Recently, I had a follow up visit with a patient who had gotten a medical marijuana (MMJ) card about a year before. In many aspects of her life, she was doing great with the addition of MMJ in her life – she had less pain from her chronic illness, less neurological symptoms as a result of inflammation, and was sleeping better. However, she had noticed that her tolerance had gone up, increasing her minimum dosage, and that she felt like she was in a "slight permanent daze" from consuming marijuana daily for months at a [...]