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Medical Doctor Take On The Benefits Of Cannabis

June Chin, MD has dedicated her career to finding integrative and holistic ways of treating patients after she discovered how beneficial cannabis was in treating her own chronic pain.

With over a decade of experience, Dr. June Chin has focused on interactive osteopathic medicine for individuals with epilepsy, cancer, and autism. Practicing medicine in California, Dr. Chin has utilized the state’s legalized medical cannabis access by empowering her patients with knowledge about CBD and marijuana’s benefits. 

Dr. Chin recently shared an exclusive interview with The Fresh Toast on where cannabis is going and what health practitioners should know. When asked why she was such an advocate for cannabis, Dr. Chin shared that her personal pain journey led her to advocate not just for patients, but for doctors to get information firsthand. Here is her story.

“As a teenager, I was diagnosed with ankylosing spondylitis (AS), a progressive type of arthritis that affects the spine, pelvis, hips, and back and causes extreme stiffness and nerve pain. 

“I spent my younger years trying conventional treatments — epidurals, narcotics, muscle relaxants, acupuncture, physical therapy — but the pain was unrelenting. By the time I got to medical school in San Francisco, I was having difficulty standing for long periods in the operating room. One of the attending physicians saw this and asked me about it. I told him I had AS but that I couldn’t take the meds I needed for relief while doing rounds or while attending a four-hour hip-replacement surgery because they made me drowsy and foggy. 

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“Here I was in a hospital surrounded by great medical minds, but I was disheartened to find nothing could help my condition. The attending physician and my mentor Dr. Levine pulled me aside and handed me a bottle containing a tincture. ‘This is marijuana,’ he told me, ‘but it won’t make you high.’

RELATED: A Pain Management Doctor Shares How Marijuana Is Impacting His Patients

“He didn’t call it CBD oil. He just said it was a different type of cannabis plant. I was mortified but desperate. As a medical student, training to be a doctor, my first thought was, “You are offering me pot? You want to make me a drug addict?” I grew up in the Bronx, where there was a huge social stigma around marijuana. Kids that smoked weed were either the dropouts or involved in gangs. I also grew up in a very traditional Chinese household. My parents believed in reefer madness — weed led to psychosis and schizophrenia!

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“The little brown dropper bottle Dr. Levine handed me smelled like a combination of alcohol, wet dog, and grass, and I didn’t know what to think. To my amazement, the tincture worked very well. The pain and inflammation of my arthritis decreased dramatically, my AS stopped progressing, and my health improved.

“Even though California legalized medical cannabis in 1996, I didn’t dare tell anyone I was using it. I was a young physician and didn’t want to jeopardize my career. But once I got my health back, I decided to learn more about cannabis and how it helps manage pain and improve people’s overall health and wellness. 

RELATED: How One Pediatrician Uses Marijuana And CBD In Palliative Care

“Having suffered in pain for so long, I know what it feels like to say to your doctor, ‘I’ve tried everything, and nothing has helped.’

“I have been helping patients integrate medical cannabis into their health and wellness for over a decade. Cannabis changed the trajectory of my life. I would not have been able to finish medical school and become a doctor had it not been for cannabis treatment. I had an educational advantage in doing my medical school training in California. California legalized medical cannabis in 1996. I was in the middle of a switch box and was able to engineer my circumstances to learn holistic, integrative cannabis medicine.”

Dr. Chin has seen firsthand just how much medical cannabis can benefit patients. A Bronx native, who moved back to New York several years ago, Dr. Chin is now registered with the New York State Medical Cannabis Program.  She is currently treating both children and adults in New York and is with AskCMD.com, a personalized cannabis service. 

The Risks Of Combining Cannabis And Birth Control

While more research is necessary, mixing weed and birth control could lead to negative side effects.

Smoking always comes with health hazards, from life threatening issues such as cardiovascular health and increased cancer odds, to more superfluous damages, like the health of your skin and teeth. When talking about pregnancies, smoking is one of the most risky and dangerous things you can do. What a lot of people don’t know is that smoking can also negatively impact your birth control.

