Climate change seems to be increasing lake effect snow

In future decades the winter season is expected to start later and be shorter with more lake effect snow later in the season. In the meantime we seem to be having more lake effect snow earlier in the season. Lake effect snow occurs when cold air passes over a warmer body of water such as the Great Lakes of the midwest region. Read more: https://weather.com/science/environment/news/2017-11-27-climate-change-global-warming-lake-effect-snow-winter-weather

Tis the season for snow tires and driving more slowly. Slick roads makes it take longer for your own and other cars to stop and trying to stop to abruptly can increase the risk of skidding or swerving into other lanes of traffic or off the road. Staying home can be a good idea even if you are familiar with driving safely in snow conditions – others on the road may not be used to the difference. If weather conditions are severe in larger urban areas where roads tend to be congested and travel fast then it would be helpful for businesses to close early or start late and allow workers to avoid more dangerous driving. Fewer drivers on the road is safer when roads are slick and/or visibility is poor.

Having windshield wiper fluid and an interior defroster that functions well is important for visibility when snow is icy or sleet like. Turning on your headlights even during the daytime is helpful during snow or foggy or other poor visibility weather conditions in order to help other drivers see your vehicle. If you are traveling significantly slower than typically posted speed limits it may also be helpful to turn on your Hazard light which makes both turn signals flash on and off and increases visibility of your vehicle.

Driving slower is the easiest way to help maintain control of your vehicle during slick conditions which can include heavy rainfall. Driving 55 instead of 70 is sensible with any snow conditions, add ice or heavy rainfall and driving 35 may be safer. If that is still feeling like the car is ice skating then pulling over and waiting out the weather may be safest. Hydroplaning of the tires can occur when there is a lot of water on the road and it makes the tires lose contact with the road and the road surface will act like a slick ice surface. Pulling over and stopping is safest during very heavy rainfall or when the roads are too icy. Snow itself can give some traction to the tires but if there is blowing snow or heavy snowfall then pulling over is also wisest as it can be difficult to see where the lanes are or even where the side of the road is located. Pulling over is more fun then spending time in a ditch or in a hospital. /Disclosure – I have driven in a lot of bad weather and slid off the road a couple times, pulling over and waiting is more fun./

Some simple driving tips for snow and ice conditions are available here:  https://www.edmunds.com/car-safety/driving-on-snow-and-ice-10-safety-tips.html

Some other tips in case you have to pull over in bad weather are included in a recent post: http://transcendingsquare.com/2017/12/03/traveling-shows-the-beauty-of-our-land-and-people/

Additional emergency equipment that can be helpful where snowfall is frequent is to keep a small garden shovel and bag of cat litter in the trunk of your car. They can be very helpful for getting the vehicle unstuck from minor snow bank or snowy parking lot type issues, the shovel helps you dig out around the tires and the cat litter adds traction to the slick areas under the tires. Over spinning your tires tends to create icy areas under them and make it more difficult to gain traction. A driving companion or passerby can be helpful to be able to push the car out of the snowbank.

The supermoon was a bright companion on a recent journey, helpful for lighting the road:

 

The Supermoon, 12/1/2017. space.com
The Supermoon, 12/2/2017.

/Disclaimer: This information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes./

Traveling shows the beauty of our land and people

Morning light shines bright.

Brilliant light shines across the land and ideas can also be shared. Traveling has shown that many caring people share time and energy to build a healthy and strong nation. We do have needs for shelter and food as many are left with insecurity. Dedicated groups and volunteers are working hard to help.  Awareness of need may also be necessary before those in positions of power shift policies to be more supportive of those who are living without houses or apartments or with too little food.

For those who are houseless but who do have a car a simple solution for slightly more comfortable sleeping is a platform in the backseat.

My backseat made into a sleep platform, it is important to keep everything below the level of the backseat head rests for best visiability of the road behind you.

Three plastic tote boxes, slightly taller than regular size totes, but with one narrower than the regular size, fit neatly across my backseat. Topping the storage bins with an 1/2 inch thick exercise mat and a camping mat made a slightly more comfortable cushion but I also needed to add a pillow on top of the narrow tote as it was slightly shorter than the two full size totes. A comforter on top of the exercise mats added a little more comfort and a warm, cold weather rated, sleeping bag allowed me to stay warm at night without needing the car to be running.

The larger size totebox and the green camp mat which is firm and the blue exercise mat which is softer. the edge of a pillow is in pink on top of the smaller totebox.
All the layers of the platform need to be able to tuck in securely at the edge in order to close the door. The camp and exercise mats are longer than the backseat and are curled up slightly on each side. Cutting them to fit the car would be an option and the extra pieces could be taped to the lid of the shorter totebox if desired. However leaving the mats alone leaves them available for use in a tent or on someone’s spare room floor. Buying one extra of the firmer camping mats and cutting that to fit the tops of the totes, one layer smaller to fit within the handle area and one larger layer to cover the entire surface would likely improve the comfort, Duct tape in classic gray or fashion colors could secure the layers to the totebox.

The sleep platform is not as comfortable as a bed but it is more comfortable than trying to lay on the backseat or sit in the front seat with the seat leaning as far back as it can go. The platform makes the top of the backseat a pillow and is level enough with the top of the front seats to stretch legs out and over them. It is not a solution for someone who is tall or large however as some flexibility is needed and the area is still compact. I’m about 5 feet 6 inches tall as a reference.

For someone living houseless – working and living out of their car it might be a solution to consider trying as the tote bins and exercise and camping mats were fairly inexpensive, less than ten dollars for the totes and around $15 for each of the roll up foam mats. The cold weather sleeping bag was around $30 and I wore a hat for additional warmth as the temperature did drop below freezing.

Areas where rapid employment occurred had problems with inadequate housing being available for all of the new employees and other areas are simply very expensive even with a reasonable paying job. Others may have lost employment that covered the expense of housing but still own a car. Innovation sometimes means looking at things in a new way. When I was young my family traveled with a larger vehicle that had a platform in the back and being shorter as a child I could stretch out on it and sleep during long car trips – seat belt laws at the time of my earlier youth didn’t require riders in the back of the vehicle to wear a seat-belt, only front seat riders. The platform I built out of tote bins can be used for storage and sleep when the car is stopped. It would not be legal at this time to ride without a seat-belt.

The area created by the platform would be unlikely to be large enough for two people but for a solo driver it could also be handy in case of emergency stops or for a brief nap on long journeys when a hotel is the planned destination. Drowsiness can be a danger especially with the busy and fast pace of the traffic that occurs in many areas. Adequate sleep is also important to support health and the immune system.

