representing the emerging field of endocannabinoid therapeutics to professional nurses. While the organization does not directly help medical patients, they work indirectly by educating nurses, so registered nurses can empower patients to have conversations with their healthcare providers about using various forms of cannabis as medicine. With over 1,300 members across 48 states, the association helps patients by educating nurses, doctors, and the general public about how to navigate cannabis medicine. As cannabis quickly evolves into a rapidly growing field of medicine, the organization works in conjunction with other nursing organizations such as the National Council of State Boards of Nursing (NCSBN) to further educate nurses on patient safety and treatment. “With the discovery of the endocannabinoid system, cannabis has become a science,” explains ACNA’s incoming president, Eloise Theisen, RN, MSN, AGPCNP-BC. With science, there also comes regulations. According to Theisen, the NCSBN has issued guidelines to nurses who care for medical cannabis patients which includes recommending that all nurses become educated in cannabinoids, cannabis risks and benefits, and potential drug interactions. “The more educated nurses are, the more patients can access the plant safely and effectively,” says Theisen. “Nurses
American Cannabis Nurses Association helps nurses empower their patients to get the cannabis care they need By Andrea Heerdt
outnumber physicians five to one and [nurses] are the most trusted profession 17 years in a row. It is no doubt that the future holds a lot of promise for nurses who want to join the exciting new field of medicine.” As medical cannabis laws constantly evolve, ACNA helps medical professionals and patients navigate federal and state regulations to help determine which treatment options are available legally whether that is the use of tetrahydrocannabinol (THC) or cannabidiol (CBD). Theisen acknowledges there are some states that have enacted laws to protect medical cannabis patients. However, she continues, due to the fact cannabis is still a Schedule I drug ACNA cannot offer any protection for nurses themselves who use cannabis as medicine at the moment. “ACNA will be drafting a position statement as a way to advocate for nurses and patients who use cannabis and are still working,” offers Theisen. At the moment cannabis nursing is not recognized as a credentialed nursing subspecialty due to stringent regulations, according to ACNA’s website. However, the ACNA has developed and implemented an online core curriculum and competency exam for its members, so nurses everywhere can develop a strong understanding of the endocannabinoid system to best benefit the patients they treat and advocate for. This crucial step towards accreditation will help cannabis nursing become a new specialty area recognized by the American Nurses Association, and this recognition will not only benefit ACNA’s members, but it will ultimately benefit the patient populations and communities the organization serves. “Out with reefer madness and marijuana and in with the science of the endocannabinoid system and the healing properties of cannabis,” concludes Mary Lynn Mathre, RN, MSN, CARN, one of ACNA’s founding members. “It is exciting and rewarding to be a part of this major patient advocacy effort to end cannabis prohibition.”
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Fortune smiles on breast cancer survivor who found hope and healing through cannabis by Beth Schwartz
“It was out of a passion to help people,” explains Lucinda Mahoney, of founding Cannabella Kitchen in 2016, “but,” she pauses, “I never thought I would be the one I was helping.” Reflecting back Mahoney, 60, had absolutely no idea cannabis would play such an instrumental role in her healthcare story. “I just think it’s God’s way for me,” she says. “Steve, my husband, believes my call to cannabis was for this.” As CEO of Cannabella Kitchen, a boutique cannabis extraction operator and producer of edibles and topicals located in Carson City, Mahoney
oversees the development of a number of consumable and topical products that ended up becoming instrumental in her battle to beat an aggressive form of breast cancer. After being diagnosed with Her2+ breast cancer or “the nasty one,” as she calls it, in June 2018, Mahoney decided to immediately introduce cannabis into her treatment plan. “It took me six weeks to receive the chemo because of all the prep that was needed, and I felt I needed to take control and help myself.” Mahoney started by doing extensive research that helped her to formulate
the unconventional part of her cancer treatment. “I found medical studies conducted in Spain that concluded that the use of CBD and THC together creates a synergistic effect that killed cancer cells,” she says of the research of Dr. Cristina Sánchez, a molecular biologist at Compultense University in Madrid whose research has shown that cannabis kills cancer cells. As for her traditional treatment plan, Mahoney’s oncologist recommended that she undergo two types of chemotherapy every three weeks for six months. As well, her
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medical team wanted her to undergo immunotherapy for a year to deplete cancer cells associated with Mahoney’s Her2+ diagnosis. From the beginning, she let her physician know she planned to use cannabis. “I wouldn’t say she didn’t support it,” recalls Mahoney. “Her reaction was, ‘that’s not a federally approved drug.’” But Mahoney had done her homework and her goal in using cannabis to complement her traditional cancer treatment was twofold. “One to kill cancer cells, reduce the size of the tumor and, two, to help me manage the chemo’s side effects,” explains Mahoney. Based on her research, Mahoney found that she would need to take 500 mgs of RSO (Rick Simpson Oil) or concentrated cannabis oil per day. Of the 500 mgs, Mahoney says, “there was no way my body could process that. I was only able to get up