The combination of smoking cigarettes and birth control has been linked to an increased risk of developing blood clots and other kinds of cardiovascular disorders. There are also a wide variety of birth control methods, with some of posing significant levels of risk all by themselves. For example, a couple of years ago, the makers of Nuva Ring were sued by different women who argued that this particular method of birth control increased their odds of getting blood clots and embolisms by a significant margin. All of these risks are increased for women over the age of 35 who have some sort of preexisting condition.

But what about smoking marijuana? What effect does that have on birth control? The short answer: Experts aren’t quite sure.

RELATED: What You Need To Know About Marijuana And Birth Control

While THC has been associated with elevated blood pressure, which could theoretically become an issue when combined with birth control, there haven’t been too many studies that support this theory. A 2016 study published in the  Journal of Hypertension found “a modest association between recent cannabis use and systolic blood pressure,” but stressed the importance of waiting for other studies to investigate further.

Another fact that people should contend with is that some experts believe THC could mess with your birth control and make it less effective, especially if the birth control is estrogen based. It appears that THC can actually increase estrogen levels, potentially putting you at higher risk of blood clots and stroke.

Birth Control
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When it comes to CBD, studies show that the compound can interact with different substances we ingest, includes birth control pills.

According to CBD retailer Onyx + Rose, enzyme inhibitors such as CBD can potentially increase breakthrough bleeding and decrease estrogen-based contraceptive effectiveness, leading to an increased risk of unwanted pregnancy.

RELATED: How Birth Control Can Affect Your Sex Drive

A large percentage of people are using some kind of birth control, whether it’s pills, condoms or vaginal rings. Most can adapt these methods to their daily lives, still managing to smoke cigarettes or marijuana. What people can do to stay as safe as possible is to evaluate all of their options, to use birth control that is recommended to them by a professional, and to carefully consider which method of ingesting marijuana works best for them and their situation.

More research is clearly necessary in order to keep people safe and to help us all understand how cannabis interacts with our bodies. Until then, it’s best to have an honest conversation with your doctor.

Artful Ways To Practice Self-Care

In these times of isolation, taking care of yourself should be a priority. Here are some ways you can start doing that right now.

Self-care is a loaded word, allowing for many interpretations. It can be something as simple as putting on a face mask or as complex as walking out of a toxic relationship.S ome of the most helpful ways of taking care of your mind and body when you’re feeling down are easy, like taking a shower or putting in the effort to make yourself a healthy meal. Creativity is also a great way to take care of yourself. Here are artful ways to practice self-care.

Known as an outlet for your feelings, the more you tap into your creative side, the easier it is to access it in the long term. These exercises can also help you cope with your emotions and the stressors in your life.

Art therapy

Although art therapy is usually associated with kids as a way of getting them to vent about their feelings, it’s also a helpful activity for adults. And there’s no need to be an artist in order to practice it. You only need to block out a fixed amount of time and start drawing or coloring. There are many helpful exercises, such as drawing a safe place, completing a color wheel, and more.

Journaling

journaling can improve your love life
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RELATED: 5 Ways To Get More Affordable Therapy

Keeping a journal is a simple habit that you can pick up at any point in your life. It’s a low stakes activity that provides a place to vent and dump thoughts that you don’t have to revisit if you don’t want to. If the pandemic has prompted a surge of feelings and emotions that are surprising and disrupting, a journal can be a good starting point to make lists, log the things that are getting you down and also a place to add stuff that you’re looking forward to…like travel and being able to hug your loved ones!

Crafts

Knitting, embroidery, quilting, etc. All of these activities require you to sit down and complete them by hand. This low stimulus process allows you to calm down and collect your thoughts and feelings. Start off slow, with a project that’s manageable in order to limit your frustration. You’ll eventually get into a groove which will feel incredibly cathartic!

Practice some healthy cooking

THC Out Of Your System
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RELATED: 5 Self-Care Tips You Wish You Had Adopted Sooner

Cooking, when done in the right mindset, can be a liberating and even creative experience. It can help you bond with your loved ones and make you feel better about yourself. If you don’t have much experience, look up a simple recipe, put on some music, and try your hardest to make something that’s delicious and worth your time.

Reading

Reading can even relax your body by lowering your heart rate and easing the tension in your muscles. A 2009 study at the University of Sussex found that reading can reduce stress by up to 68%.  Unlike videos or movies, reading grabs your whole mind and takes it on a journey where you mental absorb and visualize what you are consuming.  This allows your mind to focus on something in a healthy way.

