WHY IT MATTERS: Older adults considering cannabis for symptom management can point to this growing body of evidence when discussing cognitive safety concerns with their doctors. CLINICAL OVERVIEW: Emerging research is challenging long-held assumptions about cannabis use and cognitive aging, with data suggesting that older adults who use cannabis do not show accelerated cognitive decline or increased dementia risk compared to non-users. This is clinically relevant given that older adults are one of the fastest-growing segments of cannabis users, often turning to it for pain, sleep, and anxiety management.