to 100 mgs a day and I had to step up to it slowly. Initially I could only take 20 and then 30 mgs and it was a slow climb. Even at 75 mgs I passed out because I stepped it up too quick. I am a lightweight. I essentially overdosed myself twice by taking it too fast.” Mahoney took RSO made specifically for her every night before going to bed. “I would wake up high and kind of cloudy. I hated that but by noon the effect was usually gone.” An essential ingredient added to Mahoney’s custom blended RSO was terpinolene, which is an anti-tumoral terpene found in cannabis. She also offers that “if you just buy distillate, it’s not full spectrum, the terpenes have been removed, it’s not going to help you. It’s about the synergistic way it works with CBD.” After taking RSO daily for six weeks, followed by one round of chemotherapy, and then three more weeks of RSO,
Mahoney had a manual exam and her tumor had shrunk by 75 percent. “I was over the moon that it worked that fast,” she says. “The oncology nurse who checked me at the second chemo appointment just looked at me and said, ‘What are you doing? Whatever you are doing, you are doing it right.’ She was very surprised, and I was very delighted. “So how much of it was the chemo versus the RSO?,” questions Mahoney thoughtfully. “I think it was a combination of both. The Spain studies indicate you should take the RSO concurrent along with chemo. It shouldn’t be one or the other. The pharmaceutical company that makes Herceptin would take full credit for that. I can’t really determine which it was.” At nine weeks Mahoney stopped taking RSO. “At that point I reduced my dose to manage for the side effects for the chemo. Then I pretty much stopped taking the RSO and started using edibles,” she says. “I used our (Cannabella Kitchen’s)
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Mahoney was clear. “All my scans are clear. However, due to the aggressive nature of the cancer I had, it has a high recurrence factor, so I am still on two immunotherapy drugs. One I will take for five years, one I will take for one year,” she explains. “Then I am going to restart another round of RSO to complement the immunotherapy. I still have residual side effects from the Herceptin and the chemo, I am still struggling with that, so I am waiting for that to all clear. I am 90 percent clear. In about two months I will restart taking the RSO just to help prevent recurrence because if there are any cancer cells in my body still, I want to continue to have the RSO do its job.” As far as recommending cannabis to others on a similar healthcare journey, Mahoney emphasizes that people should do a lot of research and consult with their doctor. “The bottom line is to consider cannabis as an option to supplement traditional treatment,” she
says. “I would never say to anybody to do it alone. And a lot of the information that is out on the internet is examples of people who just went the cannabis route and they have done fine but with my type of cancer, I would be dead by now. I would have had six months.” As for herself, prior to being in the cannabis industry Mahoney would have never thought to incorporate the plant into her treatment plan. “I was pretty far removed from it. I wouldn’t have even considered it,” she admits. “But through the process of starting the business, in the very beginning, I learned a lot. I feel very grateful that I came into the cannabis industry and had an opportunity to get educated on cannabis prior to this happening to me. I was then able to use cannabis to help me on my health journey. “I do think it was all meant to be. It just blows me away how it all happened.”
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10 mg lozenges to manage the mouth sores. I used our edibles along with CBD to manage the aches and pain of the chemo and I was still only doing 10 mgs a day. Sometimes I did 20 depending on how I was feeling. I also used edibles to help spur my appetite because during round five of chemo I had really lost my appetite. “Also, the chemo caused a lot of neuropathy and we have a neuropathy salve that I used for my feet, my hands, and my arms. I sound like an advertisement for my products, but they all worked,” she humbly offers. “I breezed through chemo compared to most and I know it was the CBD and THC that really helped me through that. So, regardless, whether it shrunk the tumor, it helped me with the mouth sores, the hunger and the neuropathy—there are just incredible benefits.” In July 2019, a year from initial diagnosis, it was concluded that
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Reader seeks advice on using cannabis for mother’s breast cancer treatment Dear Shoshanna, My mom has been diagnosed with breast cancer and I have been like a crazy person researching all of her options. I have watched so many TED Talks and YouTube videos from different cancer survivors who have beaten the disease using cannabis that I feel like it’s a route we should explore. But I can’t seem to find the definitive research I need to feel comfortable recommending that she try it. Her oncologist is fairly progressive so I thought he would be able to fill in the blanks on using cannabis, but he hasn’t been able to give us any advice. What do we do? Does cannabis kill cancer? Or should we just use it for the side effects of her chemotherapy treatments? Or is there a clinical trial we could enroll her in? It’s