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Background and Objectives:
In recent years, the presence of trace residual
delta‑9‑tetrahydrocannabinol (THC) the main psychoactive ingredient
of marijuana, in food products incorporating hemp seed and seed
derivatives (whole and hulled seeds [also called hemp nuts], oil,
flour, meal, and protein isolate) has raised concerns over THC's
potentially adverse impacts on human health.
The study's main objectives were to:
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Prepare a hazard assessment for the intake of
THC via hemp foods, including the establishment of Lowest Observed
Adverse Effects Level (LOAEL) and No Observed Adverse Effect Levels
(NOAEL) for oral ingestion of THC, derivation of safety factors, and
estimation of the corresponding acceptable daily intake (ADI).
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Develop an exposure assessment for the intake
of THC via hemp foods, assuming their extensive daily consumption
with trace residual THC levels now commonly achieved by Canadian
suppliers in hemp seed and seed derivatives (less than: 2 µg/g for
whole seeds, meal and flour; 1.5 µg/g for hulled seeds and protein
powder; 5 µg/g for hemp oil).
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Assess whether THC intake may, under highly
conservative assumption of consumption patterns, present the
potential for adverse health effects.
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Comment on the acceptability of currently
achieved THC levels in hemp seed and seed derivatives as
health‑based THC limits.
Procedure and Project Activities:
The hazard assessment for oral THC uptake was
based on a current, critical review of the original scientific
literature on the subject, including several recent studies and
previous reviews, such as the Health Risk Assessment conducted by
Health Canada in 1998/99.
The exposure assessment used statistical data on
food consumption by North Americans. Daily food intakes by food group
were estimated based on the most recent United States Department of
Agriculture's (USDA) Continuing Survey of Food Intakes by Individuals
(CSFII) 1996. The potential for substitution of conventional foods by
hemp foods and the typical THC content in hemp seed derivatives was
established based on previous Canadian reports, industry sources and
analytical data. Several food intake scenarios were evaluated.
Scenario I assumed an average recommended daily caloric intake with
complete replacement of protein by hemp protein, without further
differentiation of hemp products. Scenario 2 assumed a typical North
American diet in which all food items, except meat, were completely
replaced by technically feasible hemp foods. Scenario 3, the
"reasonable worst case", assumed a high caloric intake by a vegetarian
with complete replacement of animal protein by hemp protein.
Results and Discussion:
The hazard assessment provided the following major
findings and conclusions:
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The lowest single oral THC dose, at which
acute adverse neurological effects, i.e. slightly reduced
psychomotoric performance, have been observed, is 5 mg (for a body
weight of 70 kg). This dose represents the LOAEL for acute
effects caused by THC.
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The same single dose of 5 mg also did not
cause a difference to a placebo with respect to psychotropic
effects and thus constitutes the NOAEL for this effect.
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Adverse chronic effects, such as cognitive
changes, structural brain changes, mutagenicity, carcinogenicity,
significant changes to hormone levels in males and females,
congenital effects, and adverse impact on child development were
either not found in humans or were found only at doses
significantly higher than the equivalent of oral doses of 10
mg/day, in which cases observed effects were moderate.
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The relevance of animal studies, which found
increased risk of stillbirth and other adverse effects on the
fetus following peritoneal injection of THC, to humans, is highly
questionable. No such effects had been found with humans after
oral or inhalative administration of much higher doses. The same
applies to the reported impact of low THC doses on hormone levels
in pregnant rats. These studies had been the basis for the
conclusion by Health Canada's 1999 draft risk assessment that
inadequate margins of safety exist to protect the population from
the assumed neuroendocrine disruption caused by THC.
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Since chronic and subchronic adverse effects
require doses higher than those for acute neurological effects,
determination of an acceptable daily intake should be based on the
LOAEL for reduced psychornotoric performance of 5 mg for a single
dose, or 2 x 5 mg, taken orally over the course of a day.
Considering that the observed psychomotoric effects are not
severe and according to scientific practice, selection of a safety
factor of 20 provides a sufficient margin of safety from acute
adverse neurological effects.
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Based on the above, an acceptable daily
intake (ADI) for orally ingested THC of 500 µg/day was assumed to
provide protection from both acute and chronic adverse effects to
humans.
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Less efficient transfer to the fetus and
suckling infant of THC orally ingested by the mother, compared to
inhaled THC, provides additional protection to both by limiting
THC uptake. Children also appear to be less susceptible to THC
compared to adults. Thus, the proposed ADI appears to provide
sufficient protection to both fetuses and children of mothers who
routinely consume hemp foods.
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The accumulation of THC in body tissue
represents a source of THC to the plasma even after cessation of
THC uptake. The establishment of a dynamic equilibrium between
accumulation and remobilization and the slow rediffusion process
indicate that corresponding THC levels in body tissue will be
insufficient to supply THC to the plasma at rates that could
result in or contribute to adverse effects.
