CHS Explained, How Heavy Use Turns On You with Dr Rick Pescatore
Description
You know those episodes where you feel both called out and taken care of, all at once, yeah, this is one of those.
In this conversation, we sit down with Dr Rick Pescatore, an ER doc who has seen way too many people show up sick from the plant they thought was helping them. He is deep in the trenches with Cannabinoid Hyperemesis Syndrome, CHS, and gut brain health, and he still actually respects and uses cannabis himself. This is harm reduction, not fear mongering.
What CHS actually is, not the Facebook version
How heavy, high potency use can flip cannabis from nausea relief into brutal, cyclic vomiting, stomach pain, hot shower obsession, and endless ER visits.
Why this is showing up more now
We talk concentrates, dabs, vapes, and how 80 percent THC products plus all day use is a very different game than your uncle’s old school flower.
How to tell if it might be CHS, not “a bad batch”
Red flags, how long it usually takes to show up, what doctors look for, and why so many people get misdiagnosed with everything from gastritis to anxiety before someone finally says the word CHS.
What “respecting the plant” actually looks like
Frequency, potency, tolerance breaks, why switching from constant dabs to more measured use can literally give people their life back, and how to think about your own risk without panic.
Rick’s gut brain work and BellyMD
How years in the ER pushed him into gut brain health, dismissed patients, and building BellyMD to actually support people with invisible gut issues, plus how that connects back to cannabis, stress, and CHS.
A doctor who actually knows the culture
We get into his own relationship with cannabis, how he keeps his use intentional, and why talking honestly about risk is one of the most pro cannabis things we can do
By the end, you are going to walk away with a clearer map of,
Who is most at risk for CHS
What early warning signs to stop ignoring
How to talk to your doctor without getting dismissed
Practical ways to reduce your risk while still enjoying the plant
This episode is not medical advice, it is education so you can have a smarter conversation with your own doctor.
Save on Dr Dabber with Code: Cannabisschool10
Save on Storz & Bickel with Code : Cannabisschool
Save on Santa Cruz Shredder with Code: CSP10
Save on Bomb Erigs with Code: CSP
Score 100 on your test 😘 Save 25% with code cannabisschool25
🔥 Only What We’d Use Ourselves — our trusted, handpicked tools and resources. No fluff. Just the good stuff.
💡 Got thoughts? Questions?
Drop us a line — we actually read them.
Fuel the movement. Keep the conversation going.
📺 Subscribe on YouTube — smart content with zero judgment, one episode at a time.
📱 Stay Connected:
• 🌐 Website
• 🎵 TikTok
🎵 Episode Music Credits:
• Psalm Trees, James Berkeley - Ah Yeah 🎶 Listen Here
🛒 Cannabis Topics Covered: Cannabis education, best cannabis strains, cannabis podcast, cannabis effects, cannabis benefits, cannabis usage, THC vs. CBD, cannabis wellness, cannabis for energy, cannabis and relaxation, cannabis and creativity, hybrid cannabis strains, sativa vs. indica, terpenes explained, cannabis and mood enhancement, cannabis community trends, cannabis and road trips, and cannabis consumption methods.
United States
