Hemo-derived CBD, a THC-absent variety of cannabis sativa, had been declared legal by the industry on account of the legality of hemp itself. Confusion arose, however, when the DEA issued a statement in December 2016 stating that any derivative “from any plant of the genus Cannabis” will continue to be treated as Schedule I controlled substances, lumping cannabis and hemp together. Its legality is unclear though, as in 2004 a Federal Court ruled that hemp was OK to traffic.
Taking CBD oil is like drinking milk and calling it calcium, Hernandez said: There’s some in there, but at very low concentrations dispersed among a host of other ingredients. And what those other ingredients are is anyone’s guess. “The thing to know is that CBD hasn’t gone through the safety controls, the efficacy controls that we usually use, the clinical trials,” Hernandez said. “The jury is still out regarding how safe this drug is.”
If you are vaporizing CBD-dominant strains of cannabis, bioavailability is through the alveoli, tiny sacs in the lungs, clarifies Kilham. If you are taking CBD strain capsules, he suggests eating some fat or oil, like a handful of nuts or some full-fat yogurt, to improve absorption and bioavailability. Cannabinoids are fat-loving molecules. They are taken up readily into the small intestine with a bit of dietary fat.
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Despite the political and social controversy affiliated with it, the medical community must come to the realization that cannabinoids exist as a ubiquitous signaling system in many organ systems. Our understanding of cannabinoids and how they relate not only to homeostasis but also in disease states must be furthered through research, both clinically and in the laboratory.
There are thousands of unique varieties of hemp. The cultivars used for CBD oil contain significantly higher concentrations of CBD than others. Using these uniquely potent plants, it is possible to extract cannabis oil that contains significant levels of cannabidiol, as well as essential vitamins, minerals, fatty acids, terpenes, flavonoids, and other non-psychoactive cannabinoids.
The same terms could be applied to what's actually in CBD products. While some do contain CBD, others (often marketed as "CBD-rich hemp oil") may have barely any, Asquith says. And depending on state laws, they can include varying levels of THC too – a combination shown to have some benefits, but also drawbacks, of course, if you're not looking for a high. "People will play all these games with the numbers because the consumers aren't really educated in this space yet and it's easy to get taken advantage of," he says. "It's the milligrams of the actual CBD molecule that matter."
Hemp also contains fatty acids which have been known to be great for the body. Unlike its marijuana counterpart, hemp contains high quantities of CBD and low volumes of THC for which its grown. While marijuana is illegal to consume in many states, hemp is slowly becoming more popular and more states are legalizing the uses of hemp oil for its citizens.
For anxiety, CBD products with a ratio of 20:1 or higher are recommended and administered as drops, capsules, or edibles. High-CBD cannabinoids can be very effective in reducing chronic anxiety, treating temporary stress, and protecting the body from the physiological effects of both. Varieties high in linalool, a terpene shared with lavender, are known to be effective for relieving anxiety. In particular the strain AC/DC is very effective.
The arrival of Epidiolex is unlikely to erase the unregulated CBD market, however. For one, Epidiolex has been studied only in connection with a small number of epileptic conditions. If and when Epidiolex makes its way to drug stores, it will be approved only for the treatment of Dravet Syndrome and Lennox-Gastaut Syndrome, two rare forms of catastrophic epilepsy. People like me, with comparatively mild Janz Syndrome, and people like Harper, with extremely rare conditions like CDKL5, may still be out of luck.
The ratio of THC to CBD in a product is also important. Lee said products made with CBD oil extracted from resin-rich marijuana plants rather than industrial hemp, which may have no THC at all, are more therapeutic because the two ingredients work synergistically. These oils are also purer, since fewer plants are used and less refining is necessary. However, these products are available only in states with legal weed.
This may seem like a repeat of an earlier question, but while that question related to concentration of CBD in the product, this is simply a question of how much you’re getting in total. Most bottles are labeled in a similar way – “1,000mg CBD Oil” or “1,000mg Hemp Extract” – which generally means the entire bottle contains a total of 1,000mg of CBD.
Fortunately for you as a consumer, this is where the benefit of a modern CBD online store with "digital transparency" comes into play. In other words, if you're going to buy CBD oil online, it's imperative that you take into account the customer feedback that's available, as well as information on each brand that's available from third-party websites.
“I don’t think we have that many good drugs for pain, and we know that CBD has fewer side effects than opioids or even nonsteroidal anti-inflammatory drugs, which can cause bleeding and cardiovascular problems,” he says. “If I have an elderly patient with arthritis and a little bit of CBD can make their knees feel better, I’d prefer they take that than some other drugs.”
There’s also been a lot of talk lately about “microdosing” CBD. This refers to an incremental process of finding your minimum effective dose. You can do this with any concentration of CBD oil, but lower concentrations will take longer. In a 2017 article in Rolling Stone, Dr. Dustan Sulak outlines his protocol for microdosing. You can begin this process by asking yourself three questions:
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Liquid CBD Oil/Tinctures/Extracts: Drops or tinctures should have a “suggested serving size” and the total milligrams of CBD listed on their packaging. From there, you can determine the amount of CBD you would like to ingest. Simply place the correct quantity of drops under your tongue using the dropper and hold the CBD oil in place for a minimum of 60 seconds. The 60 second hold allows for absorption via the blood vessels underneath your tongue – efficiently bypassing first-pass metabolism. Once 60 seconds has passed, swallow the CBD oil.
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