Welcome to the ADHD Women's Wellbeing Podcast.

I'm Kate Moore Youssef, and I'm a wellbeing and lifestyle coach, EFT practitioner, mum to four kids and passionate about helping more women to understand and accept their amazing ADHD brains.

After speaking to many women just like me and probably you, I know there is a need for more health and lifestyle support for women newly diagnosed with adhd.

In these conversations, you'll learn from insightful guests, hear new findings, and discover powerful perspectives and lifestyle tools to enable you to live your most fulfilled, calm and purposeful life wherever you are on your ADHD journey.

Here's today's episode.

Welcome back to another episode of the ADHD Women's Wellbeing Podcast.

And I'm here today to discuss something really exciting and something I'm personally very interested in.

I'm always doing these episodes so I can share this information and give you that empowerment so you can make choices, do your own research, and then hopefully, as things filter through the more holistic side of managing our adhd, you're able to make those choices further down the line.

And today I'm absolutely delighted to welcome Dr.

Neeraj Singh, and he is a and specializes in neurodevelopmental psychiatry, and he has extensive experience in treating adults with adhd, mental illness associated with autism, intellectual disabilities, as well as other mental illnesses.

And he also specializes and has extensive experience in medical cannabis treatments, which is what we're going to be talking about today.

He has a special interest in health, Spanish longevity and practices holistically focusing on nutrition, exercise, sleep and other areas to optimize mental health.

This is all my language.

I love it all.

Anything that we can bring more holistic practices into helping our ADHD is what we're here for.

So, Dr.

Neeraj Singh, welcome to the podcast.

Thank you, Kate, and a pleasure to be here.

Thank you for inviting me.

Yeah.

So I'm really intrigued to talk about medical cannabis for the treatment of adhd.

We're talking here.

You know, we're both based in the UK and you're based in Leicester and in London.

You have a consultancy that specializes in this and is prescribing medical cannabis.

And I think a lot of people are going to be like, oh, okay, I'm interested, but cautious, and I've heard this and that, and maybe we can just demystify lots of things.

And the fact that you are a psychiatrist, neurodevelopmental psychiatrist, this is something that we need to understand and know about because there are other options out There.

So can you tell me a little bit about maybe your experience with delving into this side of psychiatry?

So I've been a psychiatrist for about 20 odd years now and a consultant, I think, for the best part of 15.

And the reason I got into this, Kate, was because I was reaching points where my patients weren't getting the outcomes that I wanted for them.

And so I just researched and I found medical cannabis.

It turned from a Schedule 1 drug with no medicinal value to Schedule 2.

And actually realized that this was actually within the scriptures, you know, ancient scriptures, Chinese and Indian as well.

And actually has always been in medicine, you know, in spite of that, we've been conditional, taught that actually it can cause a lot of problems.

So in medical school, actually I was taught that cannabis is a really bad thing.

It has no medicinal value, it actually causes schizophrenia and other things.

Really what I found was actually, you know, this was a potential option for my patients to really benefit them.

And also in a holistic sense as well, because it's a plant, ultimately, many medicines within one book.

So what's interesting is that obviously you were trained traditionally in medical school and you're hearing the things growing up, you know, we were.

There was apprehension.

I grew up and knew quite a lot of people that smoked cannabis.

Very often it was that gateway or it had detrimental impacts on mental health and it caused anxiety, depression, things like that.

What we're talking about is very different and I just want to make that distinction.

And what's very interesting is that you as a doctor are recognizing the sort of the natural benefits of medical cannabis and how we can harness it and use it.

I know a lot of people also that were diagnosed late, later on in life with ADHD and used cannabis to self medicate because they recognized, despite the other things, they recognized that there was a calming impact.

It helped them sleep, the restlessness, the hyperactivity, it helped calm things down.

So are we harnessing that side of it to help our ADHD symptoms?

Exactly.

And a lot of people as you know, do self medicate with cannabis across full spectrum of mental health problems, ADHD with autism, who may be suffering from anxiety as well, a whole raft of problems, really.

