4 oz of CBD salve The Sisters of the Valley make all their products in a spiritual environment, with prayers for the people sown into every bottle and jar. This is a topical or ‘rub-on’ salve with multiple uses. The Sisters’ products are made with high CBD strains of the cannabis plant, strains developed to have virtually no THC. These products are not psychoactive, they will not get a person ‘high’, and they will not cause a person to fail a drug test. The plant material we use to make the products is considered 'hemp' because of the non-psychotropic nature of the plant. USPS delivery to all 50 states and to all international locations. The salve is a topical rub that is used externally. All the Sisters products are made according to moon cycles in a prayerful and spiritual environment. The CBD salve contains the following ingredients: 77.2% solid coconut oil infused with hemp 14.5% beeswax 3.8% liquid coconut oil hemp concentrate 1.6% Vitamin E oil 1.5% calendula oil 1.4% lavender oil Current Batch Quiet Moon, February 2018 >450 mg of CBD per 4 ounce jar All batches are tested for potency. Lab tests available upon request. Hand Made by the Sisters of the Valley in Cooperation with Earth and Sun Keep stored in a cool, dry place (not refrigerate) https://client.sclabs.com/sample/310027/    
For pain management, both topical and oral CBD work well, typically proving the most effective relief when utilized together. Oral CBD also assists in the diminishing of symptoms from anxiety, depression and other mental disorders, as well as insomnia. Topicals work brilliantly at reducing inflammation, arthritis, headaches, cramping and migraines, and some evidence has shown that it can also heal eczema, psoriasis, dermatitis and itching.
But, different parts of the cannabis sativa plant, like the flowers, leaves, and stalk, are governed instead by the Access to Cannabis for Medical Purposes Regulations (ACMPR) and the Narcotic Control Regulations (NCR) instead, because its levels of THC and CBD are much higher. Hemp farmers must currently destroy the leaves and flowers in a safe way, but moving forward towards legalization will allow companies and farmers to use the full plant for its’ multiple purposes.
Flower Power, which sells CBD-infused coffee to cafes like Caffeine Underground in New York City, puts 5 mg of CBD in each serving of coffee. The company, like many involved in the sale of CBD, is extremely careful about what it says regarding CBD’s effects for fear of FDA intervention. The standard language for CBD packaging and website documentation is similar to that of many supplements (think: milk thistle, echinacea, elderberry, turmeric) and is some variation on: “These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease or ailment.”
The only study that has tested the bioavailability of inhaled CBD is from 2014; it found a bioavailability of about 25 percent for 100 mg and 200 mg doses of CBD using a Volcano vaporizer. (The topical lotions are even less studied; there have been no clinical trials on them at all.) This is more efficient than ingesting CBD, in the same way that vaporizing THC is more efficient than eating it. To get an effect, you should ingest a different amount of CBD than you’d inhale ... but how much is that? How much is too much?

The exact legality of CBD is tricky. The Drug Enforcement Administration maintains that CBD is federally illegal but will not bother going after anyone for possessing or using it. Many argue that a provision in the 2014 farm bill allowing industrial hemp pilot programs, mostly aimed at the textile industry, actually makes non-THC use of cannabis legal; the much-delayed 2018 farm bill would make CBD and industrial hemp legal nationwide if passed as it stands.
Both CBD oil and CBD cream products have their own unique and significant uses throughout the medical world. They are both highly capable of healing and diminishing pain plus daily discomforts. This all-natural alternative to conventional medications is reasonably affordable and does not produce any of the psychoactive or “high” effects that traditional marijuana flower can, meaning that CBD could be consumed any day of the week at any time of day, leading to its extreme versatility and convenience.
^ Jump up to: a b c d Campos AC, Moreira FA, Gomes FV, Del Bel EA, Guimarães FS (December 2012). "Multiple mechanisms involved in the large-spectrum therapeutic potential of cannabidiol in psychiatric disorders". Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences (Review). 367 (1607): 3364–78. doi:10.1098/rstb.2011.0389. PMC 3481531. PMID 23108553.

