Performance-based pay, including commission payment, is a common part of many companies’ compensation strategies, with 75% using it to boost performance and reward success. However, there is ongoing debate about the potential disadvantages of commission-based pay in the workplace. Employees receive a base salary plus a commission based on the sales they make. For instance, an employee might have a base salary of $40,000 per year plus a 10% commission on sales. Decide what you want your commission structure to look like with employees. Is 5% sufficient if they’re successfully upselling and bringing in new business?

• Therefore, make sure to thoroughly consider how potential commissions will affect your employees’ interactions and, ultimately, your customers.
• If you’re concerned about a company’s commission structure, make sure in your interviews and when networking to ask thoughtful questions—such as “What is the commission structure like for this role?
• Unlike traditional jobs that come with fixed salaries, commission-based positions often offer the potential for unlimited earnings.
• Neglecting these will harm long-term success by reducing your clients’ trust.
• The tool helps managers align rewards with performance ratings and individual contributions.
• In case you want a view of the complete picture to make your decision, here are some of the potential disadvantages of commission-based work.

The pros and cons of commission-based pay

In most cases, an employee must be paid a gross wage or salary in addition to their commission pay. However, in some cases, an employee’s earnings may come solely from commission, calculated from their total sales or performance over each pay period. Commission pay is a type of variable compensation where employees earn based on their performance, typically tied to the volume or value of sales they generate.

Create a record-keeping system for commission-based sales

• This can be a great perk if you have other commitments outside of work or if you simply want the freedom to take a day off when you feel like it.
• How can businesses implement this pay structure effectively while maintaining a healthy work environment?
• At Salesonomics, we have extensive experience in developing the right strategy for your commission-based pay and fixed salaries in business-critical roles.
• This hybrid model, prevalent in sectors like sales, blends a guaranteed base salary with commissions determined by the value and frequency of deals closed.
• Let’s discuss how to understand and implement commission-based pay effectively.

Think about where you see yourself in the future and what financial path will help you get there. Too much emphasis on commission might lead to undue pressure or unethical sales tactics. How can businesses implement this pay structure effectively while maintaining a healthy work environment? Remember, what does commission based mean the goal is to incentivize performance without compromising quality or workplace morale. Commission payment can lead to higher earnings for top performers, but it also means less stable income. Industry, company rules, and your sales skills also affect which option works best.

How to Succeed in a Commission-Based Role

The third and final tip is to constantly review the balance to ensure it is a profitable deal for the company and that employees feel valued. That being said, commission-based pay is common in commercial roles, and our candidate survey “The Sales Landscape 2023” shows that 88% of participants appreciate a salary with variable components. Our survey also revealed that the pension plan was important to the participants.

Why is commission-based pay common in the sales industry?

Perhaps there are specific products or services you want to grow—ensure that these are more valuable to your employees. Consider the various sales aspects, prioritize them, and use this information when making your decision. When a business has specific targets to hit or a revenue metric that needs to be met that day, week, or month, this can trickle down to employees. Even in the easiest example of a retail business that has a sales goal per day (think of a bookstore, for example), this is a broader goal that focuses your employees. Your employees, no matter your business’s industry, can develop goals around customer engagement and their own percentage of close/win sales to keep themselves on track.

“We negotiated a sliding scale where the commission percentage adjusts based on performance,” she recalls. When you think of commission, your mind immediately goes to a sales-type role (think of a retail salesperson trying to get you to buy that extra pair of jeans). Commission is popular in most sales jobs because their responsibilities are heavily tied to a company’s revenue goals. Having the opportunity to earn commission—sometimes a hefty amount—motivates those individuals to hit or get close to their quarterly or yearly goals. Commission is additional compensation that’s earned based on job performance.

Types of commission pay

How your commission-based pay looks will directly influence the culture that is formed. By offering low base salaries and high individual commissions, you are likely to build a more individualistic culture. People with high drive and a desire to influence their income will likely thrive. Consider the type of employees you want to attract and, the culture you want to build, and make your decision accordingly. Incorporate payroll tools like Homebase to take any stress out of paying your employees their commissions.

Setting clear and achievable personal goals is essential in commission-based jobs. These goals should be specific, measurable, attainable, relevant, and time-bound (SMART). By defining what you want to achieve—whether what does commission based mean it’s a specific sales target or a number of new clients—you can create a focused action plan.

What is commission pay?

Understanding the depth of what commission-based pay entails and how it can be effectively used is crucial for creating a balanced and motivation-driven work environment. A certain level of prestige comes with being your own boss and setting your own hours. You are seen as being in control of your own destiny, and this can be very empowering. Preparing for these fluctuations with savings or a side hustle is crucial to maintaining financial stability.

Should you use commission-based pay in your business?

As an employee, it may be challenging to project your annual income because of varying commission. For a business, turnover could be high as many employees will seek out more stable and consistent employment. The nature of commission-based work means that there will be ups and downs.

