Pubdate: Thu, 10 Mar 2011 Source: Gateway, The (U of Alberta, CN AB Edu) Copyright: 2011 Gateway Student Journalism Society Contact: http://www.thegatewayonline.ca/ Details: http://www.mapinc.org/media/3149 Author: Andrew Jeffrey Bookmark: http://www.mapinc.org/mmj.htm (Cannabis - Medicinal) APPETITES OF CANCER PATIENTS CAN BE BOOSTED BY SYNTHETIC THC: STUDY A University of Alberta professor is using the age-old marijuana munchies trick to get cancer patients to build up their appetites. Wendy Wismer, a professor in the Department of Agricultural, Food, and Nutritional Science, was the lead researcher in a group that studied the effects of Tetrahydrocannabinol (THC), the main psychoactive found in marijuana plants. The group used a pharmaceutical known as marinol, the synthetic form of THC, on patients with advanced forms of cancer. As the appetites of these patients improved and they indicated that their food also tasted better, results corresponded with the known belief about the marijuana munchies. "I expected food to taste and smell better and I didn't know if it would improve appetite as a result. Just because this group of patients, they really suffer from this lack of appetite, and they have to really exert a lot of conscious thought about eating -- it's a lot of willpower," Wismer said. "So the fact that appetite was stimulated with the THC is certainly a benefit, but I didn't know that that was how it was going to play out." Throughout the study, participants regularly filled out questionnaires about their perceptions of taste and appetite levels. They recorded what they ate at the beginning and the end of the study and the results were very positive, as more than half of the patients who took the THC recorded that their appetites improved. "They didn't actually increase their caloric consumption relative to those on a placebo. So they certainly felt like eating more, although they weren't able to take in more calories," Wismer said. "Just the fact that they had an appetite and felt like eating more, I think, would increase the enjoyment of the food consumption experience." Lack of appetite has been a major problem for cancer patients in the past. After patients are released from therapy, they experience enhanced metabolism and require a lot of calories, but they don't have any appetite. This causes many of these patients to die of weight loss, rather than their actual disease. "It's just terrible. They have this great need for calories and they just don't feel like eating. And so when you interview them, they talk about having to exert what we call conscious control. You know: 'Today I will eat because I need to survive,' " Wismer explains. "And as their appetite decreases, then they adjust their expectations about the amount that they can eat, so they try and be satisfied with the consumption of smaller and smaller amounts of food." In fact, the problem that Wismer described actually held back the beginning of this study, as some patients were hesitant to take part. "There were a lot of people who didn't want to participate because there was a chance that they would be assigned the placebo. And if people are going to spend time on a trial they really want the drug. Whether it's an attempt to cure cancer or improve appetite, they would really rather be on the drug," Wismer said. Wismer called the research a "proof of principle," but noted that there are more studies to be done before these findings can be applied in real-life. "I think the next step would be to have a trial to see that if longer use of THC would really be a benefit and perhaps increase caloric intake. People said that they felt hungrier and they wanted to eat more and that foods tasted better and they also reported greater relaxation and quality of sleep," Wismer explained. "I think that there are a lot of things there that could potentially lead to an increase in calories, but a study would need to be longer than two weeks in order to find that out." - --- MAP posted-by: Jay Bergstrom