It provides us with a healthy escape.

Reading takes us out of our world (and minds) and into another world inside the pages of a book.

Response art

Whether you’re drawing or writing down something that inspires you, you likely have something that produces a strong reaction. Use these passionate feelings to make some art, even if you keep it to yourself. Doing this is a way of translating your emotions and feelings into something physical, and it’s very rewarding.

Does Dakota Johnson Smoke Weed

Dakota Johnson is in the news again about her relationship with Chris Martin, but what we want to know is does she consume.

Dakota Johnson is known for her role in the “50 Shades of Grey” movies, and for being the daughter of Melanie Griffith and Don Johnson. After her contract was up, Johnson made the decision to use her spotlight to work with great directors, resulting in some really great films (no offense to “50 Shades”).  In addition, she is the partner of Coldplay’s Chris Martin. She was seen with her mother Melanie Griffith at the Coldplay concert at the Rose Bowl in Pasadena, CA earlier this week.

Extremely private, she appeared all over social media again in 2020 due to some comments she made in 2017 that made some people question her sexuality. Of course, Twitter ate it up, making fancams, memes, and all sorts of viral posts about the unearthed info.

RELATED: Study Shows Women Who Use Marijuana Have Better….

Okay, but what we really want to know is: Does she smoke marijuana?

Johnson is pretty outspoken. Despite her privacy regarding her personal relationships, she’s open with the media, and has been the subject of some pretty epic clap backs against famous hosts. During a 2019 interview, Jimmy Fallon kept interrupting Johnson until she told him to stop. As for Ellen, Johnson called her out for missing her birthday party.

While doing press for one of the “50 Shades” movies, Johnson said that CBD was her secret when it comes to getting sleep while traveling. “I try to knock myself out on planes; otherwise my whole world falls apart,” she told Elle Magazine

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RELATED: Does Joss Whedon Smoke Weed?

But that doesn’t really tells us much about her stance on weed, especially since every celebrity uses CBD. More interestingly, last year, she was photographed holding a MedMen shopping bag.  Her partner Chris Martin shared this with Rolling Stone “Personally, weed really does nothing for me”.  So it seems the Medmen may be for personal use.

Factors Affecting Your Cannabis High

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A hit from a bong can be much harder to manage for inexperienced users than a hit from a joint. Get to know the different ways of consuming cannabis and tread carefully if it’s your first time.

Getting high is a simple process yet one that can be affected by many different factors. A lot has been said about cannabis and just how little is known about the plant. One of the most interesting parts of consuming it is how it can vary greatly depending on the user, with some people loving its effects and others claiming that it makes them feel paranoid and anxious.

Cannabis leads to very personal and introspective experiences, affecting users differently, but there are a few outside factors that can influence how your body responds to the drug. Here are 5 factors you can play with in order to have better control of your marijuana high.

Method  

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RELATED: COVID-19 Pandemic Is Increasing Global Demand For Marijuana

The most influencing factor on this list is the method in which you consume cannabis. Consuming an edible, smoking a joint or taking a hit from a bong result in very different highs. For example, edibles take longer to have an effect but produce much stronger and long lasting highs than joints or bongs. A hit from a bong can be much harder to manage for inexperienced users than a hit from a joint. Get to know the different ways of consuming cannabis and tread carefully if it’s your first time.

Dosage

do cannabis products over promise and under deliver
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Dosages are also very important. A wrong one can either put you to sleep or prompt a really anxious state of mind. When trying out a new strain, consuming an edible or dabbing, the dose you choose can make or break your high. Do your research and always start off slow. Here’s an essential THC dosing guide for marijuana beginners.

Tolerance

How To Sniff Out Free Weed At A Party
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How experienced you are with the plant dictates how well you’ll adapt to it. Tolerance is personal, changing from user to user and making it likely for you and a friend to have different dosing levels even if you share similar body types and level of experience with the plant. The more you consume cannabis, the more you’ll get a feel for your tolerance level.

Location

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RELATED: Study Suggests Women Are More Sensitive To THC Than Men

Setting is vital when it comes to marijuana, dictating how the high will hit you. If you’re in a crowded or an empty space you might end up with different highs, having more of a party mood in the former scenario or a couch-like high in the latter. If you’re a beginner, the best way to consume marijuana would be to do so in a space that feels safe with friends you trust.