We term it self medication because literally that's what people are doing really, because they want help with their attentional control, they want help with emotional regulation and the inner restlessness they might be experiencing and also sleep as well.

And how cannabis works is it works on our endocannabinoid system.

So actually we all have cannabinoids inside of us already.

A lot of people don't realize that actually we already have cannabis inside of us.

These are called endocannabinoids.

We have a system called the endocannabinoid system, and that's a fundamental neurotransmitter system which underpins all our other systems, be it our neurological, our guts, our immune system, our heart, our lungs, our hormones are all underpinned by the endocannabinoid system.

So if you can influence the endocannabinoid system, you can bring term called homeostasis or equilibrium into your mind, body and spirit.

And that's historically why cannabis has been used as a medication.

And yes, absolutely, it can also be very detrimental for people who have access on the streets, principally because over the decades, that has been filtered out to be very high, what's called thc.

So one of the major cannabinoids called thc.

Now, literally, if you strip the plants off a lot of the balancing components and leave it as high THC without the other components, part of it, things like terpene flavonoids or cbd, et cetera, that could potentially be quite detrimental.

As well, as he's rightly said, medical cannabis is different because it's produced under good manufacturing practice or gmp.

So we know what our patients are getting when we're prescribed, and therefore we can, you know, accordingly titrate.

We understand what the cannabinoid concentrations are, compounds called terpenes as well in there, which are really, really medicinal.

These are things that we come across every day.

So we understand through what's called certificates of analysis, which comes with these products, how this may potentially benefit our patients and accordingly make adjustments, as we do with any medicine, really.

And it's so interesting, isn't it, that, you know, for historically, amphetamines have been part of the treatment for adhd.

And that's always had a still, you know.

Oh, gosh, you know, I don't know if I want to take that medication because it's.

It's a drug, it's amphetamine, and it's essentially speed.

And now we're going back, like you say, this historic, this ancient way of calming our nervous system, calming this.

Endocannabinoid.

Yeah, yeah, endocannabinoid system.

And so am I right in saying that the endocannabinoid system, cortisol impacts it?

And so if we are helping that we're reducing the cortisol levels, it helps.

Regulate the whole system as well.

So, like I said, you've got to think of it as like a foundational system, a foundational, what we call neuromodulator system.

So we have the endocannabinoids, which are the internal cannabinoids, what the plant cannabinoids are, and we love technical jargon, it's called phytocannabinoids, it's the plant cannabinoids that we.

And these are basically analogs, what we got, so similar to what we've got in our system.

So by getting them into our system when we're unwell or suffering from physical or mental distress, we can bring that balance back, bring that regulation back, be it in our hormonal system, our gut, our immune system.

So cannabis actually influences a whole host of systems.

So typically what we have are medications which can be really helpful, but they're symptom specific.

So if you have a symptom, you have a medication for that symptom.

What cannabis does is, gets much more to the foundation and that's why it works for people.

That's why people self medicate because actually they find it works well for them in that respect.

Okay, so if someone's on, they've been prescribed ADHD medication and they're noticing that, yes, it's helping them with their focus while they're at work, they're keeping them on tasks, they can start tasks, finish tasks, organize.

It helps with their executive functioning.

But the side effects afterwards, there is a bit of a, kind of a weigh up and some people kind of think, you know what, I don't love that feeling afterwards.

And is this a long term solution for me?

Would you say this is an alternative or can you take it alongside the amphetamine sort of stimulant medication?

It's a great question and the answer is yes to both, actually.

So to qualify for medical cannabis, you need to have had at least two licensed treatments.

Many patients that have come will have tried, you know, methylphenidate, short or long acting, maybe non stimulant medication as well, and then come to explore medical cannabis.

When I mentioned about medical cannabis influencing the foundational of the system, so what it does is the endocannabinoid system has effects on the dopamine, the noradrenaline and the serotonin circuits, but much more to the foundation.

Yeah.

