The expansion of adult-use marijuana sales to 21 states has ushered in a new era of commercialism in the U.S. cannabis industry.

According to Marijuana Policy Project data, the total number of medical marijuana patients on average decreases by roughly a third after a market launches recreational sales, a shift that might impact business strategy, product availability, marketing and customer relationships.

In Michigan, the MMJ patient count fell to 79,022 in December, down 71% since the state launched adult-use sales in December 2019. The percentage drop is the second steepest, behind only Oregon, whose registry has plummeted 81% since recreational sales began in October 2015.

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