The pros and cons of commission-based pay

• Commission-based pay is usually just one part of the employee’s total compensation.
• Your employees, no matter your business’s industry, can develop goals around customer engagement and their own percentage of close/win sales to keep themselves on track.
• Incorporate payroll tools like Homebase to take any stress out of paying your employees their commissions.
• There’s no fixed salary or hourly wage; instead, earnings are based upon the sales they secure.
• Real estate agents generally earn a percentage of the sale price of the property they help to buy or sell.
• This kind of pay structure often complements or replaces a base salary, making it ideal for industries focused on performance.

For instance, employees might receive a higher commission rate upon exceeding specific sales targets or reaching sales milestones. High earnings in commission-based roles may inhibit individuals from pursuing promotions that offer less financial reward and more responsibilities. Companies with commission plans often need significant pay restructuring to incentivize top performers to move into leadership roles. If that’s not your employer’s case, finding ways to align personal goals with career progression can help you bridge this gap. In commission-based roles, no ceiling limits your earnings, meaning your income will grow according to your performance. High performers often earn far more than their peers in salaried positions.

Competitive work environments

And in real estate you can get a cut of the money you make selling a property. In fact, in some roles commission makes up almost all of your compensation, meaning your income is variable and highly dependent on your output. A commission-based pay template is a valuable tool used by many companies to create structure and clarity around how the commission-based pay system works. The template is customized based on the company’s specific needs and objectives. Employees who receive commission-based pay work in a number of different professional environments. Often they’re motivated by multiple factors, like a competitive performance element to the role, or products and services sold and revenue.

Commission-based pay usually has some kind of metric or goal attached to it, and can be offered as a standalone compensation or in conjunction with a base salary. It can be in any field such as but usually; it’s in the insurance and real estate sector. In some cases, you may also receive a small base salary, but the majority of your income will come from commissions. Combining salary with commission offers employees a balanced income stream, ensuring stability while also motivating them to drive sales and improve the company’s profitability. The fixed salary component ensures financial stability, while commissions open the door to limitless earning opportunities tied directly to their sales achievements.

• On the other hand, you can easily find yourself out of a job if you don’t sell enough.
• Because you have the potential to make your own hours, this type of job can give you more time to spend with your family.
• Many companies use variable piece rates or commission-based pay as part of their compensation structure.
• The bank may see you as high-risk and be less likely to approve your loan application.
• The benefits range from reduced fixed costs for companies to increased motivation for employees.
• This means if their commission does not equal minimum wage, the employer may need to make up the difference.

An employee who sells more will earn more money—it’s as simple as that. Homebase makes managing hourly work easier for over 100,000 local businesses. With an employee scheduling app, employee schedule maker, and work schedule app, Homebase is built for staff scheduling, shift swapping, predictive scheduling,  auto scheduling, rotating schedules.

Some people like the security of a fixed income, while others love the thrill of the sales hunt. Most companies calculate commission as a percentage of total sales, meaning the more an employee sells, the bigger the paycheck. What can be frustrating about this, of course, is that it’s not an easy formula to follow, so it’s not entirely clear what your commission will look like until you receive your paycheck.

These can affect both your controlled and involuntary movements, as well as sensations. Alcoholism, now called alcohol use disorder (AUD), is a condition in which you have difficulty stopping or managing your alcohol intake despite experiencing negative consequences. Additionally, patients experienced early and sustained improvements in pain and quality of life, as assessed across multiple patient-reported outcome tools.

• During his time as a therapist, Justin has worked in a residential addiction treatment facility, private practice, and outpatient settings.
• Polyneuropathy involves damage to more than one nerve at the same time, usually multiple nerves throughout the peripheral nervous system and all over the body.
• Abstaining from alcohol can help restore your nutritional health, improve your symptoms, and prevent further nerve damage.
• She holds a master’s in clinical psychology with an emphasis on marriage and family therapy.

Physical and Neurological Examinations

Poor absorption and low intake of these vitamins have clinical features of dermatitis, neuropathy, and anorexia. There are a number of different illnesses and conditions that can cause neuropathy, including consuming large amounts of alcohol. Alcoholic neuropathy is very common among those who drink heavily, but few people realize that the pain and tingling they feel in their extremities is another symptom of their drinking. Fortunately, by reducing their alcohol intake and seeking out peripheral neuropathy treatment, these symptoms can often be reversed. If you drink alcohol, it’s important to understand how much alcohol can cause neuropathy and how to deal with this issue if you begin experiencing its symptoms. They get worse with more alcohol consumption, so if you stop drinking and seek professional medical attention, you can manage the symptoms of the disorder and potentially keep the nerve damage from worsening.

Does alcohol cause muscle weakness?