Whereas simplistically, amphetamines help with production of dopamine, noradrenaline and serotonin prefrontal cortex, hence they get benefits with executive functioning.

Some patients want to substitute it and just change across altogether, but some people actually want to have both alongside and actually what I found in patients is that they can both work synergistically and work together, not necessarily taking it at the same time.

Today, literally, people might have a gap, but use them, but actually find that they're mutually beneficial and it's not an either or and it can work in either way.

Some people just want to move away from stimulants altogether and that's absolutely fine.

So it's really to the discretion of the patient themselves and what they feel they want as an outcome.

But certainly cannabis itself with caution, and we have to ask, generally works actually well with a lot of other medications and can work synergistically with minimal adverse effects.

But obviously we need to obviously explain that actually no medication is side effect free.

There's always potential for that.

But when you compare it to a lot of other medicines, we're not having to do the vital observation checks, the blood pressure, the pulse rate and that sort of things that we would otherwise would have to do with stimulant titration on a regular basis as well.

You know, dry mouth and dry eyes are very, very common side effects of cannabis.

But that's a tolerable side effect when you compare it to potential advantages, if you see what I mean.

Yeah, absolutely.

And there are potentially other side effects as well, but you know, they, but they tend to be far, far, far rarer.

You know, things like low blood pressure, nausea, headaches, faster heart rate, that sort of thing as well.

So as a medicine, in my clinical experience, it's, it's very well tolerated as well and actually can be used with other medication too.

So.

Yeah, yeah.

And what's interesting is obviously you're, you can prescribe as a psychiatrist, so you're able to say to your patients, right, I can see you're on this stimulant or in this medication and there's a way of like balancing the both and saying, right, you know, you can take that in the morning to get all your work done and then as that fades away a little bit, then you're able to then bring in the cannabis side and help.

I mean, for me it's a no brainer that we should have this more holistic option for people.

I'm guessing that a lot of people are using this for anxiety, for overwhelm, for low mood, for sleep.

What other things are people coming to you and they're curious about the medical cannabis to help them.

So I've used it for a whole host of different medications, health problems.

So people struggling with anxiety mainly.

So that's the main complaint that we tend to see, but it could be people suffering from ptsd.

So post traumatic stress, complex PTSD as well, insomnia, ocd.

I've also used it in people with Tourette's syndrome.

People struggle with autism and anxiety and more recently actually people with dementia as well.

Wow.

Which is incredible.

So that's mainly kind of high cbd.

Yeah.

Little bit of THC in there as well.

But what I found is actually particularly for people who might be suffering with significant anxiety, you know, dementia is associated with quite significant anxiety.

It can help bring that down quite significantly.

What about things like Parkinson's or chronic pain, any autoimmune conditions?

What kind of would that be something that they could use it for?

So I don't, I mean my colleagues would see somebody might be suffering from chronic pain and Parkinson's.

So they tend to be seen by Parkinson's.

Something like a neurology colleague or something specialized in neurology.

But yes, it works, it can be helpful.

It does work with, you know, for chronic pain.

It can, there is evidence to show that actually for Parkinson's symptoms, I think, you know, the cogwheel rigidity, the tremors, that side of things actually that can help alleviate it as well.

And actually things like parking is associated with depression and anxiety as well.

So it can help.

And dementia too.

So actually it can help across a whole raft of problems.

Autoimmune, what is it is an interesting one.

I'm not so sure about that one.

But yeah, I'm thinking about inflammation because what I'm hearing a lot of, from, from a lot of people I see and speak to, there's always co occurring physical conditions and I'm sure obviously you know that.

And sometimes it's like the pain or it's the fatigue or there's IBS or migraines, lots of hormonal issues for women especially.

Yes, yes.

And they're feeling a little bit like lost because there's not many options out there or they've been passed from pillar to post and the doctor says, well you need to do this and everything's separated.

And you know, I'm very into the brain body connection.

The amount of different doctors I've been speaking to now are like validating this, that this, it's all neurodevelopmental.