A few tips for staying awake and early warning signs for when it is time to pull over:

  1. Warning sign: Eyes starting to squint and droop more often and they may possibly be dry and itchy from the forced air of the car heater.
  2. Tip: Being overly warm can increase sleepiness, an additional tip to the previous list would be open the window for a blast of cold air if you’re in a cold area or turn up the air conditioner if you’re in a warm area.
  3. Tip: Pull over and take a brief nap, 15-20 minutes can help. https://www.webmd.com/balance/features/the-secret-and-surprising-power-of-naps#1
  4. Tip: Or pull over and switch drivers if that is possible.
  5. Tip: Get a snack that isn’t too sugary or overly rick with fat calories which can make too much work for the digestive system. Caffeine from coffee or other caffeinated beverages can help but are not enough to combat a real need for sleep. https://www.livescience.com/55101-caffeine-does-not-help-sleep-deprived-people.html Choosing a sugary snack may give an initial boost of energy but can wear off and leave you more sleepy. A protein rich snack such as a protein bar or trail mix with nuts or seeds may help with alertness for a longer time. https://www.webmd.com/sleep-disorders/features/myths-facts#1
  6. Tip: Get some exercise, pull over for a brief walk. Warning sign:  If the exercise worked for a while but then you notice yourself losing some physical coordination or are stiff and sore. You may notice yourself letting the car drift to close to the shoulder of the road and are hearing the rumble strips along the side more often.
  7. Warning Sign:  The snack worked for a while but then the eyes started to droop again and maybe blink shut a few times – pull over because a rollover accident would be horrifying for you and any other travelers in your car or on the roadway. I have fallen asleep at the wheel before and woke up to the sound of the rumble strips. I over corrected at the sound and ended up flipping the car instead of smoothly getting back in the lane – I walked away with only a few bruises but the car was basically totaled from necessary bodywork. I also learned that it is good to have luggage and loose items secured in zipped or covered bags as loose items will also whirl around in the rolling car – it felt like being in a blender maybe – not an experience to repeat.
  8. Tip: Know your own limits and have the strength and courage to speak up for yourself. I was driving in a convoy of sorts and the other driver wanted to press on. I tried the cold air method and the snack method and did recognize the droopy eyes and I should have just pulled over. This was in the days before cellphones existed but sorting out travel plans later would be better than falling asleep at the wheel.  Several books including this one helped me to improve my ability to recognize and speak up for my own needs: Butler G., and Hope T., Managing Your Mind: The Mental Fitness Guide, (Oxford University Press, 1995, Oxford or New York) [2007 edition, Amazon] It is written in sections, encyclopedia style, so a reader can choose from the Table of Contents the particular topics that sound most helpful to their own situation.

Thermal blankets are available that are very compact if a full-size sleeping bag wasn’t desired. More detail on warmth and a link for an emergency kit is included a little later in this post.

I’ve been traveling the last couple of days and got a new Garmin GPS device for the trip. Seeing more of the country has been a goal for a while and seeing if there is interest in my research has also been a goal. Update, while I didn’t find any direct support of my research work I did find that interest in the topics I write about seems to exist – and I got a better idea of what people are interested in the larger world than I had been inhabiting. seeing the country is beautiful and a little nerve wracking but the technology of the new GPS device is better than an early model I had used in the past.

Overall the GPS device helped me drive across the country quicker than I expected the trip to take but I also put my habit of not sleeping much to work by driving part of the night in addition to the daytime hours. The roads are less busy and I am not used to the fast pace of crowded multi lane highways. My own miniature hotel was my back seat with the soft platform. It allows me to stretch my legs out to be able to be slightly more comfortably than the width of the car allows laying directly on the backseat. The platform might look silly but it’s fairly comfortable. Never fear hotels, your business is likely safe because it’s not that comfortable either. But pulling over when tired is important, sleepy drivers can be a danger to self and others. The strategy was particularly useful though when an ice storm caused a highway closure, there are far more semi trucks on the road than I would have guessed when you see them all lining up as they also arrive at the blocked section of highway and have to pull over somewhere along the side of the highway or Truck Stop parking area.

Truck Stops have some convenient features I discovered while waiting during the second stop. One section of highway was closed during the night due to the stormy weather and ice rink like road surface and another section was closed the next morning due to the number of accidents that required towing before that section of highway could be reopened. While waiting during the middle of the night stop I wrote out a few ideas for making luggage carrier/platform units that could be handy for a business or other frequent traveler in case they too were stuck somewhere or just needed to pull over for a short nap. The platform is more comfortable than sitting upright in the front seat but it isn’t really comfortable enough for a regular night’s sleep – so again don’t worry about your industry’s business hotels and motels – even if my luggage platform idea got produced it would be for the occasional use of a frequent traveler, similar in a way to the home on wheels that semi-trucks contain for their driver’s comfort and convenience.

With the sleeper platform I already have a hotel on wheels just like the semi truckers but with limited comfort and you have to keep the engine running for warmth in cold weather. Even with a blanket along temperatures can drop dangerously low if someone fell asleep for long, the cold weather sleeping bag allows you to stay warm in more extreme temperatures. Sleeping bags have temperature ratings on the label and I choose the warmest available – 0-30’F. It is a good idea to bring along a few emergency items in case you get stuck or stopped somewhere. Thermal metallic blankets are available that fold very small but retain heat well if needed in an emergency. rei.com/ultimate-survival-technologies-featherlite-survival-kit

It is also important to shovel snow away from your exhaust pipe if you are stuck in a large pile of snow. The car exhaust can back up and cause poisonous levels of carbon dioxide to build up in the car. That might send a passenger to sleep forever.

My GPS device has been very helpful for navigating the complex highway and city streets.

My car did suffer some damage while traveling but I was not harmed. I do need to get more car repair work done and am retracing my travels to check in with family for the holiday season and save on hotel costs while the car repair work is completed, I can’t sleep in the car if it is in a repair shop after all – at least that’s the plan, I’ll keep trusting my GPS device to guide the way.

A lookout point somewhere in the mountains of California or Nevada or Utah- there are a lot of beautiful mountains across the region and sleepy driving is particularly dangerous on the tight S-curves.

Disclaimer: Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.

