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Again, the more studies and medical research that focus on CBD, the more will be known about its side effects and potential medical benefits. For what it's worth, in December 2017, the World Health Organization declared in a report that "cannabidiol does not appear to have abuse potential or cause harm." The WHO also noted that CBD could have "therapeutic value" for epileptic seizures, but that further study is warranted to determine CBD's potential medical use.
Oil has become a favorite mode of administration for many medical users of cannabis and cannabinoids for multiple reasons. First of all, concentrated extracts allow the consumption of a large dose of cannabinoids in an easily ingestible form. With CBD oil, there is no risk of intoxication (getting high) , so much larger doses can be consumed than would be possible for THC-rich products. Many users who prefer the holistic approach of using herbal cannabis worry about the stigma associated with the typical smell caused by smoking or vaporizing it. Cannabis oil has no smell that may identify a consumer as a cannabis user, and it can be used discretely even in a social setting, e.g., at work or around family. Moreover, it can be efficiently dosed simply by counting the number of drops consumed. These same benefits of using a concentrated extract were identified in a large survey among medicinal cannabis users published in 2013 , perhaps as an early indicator of the emergence of cannabis oils as a preferred method of ingestion. Currently, the market is developing further towards more sophisticated and patentable products, including oral capsules, liposomal products, skin creams, and chewing gums containing CBD.
A 2016 review of animal studies indicated that cannabidiol has potential as an anxiolytic for relief of anxiety-related disorders and fear. Reviews of preliminary research showed cannabidiol has potential for improving addictive disorders and drug dependence, although as of 2016, they indicated limited high-quality evidence for anti-addictive effects in people.
The 2016 European Journal of Pain conducted a study on rat models to test the effectiveness of CBD against arthritis in order to see if it could serve as an all-natural alternative to the typical arthritis pain medications, which are often tied with numerous uncomfortable and frustrating side effects. The rats were treated for 4 days with 4 different doses of CBD gel, and the results were quite staggering.
Further explanation is in order. The difference between psychoactive cannabis (“marijuana,” by the increasingly disfavored traditional term) and hemp is a question of THC content — and legal classification. The federal government defines hemp as cannabis with 0.3 percent THC or less in terms of dry weight. The 2014 federal Farm Bill legalized state pilot programs for hemp, and 40 of the 50 states now have defined industrial hemp as distinct from cannabis and removed barriers to its production — including California. However, California’s hemp pilot program is overseen by the California Department of Food and Agriculture (CDFA) — not either the CDPH or Bureau of Cannabis Control.
Strain-specific topicals attempt to harness certain terpenes and cannabinoids in a chemical profile similar to that of Blackberry Kush, Permafrost, Blueberry, or whatever other strains the processor wishes to imitate. Along with THC, CBD, THCA, and other cannabinoids, topical producers may also select ingredients and essential oils for additional relief, like cayenne, wintergreen, and clove.
According to West, who says her team is “drawing on a wealth of anecdotal evidence,” CBD in your java can really take the edge off. “My colleagues, friends, and I have found that CBD-infused coffee largely does away with the anxiety and acid belly typically associated with coffee,” she says. “That makes sense, because research suggests CBD has anti-anxiety and [anti-nausea] effects. We’ve also found that compared to the coffee we reach for regularly, testers experience a less jittery, elevated burst of energy after drinking CBD-infused coffee.”
By definition, ointments must be infused with medicine, in this case CBD, and are of a semi-solid almost mucus-like consistency. Creams typically involve water or some type of aqueous substance as their base, while salves utilize only oils or waxes for their foundation. Ointments tend to contain a combination of oils, water and alcohols within their formulation.
In September 2018, following its approval by the FDA for rare types of childhood epilepsy, Epidiolex was rescheduled (by the Drug Enforcement Administration) as a Schedule V drug to allow for its prescription use. This change applies only to FDA-approved products containing no more than 0.1 percent THC. This allows GW Pharmaceuticals to sell Epidiolex, but it does not apply broadly and all other CBD-containing products remain Schedule I drugs. Epidiolex still requires rescheduling in some states before it can be prescribed in those states.
The CBD present in oils and other products is usually derived from fiber-type varieties of cannabis (hemp), because these are naturally higher in CBD content than drug-type varieties (marijuana). Although cultivation of hemp is allowed in many countries around the world, this is usually governed by strict regulations. After being banned for decades, hemp cultivation in the USA has only recently been reintroduced, and is still gearing up for full industrial production .
Hemp Extract Oil* and Hemp Oil are from a different Cannabis plant called Cannabis Sativa. Hemp Extract is made from the entire plant including leaf, seed and stem. Most oils on the market selling as C B D oil are 97% or more Hemp Seed Oil, mct oil or vegetable glycerine and 3% Hemp Extract. This does not contain THC and is legal in all 50 states.
