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Glossary

Endocannabinoid system

The network of receptors, endogenous ligands, and enzymes that cannabinoids act upon.

The endocannabinoid system (ECS) is a signalling network involving CB1 and CB2 receptors, endogenous ligands (anandamide, 2-AG), and metabolic enzymes (FAAH, MAGL). It modulates pain perception, mood, sleep, appetite, immune function, and more. Exogenous cannabinoids — THC and CBD — engage with this system, which is why cannabis-based medicines have such a broad potential indication space. Individual variation in ECS tone partly explains why cannabinoid responses differ significantly between patients.

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