The journal further reports that alcoholic polyneuropathy is likely caused by nutritional deficiencies and the depletion of thiamine that is caused by heavy and long-term drinking. It is most likely that drinking a lot of alcohol over several years causes direct damage to nerve cells and can also contribute to nutritional deficiencies in the body; these may both be factors in the onset of alcoholic polyneuropathy. The investigators found that neuritic symptoms persisted in all cases and some worsened, despite alcohol cessation. All patients improved, but only 2 patients showed demonstrable improvement in motor and sensory deficits. They also failed to account for malnourishment and the improvement that could be seen from enhanced nutritional status. Alcoholic neuropathy, also known as alcoholic peripheral neuropathy, refers to damage of the nerves due to chronic and excessive alcohol consumption.

What Are the Treatments for Alcoholic Neuropathy?

• However, researchers have found that consuming too much alcohol for long periods of time can damage the peripheral nerves.
• Progressively, the sensory and motor symptoms and signs extend proximally into the arms and legs and finally the gait may become impaired 11.
• She has worked in behavioral health since graduating with her bachelor’s degree in 2019.

You may need to try many therapies and options before you and your medical team work out what is best to manage your side effects, restore nerve function where possible, and prevent further damage. Alcoholic-related neuropathy (ALN) is a serious and irreversible how do you know if your neuropathy is caused by alcohol? condition that can lead to severe pain and physical disability. Risks for the baby can include brain damage and developmental, cognitive, and behavioral issues. No amount of alcohol is safe to drink while pregnant, according to the CDC.

If you’re concerned that you might have developed alcoholic neuropathy, your first port of call should be to contact a doctor and book yourself in for a check-up ASAP. Some experts believe it has more to do with the alcohol’s activation of mGlue5 receptors, or perhaps its ability to trigger the sympathoadrenal and hypothalami-pituitary-adrenal axis. Let’s address the different forms of alcoholic neuropathy individually and how they affect the human body. Heavy alcohol use can also impact how the kidneys, stomach, and liver function. This leads to a build-up of toxins in the body because the system that flushes these toxins is no longer working correctly. Alcoholic neuropathy signs and symptoms can progress gradually and are usually subtle at first.

Drinking alcohol can also have negative effects on the peripheral nervous system (PNS). According to a 2017 review, muscle myopathy is common in alcohol use disorder. In addition, about 40 to 60 percent of people who experience chronic alcohol misuse also experience alcohol-related myopathy. The symptoms of alcoholic neuropathy are insidious, proceeding so gradually that they often go unnoticed for a long time, and once noticed, the connection to alcohol abuse isn’t always immediately apparent. Eventually, if left untreated, alcoholic neuropathy can cause permanent Twelve-step program pain.

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This condition is typically not life-threatening, but the nerve damage from alcoholic neuropathy is usually permanent. The most important strategy against alcoholic neuropathy lies in preventing the symptoms from getting worse by decreasing alcohol consumption as soon as possible. Avoiding excessive amounts of alcohol is the primary way to prevent alcoholic neuropathy. If you notice you are developing signs of alcoholic neuropathy (such as numbness after drinking alcohol), in addition to seeing a physician, try to stay away from alcohol altogether. If you are having difficulty avoiding alcohol, there are resources that can help you quit.

How can alcohol-related neurologic disease be prevented?

Because the symptoms of alcoholic neuropathy can be similar to those of other conditions, your doctor may first rule out other possible causes of your symptoms. If you’ve been diagnosed with alcoholic neuropathy, the best thing you can do for yourself is to quit drinking, which we know is easier said than done, but you don’t have to do it alone. Consider joining a support group — there are a number online if your condition prevents you from leaving the house. In severe cases of alcohol addiction, when a liver transplant is necessary, there have been some instances of reduced symptoms, post-op, but not even a transplant can abate the symptoms of late-stage alcoholic neuropathy. Another theory is that oxidative stress and increased free radical activity is the primary contributing factor when it comes to alcoholic neuropathy.

We found more potent effects with tocotrienol as compared with α-tocopherol 55. Alcohol-related neurologic disease refers to a range of conditions caused by alcohol intake that affect the nerves and nervous system. Neurologic disorders can include fetal alcohol syndrome, dementia, and alcoholic neuropathy.

Some companies sell dehydrated urine and synthetic urine to be used for this purpose. There are risks to pushing large amounts of fluids or taking diuretics to increase urine output. You can actually overdose on water (water intoxication), and it’s fatal if untreated because it disrupts the metabolites that keep your heart beating. The most common method used to beat a urine drug test, dilution, involves increasing fluid intake drastically before the test to the point of frequent urination. Those with higher body fat levels might retain higher THC levels simply by the sheer volume of available space for storage.

Getting Ready For A Drug Test

Then again, it is one of the classic solutions to the dilemma of how to pass a marijuana drug test. If you’re facing a drug test and NEED to pass, go to a professional who can advise of the best way to do so. Since 1996 they’ve been helping people successfully pass their drug tests. Precipitation testing is one of the newer drug testing methods available.

THC removal: hair products

• The approach of these products should be viewed through the lens of THC clearance.
• They take a sample of blood from a vein in your arm and test it in a lab.
• 11-hydroxy-THC is produced in high amounts when THC is taken orally, but not when it is inhaled.
• When she is not managing her business, Colonial Stores, Lisa spends most of her time researching about synthetic urine products to review.
• This method mainly affects the sample’s dilution rather than removing drugs from your system.
• Some additives can change the color or appearance of your pee and be a dead giveaway for your tampering.

