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Although some states have legalized “medical” or recreational use of cannabis, illicit use remains more common. These investigators analyzed the proportion of Δ9-tetrahydrocannabinol (THC), cannabidiol (CBD), and other cannabinoids in 37,606 samples of cannabis plants seized by the U.S. Drug Enforcement Administration from 1995 through 2014; the samples consisted of marijuana (female pollinated or male plants), sinsemilla (unpollinated female plants), ditchweed (hemp), and other preparations.
During the 20-year study period, the amount of THC in cannabis tripled, from 4% to 12%; CBD declined; and the ratio of THC to CBD rose from 15 to >80. THC concentration was found to be 61% higher in states with legalized medical use of cannabis than in …