 

Marginalization and Violence

Studies on random violence and terrorist acts have found that individuals and groups who are marginalized may be more at risk. Persecution and humiliation and child trauma or neglect was more common in the history of people arrested for a violent crime. The recent death of a peaceful protester in Charlottesville is tragic for the family and community, and the nation. (bloomberg.com/2017-08-14)

We are becoming even more divided since the difficult campaign season but marginalizing young adults may just lead to more violence. A group that has appeared to be supportive of or producing the Nazi themed memes  has a petition up to help save them from oppression, whether it might be satire about saving Pakistan is unclear. (change.org/p/the-recognition-and-freedom-of-the-kekistani-people)

of-the-kekistani-people)

Update, 8/18/2017, I’ve looked into this group further and it does seem to be a satire group whose artwork got taken up by other extreme right wing groups.. Their group’s name and artwork was not visible in any of the video footage that I saw of the event at Charlottesville. And a police officer has stated that the event may have been allowed to happen as a political move to show that the current administration is inciting violence. If the police officer is correct than the Charlottesville administration was the ones inciting it, but they deny it. Snopes has a debunking statement up about the police officer’s claim. Ever since the site debunked a story by suggesting it was simply a math anomaly I’ve been suspicious of their results – yes odd math happens but that is not a “debunking” – you’re not supposed to simply throw out the unusual experimental results simply because they fall at outside of the 98th percentile. See this article:  (yournewswire.com/charlottesville-inside-job) there’s a Snopes factcheck of it that says its false: (snopes.com/were-police-told-stand-down-charlottesville)

Young adults who are just looking for recognition and freedom from “normies” may need more variety of role models to follow. When “normal” society is the bad guy and Trump is the savior figure in the artwork – we all have a problem.

There are a few articles on my website about Zionism and World War II but the information is not in support of Hitler. Anti-Zionist at the time of World War II included Jewish people, such as Albert Einstein. There was collusion between Hitler and the Zionists at the time which may have left more of the non-Zionists Jews at risk for the concentration camps while a few left early for Palestine and they were allowed to take their possessions.  It all may involve banking and the national monetary system that Germany put in place after WWI cost them a large amount in reparations. History is complicated and the winners write the books.

I’ve been working on a health information website, a directory of links to other resources with narrative about their value. It started out as an example of a policy manual for preventing harassment and discrimination in the workplace.

Violence is bad, um’kay.” (A paraphrase of a line from Southpark.)

The footnotes aren’t renumbered for this yet, either. but here is a section regarding random violence and humiliation of others. When one is singled out for persecution it is warning all the others in the group and other marginalized groups, that if they aren’t careful then they could get the same treatment – so follow the group’s expectations – their norms. As a medical marijuana patient I’ve been in a marginalized group and the expectation has been to quit being an addict and take part in the business world and social community. I can’t. I’ve tried many times and my health keeps getting worse when I try.  It’s proven to me even more how important it is for my health.

Policy manuals can set consistent standards and be shared quickly. My own role as an administrator included many of them because I worked in a rural area with a small caseload and small budget for staff. As the main Program Coordinator I was responsible for several and then I also had the roles of “Nutrition Education Coordinator,” “Breastfeeding Coordinator,” and “Outreach Coordinator” – it doesn’t fit on a resume line let alone look good in a Human Resources interview. Each role had manuals to keep up to date, and it being a large rural area, I had four sets to keep up to date, one for each of four locations that the same few staff traveled too. Seven years later can I remember them? The names aren’t right, but, 1. the main State/Federal Policy Manual; 2. the Local Agency Policy and Procedures Manual (I had to write that one with our local methods for required policies and procedures); 3. AnthropometricLab & Clinic Standards Manual; 4. Civil Rights Training Manual; 5. Outreach Manual; 6. Nutrition Education Lesson Plan Manual with examples of all the handouts used, this was mostly original writing also, with some lessons and handouts from the state or other local agencies; 7. the Breastfeeding Manual; 8. the Coupon Inventory Log; and 9. the Equipment Inventory.

I loved my job – what I really did was measure babies and children, poke fingers for iron lab tests, assess nutrition, and income and social needs, as well, and provide education and counseling guidance as needed and enter it in the computer and print out food coupons – with few staff available I worked clinics by myself sometimes or with one other person to help. Updating policy manuals or even reading them was spare time work for at home in the evening, unpaid, or occasionally approved overtime on a weekend for an end of the year report or audit. With few staff it is difficult to make time during a work week for much besides the ten to forty clients I might have seen in a day.

The following is an excerpt from a book about policy manuals – exciting:

9.4: “Running amok,” “going postal,” or “a red stapler” moment.

Creating a pleasant work atmosphere where people feel safe from unfair persecution or humiliation may help prevent sudden violence where people who had seemed like quiet average people snap and try to harm others.

The sudden outburst of violence is not that common and is not about a serial killer who is concealing themselves as average among peers, or the manipulative and charming boss with a narcissistic, sociopathic, or psychopathic side. A random violent outburst more likely might be the hard worker who finally reached a “camel straw” moment – the proverbial final straw added to a load that makes the already overloaded camel’s burden too heavy for it to carry any further.

Verbal and physical intimidation are more common problems in the workplace; and not reporting problems is also common. When is problem behavior serious? Or when is joking and teasing and pranks approaching harassment?

  • More information and guidance about workplace violence, and examples of common situations in Canadian workplaces is available at violenceautravail.ca/Understanding violence.  The site includes a list of “Examples of Workplace Violence:  being threatened with death or injury; getting hit or pushed; having an object thrown at us; being subjected to sexual touching and sexual assault; being scratching or pinched; being spat at; being yelled at; receiving threatening messages or emails; being ridiculed or humiliated; being threatened physically (for example, being shown a fist); having our property damaged. (9.105)

Labeling situations as serious and reportable may help an employee see that what they are experiencing is “bad enough,” and that they should seek help before anything “really serious” happens.

Labeling emotions can help to recognize when they are starting to build in one self or others. Unrecognized emotions may be more difficult to control because they are unrecognized but are uncomfortable and may lead to agitation and gradually build to more intense out of control anger or fear.

Running amok” is an older term and “going postal,” is a newer term for sudden violence. A “red stapler” moment is a reference to a movie from the 90’s that became an instant classic among disgruntled workers everywhere: Office Space.

  • If you happened to missed it, then if you would just go watch Office Space, “That would be great.” (9.79)
  • Or go read this article about it: 20 Things You Might Not Know About Office Space (9.80)

The movie Office Space shows all the “do not do this to your employees” bad boss examples to avoid following. Don’t be left holding only a stapler, plan ahead and give everyone their own. Fair treatment and a sense of autonomy, a right to some control over one’s work, are important for employees in addition to earning a fair paycheck. Threatening job loss or other retaliations can leave workers feeling trapped and hopeless because they may need that paycheck even if it isn’t fair.

9.5: “Amok” was a medical condition during stressful times.