beyond frustrating to know that there could possibly be a lifesaving answer out there and I don’t know how or where to find it. Help! Dear Reader, I’ve told readers this before, and it could not be truer now— you are not alone and thank you for your question. About one in eight U.S. women (about 12%) will develop invasive breast cancer over the course of her lifetime. In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 62,930 new cases of “non-invasive” breast cancer (this means in situ, or restricted to the breast’s ducts or lobules, not its tissue). Invasive breast cancer is also not a diagnosis that men are immune to. Close to 3,000 new diagnoses of invasive breast cancer in men have been projected in the U.S. in 2019. A total of almost 42,000 women in the U.S. are expected to have died from breast cancer by the end of 2019, despite the fact that death rates have been decreasing since 1989 due to advances in treatment, earlier detection through screening, and increased awareness. For women in the U.S., breast cancer death rates are higher than those for any cancer, besides lung
cancer. And other than skin cancer, breast cancer is the most commonly diagnosed cancer among American women. While I would like to state that we are on to a cure for breast cancer using cannabis, that there are placebo-controlled, doubleblind studies that have revealed staggering correlations between the usage of cannabis and the shrinking of tumors, we’re going to have to back into this topic rather than plough ahead in any straight-ahead type of fashion. The reason for this is that, to date, there have been no clinical studies that have generated findings such that the FDA could validate cannabis’ effect on cancer cells. This is why physicians face serious obstacles when it comes to endorsing cannabis as a mode of treatment, let alone prescribing it. While there are myriad videos to watch on YouTube and anecdotal evidence you can find in the form of web-based testimonials, it is exceedingly difficult to suss out what is fact versus fiction, and none of it may be regarded as definitive findings that will be predictive of actual patients’ success using cannabis to “cure” their conditions. This does not mean there haven’t been thousands of clinical studies though, many of which have looked at cannabis’ effect on breast cancer, and there are a number of imminent and ongoing clinical studies that your mother could be eligible to participate in. So far, the absence of findings related to the ability of cannabis to impact the growth of cancer is not dispositive. Visit https://clinicaltrials.gov/ and search for either completed or studies that are currently recruiting patients to see if your mother is eligible. Another avenue worth exploring is what you’ve mentioned— treating side effects of cancer treatment. Anecdotally, we know that many patients find success treating their mouth sores using THC or, a 1 to 1 ratio of THC:CBD lozenges. Patients struggling
with neuropathy seem to benefit from using 1 to 1 ratios of THC:CBD in the form of pain salves. Appetite stimulation tends to find widespread success through the use of THC edibles/strains (which you can find a helpful review of in our September ’19 issue), not to mention these products’ ability to help patients fall asleep. Many find that their anxiety can be at least partially be alleviated by experimenting with CBD tinctures, which can be blended with a number of other herbs that are not controlled substances and can help on the complementary medicine side of treatments. General aches and pain resulting from chemo can also be offset by CBD tinctures or 1 to 1 THC:CBD tinctures, depending on what patients find packs the most powerful punch for them.
This is evidenced by a new phase of quasi-legality where CBD (cannabidiol, a cannabinoid of cannabis that is now enjoying legal status when it can be proven to be hemp-derived) when purchased in the form of Epidiolex, an FDA approved drug that is intended to treat epilepsy, is available to patients. Insurance coverage for drugs like this will even open up as more studies are able to conclusively prove the benefits of cannabis for medical purposes. Currently though, to your question, no drugs specifically intended to treat breast cancer have made it to market. So, participating in clinical trials, if and when you find those you are eligible for, are your best bet. As this can be a longshot while the scientific literature races to catch up to what many have been finding for themselves. Experimenting with what you find in licensed dispensaries is also an option. To help inform your decision-making, patients can do what you have done, and become an expert on information that is out there. This does not mean you assume everything you are reading, or hearing is reliable, but it does mean there are gates you can enter to begin educating yourself. One such source
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If you’d like to see findings from studies that have been conducted to research the efficacy of multiple cannabinoids that may be used either to treat people living with cancer generally, or to treat disease-related or treatment-related side effects, check out www.cancer.gov/about-cancer/treatment/ cam/hp/cannabis-pdq#_73_toc. This is a page that the National Institute of Health hosts for the National Cancer Institute and it provides a very accessible overview of relevant clinical research that’s been conducted so far. The catch is, again, that just because clinical trials have been conducted for a New Investigatory Drug (NID), that does not mean the findings have been such that the FDA has cleared this drug to the extent that it has reached the open (legal) market.