And if you violate probation, then you also may be required to submit to a drug test. It’s also common for these tests to be done under supervision before a job offer. The approach of these products should be viewed through the lens of THC clearance. These are most often drinks that contain sugar, salt, B vitamins, and often some creatine and some herbal ingredients like dandelion or echinacea. These drinks, which can range in size from a 1 ounce shot to a 500mL (~16 ounces) drink, primarily help to dilute the urine and then cover it up.

What can be detected by a blood drug test?

And despite what your stoner buddies say, chugging cranberry juice will do nothing but strain your kidneys—its tannins don’t interact with THC stored in your fat. There are many accounts online that swear that cranberry juice, lemon juice or tea helped them pass a drug test. While this may be true for that one-off individual, there is little evidence that these beverages will help you pass a drug test. While all three are good detox beverages, chugging bottles of juice or tea is not going to lead to a passed drug test miraculously. Drinking all of that water in preparation for your drug test means that your urine will lose most of its natural yellow coloring. Get your urine yellow again by taking B vitamins, specifically B12 and B2.

How To Pass A Drug Test For Weed

Soluble fiber is typically used to speed up elimination, helping you poo a little easier. how to pass a urinalysis Insoluble fiber bulks up the stool and allows your digestive system to detox more efficiently. However, it’s important to note that even this is not a sure-fire way to pass a drug test and it comes with some uncomfortable side effects. That, of course, won’t be possible if you need to figure out how to pass a drug test in a few hours. One of the most important factors when preparing for a drug test is monitoring your water intake.

During the urine drug test, they will check if the level of marijuana metabolites in your urine is above the cutoff level of 50 ng/mL. To pass, you must ensure that the concentration of detectable marijuana metabolites (THC-COOH) in your urine is below this level. In terms of how to do one, simply follow the instructions on the detox cleanse you purchased. None of these drinks will permanently cleanse THC from the body, but they will try to reduce its detectability for a short period of time. There’s not a ton of scientific evidence to support that THC detox drinks work, but there are users on forums like Reddit that claim they can work wonders.

• If you’re not producing the same in a stall, then you will still have privacy from the observer when you’re urinating.
• So if you want to avoid getting fired from your job (or stay on the legal side of things), keep reading for our recommendations on how to cheat a urinalysis 2.
• With such high stakes, it’s no wonder consumers go to great lengths to detox.
• Fortunately, due to its cost and invasive nature, it is used less frequently, usually by police departments in marijuana DUI cases.
• We also share the key to naturally passing a drug test and debunk some common drug test myths.
• Mouth swabs, aka oral fluid or saliva drug tests, have the second shortest window of detection times from ingestion (about 24 hours since your last use).

The most common marijuana drug test is the urine test (90% of employers that do pre-employment drug testing use this method). As the body naturally burns fat, it releases THC back into our bloodstream for filtration and removal from the body. There is no evidence to prove that any impairment accompanies this small release of THC from your fat cells.

This method is often called the “Certo” or “Sure-Jell” method and it’s more or less like drinking jam. This method works by taking advantage of processes that happen naturally during digestion, which are explained above. Activated charcoal, on the other hand, may help remove drugs from your system. Activated charcoal has been used for centuries to remove toxins during cases of poisoning. While many people go overboard with their supplements before taking a drug test, there are a couple of natural remedies that may actually be helpful. Then, as you try to eliminate or mask traces of THC as much as possible, you can continue to test to see if your methods have worked before your test.

In times of emergency, many consumers find themselves frantically perusing for the best detox supplements online. Many of these mysterious concoctions sell for upwards of $60, yet exactly what is in them or how they work remains a conundrum. Further, many detox remedies contain well beyond the daily dose of vitamins like niacin and other B compounds.

➔  Home Remedies Are Reliable

While labs do not normally test for the presence of THC metabolites in saliva, they can be present for days. That is why we have compiled this guide on how to pass a urine drug test for weed. Below, we break down how long THC will stay in your system, offering tips to pass a drug test in 24 hours and over an extended amount of time. We also share the key to naturally passing a drug test and debunk some common drug test myths. Zinc can interfere with a urine drug screen and there are scientific studies to support this.

How to Flush Drugs and Alcohol from Your System

While alcohol can be measured in the parts per thousand, law enforcement needs a machine sensitive enough to measure cannabis compounds in the parts per trillion. A general rule of thumb is, light consumers are expected to have good success with a 17-ounce bottle. Heavier consumers may need to consume a 32-ounce bottle, depending on product directions. However, given that blood tests tend to be a surprise, it can be difficult to get exactly what you need to sufficiently detox. Using this practice kit is simple, and will give you the confidence you need to pass your drug test.

