Nothing in the cannabis literature alters ALS progression — the evidence grade is insufficient for disease modification, and riluzole/edaravone conversations belong with your neurologist. The certification rationale is symptom burden: spasticity and cramps (where the MS-derived cannabinoid evidence plausibly transfers), drooling (THC's dry-mouth side effect, repurposed), appetite, sleep, and anxiety.
Practical access matters disproportionately: most states' telehealth rules, caregiver provisions, and (in several states) terminal-illness accommodations exist for exactly this situation. Utah waives its in-person requirement for patients who can't travel; many states allow caregiver purchasing from day one — your state page lists specifics.
The information on this site is for educational purposes only and is not medical or legal advice. Cannabis use carries risks; consult a licensed physician about whether medical cannabis is appropriate for you. Federal status (as of June 2026): marijuana dispensed under state medical licenses and FDA-approved cannabis products are Schedule III controlled substances; all other marijuana remains Schedule I under U.S. federal law.