Night Owls Diabetes And Heart Disease & Medical Marijuana And Pain

The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy

CF 250: Night Owls Diabetes And Heart Disease & Medical Marijuana And Pain Today we’re going to talk about Night Owls Diabetes And Heart Disease & Medical Marijuana And Pain

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. If you haven’t yet I have a few things you should do.

• Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.
• Then go Like our Chiropractic Forward Facebook page,
• Join our private Chiropractic Forward Facebook group, and then
• Review our podcast on whatever platform you’re listening to
• Last thing real quick, we also have an evidence-based brochure and poster store at chiropracticforward.com

You have found yourself smack dab in the middle of Episode #250 Now if you missed last week’s episode , we talked about Vertebrogenic Pain. Time for A Thought Shift & Leisure time Physical Activity Effects On Mortality. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

As part of my post as an intern clinic for Parker, I get a new email fairly often requesting I update my profile. I will be honest, it’s a little much for a solo guy that’s busting his hump to stay above water and lives out in Amarillo. Which is an area of Texas that doesn’t have a plethora of interns and associates scrambling to get to, by the way. So, in the year and a half or two years since we got onboarded, we have only hosted one intern and he moved back home near Tulsa, OK after his graduation. I wanted to keep him here but this isn’t his home. I got an email recently that my CPR cert had to be updated to stay in the program. I feel like I just got it renewed last year but, what do I know? I’m busy.

So I decided the whole clinic could use it too. We took Tuesday off and went off-site. We met up at the CPR training place and spend an hour or two getting that re-newed. The staff actually enjoyed it; it was a bit of a teambuilding experience. We got out earlier than we expected so I took the girls to breakfast and it was another opportunity to spend time together outside of work. That was last Tuesday. Then on Saturday, we all met up in downtown Amarillo for the Walk To End Alzheimer’s so had another opportunity for a little team building outside of the job site. Good stuff and a great week. Still slower from the back-to-school slowdown but that’s the way it be. Just trying to get the marketing dialed in and make things happen to spur business back to where it needs to be. I have to mention something kind of cool in my personal life; many of you know I’m a voice-over talent on the side. It’s not just fun. It’s turned into quite an amazing thing. I’m not going to go into financial aspects but let’s say it’s been far beyond anything I ever expected.

I landed my very first video game recently! Google it up. It’s called God Of Rock by Modus and it’s coming out on Xbox and Playstation this Winter. And I cannot wait! It’s so exciting! I played an Elvis-esque character called King. He’s actually one of the main characters of the game. I connected with a group from San Francisco on Zoom and spent a little time recording phrases like Elvis would say them pretty much. It was fun and now, I’m going to have to buy 20 copies of this xbox fighting game! Lol. Anyway, something fun in my life.

I was thinking the other day; I’ve lived so many lives in this one life of mine. I swear. I was a traveling musician for over 8 years a record promoter, a radio station owner, and a venue booking agent. I am a sculptor, sketch artist, and painter. I was a college athlete. My chiropractic career. Hubby and dad. Real estate, VoiceOver….my life is often beyond insane. So, let’s dispense with the chit-chat and get on with it.

Item #1

My first one today is called, “Night owls more likely to develop diabetes, heart disease than early birds” by Study Finds (Allingham 2022) and published on September 20, 2022 bing bang boom pop freakin pow. It’s hot. This is an article more than a research layout so let’s hit the high points and summarize this bad boy. We all like to stay up late. Some of us, like myself, for example, are better at it than others. You’re talking to an ex-traveling musician. A road warrior. A freaking troubadour people. Lots of poor sleep decisions made in my past and in my current, folks. Anyway, they make a statement at the top that says night owls are more like to develop Type 2 Diabetes or heart disease than people who go to bed and wake up early.

They say that researchers have found that night owls are less active than early birds and less sensitive to insulin. I can’t answer the insulin point but I’ll tell you that I’d like to see any early bird more active than me. I’m all over the place all damn day long. I could be the exception to the rule, however. I make myself and my family crazy so I probably am.

Here’s my problem, fatty coming through!

They say that staying up late means we are worse at using fat for energy and this fat can build up in the body and contribute to the risk of disease. Meanwhile, “early birds” appear to be more reliant on fat for energy, more active in the day, and more aerobically fit. Probably true but I feel attacked. Again, I’m not having trouble fitting through the door and I don’t have to buy two airplane seats but damnit, I’m 6’4” and 280. I need to drop some baggage.