It's this neurodivergence.

We're going to understand further down the line that this is not just an executive functioning or a working memory issue.

We're talking about a whole encompassing, you know, and this is what I'm interested About with the medical cannabis is that this could potentially help a host of different things.

And so say we are struggling with anxiety.

Well then if we're reducing the anxiety, maybe we're reducing the inflammation or the stress in our body, which then reduces the chronic pain and the gut issues.

And just interested to hear your perspective.

Absolutely.

So cannabinoids themselves are actually very strong anti inflammatories.

And I said before, you know, when you influence the endocannabinoid system, you influence the immune system and the gut.

Yeah.

So we know about the gut microbiome and the link and the brain.

And as you said, okay, you know, the mind and body are one.

Right.

They're not separate.

We think of, in sort of current practice we have distinctions between mind and body, but actually it's one ecosystem ultimately is one ecosystem and inflammation.

And we're learning more about how inflammation is associated with disease itself, be it physical or mental.

So depression, anxiety, etc.

These are inflammatory conditions.

Yeah.

So what do we do with those?

We need to have something which can bring down that inflammation.

And that's where cannabis works in one way is actually THC and CBD are actually strong anti inflammatory compounds.

Okay, so this is, I mean for me this sounds like this is the future to caring for a lot of these neurodevelopmental kind of conditions.

Why is it only just coming out now, especially that this is like being used for thousands of years.

What's the turn in the tide and what can people expect further down the line?

Yeah, yeah.

So this is all sent back to the 1950s, started leading up to sort of prohibition, which started in the U.S.

it came on the back of the lifting of alcohol prohibition.

So cannabis became a big target.

But prior to that, which used as a medicine, like I said, for thousands of years, brought to the UK by Dr.

William O'Shaughnessy in the mid-1800s.

Queen Victoria famously used it I think for a menstrual cramps as well.

And you know, it's been, you know, you know, hundreds of papers were published even before prohibition of it.

And I'm not discounting the fact that actually people have suffered from what they've accessed in terms of cannabis on the streets or wherever the legacy market, because ultimately they don't know what they're getting and can potentially be poisonous.

However, what's happened then is people have been taught that actually this is only a harmful drug and actually has no medicinal benefits at all.

And that's indeed what we get taught as well.

Throughout what I was taught in Medical school.

But I think the tide is starting to shift now and there is certainly more openness.

I think there is a reluctance for colleagues and some doctors to look at prescribing it because they're naturally worried.

They're naturally worried about what might happen in terms of consequences.

Are they going to cause any harm to the patient?

The first rule is do no harm.

Right?

We don't want and cause that.

But what I found, and I found it with trepidation, I was really worried about doing my first prescription when I first did it.

And I.

But I'm so glad I did and I had excellent support with me and all I can say to would be prescribers is that you will be supported throughout the process.

It's trying to basically unlearn the stuff that we've already learned and been conditioned about keeping an open mind that actually this has been used as a medicine for so long.

Always has been.

It is a medicine, it always will be.

And that remains is that we have the physiology within us is about the cannabinoids and the endocannabinoids in our system.

You know, this plant is actually helping us replenish, helping us adjust the endocannabinoid system to get better health.

We need more education and awareness really across professionals.

But the public, you know, public as a whole too.

If someone's listening right now and they're a doctor, how can they become a prescriber?

And do they have to go on a course and they get a special license?

Like how does that work?

So I'm a committee member of the Medical Cannabis Clinician Society and on a monthly basis their courses run to help educate would be prescribers.

It's really accessible several hours.

And that society as well supports prescribers with anything they want really in terms of support for patient support for them when they're prescribing for patients as well.

So it's a really good resource.

We run regular webinars as well, grand rounds.

So it's a great resource for education and very supportive to has like a.

A Google group as well.

So people can regularly access it.

24 hours if needs be supposed to run 24 hours.

I think because members across the globe, there's a lot of clinicians from other countries as well where medical cannabis has been legalized for many years, Australia and Canada, for example.