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that you may have already come across is Dr. Cristina Sånchez, a molecular biologist at Compultense University in Madrid. Her research into both the effects of isolated cannabinoids in response to various forms of breast cancer as well as the synergistic effects of utilizing whole plant therapies have been groundbreaking (search YouTube to find presentations she has given on this topic). There is also a treatment known as Rick Simpson Oil (RSO). This product was created initially by a Canadian cannabis activist named Rick Simpson, who, rather than creating a monopoly on the intellectual property he innovated, has encouraged people all over the world to replicate RSO in formulations that work best for them. This is a tricky endeavor, as it requires expert extraction methods which fall under the category of licensed cannabis activity even in jurisdictions (states) where cannabis is legal. It is also tricky because the hallmark of RSO is its high levels of THC, not CBD, which is still, as mentioned before, the only cannabinoid currently that has been granted an even quasi-legal status. (Note: when CBD is derived from whole plant cannabis, rather than hemp, it is still not legal unless we are talking about the one pharmaceutical company that has received FDA clearance for its CBD product, due to its status as an NID.) With that said, recommendations on RSO should be taken only in regard to formulations found in licensed dispensaries. This may not be as definitive an answer as you might have hoped for, but we are still in a phase where the distance we have to go before research institutions catch up to what can currently be found in dispensaries is significant, and although strides are being made, patients must still be stewards of their own health. This means reading everything you can, learning what websites can be trusted and which not, advocating for what you need when you are speaking with your physicians, and openly sharing what has worked for you or for your loved ones. As the medical community hears more and more of these stories, I believe they will feel it is incumbent upon themselves and the medical establishment to become more educated and informed about cannabis’ possibilities and the necessary research will follow. Should you have a question or ethical conundrum you have been struggling with, please drop Shoshanna a line at info@ elevatenv.com so she can offer her sage and practical counsel. Shoshanna is a partner and Director of Strategy for a national consulting firm in the cannabis space, Pistil + Stigma. She holds a Juris Doctor from Elon University School of Law, a Master of Arts in Holistic Thinking, and a bachelor's degree from Hampshire College. She is a true believer that compassion and critical thinking, together, are what drive positive social change.
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OUT WITH MARIJUANA AND IN WITH CANNABIS
New legislation creates structure for cannabis similar to Nevada’s world-class gaming regulatory bodies
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By Riana Durrett
While many Nevadans live, work, and play at casino resorts, it can be easy to take for granted Nevada’s exceptional skill at gaming regulation. Nevada has the best gaming regulatory structure in the world, overseen by the Nevada Gaming Commission and Gaming Control Board. Inspired by this world-class regulatory body, the Nevada Legislature and Governor’s office recently worked together to lay a foundation for a similar organizational structure in cannabis regulation during the state’s 2019 Legislative Session. The Nevada Legislature first introduced Assembly Bill (“AB”) 533 in the Assembly Judiciary Committee on May 21, 2019. The policy portion of the bill was presented by the Chair of the Committee, Assemblyman Steve Yeager; the Governor’s General Counsel, J. Brin Gibson, along with Governor’s staff; as well as the Department of Taxation’s Executive Director, Melanie Young, and Chief Deputy Executive Director, Shellie Hughes. While the budget portion of the bill was presented in another committee and received less attention overall, it is important to note this portion adds eight positions to the Marijuana Enforcement Division at the Department of Taxation. So, beyond the budget and replacing the use of the racially-rooted word “marijuana” with “cannabis,” what does AB533 do? In short, the bill creates a Cannabis Compliance Board and Cannabis Advisory Commission. Though these bodies won’t mirror the Gaming Control Board and Gaming Commission exactly, they will both draw inspiration from gaming regulation in several important ways. First, the Cannabis Compliance Board and Cannabis Advisory Commission are expected to focus on enforcement of the extensive regulations that govern the cannabis industry. Both are also expected to develop and maintain institutional knowledge and expertise in the cannabis industry. The Cannabis Compliance Board will also be supplied with post-certified peace officers who may conduct law enforcement functions against the illegal market in addition to their duties within the legal market. To follow are highlights of what to expect from AB533 as it is implemented:
CANNABIS COMPLIANCE BOARD ●