Designed to provide the optimum absorption of CBD into the blood stream by employing a patented slow release delivery system. It’s well accepted that CBD is most effective when taken sublingualy, however most oils when taken in this way are swallowed and broken down by your body. The Gel-Tab™. is placed under the tongue and the CBD is slowly absorbed resulting in higher rates of CBD being absorbed than what would be achieved with a normal oil


Hello Tracy I’ve been a nurse for 14 years. Some strains of cannabis can have amazing effects for patients with severe IBS. Most people find that a full spectrum product containing CBD, CBG, CBN, as well as active plant lipids, phytochemicals and a small amount of THC is most effective for calming the bowels and treating pain. It is usually the sum of all these active parts TOGETHER that creates something called the entourage effect and the most efficacious cannabis for treating a disease state such as IBS.
While CBD oil, a non-psychedelic extract of industrial hemp, seems to offer healing benefits when ingested almost any way, for some types of chronic pain, skin conditions, and other localized problems, topical applications allow users to go right to the source. Topical CBD can also work faster, since it doesn’t have to travel through the digestive system first.
We never knew that cannabis oil can cure cancer, if not my lovely and adorable husband wouldn’t have die of his prostate cancer, well all the same i still give God all the glory and big thanks to Dr Rick who provided me with CANNABIS oil for my son liver cancer, after i lost my husband to prostate cancer 2 years later my son was diagnosed with cancer of the liver he under-go many chemo’s and radiation treatment in seeking solution to cure the liver cancer i spent all i have but all to no avail until i mean’t a friend of mine who directed me to Rick Simpson Cannabis Oil via Email: phoenixtearsoil5@gmail.com

Our CBD topical cream is legal nationwide and contains less than 0.3% THC. Our dedication to quality and customer satisfaction is what sets us apart from our competitors. We pay close attention to every detail and strive to provide our customers with the best CBD topical cream on the market. Try our CBD cream for sale and discover the natural healing powers of CBD!
In fact, the majority of them report that CBD actually seems to work phenomenally well with the caffeine – they claim that it reduces cases of the “jitters” (which makes sense considering that CBD is a well-known anti-spasmodic), and also that it works wonders in terms of elevating mood, increasing mental acuity, and promoting general productivity.
As it turns out, CBD (short for cannabidiol) is a phenomenal natural therapy for literally dozens and dozens of different ailments. General pain relief is probably the single most common reason that people take CBD, but it’s also proven to be extremely effective for psychological conditions like anxiety and depression, as well as for things like chronic seizures/epilepsy, diabetes, migraines, neurodegenerative disease (multiple sclerosis, fibromyalgia), digestive issues, and even menstrual cramps.
A quality CBD topical cream provides the advantage of being able to apply the active therapeutic hemp extract directly to the site of aggravation or discomfort. This is particularly useful for application to joint areas or superficial muscle tissue, as the cannabidiol compound will diffuse across the dermal layers directly to the site of pain and inflammation.
However, cannabidiol as an anxiety reducer has almost none of these issues. One study had 24 participants who took either 600 mg of CBD or a placebo drug. In a speaking test that followed, the group which underwent CBD treatment showed less anxiety. They also had a smaller degree of cognitive impairment and felt less discomfort overall as they spoke. In other words, their results were better than those of the placebo group.

Almost ten percent of people worldwide deal with acne. It’s a pretty common skin condition, even among adults. A few major factors can cause acne. Those are usually genetic makeup, bacterial infection, underlying skin inflammation, and sebum overproduction. Sebum is an oily secretion that lubricates our skin. It forms inside of sebaceous glands, which are under our skin.
CBD interacts with the body through the endogenous cannabinoid system (ECS) or endocannabinoid system. First discovered in the late 1980’s, the endocannabinoid system regulates the body’s homeostasis, or general state of balance, impacting such functions as mood, sleep, appetite, hormone regulation, and pain and immune response. Like an acrobat on a highwire, as the environment around us impacts our normal balance, the endocannabinoid system “corrects” by mediating our body’s reaction to keep us level.
Cannabidiol, or CBD for short, is a natural phyto-cannabinoid (or plant-based chemical compound) found in cannabis plants, including hemp and marijuana. Unlike other cannabinoids — namely tetrahydrocannabinol, or THC — CBD does not produce any psychoactive effects, and will actually counteract these effects to a degree. CBD will induce feelings of sleepiness; for this reason, it can be an effective soporific for people who struggle to fall and/or remain asleep due to insomnia and other sleep disorders.
