Medical reviews published in 2017 and 2018 incorporating numerous clinical trials concluded that cannabidiol is an effective treatment for certain types of childhood epilepsy.[18][19] An orally administered cannabidiol solution (brand name Epidiolex) was approved by the US Food and Drug Administration in June 2018 as a treatment for two rare forms of childhood epilepsy, Lennox-Gastaut syndrome and Dravet syndrome.[11]
If you’re just diving into the world of CBD, we recommend a starting serving size of two to three milligrams. From there, you can work your way up to 100 or even 200 milligrams, after you’ve taken the time to gradually observe how CBD affects your body and mind. Remember, you cannot overdose on CBD, and there are no reported side effects from using high concentrations.
Critics contend that the Realm of Caring parents are using their kids as guinea pigs, that not enough studies have been done, that many, if not most, of the claims can be dismissed as the result of the placebo effect. “It’s true, we don’t know the long-term effects of CBD, and we should study it,” Meagan says. “But I can tell you this. Without it, our Addy would be a sack of potatoes.” No one asks, she notes, about the long-term effects of a widely used pharmaceutical that has been routinely prescribed for her two-year-old. “Our insurance pays for it, no questions asked,” she says. “But it’s highly addictive, highly toxic, turns you into a zombie, and can actually kill you. And yet it’s perfectly legal.”
When the title of Best CBD Hemp Oil was up for grabs, it’s little wonder the renowned Charlotte’s Web Hemp Extract from CW Hemp took the crown with room to spare. This potent and clean hemp oil extract has earned itself a remarkable reputation over the years, and the handy and discreet tincture is the ideal way to sample its soothing benefits for yourself.
At a cannabis competition in Santa Rosa, California, a young enthusiast becomes a human billboard for a company that sells devices to vaporize the drug. California allows marijuana for medical but not recreational use. As “ganjapreneurs” seek to capitalize on the legalization movement, the paraphernalia industry has expanded dramatically, employing a sleek aesthetic—and a certain sex appeal—to market products once confined to head shops.
Scientific studies have established that synthetic, single-molecule hemp-oils have a very narrow window of efficacy and requires great precision to achieve that efficacy, whereas lower concentration, whole-plant, full-spectrum, phyto-nutrient rich nutritional supplement regimens are already showing efficacy for many. Full-spectrum compounds interact collectively and enhance their therapeutic benefits. Scientists call this the “entourage effect.” Numerous hemp  compounds have medicinal attributes, but the therapeutic impact of whole plant hemp  is greater than the sum of its parts.
So Mechoulam called the Israeli national police and scored five kilos of confiscated Lebanese hashish. He and his research group isolated—and in some cases also synthesized—an array of substances, which he injected separately into rhesus monkeys. Only one had any observable effect. “Normally the rhesus monkey is quite an aggressive individual,” he says. But when injected with this compound, the monkeys became emphatically calm. “Sedated, I would say,” he recalls with a chuckle.
Kimberly is the reference editor for Live Science and Space.com. She has a bachelor's degree in marine biology from Texas A&M University, a master's degree in biology from Southeastern Louisiana University and a graduate certificate in science communication from the University of California, Santa Cruz. Her favorite stories include animals and obscurities. A Texas native, Kim now lives in a California redwood forest. You can follow her on Twitter @kimdhickok.
The side effects and risks involved with consuming marijuana-based products aren't clear, either, Bonn-Miller said. It's important to "determine cannabinoids that are useful therapeutically while understanding and using cannabinoids that are associated with less risk," he said. At least with CBD, he said, it doesn't appear to have the potential for addiction. That's different from THC, which has been associated with addiction, he said, and negative side effects, including acute anxiety.
Kane fingers one of his innocuous-looking plants, expressing mild bemusement at the U.S. ban on commercial hemp cultivation. “Hemp produces fibers of unparalleled quality,” he notes. “It’s a tremendously high biomass crop that replenishes the soil and doesn’t require much in terms of inputs. We import tons and tons of hemp each year from China and even Canada, yet as a matter of federal policy, we can’t legally grow it. There are places where farmers in the U.S. can literally look across the Canadian border and see fields that are yielding huge profits.”