5 members appointed to 4-year appointments by the Governor ● Positions: ❍ A certified public accountant or a qualified expert in corporate finance and auditing, general finance, or economics ❍ An expert in investigation or law enforcement ❍ A Nevada attorney with knowledge, skill and experience in regulatory compliance ❍ A person with knowledge and experience in the cannabis industry ❍ A licensed physician with experience in public health or a psychologist, clinical professional counselor, alcohol and drug abuse counselor or social worker ● Status: Board members may not have a “pecuniary” interest in the industry, which means any economic interest ● Authority: The Board is authorized to adopt, repeal, or change regulations and to impose disciplinary actions on licensees
CANNABIS ADVISORY COMMISSION ●
12 members (8 of which are appointed by the Governor) serving 2-year appointments ● Positions: ❍ The Executive Director of the Board, who serves as the Chair of the Commission ❍ The Director of the Department of Public Safety ❍ The Attorney General ❍ The Executive Director of the Department of Taxation ● Eight members appointed by the Governor: ❍ A person skilled in cannabis cultivation ❍ A person skilled in retail cannabis ❍ A person skilled in laboratory sciences and toxicology ❍ A person skilled in cannabis product manufacturing ❍ A licensed physician experienced in medical use of cannabis (via practice or research) or who has
experience in public health or food safety A representative of a medical cannabis patient advocacy group ❍ A person with criminal justice reform experience, dealing specifically with mitigation of the disproportionate impact of drug prosecutions on communities of color ❍ A licensed Nevada attorney with experience in providing legal services to cannabis establishments or patients who engage in the use of medical cannabis ● Status: Members are not barred from having an interest in the industry because the purpose is to have participation by industry and non-industry stakeholders ● Authority: The Commission does not have authority to adopt regulations or impose sanctions, but rather provides recommendations to the Board
❍
SUBCOMMITTEES/STUDIES:
related to the effect of cannabis on public health. ● A subcommittee on public safety and community mitigation, which will review effects of cannabis on law enforcement, property, business and consumers. ● A subcommittee on the cannabis industry, reviewing market stability related to cultivation, processing, manufacturing, transportation, distribution, seed-tosale tracking, and products. ● A subcommittee on market participation, reviewing subjects including women-owned, minority-owned, and veteran-owned businesses as well as local agriculture. ● A subcommittee on preventing unlicensed cannabis sales. ● A subcommittee to review the role of local governments in cannabis regulation.
Guided by the blueprint of Nevada’s Gaming Control Board, the Cannabis Compliance Board and Cannabis Advisory Commission are poised to build on the state’s existing regulatory framework for cannabis. The cannabis industry is complex and thus requires thoughtful attention and active participation by those with experience in the industry. While it may take months or even years for the Board and Commission to mature, it will be poised to become a beacon for cannabis regulation similar to Nevada’s gaming model.
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The Chair of the Commission may appoint subcommittees to review various matters. These include: ● A subcommittee to review labeling, packaging, marketing and advertising of cannabis and cannabis products, including potency and any other issues
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Fall under the enchanting spell of a bewitching tale and Cosmic Muffin’s infused Pastries with Heart
35
Halfway between the sleepy coastal town of Pescadero and the upscale, art community Carmel-by-the-Sea, sits the now boarded up café. None can explain its sudden closure. Even back in its heyday, as a favored spot for the less than 1,000 residents of Davenport, no one knew its story. Except for Alexio and Tala, both of whom passed shortly after the opening of their niece’s café. During their brief time in Davenport, they were careful to keep the secret under lock and key. Customers, acquaintances, even her staff knew only that Serilda was one of the most talented and proficient canna-chefs they had ever encountered. Many took notice she lived a life devoid of parents, siblings or cousins, especially during the holidays. But their concerns were forgotten when Serilda would open her café’s doors to others without family attachments. Together they celebrated with feasts she prepared for them, allowing unasked questions to fade as they consumed course after course of foods they swore were enchanted. It was during her third year in Davenport when Dexter walked in. A photographer for a popular golf magazine, the pastel-painted café always caught his eye while he was traveling to the annual Pro-Am tournament. Yet he never stopped. This year, for some unknown reason, he abruptly pulled over. Being multilingual, he recognized the name of the establishment Magica Comestível Para Mãe was Portuguese for “edible magic for mom.” A rather odd name for a restaurant, he thought. Additionally, he found it strange that a Portuguese eatery, out in the middle of almost nowhere, was consistently busy. What Dexter would soon discover was that Serilda’s café offered only healthy and medicinal foods: Paleo, glutenfree, vegetarian, vegan and infusions of CBD and THC, in her bistro fare. Every sweet and savory dish was prepared with doses of healing herbs and spices, locally grown organic produce and proteins, along with her handcrafted elixirs. The taste and textures of Serilda’s preparations so pleased palates, folks came from miles away to purchase her gastronomical treats. Without that grassy or