Episode 0036 – Alex Terazas: Exploring Cannabis and Brain Health

In this episode of Sixty Plus Uncensored, host Seb Frey sits down with Alex Terzas, PhD, the creator of The Cannabis Boomer Podcast, for a wide-ranging conversation about cannabis, aging, safety, public perception, and the rapidly changing culture of use in later life. Alex brings an unusual mix of experience to the discussion, with a background in psychology, neuroscience, brain imaging, robotics, and media. What makes the conversation especially useful is that it does not treat cannabis as either a miracle or a menace. Instead, it approaches the subject with curiosity, caution, and realism. For older adults who are wondering whether cannabis has a place in their lives, or who simply want to better understand why so many people over 60 are becoming interested in it, the discussion offers a thoughtful starting point.

Why Cannabis Looks Different Now Than It Did Before

One of the clearest themes in this conversation is just how dramatically cannabis has been rebranded in American life. For many older adults, cannabis was once associated with criminality, stigma, and social decline. It was framed as dangerous, reckless, and far outside the mainstream. Now, in a relatively short span of time, it has become widely commercialized, openly discussed, and in many places legally available.

That shift can feel disorienting, especially for people who remember an era when even small amounts could lead to serious legal consequences. The conversation acknowledges that history directly. Alex points to the long-standing use of cannabis across cultures and across centuries, while also arguing that many of the harsh policies surrounding it in the United States were shaped less by science than by politics, fear, and racialized enforcement.

What is striking here is that the conversation does not suggest the modern era has solved everything. Legalization has changed access and public tone, but it has not automatically created clarity. In fact, the opposite may be true. Cannabis is easier to buy than ever, but many people still do not understand what they are buying, how different products work, or what the real risks are. That is especially important for older adults, who may be curious but cautious, and who often bring very different health concerns to the subject than younger users do.

For those thinking about how attitudes and understanding evolve over time, Living Your Best Life After 60 Through Gerotranscendence offers a helpful perspective on how shifting beliefs can open the door to new ways of seeing topics like cannabis.

Why More Older Adults Are Becoming Interested

The rise in cannabis use among older adults is one of the reasons Alex started his podcast in the first place. He noticed that baby boomers were becoming one of the fastest-growing user groups and recognized that the conversation around cannabis was still too often aimed at either younger recreational users or very broad public debates. Older adults, meanwhile, had their own questions and concerns.

That matters because later-life cannabis use often comes with a different motivation. It is not always about chasing intoxication or novelty. For many people, the interest is more practical. They may be dealing with chronic pain, sleep issues, anxiety, appetite changes, or simply a desire to reduce alcohol use. Others may just be curious after watching attitudes change around them.

The conversation also suggests something more subtle: many older adults are reconsidering long-held assumptions. A person who once dismissed cannabis entirely may begin to wonder whether it deserves a more thoughtful look, especially when they see peers using it openly or hear that it may be helping with specific problems. That does not mean it is right for everyone, but it does explain why the subject feels newly relevant.

This growing curiosity also connects with broader lifestyle changes explored in Creating a Fulfilling Lifestyle After Retirement, where many older adults begin re-evaluating habits, health choices, and daily routines.

The Problem With Treating Cannabis as One Thing

A helpful part of the conversation is the repeated reminder that “cannabis” is not one uniform product. This may sound obvious, but it is often overlooked. People sometimes speak about cannabis as if it has one effect, one risk profile, and one best use. In reality, there are many forms, strengths, and chemical profiles, and those differences matter a great deal.

Alex talks about THC and CBD, about strain categories like indica and sativa, about cannabinoids like CBN and CBG, and about the role of terpenes. The discussion is clear that researchers are still learning how these combinations affect the body and mind. That means consumers are often making decisions in a landscape that is part science, part marketing, and part trial and error.

For older adults, this can make cannabis feel both promising and confusing. A person might hear that cannabis helps with sleep, then try a product that leaves them anxious or groggy. Another might try it for pain but find that the delivery method makes all the difference. The larger point is that broad statements are not very helpful. Cannabis is not a single experience. It depends heavily on what is being used, how much is being used, and why it is being used.

Safety Matters More Than Hype

If there is one message Alex returns to repeatedly, it is the importance of safety. He is clearly interested in cannabis and generally open to its usefulness, but he does not present it as harmless or universally beneficial. That balance is one of the strengths of the conversation.

He notes, for example, that cannabis can raise heart rate, that some forms may interact with other medications, and that older adults may be especially vulnerable to problems like dizziness, imbalance, and falls. He also points out that the scientific literature is still incomplete in many areas because cannabis has long been difficult to study in rigorous, standardized ways.

