What cannabis metabolite is found in blood?

The primary cannabis metabolite detected in blood is 11-nor-9-carboxy-THC, usually written THC-COOH. It is an inactive breakdown product of delta-9 THC, so it shows exposure but does not cause a high. Labs also measure parent THC and 11-hydroxy-THC (11-OH-THC), the active metabolite made in the liver.

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A blood sample is called positive when any of these compounds crosses the lab cutoff, commonly 1 to 5 nanograms per milliliter (ng/mL).

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Which cannabis metabolites do blood tests measure?

Most forensic blood panels screen for all three and confirm positives with GC-MS or LC-MS/MS.

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How long does a cannabis metabolite stay in blood?

THC-COOH is typically detectable in blood for about 1 to 2 days after a single use. In daily, heavy users the window can stretch to roughly 7 days, and sometimes longer in whole blood samples.

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Plasma and serum generally give slightly lower numbers than whole blood, so the exact cutoff matters.

What changes the detection window?

Unlike urine, blood is not meaningfully diluted by drinking water, so hydration does not shorten a blood detection window.

Does a positive blood test prove impairment?

No. A positive result confirms exposure, not intoxication. THC-COOH is inactive, and no blood threshold reliably maps to how impaired a person is.

Only parent THC levels are loosely tied to recent use, and even those vary widely between people. That is why some jurisdictions set per se driving limits while others rely on field sobriety tests.

Frequently asked questions

Can secondhand smoke cause a positive blood test?

Rarely. Exposure in a small, unventilated room can produce trace amounts, but levels usually stay below the 1 to 5 ng/mL cutoffs used for blood testing.

Is a blood test more accurate than a urine test?

Blood reflects recent use within hours to days and is hard to tamper with. Urine has a much longer window, up to 30 days in heavy users, but it only shows past exposure.

Do edibles show up differently in blood?

Yes. Edibles produce a higher ratio of 11-OH-THC to THC because the liver metabolizes the dose before it reaches the bloodstream, and peak levels arrive later than with smoking.