A Helpful Guide for Staying Balanced and Healthy While Using Medical Marijuana
Medical cannabis is helping millions of people find relief from pain, anxiety, insomnia, seizures, and many other health problems. But as with any medication—especially one that affects the body’s natural chemistry—it’s important to keep your nutritional health in check, too.
While cannabis is natural and generally safe when used correctly, research and patient experience suggest that regular users may need to be mindful of certain vitamins and nutrients that can become depleted or unbalanced over time.
In this article, we’ll cover five essential vitamins that medical cannabis patients may need more of, how cannabis use can impact nutrient levels, and what you can do to stay healthy while getting the relief you need.
Let’s dig in.
1. Vitamin D – The Sunshine Vitamin
Why It Matters:
Vitamin D supports bone health, immune function, and mood balance. It’s often called the “sunshine vitamin” because our bodies make it when our skin is exposed to sunlight.
How Cannabis May Affect It:
Some studies suggest that long-term cannabis use may reduce Vitamin D levels, especially in individuals who already have limited sun exposure or chronic inflammation. Additionally, people who use cannabis to manage pain, anxiety, or sleep disorders may spend less time outdoors, reducing their body’s natural production of Vitamin D.
Signs of Deficiency:
- Fatigue
- Weakness
- Mood changes (including depression)
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Bone or joint discomfort
What You Can Do:
- Spend 10–30 minutes in direct sunlight several times a week.
- Consider a Vitamin D3 supplement (ask your doctor for dosage).
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Eat foods rich in Vitamin D, such as fatty fish, eggs, mushrooms, and fortified dairy or plant-based milks.
2. Vitamin B12 – For Energy and Brain Health
Why It Matters:
Vitamin B12 is vital for brain function, energy production, and the formation of red blood cells. It also supports nerve health and helps prevent memory issues and fatigue.
How Cannabis May Affect It:
Some research shows that heavy cannabis use may be associated with lower Vitamin B12 levels, particularly in people who already follow a restricted diet (like vegetarians or vegans) or take medications that interfere with B12 absorption (like antacids or metformin). B12 deficiency can worsen feelings of tiredness and cognitive fog—symptoms some patients already deal with.
Signs of Deficiency:
- Low energy
- Brain fog or trouble concentrating
- Tingling in hands or feet
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Mood swings or irritability
What You Can Do:
- Eat more B12-rich foods like meat, fish, dairy, and fortified cereals.
- Consider taking a B12 supplement, especially if you follow a plant-based diet.
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Ask your doctor to check your B12 levels with a simple blood test.
3. Magnesium – The Muscle and Mood Mineral
Why It Matters:
Magnesium is essential for hundreds of chemical reactions in the body. It supports muscle and nerve function, heart health, sleep, and stress management.
How Cannabis May Affect It:
Cannabis has relaxing effects, but long-term use might interfere with magnesium absorption, especially in patients who also drink alcohol, take certain medications, or consume a high-sugar diet. Magnesium plays a key role in balancing stress hormones and neurotransmitters, so low levels can undo some of cannabis’s natural calming benefits.
Signs of Deficiency:
- Muscle cramps or twitching
- Trouble sleeping
- Anxiety or restlessness
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Headaches
What You Can Do:
- Add more magnesium-rich foods, such as leafy greens, almonds, bananas, and avocados, to your diet.
- Consider a magnesium supplement (look for forms like magnesium glycinate or citrate for better absorption).
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Soak in Epsom salt baths, which allow your skin to absorb magnesium directly.
4. Folate (Vitamin B9) – For Nerve and Cell Health
Why It Matters:
Folate helps with cell repair, red blood cell production, and brain function. It’s essential for people with neurological conditions, mood disorders, or those who are pregnant.
How Cannabis May Affect It:
Some research suggests that cannabis may lower folate levels in the body, particularly in daily or high-dose users. This may be due to cannabis’s interaction with liver enzymes that process folate and other B vitamins. Folate deficiency has been linked to fatigue, mood swings, and slowed mental function.