• Saliva, or mouth swab testing, is not as common as urinalysis (urine testing).
• Urine color can be influenced by what you’ve just eaten or by certain drugs you’re taking.
• There is usually no pain unless you have a urinary tract infection (UTI).
• You might also want to invest in a couple of home urine test kits that will detect THC metabolites.
• The reason for this is to check if you have brought with you a false bladder or another product that can be used to dispense synthetic urine formula or substitute urine.
• As such, they are typically used by individuals rather than employers, clinicians, or law enforcement.
• These drug tests can be stressful, especially for people who are using cannabis for medicinal purposes and may not have the option to stop or pause their treatment.

Not only that, but since THC is stored in fat cells, burning fat when you work out pushes THC out of your system at a faster rate. However, because of this, avoid exercising in the 24 hours before your urine drug test, as how to pass a urinalysis this can result in stored THC being pushed into your bloodstream. If you only have 24 hours to pass a drug test, it is a good idea to know what your test will reveal about your THC levels. Purchase a home THC urine drug test at your local pharmacy or drugstore, and see if you pass the test. This is a quick way to see if a detox drink was effective in flushing THC from your system.

Saliva Drug Test

This is bad news for anyone who has just puffed on a joint or enjoyed a new vape before meeting a surprise saliva test. Most consumers can pass a saliva test within 24 hours of abstaining from cannabis. However, if you are met with a surprise saliva test, one of the best things to do is try to wait and delay the test as long as possible. However, if that is not possible, there are a few tips and tricks you can try.

THC detox: how to pass a drug a test

• The same goes for substituting someone else’s (presumably clean) urine for your own; that’s both risky and detectable.
• And since they’re considered herbal supplements, they’re not regulated by the FDA—so who knows what’s actually in them.
• But, again, the testing companies may be looking for telltale signs that you’ve used these, so proceed with caution.
• This may vary with the type of substance consumed or the frequency of taking of the substance or the elimination rate of the substance.
• While it is true that THC mimics the actions of molecules produced by our bodies, called endocannabinoids, the human body still recognizes THC as a foreign chemical that must be eliminated.

The main advantage is that your urine sample will be 100% free of any drug metabolites. This method is highly effective and popular as the only same-day option without using synthetic urine. However, if you prefer a less complicated approach, there are products available that include everything you need to pass the drug test.

When push comes to shove, there is no easy way to detox from cannabis when trying to pass a drug test. Tests are continuing to evolve and more labs now are able to detect synthetic urine. But technology works in both directions, and manufacturers of synthetic urine continue to upgrade their products in an attempt to stay one step ahead of the tests. Using a friend’s urine introduces a number of random risky factors when trying to pass a drug test too.

If these bubbles appear frothy and do not dissipate quickly, you may have proteins in your urine. Although not an immediate cause for concern, frequent cases of frothy urine should be discussed with a healthcare provider. Proteins like albumin cannot pass through a healthy kidney’s powerful filtration system. Foamy urine occurs when proteins sneak past your kidneys and end up in your urine. The clinical term for the presence of proteins in the urine is proteinuria or, in some cases, albuminuria. However, if you frequently have foamy urine, speak with your healthcare provider to help determine the cause.

Lucky for you there are a few other (far less surefire) ways to try and pull it off. The following remedies are myths and will not help you pass a drug test. A blue dye is added to the toilet bowl to prevent using the toilet water to dilute the sample. If you’re not satisfied, you can get your money back from the manufacturer. You can use Certo, a brand of fruit pectin, instead of activated charcoal. That’s why you need to take creatine, which helps maintain creatinine levels in your urine.

Niacin can help mediate your metabolism

Carbonated beverages like soda or champagne will get into the system quicker. Eating a lot of carbohydrates beforehand may slow down absorption in the body. When consumed, the body processes and excretes alcohol from the system. The majority of ethanol goes through the liver to be broken down by alcohol dehydrogenase, an enzyme that works to change ethanol into acetaldehyde, a toxic compound and carcinogen. That means that within four to five hours, half of all the alcohol consumed has been expelled from the body. The remaining alcohol can take up to five half-lives (i.e. 20–25 hours) to be cleared completely.

Identifying these triggers allows individuals to develop strategies to avoid or manage them effectively. More recently, ABCD has been complemented by a similar study on the first decade of life, the multi-Institute Healthy Brain and Child Development (HBCD) study. HBCD is recruiting a cohort of pregnant participants across the country and will use neuroimaging and other tools to track the impacts of prenatal exposure to cannabis and other environmental influences on the https://ecosoberhouse.com/ developing brain. By identifying risk and resilience factors for cannabis use in youth, the data from ABCD and HBCD will be extremely valuable in informing prevention programs in these age groups.