Dry mouth: As is the case with many other hemp- and marijuana-based products, CBD oil often leads to a condition known as dry mouth (or cottonmouth). This is likely due to cannabinoids altering receptors in the lower jaw that trigger salivation. In most cases, mild discomfort and stronger-than-average thirst are the only issues associated with dry mouth.
High-CBD strains can be smoked or vaporized for immediate effects with little to no high, depending on the strain’s THC content. A strain may contain only trace amounts of THC for clear-headed relief, or it may have balanced levels of THC and CBD, delivering a mild high but potent relief. Explore the menu of your nearby dispensary for a full list of the offerings near you, or browse high-CBD strains on Leafly for an idea of popular varieties to look out for.
Two dermatologists I consulted with, New York-based Whitney Bowe, MD and New Jersey-based Jeanette Jacknin, MD, both agreed that CBD’s anti-aging and anti-inflammatory benefits are clinically proven. “Studies have shown that the cannabinoids like CBD in marijuana are anti-inflammatory and anti-aging and topical CBD has proven helpful for acne, eczema, and psoriasis,” Jacknin told me. “Hemp seed oil is reputed to be the most unsaturated oil derived from the plant kingdom, so it is less pore clogging but a great moisturizer for dry, cracked skin.”
I've been waiting for weeks to receive this topical to see if I finally found a product that works and I'm so happy to say that I did! I've been dealing with knee pain that my doctor has not been able to officially diagnose and treat and it's extremely painful. This is the first product that I've tried that actually relieves most of the pain and pressure so I can continue to workout and stand without being in so much pain. Thank you for creating such an amazing product!

Scientifically, the difference between what we refer to as hemp and marijuana comes from the intention the strain was bred for. The main difference between hemp and marijuana is the level of THC in the plant. Hemp has high levels of cannabidiol (CBD) and very low levels of tetrahydrocannabinol (THC). Marijuana is recognized for having high levels of THC and lower in CBD. In order to be considered hemp, the plant must have less than 0.3 percent THC. High levels of THC are responsible for the intoxicating feeling that marijuana is known for.  
The CDPH memo adds to the confusion by drawing a distinction between “hemp” and “cannabis” — even though hemp is a form of cannabis. If it weren’t, you wouldn’t be able to derive CBD from it. Avoiding this confusion is part of the case for not purging the word “marijuana” from the English language, despite the stigma increasingly associated with the word.
I have numerous areas of severe pain in my back,neck, legs, and feet, + have suffered for 25 years from Fibro. I was so impressed with this cream!! It takes so little - not even a full squeeze of cream to cover my entire foot, or my spine, neck, and lower back. The cream does NOT need to be massaged into the painful area - just applied to the surface. Less than five minutes later, whammo! Literally NO PAIN, and it lasted for most of the day. I'm talking hours upon hours of relief!
Still, as the saying goes, absence of evidence isn’t necessarily evidence of absence, and there’s a reason we don’t have a ton of solid research on CBDs yet — “to study it, we need a good source, ” said Ziva Cooper, who is an associate professor at Columbia University and was on the National Academies committee. CBD is hard to get because it’s still technically a Schedule I drug, which limits its availability, Cooper said.
The Health effects of cannabis and cannabinoids: the current state of evidence and recommendations for research. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on the Health Effects of Marijuana: An evidence review and research agenda. Washington, National Academies Press, 2017.
Sativex, an oral spray containing both CBD and THC, can treat MS-induced pain. During one study, researchers gave Sativex to 47 participants with MS. Results were largely positive. Patients who used this spray felt notably better. Their muscle and walking spasms decreased, and they felt pain relief. Thanks to studies such as this one, several countries approved using Sativex in MS treatment.
CBD products have become increasingly popular in recent years, as more and more producers market CBD as the new "it" drug for the health and wellness set — one that has been touted as a pain reliever and a treatment for anxiety, among other potential applications. Last year, consumer sales of CBD products topped $350 million in the United states, more than triple the amount sold in 2014, and various estimates predict the market could reach $2 billion within the next two to four years.