herbaceous aftertaste, there was no indication her recipes served as aides in the healing and coping of chronic pain, insomnia and inflammation. Even patrons with serious or debilitating illnesses, including those who didn’t foresee recovery, were momentarily distracted from their maladies while engaged in edible experiences at her establishment. The fact she was strikingly beautiful didn’t hurt business either. Born to a tall, blond, blue-eyed father and smallish, dark-haired Portuguese mother, Serilda was a stunning combination of the two. Tall and lithe with blond hair and large, almond-shaped eyes that were as dark as espresso. Serilda had arrived in Davenport on the windiest and most foggy of afternoons, she and her 1973 red Volkswagen almost blowing in. Planning only a pit stop to gas up, grab a raspberry iced tea and those peanut butter filled crackers she so loved, Seri didn’t really have a plan, only her dream of opening a canna-café. It was when the wind suddenly stopped and a stream of sun pierced through the mist that she knew Davenport was where she was meant to stay. Dexter never made it home after that year’s Pro-Am tournament. Though practically living together, Seri insisted
october | elevatenv.com 35
elevatenv.com | october
By Deborah L. Costella
elevatenv.com | october 36
they each keep their own homes. Explaining she sometimes needed solitude and, though Dexter said otherwise, he needed his. It had been five-plus years of this unmarried, semi-livingtogether arrangement which was not what Dexter truly wanted. After several of his marriage proposals were met with “we’ll see, what’s the rush, why fix what isn’t broken,” by Seri he decided to make one final attempt. An interactive proposal might bring him the answer he was looking for. One afternoon, Dexter relocated Seri’s household security cameras throughout the kitchen. Setting clues in places he was sure she would find them he created an intricate scavenger hunt. Upon opening the refrigerator to hide the final clue in a crisper drawer he saw multitudes of sparkling dust bunnies floating around inside. Dex shook his head, shut the fridge then reopened it. The fairy-like dust was gone. Shrugging it off, he looked around satisfied he had arranged things certain to lead Serilda to the “right” answer. The cameras would allow him to watch her adventure unfold while recording the proposal for their viewing enjoyment in the years to come. That evening after dinner and a movie Dexter announced he was going to bed. Seri, as anticipated, stated she wanted to do some meal prep and would join him later. After several minutes huddled under the covers, Dex opened the app to view the security cameras. Proud he had thought to place the first clue inside a mixing bowl she frequently used, thereby leaving nothing to chance. That was until he saw what Serilda was actually doing. To his astonishment, she wasn’t prepping at all. Instead, Seri sat on a kitchen stool, feet up, giving herself a pedicure. Meanwhile, a mixing bowl, one he didn’t recognize, was on the counter, a whisk standing straight up inside of it. Seri spoke some words he didn’t understand and suddenly the whisk began spinning itself round and round, splats of batter smacking against the backsplash. Eggs jumped from the carton onto the edge of the counter cracking themselves. Yolks and whites leapt from their shells directly into a measuring cup. Seri looked up, did a sing-song of more strange words and waved her emery board as if it were a wand. Instantly several buds of cannabis snapped themselves into smaller pieces then rolled, single-file onto a piece of parchment paper. The paper then flew through the air like a magic-carpet, landing on a sheet pan. Crazier still, the dishes he’d put in the dishwasher after
dinner were rearranging themselves in the way Seri had told him, countless times, she preferred. Dex sat mesmerized. He recounted that strange sparkling dust in the refrigerator. Then it dawned on him, whenever someone asked Seri how she created such uniquely tasty and effective edibles she offhandedly replied, “It’s magic. I'm a sorceress." He always assumed she was teasing. Politely keeping her canna-culinary secrets, secret. Now seeing this, Dexter wondered: Is it true? Is Serilda a sorceress? Sitting up he strained to hear sounds consistent with what his eyes were seeing. Dexter’s stomach began doing flipflops. Fear mixed with excitement percolated through his veins. He thought about those times he’d asked Seri where she grew up and why she was so alone in the world. She either redirected the conversation or answered with another question. Once she had told him about an aunt and uncle, Alexio and Tala, who cared for her when she was a child. They had taught her to cook and how to select the right herbs and spices to use for healing. Unable to contain himself, Dexter climbed out of bed and tiptoed to the kitchen. Wordlessly, he stood beneath the arched entryway watching. When Seri finally looked up, his questions began spilling out like beans dancing the samba on their way out of a bag. Serilda set down her emery board and smiled meekly. As always, her beauty momentarily quieted Dex, distracting him from his thoughts. Regaining his composure, he began shooting questions at her. She couldn’t lie. He had seen too much. Worse, he had it all recorded on his phone. Seri had no choice but to tell the truth. Dexter sat in disbelief as she told him how her aunt and uncle had taught her the art of sorcery and potions. She then swore him to secrecy. Dex promised he would tell no one. But he didn’t keep his promise. Dexter began sharing tidbits of Seri’s talent, calling her his “witchy woman.” Boasting that was how she created her enchanted edibles. It didn’t take Seri long to find out he had breached her confidence. Angry, Serilda told Dexter she needed time alone. That night Seri crawled into the small, dark space under the stairs, lit some candles and incense then chanted words to conjure up the ghosts of Tala and Alexio. There was no need to catch them up on what had recently transpired. They knew. Seri asked for guidance regarding the situation. As the two incorporeal beings floated above her, they gave her the remedy. There was only one. The next evening Seri arrived home to find Dexter sitting on her couch, a bouquet in one hand and a card in the other. She