So they're very much ahead of the curve.

We're a little behind in the sense that we need GPs prescribing this but unfortunately GPs can't prescribe this medicine.

It's only left to people with secondary care.

I say they can't prescribe it, they can't initiate a prescription.

So GPs can continue prescriptions but they can't initiate it, which in my mind is bonkers because if anybody's struggling, where's first port of call?

Unless it's serious, really serious, then obviously the medicine.

But otherwise they're going to primary care and gpc, whole host of things and they prescribe lots and lots of drugs.

Drugs.

However, at the moment they're unable to initiate cannabis.

That's different to other countries.

At the moment they should.

Crazy.

It's crazy.

It frustrates me so much that the UK is behind in so many, you know, so many ways and I see this with adhd, you know, I speak to people from across the world who are, you know, been ahead of us and ahead of the curve.

What's interesting is that, and again I'm not a doctor, so I don't know this for sure, but am I right that GPs could probably prescribe stronger and more addictive sort of opiate based medication than this and probably more detrimental medication and this could be a much safer option?

Absolutely.

So gps can prescribe opioid analgesics, they can prescribe benzodiazepines, that can prescribe many what we call psychotropic medications for mental health.

So it really is unfortunate at this stage that we have a position where they're enabled to prescribe because one, I think we don't have enough people prescribing so they're not enough doctors.

And all I can say is just reassure that actually it is a safe medicine.

Like I said, we always want to keep people informed about potential disadvantages or side effects.

But actually in my experience the potential advantages outstrip any disadvantages and we should be in a position and hope where GPs should be able to prescribe it as has happened in other countries, because I think that is reducing the number of potential prescribers that can be out there.

What I'm wondering is that if we know again that addiction is very closely linked with adhd and so very often it's the addiction that's self medicating, the undiagnosed adhd, because we're looking for that dopamine hit or the self regulation or the calming.

And so if people have had sort of addictions in the past, whether it has, you know, drink, alcohol, food, gambling, sex shopping, this can't, this is not addictive.

Am I right in saying that's right?

Yeah, yeah.

So a lot of people get Worried that actually you can get addicted to it, but you can build like tolerance to it as well.

But medically prescribed, actually, I've not observed those things happening.

So I've not observed that people have become hooked on medical cannabis or indeed needing large amounts of increases of the medication as you develop tolerance, which is basically what that means, is that your body gets used to a certain amount of cannabis and you need more and more and more as time goes on.

Ultimately, there is always the potential risk of people who are accessing it on the streets to get potentially dependent on that.

Again, that is because we reach a position where potentially people are accessing high strength thc.

Like I said, that can be potentially quite damaging and detrimental, particularly for people who, during the neurodevelopmental period as they're growing up, where your brain is much more sensitive.

And so it's really, really important for people to be aware about potential for harm during the newer developmental period in time, because especially for products that are.

That you don't know how they've been produced, come with any sort of vetted certificates and analysis or anything.

So you don't exactly know what compounds are in there.

Yeah, there are very few options, apart from just the holistic and the lifestyle and looking after our movement and nutrition and all.

All these things are totally, you know, they're valid and we need to do that, especially alongside the medical cannabis.

But we are feeling, we are hearing a lot that people are just kind of like lost in the system or that titration is not working and because of the way everything is and, and the expense of having to titrate and go back for more consultations, people just think, I can't be bothered, I can't be bothered to go through this whole process.

It's actually making the diagnosis of my ADHD even more stressful.

So I wonder if this is a hopefully a more simplistic option for people.

Exactly, absolutely.

And you know, the fat remains, as I mentioned, you know, you're not having to do the observation side of things as well, and it fits in nicely with that whole integrative approach.

So I always say to patients that cannabis is not the beginning or the end.

Yeah, it's a platform.

Yeah.

For then you to do other stuff.

So what people can find is that they're eating better, they're reducing alcohol consumption as well.

Obviously the sleep is better, so they can exercise more as well.