Strain

Blending Marijuana
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THC and CBD focused strains produce different effects — one contains psychedelics (THC) and the other will leave you relaxed and likely unable to do more than sit on the couch. Do your research and try out different types, sticking with the one that you like best and that works more with your body type. Here’s what to know about vaping CBD.

How CBD Works With Your Body’s Cannabinoid System

The endocannabinoid system plays a significant role by increasing the levels of endocannabinoids and receptors in areas of pain and stress, which helps to restore equilibrium.

Chronic or acute pain, stress, fatigue: CBD works in the body in all of these situations, because of the existing endocannabinoid system. Your body already has CB1 receptors located throughout the peripheral, central nervous system, and CB2 receptors located throughout the immune system, and also in the muscles, and skeleton.

Your body, when there’s episodes of pain, stress, or fatigue, develops a stress response. A system primarily mediated by the hypothalamic pituitary adrenal axis, cortisol, norepinephrine, epinephrine, serotonin, and dopamine. They all work in this fight or flight phenomenon which needs to be restored to equilibrium after the episode of stress, or pain.

This is where the endocannabinoid system comes in. It plays a significant role by increasing the levels of endocannabinoids and receptors in areas of pain and stress, which  helps to restore equilibrium and control the amount of inflammation or stress the body experiences in these settings. This system is already in place in your body. There’s CB1 and CB2 receptors, and the endocannabinoid (“endo” meaning coming from within and “cannabinoids” being the molecules). The cannabinoids — anandamide and 2-AG being the predominant ones — contribute to this termination of a stress response that is also reasonable and valuable in the setting of treating pain, stress, and symptoms of fatigue leading to problems with appetite, sleep disorders, chronic pain or inflammation.

The CB1 receptors are expressed throughout the peripheral and central nervous system in the GABA and glutaminergic nerve terminals, but there’s also effects of CB receptors in serotonin, norepinephrine and dopamine terminals in the central nervous system, the brain, the spinal cord, and in the peripheral nervous system.

RELATED: Everything You Need To Know About Your Endocannabinoid System

These nerves are found throughout the body and help us to feel our hands and feet, as well as to move our bodies, and be aware of sensation. The brain area where motor control lies is also where situations such as tremors or muscle spasm originate. These areas are also the source of memory and cognition impairment, which is impacted by anxiety, lack of sleep, stress or PTSD. This area is rich in CB1 receptors.

How Marijuana's THCV Can Positively Impact Your Life
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CB2 receptors are located primarily in the immune system, the spleen, lymph nodes, and the bone marrow, but also in the musculoskeletal cells. These cells also respond to stimulation with CBD, so our endocannabinoids the body naturally produces (the anandamide and 2-AG) are found all over the body. But studies have shown in areas of chronic inflammation such as arthritic joints, there are higher concentrations of endocannabinoids suggesting the up regulation of those molecules, and an up regulation of the CB receptors similar to other body systems. When you need control of inflammation, the body brings additional receptors and additional endocannabinoids to the sites.

It makes sense CBD would be effective for stress management, the treatment of chronic non-cancer pain, insomnia, and anxiety, because it’s going to activate those same CB1 and CB2 receptors already exist over your entire body. This restores equilibrium and plays a significant role in terminating a stress response either due to chronic stress, inflammation, or pain.

Which Do You Need, CBD Extract Or CBD With THC

While CBD is a major player in treating an illness like severe seizures, it’s really an entourage effect makes the compound work.

Ever since the 2018 Farm Bill passed in the U.S., CBD has been a hot topic, to say the least. The legislation, which effectively legalizes industrial hemp, significantly opened the market for hemp-derived CBD. From cosmetics to salves to tinctures and more, it seems CBD is infused into everything these days.

In many ways, the CBD craze has gotten ahead of itself. Mainstream media and wellness experts praise cannabidiol as the swan of the cannabis plant, dismissing the rest of the cannabinoids as ugly ducklings. Consumers unfamiliar with cannabis may gravitate toward pure CBD extract, as CBD is often associated with many of marijuana’s health benefits.