Research has found that during stressful times, whether due to economic or environmental reasons, people are more likely to act out verbally or physically against people who are not of their same ethnic group. (9.41) During times of stress, violence against women is also more common, particularly against women who are suspected to be sexually active or to have been unfaithful in a relationship. (9.43) Other research has found that the rate of violent crime is associated with the rate of infection in the population. Research into group and individual behavior suggests that the rate of infectious disease in a group is significantly associated with the rate of violent and property crime and with the rate of violent crime against strangers. (9.41)

It is unclear from epidemiology studies whether an association is causal or correlated, but if health is associated with less violence, it seems like a reasonable goal to promote health and try to prevent infectious disease.

Some types of infectious disease can directly lead to symptoms of increased irritability or rage and historically, and times of environmental or economic stress have been linked to a medical condition that was called “amok” where a previously healthy person suddenly started killing or assaulting people randomly. Historically a condition known as amok was first described in 1893 where an individual suddenly acted violently and then would forget the manic episode. Descriptions of the disorder were recorded by the British medical superintendent of the Government Asylum in Singapore. Increases in cases of amok were more associated with “times of social tension or impending disaster.”

The term fell out of use as a medical diagnosis but became commonly used in the phrase “running amok” to describe anyone who was acting unusually out of control. 99.42) Gun violence in modern times has involved racist xenophobia or religious ideology in many cases (9.53, 9.54, 9.56), it can also involve copycat reactions to news coverage of other violent offenders, (9.55), and in a few cases may have involved a shooter who claimed to have amnesia of the event afterwards. (9.44, 9.45)

Is “amok” a real condition that needs a more modern name? Controlling guns doesn’t control violence with knives or vehicles or explosives or with poisons. Promoting health might help more individuals control themselves.

Negligence can also be lethal.

Promoting compassion for others rather than supporting persecution and humiliation of those who are different is necessary. The young learn by observing the way others act and how they treat each other. Teaching compassion or another topic is easier with demonstration than discussion. Police brutality that goes unpunished teaches the wrong message that persecution and humiliation of some types of people is okay when it is done by other types of people. Recently teens filmed a man while he drowned and the group’s laughing and taunting was caught on the audio. The teens never reported the drowning and the man’s body was only found after a missing person’s report was filed. The video later became available and legally it has been found to fall into a loophole in the state’s laws. There is no legal requirement to help a person who is in danger in that state. (9.100)

Divisive politics and economic hardship can lead to more focus being placed on differences in religion or culture, sexual orientation or gender, between oneself and others but it doesn’t have to. Being civilized can mean recognizing those differences and valuing and seeking to understand them better instead of fearing or mistreating those who are different from oneself.

  • TJ Brown suggests how in a section “Fight for a More Civilized Bigotry,” (pg 14) from a longer article: FEE’s Guide to Keeping Friends Despite Political Differences: How to Have Opinions and Friends (at the Same Time!), fee.org (9.106)

9.6: Gratitude and friendship boost dopamine, so does shaming.

Shaming others, reminding them of guilt, can cause an increase of dopamine in the brain of the person doing the shaming. However a compassionate exchange with a friend or acquaintance can also boost dopamine, and so can reading new and interesting information. Listening to music and enjoying good food can also. There are many positive ways to boost dopamine besides shaming others, such as being grateful for others’ diverse skills and unique backgrounds.

Shaming others may be a natural instinct to promote one’s own morality by making it clear one is not in support of the topic or person being shamed, (9.21), or it may derive from a sense of guilt about the situation or person being shamed. (9.22)

Being fair in the first place would leave less to feel guilty about, accepting each other for our differences as well as our similarities might also.

Shaming others, purposely humiliating them, can also be a form of control or intimidation to show power over another person or group of people. Shaming one member of a group can serve to humiliate and control the group. Less equal societies, with a group of wealthy elite at the top, may be more likely to use humiliation as a control tactic. (9.81) Human sacrifice in ancient cultures was found in a recent anthropology study to be more common in societies that also had greater inequality between the rich and poor. (9.82)  However, does shaming work as a form of social control to effectively promote changed behavior in the person being shamed?

The answer is no – or at least not effectively and consistently when it comes to alcohol abuse. Research with reality shows focused on alcohol addiction and recovery have found that alcoholism or relapse were still likely to occur even after public shaming. (9.156)

“The results add to a body of literature suggesting that widely used shaming and humiliating methods of treating alcohol and other drug problems — such as those seen on shows like Celebrity Rehab — are not only ineffective but also may be counterproductive.” (9.156)

“Guilt” is a noun referring to the feeling one feels oneself over an error or misdeed, while “shame” can be used as a noun it is more typically used as a verb, “to shame.” Others shame the one who is guilty or believed to be guilty of something the group disapproves of. Other studies with alcohol counseling individually also found that shaming tactics did not effectively help individuals stop abusing alcohol. (9.156)

Studies of serial killers and other types of violent offenders found an association with early childhood abuse. Rejection by a parent or other important person in their life was found to have occurred in the early lives of 48% of a group of 62 serial killers in the study. Other types of physical, sexual or emotional abuse such as humiliation have also been associated with violent offenders, and early adoptions, neglect, or abandonment in early childhood have been associated with violent crime. (9.63)

In a study that included over 1000 violent offenders, shame and humiliation were found to be a common factor; violence was an attempt to restore a sense of pride or self-worth: “In the work, “Shame, Guilt, and Violence,” qualitative data from over 1,000 institutionalized offenders were gathered and analyzed over the course of four decades. According to Gilligan, self-conscious feelings of shame and a deteriorated sense of self-worth are the causal factors underlying violence; humiliation, Gilligan argues, compromises one’s identity, i.e. the way one sees oneself, and leads to feelings conceptualized as a loss of cohesion of the self, or a conceptual death of the self. This leads one to become violent in order to restore pride, or a sense of self-worth (Gilligan, 2003).”  Overcrowding and economic job stress, which leads to lack of parental time, are factors thought to be involved in the number of young men in gangs who may join them seeking the nurturing that was missing at an empty childhood home. (9.83)

If someone at work has a favorite stapler, maybe just let them enjoy it in peace instead of teasing them about it – and maybe get one of your own to find out what the appeal might be. The topic of shame and shaming is continued in the next section, and a therapy method for individuals who suffer from excessive guilt and a tendency to self-shame (9.158) is discussed in more detail.

Disclaimer: Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.

Is it Addiction or Starvation?