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october | elevatenv.com 37
approached him, kissing him long and hard on the lips. He took this as acceptance of his apology. Seri suggested they enjoy a nightcap and a little snack. With her back towards him she prepared two Kentucky Mulled Ciders. An ounce of bourbon in each mug, she added some warm infused apple cider, a pinch of allspice then garnished each drink with a cinnamon stick and sliced orange round. It was one of their favorite autumn cocktails. Dexter’s mug had four drops of a truth potion. After handing him his drink, she asked why he had broken his promise. Slowly sipping the fragrant beverage, Dexter explained he hadn’t meant to. It was an accident. Seri exploded. How can telling someone else’s secret after being asked not to, be an accident? His explanations were honest but banal, angering her even more. Seri gathered herself remembering Tala’s words and offered to make him the snack she had promised. Alone in the kitchen she prepared some Pastéis com Coracao, crispy crescents filled with hearts of palm, artichoke and olives, and infused with her magical marijuana. Then she cast a life spell over them. She whispered words spoken in an ancient tongue: “Ye once knew the memory we hold – But with this spell – So strong and bold – The memory is gone – Without a trace – Found nowhere near the human race.” Re-entering the living room, Serilda found Dexter on one of her beanbag chairs. He missed her menacing smile as he gobbled down the Pastéis. After eating and finishing their drinks they made love on the floor. As was customary, Dexter fell asleep afterward. Seri had long left for work by the time he woke the next morning. Dexter scrambled to his feet. Not recognizing his surroundings, he ran outside. Panicked he walked quickly, to where he didn’t know. He just kept walking until he was out of town. That afternoon, uncertain who Dexter had told and who he hadn’t, Serilda recited the same incantation over every muffin, sandwich, bowl of soup and beverage she sold that was infused with her magical marijuana. Soon, not a single customer of her café remembered what they had been told about Seri or her powers. But she had gone too far. Locals dining at the café began losing their memories, forgetting what they knew about Serilda and their relationship with her. It didn’t take long before her business dissipated unlike the dense fog that hung over Davenport that week. She had been warned. Tala and Alexio told her this could happen and she should prepare. Seri assembled her belongings, closed accounts and finally the café. By the time she climbed into her Volkswagen, Davenport was eerily quiet. Folks still lived there of course, they just believed they had recently relocated, were meeting new neighbors, starting new jobs. It was a fresh start for everyone.
COSMIC MUFFIN’S INFUSED BRAZILIAN PASTÉIS COM CORACÃO
(Pastries with Heart)
1 Tbsp. salt 1 Tbsp. infused grapeseed oil 1 Tbsp. Cachaca or white rum
PROCESS
In large bowl, combine flour and salt. In separate bowl, combine water, oil, vinegar and Cachaca. Make a well in flour mixture then slowly pour in wet ingredients. Use one hand to incorporate flour into the water, as you would when making pasta, until dough comes together into a ball. Pour out onto a floured surface, kneading dough until smooth and elastic. Shape into a disc, wrap with plastic wrap and allow to rest for 30 minutes.
INGREDIENTS FOR FILLING
1 Tbsp. infused olive oil 1 shallot, minced 14 oz. hearts of palm, chopped ½ cup canned whole tomatoes 8 oz. canned artichoke hearts, chopped
salt and pepper to taste infused oil for frying
PROCESS
INGREDIENTS FOR DOUGH 3 cups flour 1 cup warm water 1 Tbsp. white wine vinegar
¼ cup parsley, chopped 8 oz. shredded mozzarella cheese
2 Tbsp. canna-butter 3 cloves garlic, minced ¼ cup half and half ¼ cup flour ½ cup olives, chopped
In large skillet, over medium setting, heat olive oil and butter. Add shallot and cook until fragrant, then add garlic. Whisk in flour and cook about 5 minutes. Whisk in half and half, cooking until sauce thickens. Use your hands to crush tomatoes directly into skillet along with hearts of palm, artichoke hearts and olives. Season to taste with salt and pepper. Add parsley.
ASSEMBLY
Divide dough into half. Roll one half into 9” x 12” rectangle. Cut 1012, 8” circles and set on a parchment-lined sheet pan. Place a mound of shredded cheese and filling in center of each circle. Dampen one finger with water and dab along edges of dough circle, then fold in half to seal. Repeat steps until all dough/filling has been used. Set pastéis in fridge about 20 minutes – uncovered. To cook; heat infused grapeseed oil in heavy pot to 350°. Fry pastéis in batches, about 2 minutes, until golden brown, flipping once. Drain on paper towels. Serve immediately.