Signs of Deficiency:
- Fatigue
- Brain fog
- Irritability
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Poor appetite
What You Can Do:
- Eat folate-rich foods like spinach, lentils, asparagus, and citrus fruits.
- Consider a B-complex supplement that includes folate (look for “methylfolate” for better absorption).
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Avoid excessive alcohol or processed foods, as they can deplete folate more quickly.
5. Vitamin C – For Immune Health and Inflammation Control
Why It Matters:
Vitamin C is a powerful antioxidant that helps fight inflammation, protect against illness, and support tissue repair. It also supports skin health and can help reduce oxidative stress-induced damage.
How Cannabis May Affect It:
While cannabis itself doesn’t directly lower Vitamin C, long-term use may increase oxidative stress in the body—especially in people who smoke it. Oxidative stress occurs when your body produces more free radicals than it can handle, which can accelerate aging and weaken the immune system.
Vitamin C helps your body recover and stay resilient, so it’s a good companion to cannabis use, particularly if you’re using it to manage chronic conditions.
Signs of Deficiency:
- Frequent colds or slow wound healing
- Bleeding gums
- Fatigue
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Dull or dry skin
What You Can Do:
- Eat more Vitamin C-rich foods like oranges, strawberries, bell peppers, and broccoli.
- Drink water with lemon juice for a gentle daily boost.
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Consider a Vitamin C supplement, especially during cold season or periods of high stress.
Why Vitamins Matter for Cannabis Users
Whether you’re using cannabis for pain, anxiety, appetite support, or another condition, keeping your nutrient levels balanced helps your body respond better to treatment. Vitamins and minerals don’t just help you feel more energized—they also support the body systems that cannabis interacts with, like the nervous, immune, and endocannabinoid systems.
Medical cannabis can be incredibly helpful, but it’s not a complete treatment on its own. Just like you wouldn’t expect a single prescription to do the work of a healthy lifestyle, cannabis works best when supported by proper nutrition, sleep, hydration, and movement.
When Should You Take Supplements?
You don’t necessarily need to rush out and buy every vitamin on this list. But if you:
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Use cannabis daily or in high doses
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Rely on cannabis to manage chronic conditions
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Follow a restrictive diet
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Smoke or vape (which can increase oxidative stress)
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Struggle with fatigue, sleep, or mood issues
…it may be worth consulting a healthcare provider about your nutrient levels. A simple blood test can reveal any significant deficiencies, and a medical professional can recommend a safe supplement routine tailored to your needs.
Tips for Staying Nutritionally Balanced
Here are a few easy ways to support your health while using medical cannabis:
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🥗 Eat a colorful, whole-foods-based diet
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💧 Drink plenty of water
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💤 Prioritize sleep and stress reduction
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🚶 Get daily physical activity (even gentle stretching or walking)
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🩺 Work with a cannabis-informed doctor or nutritionist
At ReThink-Rx, we take a whole-person approach to cannabis care. That means we not only help you get certified but also provide guidance on how to use cannabis safely, effectively, and in balance with the rest of your health needs.
Final Thoughts
Medical cannabis is a powerful tool—but even powerful tools need a solid foundation. Ensuring your body has the vitamins it needs can improve how you respond to cannabis, reduce side effects, and help you feel your best from the inside out.
The five vitamins we covered—Vitamin D, B12, magnesium, folate, and Vitamin C—are common areas of need for many cannabis users. Whether through diet, sunlight, or smart supplementation, taking care of your nutrition is an integral part of your healing journey.
If you’re looking for thoughtful, personalized cannabis care, ReThink-Rx is here to help—because feeling better should never come at the cost of your overall health.
Disclaimer: This article is for informational purposes only and does not replace professional medical advice. Always consult a licensed provider before starting supplements or changing your cannabis regimen.

Dr. Nicholas Marsh is board-certified by the American Board of Anesthesiologists and has over 37 years of healthcare experience. Recognized by FindaTopDoc.com for clinical excellence, he now focuses on educating, supporting, and certifying patients for medical cannabis.
