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Interesting.
However the article alludes to two things.
The age range for this study was 65 and older. That has to be taken with a grain of salt, most of these people are not as fit as they used to be.
However, the study doesn't show any evidence of increased failure among people who smoke monthly or weekly, but on those who smoke daily. Which also might by synonymous with substance abuse. Which the author alludes to but does make a mention of.
That being said, this article doesn't really go in depth and a lot of information is hidden on the surface. I would love to deep dive into the main article research paper if you have it. Because there does seem to be a few pieces of the puzzle are missing.
Could be that they're not measuring substance abuse but the viability of smoked weed as a pain medication in people over 65.
My dad has heart and lung issues and I encouraged him to quit smoking and be mindful with the edibles. THC does bind to receptors in the heart and it is concerning with his health, regardless of consumption method.
CBD is relatively safe but can have drug interactions too because of liver substrate inhibition preventing other medication from being metabolized.
A lot of reasons to not assume weed is safe in 65 year olds who often eat a handful of other meds every day.