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Other cannabinoids present in industrial hemp
in relevant quantities appear to be effective either at much
higher concentrations than THC, e.g., cannabinol (CBN) or may act
as an antagonist to the neurological effects of THC, as with
cannabidiol (CBD). Regulating the THC level in hemp raw seed and
seed derivatives (whole and hulled seeds, oil, flour, meal, and
protein isolate) thus would provide comprehensive protection from
potentially adverse health effects caused by ingestion of hemp
food products.
The exposure assessment for THC intake via hemp
foods generated the following major conclusions:
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Complete replacement of conventional food items
in a "typical American diet", including meat products, by currently
available hemp food items containing common levels of THC will, even
under "reasonable worst‑case" Scenario 3 assumptions, not cause a
daily THC uptake via hemp food in excess of 500 µg. This reasonable
worst‑case scenario makes the following assumptions:
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Complete substitution of all meat and non‑meat food items by hemp
foods, wherever technically feasible.
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A
high daily caloric intake at the 95th percentile of the United
States population (3182 kcal/day).
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The
use of the maximum technically conceivable hemp content in all
food products, irrespective of the higher relative cost of hemp
seed ingredients.
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The more realistic typical daily THC uptake by
individuals who consume hemp food items regularly and extensively
will rarely exceed the lower level of Scenario 2, i.e. 100 µg/day.
This implicitly assumes increased future commercial availability of
these items and the maintenance of the current THC levels.
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The corresponding range of daily intake of
cannabidiol (CBD) in Scenarios 2 and 3 is estimated at 1 to 5 mg,
respectively.
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Consequently, the daily THC ingestion even by
extensive users of hemp foods will remain consistently and, in
general, significantly, below the proposed ADI for oral THC, and
thus will not cause any acute or chronic adverse health impacts.
Specifically, the highest conceivable intake of THC via hemp foods
is far below the psychoactive threshold for THC.
Generally achieved THC levels in hemp seed
derivatives thus represent a conservative choice for achievable and
enforceable THC limits in these materials.
The estimated 10‑20% contribution by the two
non‑psychoactive THC acids A and B to total THC in hemp seed
derivatives, predominantly measured by gas chromatography/mass
spectrometry (GC/MS), provides an additional small margin of safety
from potentially adverse effects of THC.
THC uptake from the use of hemp oil cosmetics is
still lower than from hemp food ingestion. A recent study estimated
that exclusive and extensive use of hemp oil cosmetics containing high
amounts of hemp oil, or pure hemp oil, on compromised skin will not
contribute more than 10 µg/day to total THC uptake. Typical THC
uptake from the extensive application of commercially available hemp
oil cosmetics to healthy skin is typically less than I µg/day. Thus,
compared to hemp foods, hemp cosmetics do not contribute significantly
to total THC intake.
Extensive hemp food consumption also no longer
appears to have the potential for causing confirmed positive urine
tests for marijuana. A recent study showed that daily THC ingestion
with hemp oil, in single doses of up to 600 µg/day and over a 40‑day
period, failed to cause confirmed positive urine test according to the
protocol used by most public and private employers in the United
States. Positive screening tests at a lower cutoff level are
conceivable but unlikely.
Little representative information on the content
in hemp seed derivatives of cannabinoids other than THC, notably
cannabidiol (CBD) and cannabinol (CBN) is currently available. It is
estimated that CBD intake is typically 10 times that for THC. CBD is
considerably less pharmacologically active than THC. Studies suggest
that typical CBD intake via food is far too low to cause measurable
effects on humans. Findings of low‑dose adverse effects of CBN on the
hormone secretion of male rats are contradicted by human studies at
higher doses. Thus, uptake via hemp foods of other relevant
cannabinoids does not appear to pose the risk of adverse health
effects. However, this subject requires further study.
The findings and conclusion from this present
study support the following recommendations:
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Generally achieved THC levels in hemp seed
derivatives ‑ i.e. less than: 2 µg/g for whole seeds, meal and
flour; 1.5 µg/g for hulled seeds and protein powder; 5 µg/g for hemp
oil‑should be considered by regulatory agencies as a conservative
and enforceable choice of THC limits in hemp seed derivatives.
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The apparently safe use of hemp foods relative
to the presence of generally achieved THC residues and the lack of
evidence of other adverse health effects supports the industry's
position that hemp seed derivatives and foods should be recognized
as safe and not be subjected to regulations for "novel foods".
Two controversial issues regarding the toxicity
of THC and other cannabinoids require clarification by future
studies. These issues are:
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The reported effects via intraperitoneal dosing
(direct injection through the peritoneum into the abdominal cavity)
of very low THC doses on the rodent fetus and the outcome of
pregnancies observed in animal studies with intraperitoneal dosing
(versus no observed effects in human mother/fetus studies with much
higher orally ingested doses of THC by the mother), and an analysis
of their relevance to humans.
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The importance of other cannabinoids to the
pharmacological activity of hemp food products.
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