This is an important corrective to the common cultural tendency to swing between extremes. Cannabis is sometimes treated as either a dangerous vice or an all-purpose wellness solution. The conversation resists both views. Instead, it emphasizes practical caution: know why you are using it, start with a low dose, keep records of how it affects you, and understand that what works for someone else may not work for you.

Taking a cautious, informed approach is essential, much like the guidance shared in Navigating the Health Care System After Retirement: A Complete Guide for Adults, where understanding risks and making thoughtful decisions is key.

Smoking, Vaping, Edibles, and Tinctures: Not All Delivery Methods Are Equal

Another useful part of the conversation is the comparison of different delivery methods. Many people who are new to cannabis think first of smoking, but Alex makes it clear that this is only one option, and not necessarily the best one for older adults.

Smoking may work quickly, but it also comes with respiratory irritation and short-term issues like wheezing. The long-term evidence is more mixed than many people assume, but that does not mean smoking is without drawbacks. Vaping, meanwhile, is sometimes presented as the cleaner alternative, but Alex raises concerns about contamination, heavy metals, and inconsistent manufacturing quality. Under ideal conditions, vaping may be preferable to smoking, but in practice, the products themselves are not always trustworthy.

Edibles are popular, especially gummies, because they avoid lung exposure and are easy to use. But they also create one of the biggest risks for new users: delayed onset. Someone takes a gummy, feels nothing after a short wait, takes more, and then ends up overwhelmed later when both doses take effect. Alex is clear that this is one reason emergency room visits linked to cannabis are real, especially with edibles.

Tinctures emerge in the conversation as one of the more controlled options, particularly for older adults who are experimenting for the first time. Because they can be measured carefully and absorbed relatively quickly under the tongue, they allow for more precision and faster feedback than many edibles. That does not make them perfect, but it does make them easier to approach thoughtfully.

Why “Start Low and Go Slow” Still Matters

Perhaps the most practical advice in the discussion is the repeated emphasis on starting with a very low dose. This may sound basic, but it is easy for new users to underestimate modern cannabis products, especially if they are comparing them to memories from decades ago or to casual stories from others.

Alex recommends a cautious approach, particularly for older adults with little or no prior experience. Rather than deciding that one day will be “the day I get high,” he encourages people to think about cannabis more deliberately. Why are you trying it? What are you hoping it will help with? How much are you taking? What happened afterward?

This is good advice because it turns the experience into observation rather than impulse. It also reduces the chance that someone will respond to uncertainty by taking more too soon. The slower, more methodical approach may not sound exciting, but it is much more useful if the goal is to learn what actually helps.

This measured mindset aligns closely with the advice in Intermittent Fasting for Older Adults: A Balanced Guide for Healthy Aging, where gradual, intentional changes often lead to better outcomes.

Potential Uses Beyond Recreation

The conversation covers several reasons older adults might consider cannabis beyond simple recreation. Pain is one of the biggest. Alex discusses chronic pain, including lower back pain, and makes the important point that cannabis should be thought of as one possible part of a larger pain-management strategy, not necessarily the whole solution.

Sleep is another common reason people try cannabis. Some people find it easier to fall asleep, though staying asleep may still be an issue. Anxiety also comes up, though here the conversation is more careful. Cannabis can be calming for some people, but it can also provoke anxiety, especially at higher doses or with certain THC-heavy products.

Other possible applications mentioned in the discussion include multiple sclerosis-related muscle spasticity, migraine, appetite support, glaucoma, and sexual health concerns such as female orgasmic difficulty. Alex describes these topics as areas of growing interest, not as settled conclusions. That distinction matters. He is describing where people are looking and what some specialists are exploring, not promising guaranteed effects.

The Role of CBD

CBD gets significant attention in the conversation, especially as a possible way to soften some of THC’s more unpleasant effects. Alex describes CBD as acting differently in the body and possibly helping reduce anxiety or panic when it is paired with THC in the right ratio.

This is one reason he recommends one-to-one THC-to-CBD products for older adults who are new to cannabis. The goal is not maximum intensity. It is a more balanced experience, one that may reduce the chance of an overwhelming reaction.

CBD also appears in the broader wellness conversation, where it is marketed heavily for inflammation, calming, and general health support. Alex is more restrained than the marketing often is. He acknowledges that CBD seems promising in some areas, but he is also clear that quality matters and that consumers should be careful about where they buy it.

That warning is important because CBD’s mainstream availability can create a false sense of reliability. A CBD soda or gas-station product may look harmless, but that does not mean it is well-made. In Alex’s view, dispensaries are generally a better source than random retail outlets, though even there, consumers still need to do their homework.