And all these things actually influence the endocannabinoid system, so you're actually boosting it there.

So any medication is Just there to act as a platform to help leverage you better lifestyle choices as well.

And I think that that's what's really crucial for people to know is that actually it is helpful and it can do, but it's not just, it's not the full solution at the end of the day.

Patients are accountable and responsible and it's their own health at the end of the day and they can actually help boost that by using cannabis can be helpful to help give them a boost to, to get on with other things day to day.

I have workers included as well.

So many of my patients have actually managed to access employment because they feel in a state that are able to get on with work.

And I think that's such a fabulous outcome.

It's a great barometer of quality of life when people are actually not being able to work for a long time, but actually then they find themselves in a position where they're able to do all those lifestyle things and actually get into employment as well.

Yeah.

And if you think about social anxiety, you know, if people are struggling to find a partner, relationships, friendships, community, like all of that, like so impactful on our health, all of this, and if we can't, we're struggling to leave the house and this can help with social anxiety.

That is a massive health boost, isn't it?

Exactly.

I mean a lot of people do struggle with socialization.

That's right.

It could be for variable conditions.

But the fact is that social interaction itself can be medicinal.

We know about the interactions from one person to another, the mirror neurons, oxytocin, they connect, all that kind of things as well.

But a lot of people are unwell, they're withdrawn, they're looking inwards, they don't have the capacity to go outside.

And actually here is a potential.

I've seen many people who have just stayed at home for months, even years and they've just not had the ability to get out.

And now more and more these days we can, we can order stuff online so we're kind of, you know, we can get stuff in and all that.

But with this potential to help reduce our social anxiety to extent where people are going out, they're starting to make friends, they're starting to build relationships.

That's medicine ultimately, isn't it?

Absolutely, yeah, absolutely.

So what I'm hearing is that we can self refer but we need to have a diagnosis and we need to have tried medication that potentially hasn't quite worked to tick those boxes to come to you.

What else?

I mean, tell me if people are Listening to this now and they're like, yes, I would love to try this.

I am always very sort of open and honest that, you know, this type of.

We're still at the beginning stages, which means the affordability, the accessibility, unfortunately, is still quite expensive and I know that prohibits a lot of people and it's very frustrating when we're talking about this and going, yes, it sounds amazing, and then we realize what the cost is and it's beyond people's, you know, affordability.

Yeah, well, a lot of clinics these days now offer discounted appointments, so initial appointments could be an accessible cost anyway.

But yes, you're quite right, Kate, that actually it can be a costly process, really, in the sense that actually, on average people might be paying anywhere between 250 to 300 pound a month, and it can vary from person to person and how much they're using, et cetera.

Actually, that's a lot of money.

Prices have come down with ranges of products that are out there as well.

And I'm hopeful that actually in time we'll see further price reductions as well.

It's also the ability to.

For people to access kind of smaller amounts of products which otherwise, you know, they might come in certain sizes or actually, you know, they're actually smaller, they could be more cost effective.

Effective.

So I think there is an awareness actually that actually this is.

This can be quite cost prohibitive for many and needs to be ways for people to be able to access this medication.

It should be on the NHS and I'd love to see a time when it will be accessible to people.

There are medications which are produced for certain conditions, the Ms.

Or epilepsy, which are cannabis for those specific conditions, but not for, not specifically for mental health and chronic pain.

What we find is actually is that medical cannabis can possibly save the NHS billions.

So there's a recent study done on chronic pain where they evaluated and said that actually with cost savings, it could be up to about, I think it was £4 billion a year could be saved just through preventable cannabis.

Now, you think if somebody's been treated, actually they're getting to work, so they're contributing to the economy.

It could potentially save the number of people going in for inpatient care, hospitalizations, be it to secondary care, the hospital hospitals or mental health hospitals as well.

So there's a whole, whole potential of savings that can be made.

Makes sense.

We need some lobbyists.

If there's anyone listening here and that you're interested in lobbying, then this is what we need.