The researchers regulated their diet to make sure that was not a factor. The team used advanced imaging, and assessed body mass, body composition, insulin sensitivity, and fat and carbohydrate metabolism using breath samples of each participant’s sleep trends. Over a week, the team monitored participants to figure out their daily activity patterns. Scientists discovered early birds use more fat for energy, both when resting and during exercise. They were also more insulin sensitive.

They end the article by saying, “We also found that early birds are more physically active and have higher fitness levels than night owls who are more sedentary throughout the day. Further research is needed to examine the link between chronotype, exercise and metabolic adaptation to identify whether exercising earlier in the day has greater health benefits,” Before getting to the next one, go to https://www.tecnobody.com/en/products

That’s Tecnobody as in T-E-C no H. Tecnobody.com. They literally have the most impressive clinical equipment I’ve ever seen and that’s saying a lot because I like toys and gadgets for the clinic. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office. When you decide you can’t live without those products, send me an email and I’ll give you the hookup. They will 100% differentiate your clinic from your competitors.

Item #2

Our second one this week is called, “Effect of Medical Marijuana Card Ownership on Pain, Insomnia, and Affective Disorder Symptoms in Adults: A Randomized Clinical Trial” by Gilman et. al. (Gilman JM 2022) and published in JAMA Network Open and published on March 18, 2022 and that’s a steamy stack of stuff.

Why They Did It

• Despite the legalization and widespread use of cannabis products for a variety of medical concerns in the US, there is not yet strong clinical literature to support such use. The risks and benefits of obtaining a medical marijuana card for common clinical outcomes are largely unknown.
• The authors wanted to answer the question, “What are the risks and benefits of obtaining a medical marijuana card for adults who seek medical marijuana for pain, insomnia, and anxiety or depressive symptoms?”

How They Did It

• Pragmatic, single-site, single-blind randomized clinical trial
• Greater Boston area from July 1, 2017, to July 31, 2020.
• Participants were adults aged 18 to 65 years
• Chief concern was pain, insomnia, or anxiety or depressive symptoms.
• Participants were randomized 2:1 to either the immediate card acquisition group (n = 105) or the delayed card acquisition group (n = 81).
• The immediate card acquisition group was allowed to obtain a medical marijuana card immediately after randomization.
• The delayed card acquisition group was asked to wait 12 weeks before obtaining a medical marijuana card.
• All participants could choose cannabis products from a dispensary, the dose, and the frequency of use.
• Participants could continue their usual medical or psychiatric care.

What They Found

• A total of 186 participants
• Compared with the delayed card acquisition group, the immediate card acquisition group had more cannabis use disorder symptoms; fewer self-rated insomnia symptoms; and reported no significant changes in pain severity or anxiety or depressive symptoms.
• Participants in the immediate card acquisition group also had a higher incidence of cannabis use disorder during the intervention

Wrap It Up

In this RCT, ownership of a medical marijuana card led to rapid onset and increased incidence and severity of cannabis use disorder in some participants, particularly those with a chief concern of anxiety or depressive symptoms. The self-reported improvement in sleep quality warrants further study into the benefits of medical marijuana card ownership for insomnia and the risk of cannabis use disorder. There were no observed benefits of obtaining a medical marijuana card for pain, anxiety, or depressive symptoms. I know it’s not cool these days. I’m fully aware. But you can continue to keep me in the camp that is in no hurry to completely legalize another drug. Make all of your comparisons to the alcohol you want. I get it and you’re not wrong.

They tried to put the genie back in the box in the 1930s and it didn’t work. So that makes it smart to let another genie out of the bottle? No, it doesn’t. While I most definitely enjoy a drink or 10 from time to time, if we’re looking at it from a health perspective, then alcohol is a bad idea. It was a mistake on day one. Why make another when you have more and more research showing the harms and the lack of benefits?

Call me a boomer. Even though I’m Gen X. I care not. My cares were all given out some time ago.

Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.

Store Remember the evidence-informed brochures and posters at chiropracticforward.com.

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!

Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.

Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger

Bibliography

• Allingham, P. (2022). “Night owls more likely to develop diabetes, heart disease than early birds.” StudyFinds
• Gilman JM, S. R., Potter KW, (2022). “Effect of Medical Marijuana Card Ownership on Pain, Insomnia, and Affective Disorder Symptoms in Adults: A Randomized Clinical Trial.” JAMA Netw Open 5(3).

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