1. Talk Therapy or “Just say no” can’t help a genetic difference.

Talk therapy is also beneficial but can not “cure” a biological difference in metabolism.
  • Looking up the definition of the word “disease” suggests that a genetic difference affecting a body wide receptor system might fit the term “body disease.” “Disease: a disorder of structure or function in a human, animal, or plant, especially one that produces specific signs or symptoms or that affects a specific location and is not simply a direct result of physical injury.” – Oxford Dictionaries (I.1.disease)
Redefining the neurobiological underpinnings and genetic risks of the behavior we call addiction could lead to more targeted help for the sufferers of addiction rather than continuing to treat them primarily by focusing on a discussion of their difficulties with motivation or impulse control.
The Endogenous Cannabinoid System holds answers.
Background information:
  • Endogenous refers to something that can be made internally by our body rather than a chemical that is needed to be obtained from an external source on a daily or semi-regular basis. An example such as oxygen from the air we breathe is needed within every few minutes or cellular damage can start to occur; or trace nutrients such as essential fats or fat soluble vitamins may not be needed as often because they can be stored in the fat and membranes of the body. They may only need to be consumed in the diet every few days or weeks without resulting in negative health effects. The body can store extra vitamin D during summer months that can last most of the winter but does start to run out by springtime.
A person with a metabolic difference due to genetics, chronic illness, or the standard changes associated with aging may need an external source of nutrients that other people of average health would be able to make internally – “endogenously.”
  • Cannabinoids are a type of chemical called phospholipids which are formed from a lipid, a type of fat, and the mineral phosphorus.
I have a genetic difference in my ability to phosphorylate (I.2.wikigenes.BHMT) so that I am unable to make phospholiids endogenously and I have found that having an external source of cannabinoids in my diet every day helps my chronic illness conditions and improves my muscle and nerve control. I am registered as a Medical Marijuana patient in a state where it has been legalized for medical use.
     Some of my symptoms that are relieved by the herbal medicine have been troubling me since I was an infant. I had severe eczema throughout my childhood and severe congestion. Rarely could I breathe through both nostrils and nosebleeds were also common. The enzyme the BHMT gene produces when functioning incorrectly is associated with a risk for vascular problems – ie nosebleeds or easy bruising or spider veins or all of them.
     The protein that the gene normally produces is necessary in Glycerophospholipid biosynthesis, metabolism , and Phospholipid metabolism, (so a double mutation in this gene may make it difficult for me to make phospholipids endogenously), among 17 pathways in all – that is an important enzyme: (I.6.genecards.BHMT) And the CDK-mediated phosphorylation and removal of Cdc6 SuperPath involves 97 other pathways which include a Calcium2+ pathway and a Parkinsons Disease pathway and creatine metabolism (important for muscles) and synthesis of DNA and many other metabolic paths/chains of chemical events : (I.7.genecards.phosphorylation)
  • Phospholipids are found in human breast milk and helps stimulate the infant’s appetite and helps support adequate weight gain. The cannabinoids and phospholipid group perform two main functions – they are flexible and form a significant part of membrane walls, like building blocks or bricks; they can also be released from the membrane and act as messenger chemicals that can activate other systems or be modified slightly to become a different type of messenger chemical called eicosanoids.
  • Eicosanoids include the leukotrienes: Santa Cruz Biotechnology,(I.8.scbt.com)

2. It might be motivating to learn of an underlying cause to cravings.

It might help a person to learn that for a person with a genetic difference, difficulties with motivation or impulse control are likely due to an underlying deficiency of a substance they are missing, which would likely have helped them have better impulse control and to not have cravings for substances.
Someone without the genetic difference would be making the substances internally which would help them have good impulse control and not crave substances.
     Helping the person with substance abuse problems to find approved external sources of the substance (cannabinoids) seems like it would be more helpful and potentially more motivating for them to be able to view themselves as a worthwhile person with special dietary needs rather than as an unmotivated drug addict who just doesn’t try hard enough to change.
     Substance abusers likely quit using and relapsed again more times than anyone cares to count. every single time a chronic user runs out of their substance of choice they are “quitting” until they get more.
     Do you blame a hungry person for eating breakfast in the morning? Should a person just “quit eating” if they have an overeating disorder? Answer: No.
  • Cannabinoids might help some types of eating disorders and some types of drug or alcohol addictions by providing an essential nutrient that the person might not be able to make.
  • If the body can’t make an important substance or convert substances into active forms then it becomes an essential nutrient – essential for that specific person’s daily diet.