Lady Gaga and Her Struggles with Drug Abuse

The survey has recently recorded reduction in teenage use of substances in general, including cannabis, and recent surveys have also shown increases in disapproval of cannabis use and perception of its harms in this age group. However, it continues to show that cannabis is one of the most-used drugs by teenagers, with a quarter of 12th graders reporting use in the past year. The report describes in detail the different regulatory frameworks that exist in different states, and it draws on prior research to identify policies that are likeliest to have the greatest impact protecting public health. Those include approaches like restrictions on retail sales, pricing, and marketing; putting limits or caps on THC content in products; and laws about cannabis-impaired driving. They also could include different forms of taxation and even state monopolies.

• Dependence is a physical response, while addiction includes psychological and behavioral patterns that make it challenging to control use.
• Local resources and support groups offer opportunities for individuals to connect with their community, receive peer support, and access services that can enhance their recovery.
• Marijuana addiction is classified under the DSM-5 as a substance use disorder with varying severity levels based on the number of criteria met within 12 months.
• Due to their highly structured and intensive approach, inpatient centers yield the highest rates of success for helping patients overcome their addictions.
• Discover the cognitive consequences of methamphetamine addiction and their impact on decision-making and memory.
• When you find yourself struggling with stress or anxiety, try implementing some effective stress management techniques such as deep breathing or progressive muscle relaxation.

Is Smoking Weed Addictive?

Mindfulness and meditation are powerful tools in the recovery process, allowing individuals to manage stress, reduce cravings, and increase self-awareness. These practices encourage a present-focused, non-judgmental awareness that can be particularly beneficial for those recovering from marijuana addiction. Marijuana withdrawal symptoms, while typically less severe than those of other substances, can still be challenging and uncomfortable. Common withdrawal symptoms include irritability, anxiety, insomnia, and cravings.

Cannabis/Marijuana Use Disorder

No one should assume the information provided on Addiction Resource as authoritative and should always defer to the advice and care provided by a medical doctor. Treating marijuana addiction, or Cannabis Use Disorder (CUD), involves a combination of behavioral therapies, support groups, and, in some cases, medications to manage withdrawal symptoms. Many in the medical community, including researchers at the National Institutes of Health, consider such medication-assisted treatment to be the gold standard in addiction treatment. Marijuana is a psychoactive drug that affects brain function and leads to dependence in some users. It comes from the Cannabis plant and is widely used for both medical treatment and recreational effects. The active compound tetrahydrocannabinol (THC) alters mood, perception, and cognitive function, making it appealing to many but also leading to health risks and addiction in certain cases.

Treatment options, such as therapy and support groups, can help individuals manage cravings, improve their mood and cognitive function, and rebuild social connections. These withdrawal symptoms often complicate recovery efforts and highlight the need for effective treatment strategies such as cognitive-behavioral therapy. As societal acceptance of marijuana grows alongside its availability, understanding and addressing cannabis use disorder remains crucial for public health initiatives. Creating Twelve-step program a comprehensive relapse prevention plan is critical for sustaining long-term recovery. By identifying triggers, developing healthy coping mechanisms, and engaging in ongoing therapy, individuals can protect their sobriety and continue to grow in their recovery journey. However, with persistence, support, and the strategies outlined in this guide, achieving and maintaining lasting sobriety is possible.

Specialty Therapies

Marijuana is consumed through smoking, vaping, eating edibles, dabbing concentrates, and brewing into tea, with each method affecting the body differently. It originates from the Cannabis plant, which contains over 125 cannabinoids, including delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD). THC produces psychoactive effects, while CBD is used for therapeutic purposes without intoxication. Marijuana is classified into drug-type and fiber-type cannabis, based on its THC-to CBD-ratio.

Adoption of this standard was based on the need for consistency across research studies, which will facilitate more real-world-relevant research and translation of findings into policy and clinical practice. Research using this standard could also provide better insights into the effects of cumulative exposure and long-term developmental and cognitive effects of prenatal exposure. However, it’s worth noting that the risk of cannabis addiction is lower than the risk of addiction to other substances (like alcohol, tobacco, or opioids). In addition, is weed addictive cannabis doesn’t have the same risk profile as other substances. For example, using alcohol or opioids in unhealthy ways could lead to a fatal overdose, which isn’t the case with cannabis use. Before embarking on a marijuana detox, there are some decisions you need to make.

I even buried it in a cemetery down the street from my house. My new relationship with sobriety is by far the best one ever. Then it started affecting other people but I still stood by your side. You were my ride or die for a long time. You always came through and I could count on you to make me forget. But, then instead of giving, you started taking and taking.

Set the Tone for the Goodbye Letter to Substance Abuse

My bank account has never looked as good as it does. I get to enjoy my life without the desire to be inebriated, checked out or escaping with you. I hate Sobriety to tell you, but no one starts out their relationship to you with the idea that you will one day control their entire way of life.

Beginning The New Year In Recovery

• Just knowing that you are reading our blog all the way to the end shows that you are almost ready.
• Be honest about both the perceived positives and the real negatives.
• Describe how the addiction has been a part of your life.
• So it’s time I let you know that I met someone else and she promised to take care of me and nurture me back to health.
• You were there when I was vulnerable, at my lowest, when I needed to escape.
• Keeping it clean and simple is a good way to start your letter.