But, different parts of the cannabis sativa plant, like the flowers, leaves, and stalk, are governed instead by the Access to Cannabis for Medical Purposes Regulations (ACMPR) and the Narcotic Control Regulations (NCR) instead, because its levels of THC and CBD are much higher. Hemp farmers must currently destroy the leaves and flowers in a safe way, but moving forward towards legalization will allow companies and farmers to use the full plant for its’ multiple purposes.
The topical menthol ointment is our most common product for direct application to sore joints, muscle tissue, and damaged skin areas. Standard CBD oil drops can take up to an hour (or longer) to take effect (since they have to enter into the bloodstream), but with topical creams, effects are typically felt within minutes as the active cannabidiol simply has to diffuse across the dermal layers and to the site of inflammation.
Everybody has different medical needs, because of this Medix CBD hemp oil tinctures are available in different dosages ranging from 100mg – 4,500mg per bottle. The reason for such a large difference in CBD concentrations between the lowest strength bottle and the highest strength bottle is because we offer a vast and wide selection of CBD hemp oil tinctures to meet the needs of people with different medical goals.

Does anybody know about cbd vs thc for chronic exhaustion? There are times that I can barely get out of bed and can’t do work due to it, and it has gotten my mood swings to go over the roof! I don’t have much interest in doing just thc because it makes me feel more lethargic, but cbd has seem to be able to help me! I need to know if someone has used it for this problem, and is results
It is well known that cannabis plants obtained from uncontrolled sources may be contaminated with various harmful substances [39], sometimes leading to severe health issues or hospitalization [40]. Contaminants include chemicals that were intentionally added in order to increase yield, weight, or potency (e.g., pesticides, metal particles [41], synthetic cannabinoids [42]) but also agents that entered the plant unintentionally (e.g., heavy metals, molds and bacteria [43], aflatoxins). For example, pesticides are frequently present in cannabis sold by Dutch coffee shops [44], but were also found in cannabis offered under state law in California [45] as well as medicinal cannabis from licensed producers in Canada [46]. If any of these contaminants were present in hemp used for CBD extraction, they would likely end up in a concentrated form in the final oil. One contaminant specifically relevant to cannabis (CBD or THC) oils is the residual presence of toxic solvents used during the extraction procedure [3].
Look up Chris Shade (quicksilver scientific) on YouTube, specifically a webinar entitled ‘Cannabidiol: The Full Story pt.2’. He is a brilliant biochemist who has been studying the biochemical effects of cannabidiol. He says that CBD has the potential to be more therapeutic than THC as it up-regulates/down-regulates gene expression in over 400 genes each way (up and down). A great balancer and extremely helpful in treating Lyme, more specifically allowing for more aggressive detoxification of the Lyme and co-infections. There is also considerably symbiosis with heavy metals, molds, EMF’s, etc. so you must also address those aspects. It’s supremely complex and even most Lyme literate docs don’t deal with all aspects. Antibiotics are often counterproductive with persistent Lyme as the spirochetes protect themselves with a biofilm that must be broken down (Interfase Plus). Protocols must be comprehensive in order to make progress. If you have not checked your CD57, do that. It’s a marker for natural killer cells commonly associated with Lyme (a simplistic explanation). The reference range is 100-300. First time I had it checked 2 years ago, it was 48. Despite modest attempts to boost my CD57 with some of the Nutramedix products, I only got 6-7 point increase per year. In April of this year, I got more aggressive with a homeopathic regimen, taking a variety of the Cowden (Nutramedix), Buhner and other products. The next time I checked CD57, two months later, it jumped 70 points… remarkable by any measure. My western blot also went from 2 bands to 5 bands as my body as finally able to mount an antibody response. I can’t say for sure which products had the biggest impact, but if I had to guess, it would be the Biocidin LSF (liposomal) and perhaps DesBio Lyme Plus. But I was also taking Samento, Burbur, Cumanda, resveratrol, glutathione, phosphatidylcholine, NanoMojo, and a variety of other things and a good supplement regimen. There is no one product answer. Cannabinoids can help with the symptoms and support a more aggressive regimen, but addressing the Lyme must be a multi-faceted effort. Be very wary of pulsed antibiotic protocols with doxycycline. It’s not out of the question, but decimating your microbiome is counterproductive.

Science has confirmed that cannabis is an effective pain reliever, reinforced in a massive new report from the National Academies of Sciences, Engineering, and Medicine. But there's a big difference between ingesting cannabis or its individual chemicals orally and absorbing it through your skin. Here, the lowdown on this new crop (no pun intended) of pain relievers.