But while CBD is the major player in treating an illness like severe seizures, it’s really an entourage effect makes the CBD work. The entourage effect, for those unfamiliar, is individual cannabinoids, like CBD, increase their efficacy when working in conjunction with other cannabinoids, like THC or CBN. This is true even when the presence of those other cannabinoids is minimal. The whole in this equation is greater than the sum of its parts.

RELATED: Do I Really Need Both CBD And THC?

While CBD is a powerful extract, it’s important for consumers to understand they could be losing some potency when choosing hemp-derived pure CBD vs. cannabis-derived CBD, which may contain low doses of THC.

Photo by razerbird/Getty Images

In a study titled “Potential Clinical Benefits of CBD-Rich Cannabis Extracts Over Purified CBD in Treatment-Resistant Epilepsy,” the conclusion reads, “There was a higher number of patients reporting improvement after using CBD-rich Cannabis extracts (318/447, 71%) than those treated with purified CBD (81/223, 36%), with valid statistical significance.”

RELATED: What Is Marijuana’s Entourage Effect And Why Should You Care?

CBD-rich cannabis extract is a very different thing than CBD isolate. Cannabis has many components range from other beneficial cannabinoids, including the still stigmatized THC. We haven’t even mentioned terpenes, which you also lose when choosing a pure CBD extract. Terpenes not only contribute to the flavor and aroma of the plant, but significantly engage in how the cannabinoids interact with our endocannabinoid system.

Photo by Yuji Kotani/Getty Images

Some zero-percent THC oils do have other non-psychoactive cannabinoids in them and are still able to be sold. The combinations likely make them more effective medications for any ailment, including anxiety, inflammation and depression, but there’s something about having a percentage of THC in there, pretty much no matter how small, to activate the rest of the potion.

The real-deal CBD medicine is CBD-rich. Some CBD-rich medicine has a 1:1 ratio with THC, some has 30:1 CBD:THC, and though they work miracles, they aren’t without their side effects. CBD-rich marijuana can cause diarrhea in large medicinal doses and may make one very, very sleepy. But when it’s a matter of severe illness, you have to weigh the pros and cons. It’s worth noting cannabis medicine has far fewer side effects than the prescriptions they replace in states where at least a little THC is allowed.

Can Cannabis Help My Obsessive Thinking

We don’t have all the facts on using cannabis to treat anxiety, obsessive thoughts, and obsessive-compulsive disorders. That doesn’t mean you shouldn’t give it a try, however.

If you deal with anxiety, you’ve probably already experienced a common symptom of this mental health disorder — obsessive thinking. Individuals with anxiety get stuck in thought patterns of worry. Sometimes anxiety is focused on everyday activities and events, other people might get caught up in fears of unlikely or extraordinary events.

Whatever the worry that plagues you, it can be very hard to get relief from obsessive thoughts. Common treatment methods include medication and therapy, but could cannabis help you make progress in this area?

Cannabis and Anxiety

The relationship between cannabis and anxiety is a complicated one. While 47% of cannabis users report they turn to marijuana to get a break from the anxiety and depression, there are plenty of anecdotal reports of users experiencing paranoia and intensified anxious thoughts.

So does cannabis make anxiety and obsessive thoughts better or worse? It depends. Research suggests that a lower dose of THC, the psychoactive property of marijuana, reduces anxiety but higher doses will make it worse. If you’re looking at a THC-free cannabidiol, however, a high dose will provide more relief.

RELATED: Medical Cannabis Combats Anorexia’s Obsessive Thoughts

In 2019, the journal Cannabis and Cannabinoid Research reported the important role the endocannabinoid system plays in obsessive-compulsive disorder. While more research needs to be done, they do believe that cannabis could be used to manipulate the ECS and offer relief from anxious thoughts and repetitive behaviors.  

the potential of cbd and cannabis within the anxiety and autism community
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Try Micro-Dosing for Relief From Obsessive Thoughts

We don’t have all the facts on using cannabis to treat anxiety, obsessive thoughts, and obsessive-compulsive disorders. That doesn’t mean you shouldn’t give it a try, however. Users with anxiety have reported success by micro-dosing marijuana for an extended period of time. A writer for Cosmopolitan took 2-5mg of THC every few hours over the course reported being significantly more chill over the course of experience. 