3. Genetics of the cannabinoid system and binge eating disorder, alcohol abuse and drug addiction.

“It is important to note that, as with alcohol, marijuana, and heroin, a human genetic variant of the cannabinoid CB1 receptor gene CNR1 has been associated with susceptibility to cocaine and amphetamine dependence (Ballon et al. 2006, Comings et al. 1997; Zhang et al. 2004).
  • Behavioral Neurobiology of the Endocannabinoid System; Ch.13: Drug Addiction, (page 334, I.9.Searchworks)
Endocannabinoids: The Brain and Body’s Marijuana and Beyond is a reference textbook available online as a pdf. (I.10.Endo.pdf)  It includes information regarding the genetic differences known to be associated with binge eating disorder and other drug addictions affected by rimonabant, a chemical which inhibits the endogenous cannabinoid system. Use of rimonabant affected craving for food/sucrose and alcohol in animal research, and it was found to reduce rewarding effects of morphine/opioids, amphetamine, cocaine and diazepam in other studies.
  • Rimonabant is not in use for drug addictions because it is associated with a significantly increased risk for suicide. This is an important point to note – blocking the endogenous cannabinoid system is associated with a significant risk for suicide.
The problem with addiction to some substances or to eating excess food for some cases of over eating disorders is an underlying inability to make the cannabinoids but a remaining need for them and a hunger, an urge for “something,” something that is unknown however. And what people choose to consume in order to try to quench that unknown hunger varies from food and alcohol, to the rest of the drugs that are commonly abused.
     Dietary sources are needed instead. However our food supply has limited sources. Vine ripened produce or lemon oil, rich in aroma, are examples of a food containing cannabinoids or a similar group of aromatic and medicinal phytochemicals called terpenes. Chocolate and the herb rosemary are two other food sources. The spices cardamom, cloves, and nutmeg are also sources. Non-euphoric cannabinoids also exist and may have medicinal benefits depending on the patient’s condition. Copaiba oil is a food grade essential oil that can have non-euphoric cannabinoid content with medicinal benefits.
     Wouldn’t it be nicer to tell starving people that they are starving rather than that they are poorly motivated?
  • For more information regarding binge eating disorder, drug addiction and rimonabant: See Ch.3: Endocannabinoid Receptor Genetics and Marijuana Use, (p72-73 & 91, I.10.Endo.pdf) and Ch.13: Behavioral Effects of Endocannabinoids, mentions that research with rimonabant has helped show excessive alcohol drinking behavior and development of alcoholism may be related to genetic differences in the CB1 receptors. (p319, I.10.Endo.pdf)
  • Impulse control deficits may involve the cannabinoid system: See Ch.13: Behavioral Effects of Endocannabinoids, (pp325-330, I.10.Endocannabinoids.Full Text.pdf).
  • Schizophrenia may be related to a deficiency in the cannabinoid receptors themselves rather than being due to a deficiency in cannabinoids: See Ch.15, Neuropsychiatry: Schizophrenia, Depression, and Anxiety,; of the book Endocannabinoids: The Brain and Body’s Marijuana and Beyond: (p378, I.10.Endocannabinoids.Full Text.pdf)
More recently a gene has been identified in binge eating disorder, the gene for the cytoplasmic FMR1-interacting protein 2 (CYFIP2). (I.11.sciencedaily) The gene has a number of known variations and has allso been associated with Fragile X, an autism like condition, ADHD, autism, obsessive-compulsive behavior, and Prader-Willi Syndrome.. (I.12.ncbi.FragileX)
     The enzyme the gene CYFIP2 produces when functioning normally is involved in many metabolic pathways in the body including one that plays a role in myelination of nerve cells and one in phospholipid metabolism. (I.13.reuters) (I.14.genecards.CYFIP2)
     So an external source of cannabinoids might help a person with a problem in their CYFIP2 gene to have normal appetite control and also to protect their nerves from multiple sclerosis – which causes degeneration of myelin.  Myelin is similar to the lipid part of some of the phospholipids of the endogenous cannabinoid system. Multiple sclerosis has been associated with social anxiety and eating disorders (I.15.omicsgroup) which are also conditions associated with gene differences in the cannabinoid system. Myelin is made with sphingomyelin which is made of sphingolipids. (I.16.sphingolipids) Easy right? (I.17.mpcfaculty.lipids) Even easier – coconut oil is about 50% phospholipids and is a good source of sphingolipids. (I.18.coconut)
    I don’t know if I have any differences in my CYFIP2 gene; it was not one of the 30 genes that were included in the Nutrigenomic Screening I had done for my personal use for the “purposes of research.” Genetic screening is only used for certain conditions in standard health care currently and some types of health care claims can not be made by practitioners about genetic screening for other conditions – no guarantees in life or lab tests. The screening I had was designed to test genes commonly found to have differences associated with autism. (I.33.Nutrigenomic Screening) (p22, I.34.example of the genetic screening I had)
     I have a genetic difference in my ability to phosphorylate (I.2.wikigenes.BHMT) The gene I have a double malfunction in, BHMT, is also associated with multiple sclerosis except it seems to be with an over activity rather than too little function. Methionine and homocysteine metabolism and vitamin B12 may be involved. (I.19.BMHT.MS) Hypothyroidism may be associated with over expression of this gene: (I.20.wikigenes)
     The enzyme BHMT/1 (Call – T), Betaine-homocysteine methyltransferase (BHMT), in normal health helps produce the amino acids methionine and Dimethylglycine (DMG).
     DMG has been found helpful in ADHD, autism, allergies, alcoholism drug addiction, and chronic fatigue syndrome among other chronic issues. Methionine has been found helpful in treating depression, allergies, alcoholism and schizophrenia among other chronic issues. Since learning of the difference in my genetics I have been taking the two amino acids in a powder form that I add to a glass of water. It doesn’t taste good but it leaves me feeling more energetic and with a more positive mood.
     What it tasted most like was a tart red wine and the nutrient content of red wine does contain free amino acids, so someone with a problem with the BHMT gene may have problems with unidentified cravings that wine seem to help. While I did love red wine, it didn’t love me. It was one of the first triggers for severe migraines that I identified and started avoiding. A painkiller did help with migraine pain somewhat but zero time spent with a migraine is my goal.
     I found based on the information that is available regarding dose, that a half teaspoon of each of the amino acid powders helped my mood without causing such an energy boost that it caused an increased heart rate or prevented me from going to sleep. I tried one teaspoon of each initially and found that it was too much of an energy boost. Both amino acids can act as activating chemicals within the brain.
     I have early symptoms of neuropathy, I would rather prevent multiple sclerosis than to learn more about it first hand. Taking the supplemental methionine may be helping my body do what it needs to do to prevent an autoimmune breakdown of my myelin.

4. Sometimes people are wrong – Nixon was wrong.

If the good people, in their wisdom, shall see fit to keep me in the background, I have been too familiar with disappointments to be very much chagrined.” – Abraham Lincoln (1809-1894), (p 634, I.23)
Hemp fiber was essential for rope and strong fabric. Thomas Jefferson grew hemp and is said to have smoked it too. It is time to stop being disappointed in loved ones who are likely suffering from a metabolic deficiency that leaves them susceptible to substance abuse or overeating and instead start accepting that they have needs that a person of average health doesn’t have or may not have to the same extent. Many nutrients are needed in a just right amount, not too little or too much.
     Cannabinoids are powerful and can be consumed in excess however it does not have the toxicity and deadliness of many other substances that are abused, including alcohol.
     The American Medical Association has recommended that marijuana be rescheduled as an herb with medicinal benefits. (I.24.AMA resolution) (I.25.veteransformedicalmarijuana)
     Rescheduling marijuana as a medicinal plant would free academic researchers to study its medicinal benefits. As a “Scheduled Substance” currently research studies are only supposed to assess toxicity and rehabilitation areas rather than design experiments assessing the medicinal value. Currently the synthetic form of the main euphoric cannabinoid, THC, is listed at a “safer” level of risk than the marijuana plant itself.
     The synthetic forms can be even more dangerous as they are more concentrated and are in isolation rather than also providing the non-euphoric cannabinoids that are found in most strains of marijuana and which have calming effects. Synthetic THC or THC in excess can cause paranoia and other mood symptoms that would have been unknown to Thomas Jefferson when he enjoyed smoking marijuana that was milder in the amount of THC it likely contained and more likely to be balanced with non-euphoric cannabinoids.
     The problem with black market development of a product is that it is often being designed to maximize the “buzz” or “euphoria” rather than the medicinal or pain killing effects. However, there is not that much “euphoria” felt by the person with chronic illness who is using a larger quantity of marijuana everyday due to an underlying inability to make cannabinoids because a tolerance is built up and they simply need some of the herb or other concentrated sources of cannabinoids every day just to maintain a state of health and function that is a little closer to everyone else’s “normal function“.    