In the meantime, some physicians are forging ahead — and cashing in. Joe Cohen is a doctor at Holos Health, a medical marijuana clinic in Boulder. I asked him what CBD is good for, and he read me a long list of conditions: pain, inflammation, nausea, vomiting, intestinal cramping, anxiety, psychosis, muscle spasms, hyperactive immune systems, nervous system degeneration, elevated blood sugar and more. He also claimed that CBD has anti-cancer properties and can regenerate brain cells and reduce the brain’s levels of amyloid beta — a kind of protein that’s been linked to Alzheimer’s disease. I asked for references, noting that most of these weren’t listed in the Academies report or a similar review published in the Journal of the American Medical Association. “I think you just have to Google search it,” he said. It’s true that a preliminary study found hints that cannabinoids might reduce beta amyloid proteins in human brain cells, but the study was done in cells grown in a lab, not in people. As for cancer, the FDA sent warning letters last year to four companies that were selling products that claimed to “prevent, diagnose, treat or cure” cancer.
Everything you need to know about CBD oil CBD oil may offer a range of benefits, including reducing pain and inflammation. Evidence shows that the oil does not contain psychoactive properties and so does not have the same effects as marijuana. Here, learn more about CBD oil and its uses, benefits, and risks. We also discuss its legality in the U.S. Read now

Today, CBD is used for the treatment of a wide range of medical conditions. This started with the somewhat serendipitous discovery (by parents experimenting with self-medication for their children) that CBD had a therapeutic effect on a serious form of epilepsy in children, called Dravet syndrome [8]. This effect is now under clinical investigation with the pharmaceutical CBD product Epidiolex®, which is currently in phase 3 trials with encouraging results [9, 10]. The media attention generated by its effect on severely ill children gave CBD the push needed to become a much desired medicine almost overnight [11]. Other medical indications that may be treated with CBD, and are supported to some extent by clinical proof, include Parkinson’s disease [12], schizophrenia [13], and anxiety disorder [14]. However, although research into the therapeutic effects of CBD is rapidly increasing, most current uses of CBD are not (yet) supported by clinical data. The popular use of these products means that physicians may be confronted with the effects of CBD oil even when they do not prescribe it themselves.


When discussing coffee, some coffee roasts do however include both CBD and THC, and these can potentially deliver a pretty significant high. However, what people really seem to be interested in as of late is pure CBD coffee, which you can drink every single morning just like a regular cup of joe — it provides loads of health benefits (see below), without getting you stoned in any way.
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CBD has positive implications in a vast number of illnesses and has been shown to boost general health, hair and skin.  Research isn’t conclusive here, although it is strong, and in the coming years, we are expecting to see more and more evidence.  THC, on the other hand, can benefit other disorders but comes with drawbacks, such as the feelings of being high and possible induction of feelings of anxiety and paranoia and more.
Does anybody know about cbd vs thc for chronic exhaustion? There are times that I can barely get out of bed and can’t do work due to it, and it has gotten my mood swings to go over the roof! I don’t have much interest in doing just thc because it makes me feel more lethargic, but cbd has seem to be able to help me! I need to know if someone has used it for this problem, and is results
Even some of the claims made by recreational CBD sellers aren’t bullshit, in the abstract. CBD really does show some anti-inflammatory properties. It really does have anxiolytic effects, in certain situations. Of course, it’s the scammy nature of herbal supplements that a seller can say something like “CBD has been indicated to reduce anxiety” (a true statement!), even though the actual product you’ve got in your hand has never been indicated to do so. Nutmeg, for example, will act as a dangerous psychoactive drug at high levels, but it would be deranged to put “scientific research has shown that nutmeg can get you high as hell” on a pumpkin spice latte. It’s correct, but it’s also incredibly misleading.
“Among the many benefits that Charlotte’s Web customers experience are: a sense of calm and focus; relief from everyday stresses; help in recovery from exercise-induced inflammation; and support for healthy sleep cycles,” says co-founder Jesse Stanley. But he is obliged to point out that the product is a dietary supplement, and no clinical claims can be made for it.