I wish to live whatever life brings, with renewed hope, happiness, balance, excitement, and intrigue. I wish to accomplish the things I should have done half a life ago. I know the future can and will be exciting, but also a challenge, a challenge I will embrace and will face head-on. I have hope in my heart, and hope is a wonderful thing. To be honest, when it’s all said and done, I’m probably the one at fault here.

Express Your Determination to Get Support

• Just as you begin the letter with a no-nonsense acknowledgment, you will end with a final farewell.
• You know they don’t serve alcohol in the park.
• For too long, I let you control me and even hated myself at times.
• Read on; you’ll discover the six steps to writing a goodbye letter to alcohol and read an example letter.

Join our engaged and growing community — one in which everyone shares a common goal of of staying sober, one day at a time. We needed a hero, and I just prayed that somehow, he could be ours. Within a couple of weeks, he cashed out some credit cards and we were out. We left the “new dream life” in the rearview mirror and goodbye letter to alcohol moved to a low-income housing project starting from scratch. I still feel the echo of my voice, tinged with that urgent kind of hope, as I reached out to my brother halfway across the world.

Martin Luther King Jr.: More than a Day Off

Then you https://ecosoberhouse.com/sober-house-boston/ seduced me into spending the night with you, and in the morning, you’d laugh at me while my head and stomach ached from too much of you. You also helped me through some rough periods in my life too. You were there when my parents died and helped me through the grief.

Binge Drinking Isn’t Lucky: Sobering St. Patrick’s Day Statistics 2024

“You’ve gotta help us,” I remember saying, the desperation clear even across the ocean. He was far away in Germany, wearing his uniform, and here we were, trapped in a house that felt more like a psychiatric prison. Oh, and those condo bashes hanging out with you and the party host, when we were tucked away in that loft like we were the stars of our own cringy reality show. The ears we must’ve serenaded with our naughty teenage behavior. But you, my dear partner in crime, had this magical ability to flick off my worry-switch. Seriously, your “whatever” vibe should be bottled up or something (pun intended).

Write a five- to six-sentence paragraph looking back at the good and bad times you had together. It’s okay to admit that you leaned on alcohol to deal with your emotions and for moral support when you began drinking. Don’t forget – you probably also had a fun time with other adults during this addiction. This exercise can be especially helpful when you are turning your life around. For years now, you’ve been a constant presence in my life. I admit that in the beginning, you did offer me comfort and escape.

The AHA suggests moderate alcohol consumption for those who choose to drink, defining moderation as up to one drink per day for women and up to two drinks per day for men. It is important to note that these guidelines apply to healthy adults and should be adjusted for individuals with certain health conditions or those taking specific medications. In addition, the AHA advises against starting to drink alcohol solely for potential health benefits, as the risks can outweigh the advantages. It is crucial to exercise caution and be aware of individual tolerance and personal health circumstances when making decisions about alcohol consumption. Furthermore, they specified the definition of “one drink” offer clarity when it comes to alcohol consumption.

Acknowledgements

• Efforts to control alcohol addiction have just 50%–60% positive results in specific cessation programs 8,9.
• Irrespective of the mechanisms of the pathology, AF is a significant concern in the management of alcoholics.
• Different animal studies, an ethanol diet have observed a significant increase in the ventricular beta MHC isoform 44.
• Although secondary to the sarcoplasmic reticulum, mitochondria also serves as a calcium reservoir; another regulatory step of myosin activity and myocardial contractility.
• Get expert advice on whether you’re at higher risk of developing the disease, plus other key resources.

These oxidative stress biomarkers corresponded to myocardial fibrosis development and decreases in fractional shortening and cardiac output. Interestingly, these Substance abuse changes were prevented by the co-administration of the cytochrome P450 2E1 (CYP2E1) inhibitor, diallyl sulfate (100 mg/kg/d). Data from Jing et al., also support a role for CYP2E1 activation and changes in oxidative stress markers, such as superoxide dismutase, glutathione peroxidase and malondialdehyde protein levels (30). These investigators found that cardiac microsomal CYP2E1 activity was increased and corresponded to decreased superoxide dismutase and glutathione peroxidase activities and increased malondialdehyde levels in dogs that received alcohol (22%) in their water once per day for 6 months (30).

cellular Alterations in Alcoholic cardiomyopathy

According to most studies, the alcohol consumption required to establish a alcohol cardiomyopathy diagnosis of ACM is over 80 g per day during at least 5 years9-12. Unfortunately, it is well known that abstinence is difficult to achieve, and it is important to stress that alternative treatments are needed, including therapies to help with alcohol withdrawal, heart failure drugs, and other promising therapeutic approaches that focus on pathogenesis. In fact, Brandt et al.54 observed that in ALDH2-deficient mice, the most important increase in mitochondrial superoxide levels (which is the major species of ROS) is due to acetaldehyde, not ethanol. By inhibiting NOX2 (the most important superoxide-producing enzyme) with apocynin, they observed a decrease in ethanol- and acetaldehyde-induced superoxide levels. In patients with dilated cardiomyopathy, if additional questions remain after a history is obtained and noninvasive testing is performed, cardiac catheterization may be used to help exclude other etiologies of heart failure.