     The person with a chronic need wants an herbal medicine that has a balanced variety of cannabinoids that treats a variety of symptoms, not just the euphoria inducing THC that can lead to overdose symptoms of a racing heart, feeling very chilled, and paranoia or anger combined with extra energy, so manic behavior might be a risk with an overdose reaction. Real lime or lemon juice products that are concentrated rather than being a watery lemonade may help counteract some of the mood changes associated with an overdose of THC. More on lemon oil is included in the next section. 

5. Medical Marijuana helps reduce opioid use, which can save lives.

     We currently have an epidemic of deaths due to opioid medications, prescription and black market drugs. The increase in deaths is due in part to the over prescription of opioid painkillers by the medical community but it is also due to black market substitutes that have been introduced in recent years. One type is particularly potent and is being sold as something else so consumers wouldn’t even know that they were being given a stronger version of an opioid medication than the prescription medication they were told they were purchasing on the black market – key point – don’t buy drugs on the black market because you don’t know what they might contain.
     This likely seems an obvious point which, honestly, even the drug addict knows that but their need is great enough during withdrawal that they may be more likely to take risks.
     Women may be especially at risk for opioid addiction whether it is due to differences in size or physiology is unknown. Addiction to opioids seems to occur for women at lower doses of the medication that were taken for a shorter amount of time than for men who become addicted. Women may be more susceptible to the cravings for the drug. (I.27.jotopr)
     In states with medicinal marijuana sales of painkillers dropped,which would include the opioids. Physicians are not comfortable with the inability to “prescribe” a set dose. “Take two hits and call me in the morning?” was asked in jest or in seriousness by a psychiatry professor, Deepak D’Souza, who also has researched marijuana. (I.28.npr)
     Deaths due to overdoses of opioids have also decreased in those states. (I.29.nbcnews) The cannabinoid and opioid receptor systems may both be involved in the regulation of appetite. Levels of the hormone leptin may be increased in response to CB1 receptors in the hypothalamus. Leptin and other appetite hormones may then “control opioid-regulated feeding…(Verty et al., 2003).” See Ch.13: Behavioral Effects of Endocannabinoids, (p313, I.10.Endocannabinoids.Full Text.pdf).
     Since marijuana use seems to be saving lives and has low toxicity risks, it doesn’t seem like how big a dose is as big a question as how to get a safe reliable supply to more patients in pain. The answer does exist but it is one a physician or psychiatrist is unlikely to like – the dose varies based on the person’s genetics and metabolism, the supply of nutrients available, tolerance, etc.; the answer is “It depends.” But the medication is so safe that worries about “too much” are really unnecessary, except possibly for more concentrated synthetic sources or extracted cannabinoid oil products.
     Signs of “too much” THC or synthetic THC can include a racing heartbeat, which very, very rarely has caused a couple/very few deaths. To the user first experiencing the racing heartbeat of excess THC, it may be frightening and feel like a panic attack. Relax it slows down again and only people with a pre-existing heart condition may be at risk during the time that the heart-rate is rapid.
     So if you have a weak heart – avoid excessive amounts of THC. The rapid heart-rate doesn’t occur at low doses. It may be accompanied a feeling of being chilled, and suddenly needing a jacket. Anxiety or anger may occur with excess THC or synthetic THC or during withdrawal from an excessive amount.
     The aromatic terpenes in citrus oil can have a calming effect if anxiety is a problem after consuming marijuana. Pinene from pistachio nuts may also be helpful, but a glass of lemonade might help the mood more quickly than eating pistachios because they would take longer to digest. (I.26.fastcompany)
     Artificial lemon flavored products wouldn’t help, only real lemon or lime juice products would help calm a mood unsettled by an excess or imbalance of THC. The plant contains many active phytochemicals which can include terpenes and other cannabinoids that are calming to the mood rather than causing euphoria. THC is the only cannabinoid in marijuana that causes euphoria.
     Opioid medications also cause euphoria – so why is one more socially acceptable than the other? Smoking is dirty and smelly and – the easiest way to not overdose.
     Eating products or the concentrated synthetic dose in one single sitting can leave a person feeling symptoms of overdose about one hour later, far too late to stop at half a serving or a small taste to see how you might handle that particular product and/or the strain that was used in it. Different strains of the plant can cause very different symptoms and help different types of symptoms, so the question of “how much” is less significant than which strain to use and the method to use to consume it.
     Smoking provides fairly instant changes to the mood so it is easy to tell if you’re getting more anxious or developing a rapid heart rate. Strains of marijuana can vary a lot, some types may cause the anxiety symptoms, while others would just cause the stereotypical “couchlock” – falling asleep. While setting fire to the couch might be a very real risk, otherwise, no danger other than possibly drooling a little and looking stupid. Looking stupid is better than looking dead from an opioid overdose – in my opinion – and I am a medical marijuana patient who has experienced these symptoms and read research about safe use.

6. Resources for help or just someone to talk to:

  • National Helpline: Substance Abuse and Mental Health Services Administration: “SAMHSA’s National Helpline, 1-800-662-HELP (4357), (also known as the Treatment Referral Routing Service), is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.” (1.30samhsa.org)
  • Rape, Abuse and Incest National Network, RAINN Hotline: 1-800-656-HOPE, (1.31RAINN.)
  • U.S. National Suicide Prevention Hotline: “Call 1-800-273-8255, Available 24 hours everyday.” (1.32.suicidepreventionlifeline.org)

Help is only helpful when you accept it. Recognizing that you need it is the first step.

Disclaimer: Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.

Links and References:

(I’ll finish this list later, I’ve learned a lazy editing tactic is to skip the footnote numbers until the final draft is complete.)