CBD strains can be consumed just as you would THC strains. You can smoke or vaporize CBD-rich flower, eat a CBD-infused edible, swallow a CBD oil capsule, apply a CBD lotion, or use a CBD tincture sublingually. Hemp products also contain CBD, though it is a less efficient source and lacks the beneficial chemical diversity of cannabis-derived CBD products (more on that here).
Many people take CBD oil for joint pain or even muscle soreness, but most would suggest that they are not as soothing or fast-acting as applying a topical CBD cream directly to the site of pain or soreness. Using a topical CBD cream for muscle soreness is also effective due to the simple mechanical effects of massaging. When you massage sore muscles, what you’re actually doing is stimulating the fibers in the contractile tissue to engage in capillary action; in other words, the fibers are actively exchanging expended blood and replenishing themselves with a new, freshly-oxygenated supply from arterioles.
And that’s what’s maddening and fascinating about CBD: It isn’t bullshit. Crystals are bullshit. Himalayan salt ionizers are bullshit. SugarBearHair apparently doesn’t contain what it says it does, though it wouldn’t work better than a well-balanced diet even if it did. CBD, though wildly understudied, is not bullshit. In fact, the FDA just approved its very first cannabis-derived drug, a CBD-based epilepsy treatment called Epidiolex. The dosage for Epidiolex starts at around 2.5 mg/kg and is increased to 5 mg/kg, so a 150-pound adult would settle onto a dose of just over 340 mg per day, though the diseases it targets start in childhood.
By popular demand, we have also begun to carry several, high quality CBD pet products as well. For general purpose applications, we carry several, tasty tincture and oral spray options that are highly effective. Likewise, Pharma CBD capsules provide CBD purity via capsular ingestion. In addition, we have partnered with Therabis, the quality CBD maker of “Stop the Itch” and “Calm and Quiet”, the pet lovers’ ultimate go-to’s. Find these products by browsing our exclusive online inventory.
Everybody has different medical needs, because of this Medix CBD hemp oil tinctures are available in different dosages ranging from 100mg – 4,500mg per bottle. The reason for such a large difference in CBD concentrations between the lowest strength bottle and the highest strength bottle is because we offer a vast and wide selection of CBD hemp oil tinctures to meet the needs of people with different medical goals.
CBD concentrates typically contain the strongest dosage of CBD compared to any other CBD products. It can contain up to 10 times the average CBD products. Concentrates are also convenient in that it only takes a few seconds to consume. Overall, CBD concentrates seem to be most popular among customers who are extremely busy, yet seek high potency CBD.
You only have to read the reviews under a CBD product on the Holland & Barrett website to see the extent to which anecdotal reports cannot be trusted. More than 100 customers gave Jacob Hooy CBD+ Oil five stars, with a few saying they always noticed if they missed a dose (presumably this made them less relaxed, although they did not reveal what they were taking it for), while 93 people gave it one star, saying it did nothing, or was too weak. One couple even said it gave them palpitations and a sleepless night. All these people had different conditions, expectations and situations. “And,” says McGuire, “you have to remember that anything can have a placebo effect.” While it looks unlikely that the recommended doses of these products will do any harm, McGuire’s guess is that doses are so small “that it’s like homeopathy – it’s not going to do anything at all”.
Hello. I have stage 4 thyroid, secondary lymphoma..And many other health issues.I use 50mg of cbd vapor oil. 5 drops with each use. Total equals 250mg, about hits per dose, three times a day. I'm also on subsys, which is fentanyl. Idk about anyone but myself, but it's helped me with pain, with sleep, and in general my moods. So I dint have anything negative to say. I just hope that with time, proper diet, low dose chemo, and some other herbal usage, that I can shirk some of the cancer eating at my body... Thanks and good luck to you all.
Cannabidiol (CBD) is one of dozens of non-psychoactive cannabinoids found in the hemp plant. Cannabidiol, and all the other cannabinoids, were patented by the United States Government in 2003 as neuroprotectants and antioxidants (Patent No. 6,630,507). Cannabinoids are characterized by their ability to act on the cannabinoid receptors that are found throughout the body. CBD and other cannabinoids are naturally occurring compounds that display potent anti-inflammatory and pain-relieving properties. They can promote the body’s healthy regulation of the central nervous, immune, and endocannabinoid systems.
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