We need the pressure on we need people like you, who are obviously very reputable in being a doctor psychiatrist, to be able to say, this is the future.

And unfortunately, the NHS is as amazing as it has been and a lot of the good work it does, it's still very much stuck in an archaic system that I don't think is working anymore.

Especially what we're seeing with ADHD very specifically, is that the people who are thriving are the privileged people, are the people who can afford the private diagnoses, the medication, the continuous of care, and the people who aren't thriving who are waiting on these waiting lists for four to five, six years and then unable to continue the medication because of different things.

And, you know, there's that disparity, which is what empowers me so much to do this podcast because I always think that awareness education is power.

We can go and advocate for ourselves to our gp, to a psychiatrist and say, no, I'm not accepting that there's other options.

And this is why, you know, this conversation is so, so important that hopefully the more of these conversations and they're shared, then there's more kind of ammunition to lobby the government to really take this seriously.

100.

100.

And I think really what we need to do is dispel assumptions about this medicine.

Like I said, people need to want to learn.

We need to get the education out there and really continue to build on the research and the evidence base that we have.

So Drug Science, which is a charity, is running what's called real world evidence studies to show the outcomes in various conditions, anxiety, even adhd, chronic pain, ptsd.

And they're really, they put out some publications already which have shown some really favorable outcomes, outcomes again with very, very few adverse effects as well.

So if anyone's interested, I would definitely urge you to look at the Drug Science T21 study.

Okay, I'll link to that.

Okay, so how can people get in touch with you?

If you've got a website, tell me.

If people are saying, right, I want to try this, where can I go?

Yeah, yeah.

So I have my own website, so that's Dr.

Nerad singh.co.uk I also work with a couple of other medical cannabis clinics called Integro and biomedical as well.

So people have got various ways in which they can get to see me as well.

There are a lot of different clinics out there with different offers.

What I do just urge patients do is have a look around, explore, do your research and just get educated on it.

Have a look at what information is out there in relation to that particular condition that you, that you're struggling with as well.

Amazing.

There's also the Medical Cannabis Clinician Society website as well, which has got loads of fantastic information on there.

So it will tell you information on accessing the medicine itself, the products, how it gets used, and also things like in relation to driving, travel and that sort of thing, you know, issues that people might be a little bit, you know, concerned about if they're medicine.

So things like driving, pregnancy and travel, travel abroad can be things that unnerve people.

But again, just to reassure everyone that actually this is, this is, this is the way we see it.

And I always say to patients, because many of them are very, very worried about this and why wouldn't they be?

Because of, you know, criminalization.

Historically, it's a medicine and again, it always has been, it is and it always will be using it as a medicine.

And if you're using it responsibly and you're using it in a way that augments your life in a way that you're accessing, you're doing other things that helps, that helps your health, then there's no greater thing really than that.

Thank you, thank you for explaining all of that.

And I'll make sure that everything you've just sort of said is, are all in the show notes so people can go there, really do their own research, check it out, like you say, really understand how it impacts all those different, those variables.

But this has been absolutely fascinating and thank you so much for coming and explaining it all.

And yeah, I really hope that, you know, in a few years we're going to look back in this conversation and go, oh, can't believe that's where we were and look at the progress now.

So that's, that's what I believe.

I believe this will be the future alongside lots of other more sort of holistic based practices as well.

So, Dr.

Neeraj Singh, thank you so much for being here.

Oh, thank you very much, Kate.

It's been a real pleasure.

If you've enjoyed today's episode, I invite you to check out my brand new subscription podcast called the Toolkit.

Now this is where I'm going to be opening up my entire library, my vault of information from over the years, my workshops, webinars and courses, my conversations with experts about hormones, nutrition, lifestyle and bringing brand new, up to date content from global experts.

This is going to be an amazing resource for you to support you and guide you even more on more niche topics and conversations so you can really thrive and learn to live your best life with adhd.

I'm so excited about this.

Please just check out its toolkit on Apple podcast and you get a free trial.

Really hope to see you there.