For readers exploring how different approaches can support overall well-being, The Science of Staying Sharp: How to Keep Your Brain Young After 60 offers helpful insights into maintaining balance, clarity, and long-term brain health.

Product Quality Is a Real Concern

One of the more eye-opening sections of the conversation focuses on quality control. Many people assume that products sold through licensed dispensaries have been thoroughly vetted and are consistently safe. Alex challenges that assumption.

He explains that certificates of analysis may exist, but the testing system itself has weaknesses. Growers pay for the tests. Labs may vary. Products may contain different levels of THC than advertised, as well as pesticides, mold, or other contaminants. That does not mean all products are unsafe, but it does mean the consumer should not assume quality just because a product is on a shelf.

This is especially important for older adults, who may be approaching cannabis from a medication mindset. If something is sold legally in a controlled environment, they may expect the same kind of consistency they associate with pharmacy products. But cannabis products do not always meet that standard.

That does not mean there are no good brands or trustworthy producers. Alex says clearly that reputable products do exist. The point is simply that buyers need to be more discerning than they might initially realize.

Cannabis and Alcohol: A Meaningful Comparison

A recurring thread in the conversation is the comparison between cannabis and alcohol. Seb raises this directly, reflecting on the cultural ubiquity of drinking and the way alcohol is still marketed as glamorous, social, and normal despite its well-established harms.

Alex agrees that alcohol is dangerous and points to a growing trend of younger people drinking less and using more cannabis. He does not offer cannabis as a flawless substitute, but he does seem to regard it as less dangerous in many respects, particularly when used carefully and in moderation.

That comparison is likely to resonate with many older adults. Some are trying to cut back on drinking. Others have become more aware of alcohol’s links to weight gain, cancer, sleep disruption, poor decisions, and long-term health problems. In that context, cannabis may start to look like a possible alternative or at least a point of curiosity.

Still, the conversation avoids simplistic claims. Cannabis may be less risky in some ways, but it can still impair judgment, affect balance, and create problems when overused or used carelessly. The message is not that one is good and the other is bad. It is that many people are reconsidering long-standing assumptions about both.

What Older Adults Should Keep in Mind Before Trying It

When Seb asks what an older adult should actually do if they want to try cannabis for the first time, Alex’s answer is practical and measured. He suggests not trying to do too much at once. Start small. Know the reason you are trying it. Choose a low dose. Consider using a one-to-one THC-CBD product. Have someone with you. Write down what you took and how it affected you.

He also stresses the importance of thinking about medications and medical conditions. Edibles, for example, may interact with drugs processed through the liver. Balance issues matter. So do cardiovascular concerns. In principle, yes, it makes sense to talk with a doctor—but Alex is realistic that many physicians still know very little about cannabis or respond to it with blanket negativity.

That realism is useful. It acknowledges the gap many older adults face. They may want medical guidance, but the medical system does not always provide nuanced help in this area. So the practical middle ground is to seek information, pay attention, and move carefully rather than assuming either complete safety or complete danger.

Planning ahead and staying organized with health-related decisions can also be supported by resources like The Family Meeting Guide to Emergency Planning: Essential Paperwork for Aging Parents, which emphasizes clarity and preparation in important life choices.

A Conversation That Reflects a Bigger Cultural Shift

In the end, what makes this episode valuable is not just the topic of cannabis itself, but the way it reflects a larger change in how older adulthood is being discussed. This is not a conversation built on fear, decline, or passive aging. It is a conversation about curiosity, adaptation, and informed choice.

Alex’s interest in cannabis comes from both personal experience and scientific curiosity. That gives the discussion an interesting texture. He is neither an outsider dismissing the topic nor a zealot pretending cannabis solves everything. He is someone trying to understand a complicated subject in a practical way, especially for people who may be entering the conversation later in life.

Conclusion

The conversation between Seb Fry and Alex Terzas offers a grounded, useful look at cannabis through the lens of aging. It does not oversell the benefits, and it does not deny the risks. Instead, it treats cannabis as something that deserves careful thought, especially for older adults who may be dealing with pain, sleep issues, anxiety, curiosity, or a changing relationship with alcohol and wellness.

The most helpful takeaway is probably the simplest one: approach cannabis the way you would approach any meaningful change in your health routine, with clarity, caution, and patience. Know why you are interested. Learn the differences between products. Be careful with dosing. Pay attention to quality. Watch for interactions. Give yourself time to figure out what your own body is telling you.

For many people over 60, that kind of measured approach may be the most sensible path forward. Not because cannabis is automatically the answer, but because real understanding rarely comes from extremes. It comes from careful experimentation, honest information, and a willingness to stay thoughtful in a world that is changing quickly.