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Visit a shop to purchase special PINKtober items and support the National Breast Cancer Foundation
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elevatenv.com | october
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After 11 years of solving mold issues for homes, resorts and hotels up and down the East Coast, an email from out of the blue brought Mold Medics to cultivators in the burgeoning cannabis industry. Two years ago, Don Holler, managing partner of Mold Medics Global, received an e-mail request from a cannabis grower in California who asked for more information on Holler’s plant-based, organic mold remediation product; more specifically its application on cannabis plants. The grower explained that he had eight plants rejected by a state inspector for aspergillus contamination. He was concerned he might lose his whole crop. Knowing the product performs well against aspergillus, botrytis and most other black molds, Holler shipped him a case of Mold Medics, a fogger can product, and urged him to do his own testing. After two applications, the plants were retested and seven of the eight passed. “The rest is history,” says Holler, who adds that a lot of state testing, samples to growers and several trade shows have contributed to the growth of the business in California to over $250,000 in just six months.
october | elevatenv.com 43
Mold Medics fills niche in growing arsenal of successful cultivators
Because a product is ecofriendly, purely organic and virtually edible does not mean that various state EPAs will allow its use. “Many of our customers are using it as a preventative and protocol application between grows,” explains Holler, who notes Nevada’s EPA is still testing Mold Medics for its use on plants, and it has also been approved as a cleaner n California. The unique application and ingredient makeup of Mold Medics is simple to understand and key to the product’s success. Mold Medics active ingredient is cultured from mold and blended with eight other items. A chemical change actually takes place in the mold and converts the protein into harmless amino acids and peptides. “We are and have been the only real ‘all-natural’ solution for mold remediation,” says Holler of Mold Medics major selling point. “With the growth of compromised immune systems, our East Coast Residential Division has posted banner years. I can only hope our success story gets out to the cannabis, commercial and automotive markets.”
Cooking Cannabis BLAZ’N SPOOKY CIDER by chef Celena Esquer, a.k.a. the Blaz’n Chef, cannabisfreshfoods.com Turn up the ghoul factor this All Hallows' Eve with chef
Celena Esquer’s Blaz’n Spooky Cider. She has infused one of fall’s most bewitching staples with a bit of magic to create a tasty libation for adults to enjoy while the kids are out trick or treating. This delicious elixir will warm your soul while putting you under an enchanting spell.
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elevatenv.com | october
CIDER INGREDIENTS: 12 apples of choice (I used red, green, and gala apples) 1 orange 4 cinnamon sticks 2 tsp. whole cloves 1 tsp. allspice 1 gallon of water 2 tsp. vanilla
CIDER INSTRUCTIONS:
SPOOKY APPLE INGREDIENTS (MAKES 8 SCARY FACES):
Wash apples and cut in half. Core out apple seeds. Peel orange and split in half. In a big pot add 1 gallon of water, apples, orange, cinnamon, cloves, and allspice. Boil until apples are falling apart. Set aside and cool. At this time stir in vanilla. When cool, use a cheesecloth and line colander with it to strain ingredients.
1 Tbsp. salt 1 cup lemon juice 4 apples
SIMPLE SYRUP INGREDIENTS:
Cut apples into halves, and peel. Using a melon baller core out apples and remove seeds. Using a small paring knife, carve spooky faces (it’s like carving a pumpkin, have fun!). In a small bowl add salt and lemon juice to soak scary apples for 1 minute. Line baking pan with parchment paper and spray with nonstick baking spray. Place spooky apples on baking pan and bake for one-and-a-half hours at 300°F.
1 cup water 1 cup organic honey 2 tsp. sliced ginger 2 grams distillate
SYRUP INSTRUCTIONS: In medium saucepan add water, honey, and ginger. Mix and simmer on medium heat reducing that for about 30-35 minutes. Be sure to stir frequently to avoid overcooking. After 25 minutes, add distillate and reduce heat to low and continue to lower for remaining 10 minutes. When done, set aside and cool.
SPOOKY APPLE INSTRUCTIONS:
SERVING INSTRUCTIONS: Fill your favorite mug with cider and stir simple syrup to taste. I recommend 2 tsp. per 8 oz. cup. Don’t forget to add the scary apple faces to your cup. May be served hot or cold. Happy Halloween! Enjoy!
Please remember when cooking with medicinal cannabis you are cooking with a medicine and the medicine amount and portions of the food ingested should always be taken into consideration. Always start out with small portions or doses and wait 30 minutes to an hour before eating any additional portions of food that has been medicated.
TM
Floravega is proud to announce our partnership with the Ink Ribbon Foundation! This October, Floravega will feature special edition pink and black 4Grammer jars, a portion of each pink and black 4Grammer sale will go to the Ink Ribbon Foundation which works directly with breast cancer survivors in the Las Vegas area to provide beautiful mastectomy scar cover up tattoos or areola restorative tattoos. We look forward to working together and hope you will all show love and support while enjoying our flower during the month of October. For more info, check out Floravega.com or InkRibbonFoundation.com