RELATED: Here’s What You Should Know About CBD & OCD

If this is something you want to try, we suggest starting slow and increasing over time. A tincture or edible will allow control over your THC consumption, allowing you to stick with a low dose when you need it. Remember to give yourself time to experience to full effects of THC to avoiding overdosing and experiencing a high, or increase anxiety that could be a side effect of a higher dose. If you do experience side effects, take a break and try again with a lower dose.

Do Edibles Hit You Harder Than Smoking Marijuana

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For the canna-newbie, it is hard to figure out the best way to reach your special place

Those new to marijuana, alcohol, grilling and other things have a period where they experiment to learn how to get the right groove.  Beer is less powerful than shots, you cook chicken a bit longer than beef, but there isn’t as much information about marijuana. Joints you might have more powerful THC, but you can instantly control intake.  Edibles, well, they are a bit different.  Do edibles hit you hard than smoking marijuana, depends on you.

Edibles are powerful and useful for all kinds of people, from those who are looking for a good time to those who want the medicinal benefits without the smoke. So, why do edibles produce such strong highs?

While edible highs are very strong and particular, what helps best in understanding the difference between these and the highs produced by smoking cannabis is the fact the body absorbs them differently. Two methods, two different highs, both with their pros and cons.

RELATED: Nobody Understands How High Edibles Will Make Them

Edibles are misunderstood, with beginners expecting a high similar to the one they’ve experienced with smoked marijuana; one could be anxious and stressful on occasion, but it fades away once an hour has passed. Edible highs are different in one key way: they take a while to kick in and they take even longer to fade away. Dosage is key, even if this remains something hard to control when you’re making the edible, purchasing it or eating it.

How Long Can Edibles Last?
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When cannabis is ingested through the stomach, it is metabolized through the liver. This is a slower process, unlike smoked marijuana that’s absorbed through your blood stream and produces effects within less than 20 minutes. The fact that you have to wait for your stomach to break up the edible — for the compounds to be metabolized by the liver — until they’re finally absorbed in the bloodstream allows for people to assume the THC isn’t working (the phrase “I don’t feel anything” is common for edible newbies) promoting them to take another  dose.

RELATED: Why You Need To Be Careful Using Edibles The First Time

Once the edible is ingested, the THC is metabolized by the liver and transformed into 11-hydroxy-THC, a compound that’s four times faster in crossing the blood-brain barrier than THC. While many questions remain about cannabis compounds and the ways they interact with our endocannabinoid system, this process might shed a light on why edible highs are so much more vivid and surreal than flower highs.

Say Goodbye Grilling Season With The Ultimate Steak

Grilling is what we do from Memorial Day to Labor Day.  And who doesn’t love a great smoky steak hot off the grill? But fall has arrived, and a number of grill masters close the lid for the season and wait until spring. But here is a treat, say goodby grilling season with the ultimate steak!

I’m a Texan with rancher roots, who comes with a lot of experience in the grilling arena. But I have also learned tricks from the best chefs over the years. All experience combined, here is my favorite way to get my beef on.

Ingredients:

  • 1 Tbsp mustard
  • 2 Tbsp dried Herbs de Provence or Thyme
  • 2 tsp brown sugar
  • 2 Tbsp sea salt
  • 2 tsp fresh cracked black pepper
  • 4 fillet mignon steaks

Method:

  • Put the mustard, thyme, sugar, salt and pepper in a small bowl and mix to combine. Rub the mixture over the steaks and set aside for 30 minutes to marinate.
  • Preheat barbecue to medium heat.
  • Grilling time: For a 1-inch cut, grill 10 to 12 minutes for medium rare (145 degrees F) or 12 to 15 minutes for medium (160 degrees F).
  • Slice and serve with your favorite side. We like a bit of sauteed greens.  Top with extra salt and cannabutter if desired!  
  • Serves 4.

A few fun facts to chat about while you grill.  79 million Canadian and American grill or eat from a grill during the summer.  Over 5.5% grill every week.

Named one of the 100 Most Creative People in the US by Entertainment Weekly , Frankie captures images for some of the best names in culinary.  Frankie has helped create: The Art of the Bar: Cocktails Based on the Classics;The Model Bakery Cookbook; Miette: Recipes from San Francisco’s Most Charming Pastry Shop; The Green Eggs and Ham Cookbook and The Star Wars Cookbook Series. Follow her on Instagram, Facebook and Twitter.

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