Hypertrophic Cardiomyopathy (HCM) Prognosis

Finally, it is worth stressing that a large majority of studies on the physiopathology and prognosis of ACM were conducted some years ago, prior to the development of our current understanding regarding the role of genetics in DCM67. According to recent data, a genetic form of DCM could be present in up to 50% of idiopathic DCM cases, and other specific forms of DCM such as peripartum cardiomyopathy have been shown to have a genetic basis in a significant number of cases68. It is therefore possible that patients with ACM could also harbour a genetic substrate that predisposes them to this form of cardiomyopathy. The suspicion that there may be an individual susceptibility to this disease is underscored by the finding that only a small group of alcoholics develop ACM, and that a proportional relationship between myocardial damage and alcohol intake has not been proven. Epidemiological studies analysing the relationship between excessive alcohol consumption and the development of DCM have found the existence of a reciprocal link between both disorders. The existence of a direct causal link between excessive alcohol consumption and the development of DCM is a controversial issue.

• The diagnosis of ACM is usually one of exclusion in a patient with DCM with no identified cause and a long history of heavy alcohol abuse.
• Chronic ethanol exposure, in combination with other stress signals, provides a trigger for cardiac apoptosis through activation of the mitochondrial permeability transition pore by physiological calcium oscillations 111.
• Along with signs of heart failure such as increased N-terminal pro-B-type natriuretic peptide, blood tests can provide hints suggesting chronic alcohol abuse.
• In contrast, European studies focusing on the prevalence of ACM included only subjects diagnosed with DCM and applied the consumption threshold of 80 g/d for ≥ 5 years, finding an ACM prevalence of 23%-47% among idiopathic DCM patients9-12 (Figure 1).
• Interestingly, Wu et al. using carotid pulse measurements, observed a gender dependent effect in preclinical ACM (asymptomatic ACM)—that is, female patients displayed no deviation in carotid pulse measurements values for either PEP or LVET while males did 36.

• Low concentrations of ROS appear to serve as signaling molecules, while higher levels propagate a destructive outcome 81-83.
• Since ethanol has multiple cell targets with different pathological mechanisms implicated, those different strategies to directly target alcohol-induced heart damage are only partially effective and can only be used as support medication in a multidisciplinary approach 112.
• Considering all the works conducted to date, it is clear that new studies on the natural history of ACM are needed, including patients treated with contemporary heart failure therapies.
• Although beyond the scope of this review, it is possible that certain dietary components and/or deficiencies may increase either the susceptibly or progression of ethanol-induced myocardial changes.
• Furthermore, for this review, certainty assessment was conducted by assessing the risk of bias, imprecision, inconsistency, and indirectness of the presented evidence.

In fact, there is an increasing consumption in particular groups, such as adolescents and young people 3,4. In the study by Gavazzi et al10, ACM patients who continued drinking exhibited worse transplant-free survival rates after 7 years than those who stopped drinking alcohol (27% vs 45%)10. In the second study, Gavazzi led a multicentre study in which, from 1986 to 1995, 79 patients with ACM and 259 patients with DCM were recruited10. Transplant-free survival after 7 years was worse among patients with ACM than among those with DCM (41% vs 53%). Among patients who continued drinking heavily, transplant-free survival was significantly worse than in non-drinkers (27% vs 45%). The first paper to assess the natural history and long-term prognosis of ACM was published by McDonald et al69 in 1971.

• This ethanol misuse at high consumption rates causes a variety of health problems, ethanol being the sixth most relevant factor of global burden of disease and responsible for 5.3% of all deaths 5.
• The authors examined the prevalence of cardiomegaly by means of chest x-rays and related it to alcohol consumption among a consecutive series of Japanese males of working age.
• In spite of numerous studies, the sequence of events that occur in alcohol-induced myocardial damage is still highly controversial.
• Despite this clear epidemiological evidence of ethanol’s unsafe consumption and increased health risk, results of consumption policies are not effective enough.
• The effect of a low dose of alcohol consumption on the cardiovascular system has been also extensively evaluated with evidence of a dual effect, beneficial for coronary artery disease at low doses 44 but reversing to a damaging effect at moderate to high doses 19.
• Myocyte cytoskeletal structure 21, connexin channel communication, and desmosomal contacts are affected by ethanol, causing structural cell instability 105.

We identified main themes and sub-themes to provide a comprehensive overview of the current state of knowledge regarding ACM. By following this methodology, we aim to contribute to the existing body of knowledge on ACM, providing a reliable and up-to-date understanding of its pathogenesis, clinical features, diagnostic approaches, treatment options, and potential preventive strategies. Echocardiography is perhaps the most useful initial diagnostic tool in the evaluation of patients with heart failure.