  1. Disease,” Oxford Dictionaries (I.1.disease)
  2. BHMT,” wikigenes.org, http://www.wikigenes.org/e/gene/e/635.html (I.wikigenes.BHMT)
  3. Glycerophospholipid biosynthesis,
  4. metabolism ,
  5. Phospholipid metabolism,
  6. (I.6.genecards.BHMT) [http://www.genecards.org/cgi-bin/carddisp.pl?gene=BHMT] (I.6.genecards.BHMT)
  7. (I.7.genecards.phosphorylation) [http://pathcards.genecards.org/card/cdk-mediated_phosphorylation_and_removal_of_cdc6] (I.genecards.phosphorylation)
  8. Leukotriene,” (I.8.scbt.com)
  9. Behavioral Neurobiology of the Endocannabinoid System; Ch.13: Drug Addiction, (page 334, I.9.Searchworks)  Behavioral Neurobiology of the Endocannabinoid System, Editors David Kendall and Stephen Alexander (Springer, 2009, Nottingham, U.K.). (I.Searchworks)
  10. Endocannabinoids: The Brain and Body’s Marijuana and Beyond, (CRC Press, 2006, Boca Raton, FL), Chapter Three, Endocannabinoid Receptor Genetics and Marijuana Use, editor and chapter by Emmanuel S. Onaivi, et al., (pages 72-73, 91, and 333), Chapter 15, Neuropsychiatry: Schizophrenia, Depression, and Anxiety, chapter by Ester Fride and Ethan Russo, (page 378), (I.10.Endocannabinoids: FullText pdf)
  11. (I.11.sciencedaily) Genetic risk factor for binge eating discovered. Sciencedaily.com, Oct. 26, 2016,  https://www.sciencedaily.com/releases/2016/10/161026170543.htm (I.sciencedaily)
  12. (I.12.ncbi.FragileX) Sabiha Abekhoukh and Barbara Bardoni, CYFIP family proteins between autism and intellectual disability: links with Fragile X syndrome, Front Cell Neurosci. 2014; 8: 81., ncbi.nlm.nih.gov https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3973919/ (I.ncbi.FragileX)
  13. (I.13.reuters) Pathway Maps: G-protein signaling_RAC1 in cellular process, Life Sciences Research, thomsonreuters.com, http://lsresearch.thomsonreuters.com/maps/383 (I.reuters)
  14. (I.14.genecards.CYFIP2) CYFIP2, genecards.org,  http://www.genecards.org/cgi-bin/carddisp.pl?gene=CYFIP2 (I.genecards.CYFIP2)
  15. (I.15.omicsgroup) Shahla Mohamadirizi1*, Vahid Shaygannejad2, Soheila Mohamadirizi3 and Marjan Mohamadirizi4, Eating disorders in a multiple sclerosis clinical population and its association with social anxiety.   https://www.omicsgroup.org/journals/eating-disorders-in-a-multiple-sclerosis-clinical-population-and-its-associationwith-social-anxiety-2376-0389-1000183.php?aid=82623 (I.omicsgroup)
  16. (I.16.sphingolipids)
  17. (I17..mpcfaculty.lipids)
  18. (I.18.coconut) Handbook of Plant-Based Fermented Food and Beverage Technology, Second Edition, edited by Y. H. Hui, E. Özgül Evranuz  CRC Press, May 17, 2012, https://books.google.com/books?id=5fvRBQAAQBAJ&pg=PA669&lpg=PA669&dq=sphingolipids+in+coconut&source=bl&ots=QlgC46XLn8&sig=Y5AiDM4oUTBp9BS3aOKCtWK0Fbk&hl=en&sa=X&ved=0ahUKEwiQuL-wmdbVAhUG7CYKHXZCCxsQ6AEILjAB#v=onepage&q=sphingolipids%20in%20coconut&f=false
  19. (I.19.BMHT.MS) Naveen Kumar Singhal, et al., Changes in Methionine Metabolism and Histone H3 Trimethylation Are Linked to Mitochondrial Defects in Multiple Sclerosis. J of Neuroscience Vol 35, Issue 45, 2015 PAGES: 15170-15186 ISSN: 0270-6474 https://www.researchgate.net/profile/Rohan_Dassanayake2/publication/283710653_Changes_in_Methionine_Metabolism_and_Histone_H3_Trimethylation_Are_Linked_to_Mitochondrial_Defects_in_Multiple_Sclerosis/links/5693c64508aeab58a9a2aaf3.pdf (I.BMHT.MS)
  20. (I.20.wikigenes)
  21. ( methionine )
  22. ( Dimethylglycine (DMG).
  23. John Bartlett, Familiar Quotations, 14th Ed., 1910, (p 634, I.23)
  24. (I.24.AMA resolution) American Medical Association Medical Student Section, Resolution 2, JUne 8, 2008, http://www.oregon.gov/pharmacy/Imports/Marijuana/Public/AMA_MedStudentSectionResolution.pdf (I.AMA resolution)
  25. (I.25.veteransformedicalmarijuana) AMA Votes to Reschedule Medical Marijuana, VMCA, http://www.veteransformedicalmarijuana.org/node/67 (I.veteransformedicalmarijuana)
  26. (I.26.fastcompany) Chris Dannen, Three Beginner Mistakes to Avoid When Eating Cannabis, fastcompany.com Sept. 10, 2014, https://www.fastcompany.com/3035175/three-beginner-mistakes-to-avoid-when-eating-cannabis (I.fastcompany)
  27. (I.27.jotopr) Karen Barth, New Study Shows Women are Hit the Hardest as Opioid Epidemic Sweeps the Country. Jotopr.com, Feb. 27, 2017, https://jotopr.com/new-study-shows-women-are-hit-hardest-as-opioid-epidemic-sweeps-the-country/?utm_source=ReviveOldPost&utm_medium=social&utm_campaign=ReviveOldPost (I.jotopr)
  28. (I.28.npr) Shefali Luthra, After Medical Marijuana Legalized, Medicare Prescriptions Drop for Many Drugs. npr.org, July 6, 2016, http://www.npr.org/sections/health-shots/2016/07/06/484977159/after-medical-marijuana-legalized-medicare-prescriptions-drop-for-many-drugs (I.npr)
  29. Reuters, Legalized Marijuana Could Help Curb the Opioid Epidemic, Study Finds. March 27, 2017,nbcnews.com,  http://www.nbcnews.com/health/health-news/legalized-marijuana-could-help-curb-opioid-epidemic-study-finds-n739301 (I.29.nbcnews)
  30. National Helpline: Substance Abuse and Mental Health Services Administration: 1-800-662-HELP (4357), (1.30samhsa.org)
  31. Rape, Abuse and Incest National Network, RAINN Hotline: 1-800-656-HOPE, (1.31RAINN.)
  32. U.S. National Suicide Prevention Hotline:  1-800-273-8255, (1.32.suicidepreventionlifeline.org)
  33. Amy Yasko, Nutrigenomic Testing, Holistic Health International, http://www.holisticheal.com/health-tests/nutrigenomic-testing (I.33.Nutrigenomic Screening)
  34. Amy Yasko, Methylation Analysis Pathway: John Doe, Neurological Research Institute, http://www.holisticheal.com/media/wysiwyg/John_Doe_MPA_05.19.17.pdf (p22, I.34.example of the genetic screening I had)