? While this brief report of law enforcement activity at a major border crossing does not directly address clinical cannabis issues, it underscores the ongoing criminalization and supply-chain volatility that characterizes North American cannabis markets, particularly in regions with cross-border trafficking. Healthcare providers should recognize that patients accessing cannabis through illicit channels face unknown product composition, potency, and contamination risks that complicate clinical counseling and medical decision-making. The persistence of illegal trafficking despite legalization in both jurisdictions suggests that many patients—particularly those with limited means or living in areas with sparse legal retail access—may continue sourcing cannabis from unregulated suppliers. Clinicians should routinely inquire about cannabis sourcing and educate patients that legal, regulated products undergo testing for pesticides, microbial contaminants, and accurate potency labeling, whereas illicit products do not. Understanding local enforcement and supply patterns can help providers better anticipate gaps in patient access