Does Medical Cannabis Reduce Opioid Use in Adults With Pain

Inclusion Criteria: * At least 18 years of age * English or Spanish fluency * Actively certified for medical cannabis * Intends to have a soft-gel capsule product dispensed at Vireo * Medical cannabis qualifying conditions or complications of "chronic or severe pain" or "pain that degrades health and functional capability as an alternative to opioid use or substance use disorder" * Joint or neuropathic pain * Current severe pain * Dispensed opioid analgesics within the last 60 days To maintain the integrity of the study, we do not disclose all inclusion criteria to potential participants. Exclusion Criteria: * Inability to provide informed consent * Inability to complete study visits over 14 weeks * Terminal illness * Current or prior psychotic disorder * Buprenorphine or methadone treatment for opioid use disorder within the past year * Allergies to tapioca or coconut * Currently pregnant, planning to become pregnant within the next 3 months, or breastfeeding * Condition that is considered by a pharmacist or medical provider to be a contraindication to medical cannabis use (e.g. unstable cardiac arrhythmia or specific drug-use interaction)