Cost is another consideration. Most CBD oils are sold in concentrations of 300 to 750 mg, although this may range from less than 100 mg to more than 2,000. A good indicator of price-point is the cost per milligram. Low-cost CBD oils usually fall between five and 10 cents per mg; mid-range prices are 11 to 15 cents per mg; and higher-end oils cost 16 cents per mg or higher. Given these varying per-milligram costs, a bottle of CBD oil may be priced anywhere from $10 or less to $150 or more.
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.
Last year, the National Academies of Sciences, Engineering and Medicine released a nearly 500-page report on the health effects of cannabis and cannabinoids. A committee of 16 experts from a variety of scientific and medical fields analyzed the available evidence — more than 10,000 scientific abstracts in all. Because so few studies examine the effects of CBD on its own, the panel did not issue any findings about CBD specifically, but it did reach some conclusions about cannabis and cannabinoids more generally. The researchers determined that there is “conclusive or substantial evidence” supporting the use of cannabis or cannabinoids for chronic pain in adults, multiple sclerosis-related spasticity (a kind of stiffness and muscle spasms), and chemotherapy-induced nausea and vomiting. The committee also found “moderate” evidence that cannabis or cannabinoids can reduce sleep disturbances in people with obstructive sleep apnea, fibromyalgia, chronic pain and multiple sclerosis, as well as “limited” evidence that these substances can improve symptoms of Tourette’s syndrome, increase appetite and stem weight loss in people with HIV/AIDs, and improve symptoms of PTSD and anxiety.
Topicals are cannabis-infused lotions, balms, and oils that are absorbed through the skin for localized relief of pain, soreness, and inflammation. Because they’re non-intoxicating, topicals are often chosen by patients who want the therapeutic benefits of marijuana without the cerebral euphoria associated with other delivery methods. Other transdermal innovations are fast arriving in the cannabis market, including long-lasting patches and tingly lubricants for patients and recreational consumers alike.
"Cannabinoids have been found to have antioxidant properties, unrelated to NMDA receptor antagonism. This new found property makes cannabinoids useful in the treatment and prophylaxis of wide variety of oxidation associated diseases, such as ischemic, age-related, inflammatory and autoimmune diseases. The cannabinoids are found to have particular application as neuroprotectants, for example in limiting neurological damage following ischemic insults, such as stroke and trauma, or in the treatment of neurodegenerative diseases, such as Alzheimer's disease, Parkinson's disease and HIV dementia.
^ Hayakawa K, Mishima K, Hazekawa M, Sano K, Irie K, Orito K, Egawa T, Kitamura Y, Uchida N, Nishimura R, Egashira N, Iwasaki K, Fujiwara M (January 2008). "Cannabidiol potentiates pharmacological effects of Delta(9)-tetrahydrocannabinol via CB(1) receptor-dependent mechanism". Brain Research. 1188: 157–64. doi:10.1016/j.brainres.2007.09.090. PMID 18021759.
This pocket-sized salve is perfect for travel or for sports, when you need a quick fix for your sore joints and muscles. It is also infused with arnica, meadowsweet, elderflower, calendula, ginger, vitamin E, turmeric, and other nourishing skincare ingredients that provide anti-inflammatory benefits. It’s good to know ahead of time that this salve is extremely hard to apply—there’s a lot of beeswax in there, which makes it difficult to melt enough to rub into your skin. (There is also a handy Topical Roll-On version so that you don’t have to even use your fingers—the problem is, the roll-on formula is also made with beeswax. It’s been 65 degrees in New York City all week and I still can’t get the formula to melt in the roll-on. Nothing that placing the container in a bowl of hot water won’t solve, but it’s not up to general skincare standards.)
Research on low levels of CBD is, you guessed it, incredibly limited; just a single paper on the medical research database PubMed specifically looked at CBD in these low doses, as a treatment for Crohn’s disease. (It was not found to have an effect.) As such, it wouldn’t be fair to say that 5 or even 20 mg of CBD oil in your coffee is proven to do nothing; that hasn’t been proven. It’s more accurate to say that 20 mg of CBD oil in your coffee has never been proven to do much of anything, and related research indicates that’s probably way too low of a dose to have any measurable effect.
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.
I recently discovered Après and have quickly become obsessed. I like to make sure I start my morning with protein, fiber, and fat, and their signature recipe features all of the above. Plus, it makes for a yummy and sturdier base for my favorite cold brew than just water or almond milk, my previous standbys. All of the flavors are great, but since the CBD oil I love is mint chocoate–flavored, I opt for the like-minded flavor of Après. Post-coffee and -ice, it's like a magical mint-chocolate shake that simultaneously wakes me up and calms me down. Kind of perfect, no?
Though a CBD latte might not do much for you — at least not beyond what caffeine and the placebo effect combined can do, which isn’t nothing — it’s also probably harmless in most cases, says Carson, and may even have positive benefits we aren’t yet aware of. “I suspect there’s probably some antioxidant benefit to CBD like there is with coffee,” says Carson. “There’s tons of good things in coffee that we still don’t fully understand, and I think the marijuana plant is much the same way.”