When exposed to air, warmth and light (especially without antioxidants), the oil loses its taste and psychoactivity due to aging. Cannabinoid carboxylic acids (THCA, CBDA, and maybe others) have an antibiotic effect on gram-positive bacteria such as (penicillin-resistant) Staphylococcus aureus, but gram-negative bacteria such as Escherichia coli are unaffected.[26]
We would never sacrifice quality by providing a synthetic CBD or CBD isolate blend. We use a whole plant extract that is rich in cannabinoids, terpenes, and other beneficial oils. The Hadassah Medical School at the Hebrew University of Jerusalem sought to compare the effectiveness of a completely purified CBD extract versus a full-spectrum extract of cannabis flowers containing large quantities of CBD. The conclusion of the study was that the whole plant extract, which contained a large percentage of CBD but also contained traces of the other cannabinoids, proved far more effective than CBD-only solutions in alleviating inflammation and pain sensation.
Kimberly is the reference editor for Live Science and Space.com. She has a bachelor's degree in marine biology from Texas A&M University, a master's degree in biology from Southeastern Louisiana University and a graduate certificate in science communication from the University of California, Santa Cruz. Her favorite stories include animals and obscurities. A Texas native, Kim now lives in a California redwood forest. You can follow her on Twitter @kimdhickok.
Next comes the actual extracting. Emblem’s activated cannabinoids are extracted using our supercritical CO2 process and then purified using a winterization step to remove any uninvited plant lipids. During winterization, the extract is dissolved in ethanol before supercooling. The ethanol and cold temperature force the lipids to solidify, while the cannabinoids remain in the liquid. The lipids are then strained out, and the filtered ethanol-cannabinoid mixture gets put into a rotovap to yield a highly concentrated resin. From there, the resin is blended with our pharmaceutical-grade MCT carrier oil, resulting in the final product. For more details on how we transform cannabis buds to cannabis oil, read our oil extraction article here.
Hemp seed oil is a great source of high-quality nutrients and has a long history of use in Eastern culture as a multi-purpose natural remedy. Despite its widespread popularity, prejudice related to its association with Marijuana it has kept it from common use in the West. While the oil contains virtually no THC (the psychoactive element in cannabis) hemp oil is still considered sketchy to some. Thankfully, education is prevailing and the market for hemp seed oil is growing in the United States, with an increasing number of people seeking it out for its reported health benefits.
However, the 2014 federal farm bill allowed for “research” cultivation and marketing of industrial hemp if those activities aren’t in violation of state laws. Only four states—Idaho, North Dakota, Nebraska, and Kansas—have strict no-CBD laws. Since 2014, there has been little to no federal enforcement against commercial hemp products. The upshot: Functionally, hemp-derived CBD products are safe for interstate commerce.
Our oils are not made from blends of different strains, and are in fact strain specific. Using the same strain each time means better consistency, so you can expect the same effects each time. Another advantage of using a single strain is that you can anticipate the effects of the oil based on its dried flower counterpart. If you’ve used a strain in dried flower format, you’ll receive similar effects with the oil, although the time course of effects is likely to be different.
In 1937, the U.S. Treasury Department introduced the Marihuana Tax Act, which imposed a levy of $1 per ounce for medicinal use of cannabis and $100 per ounce for recreational use. This was opposed by physicians who were not required to pay a special tax for prescribing cannabis, use special order forms to obtain it and keep records detailing its professional use. The American Medical Association believed that evidence of cannabis’ harmful effects was limited and the act would prevent further research into its medicinal worth.
The dosages mentioned do not take into account the strength of the tincture. I have Elixinol 300, I took 1/2 dropper (0.5ml, which offers 5mg of CBD) as indicated on the bottle and felt severely nauseous for 3 hours thereafter. There is no way I cold take this dose twice per day, as recommended on the bottle. The high dosages on this site must surely be for much weaker concentrations?
Cannabidiol is quite recognized for its role in the treatment of anxiety disorders. It is a neuro-protective agent, and has profound effects as an anti-inflammatory and anti-psychotic agent. It has been studied that cannabidiol interacts with various receptors in the brain, such as, 5-HT1A, delta-opioid receptor (DOR), and mu-opioid receptors (MOR), all of which control the mechanism of anxiety. for more read cbd oil for anxiety
Cannabidiol is currently a class B1 controlled drug in New Zealand under the Misuse of Drugs Act. It is also a prescription medicine under the Medicines Act. In 2017 the rules were changed so that anyone wanting to use it could go to the Health Ministry for approval. Prior to this, the only way to obtain a prescription was to seek the personal approval of the Minister of Health.
Epilepsy Society supports the Government in reviewing the regulatory framework for new drugs so that children with epilepsy have access to the excellent medical research and innovative treatments in this country, in the same way as  disabled children in other leading North American and European countries. This could lead to clinicians being able to request a licence for a THC product where there is evidence that it would benefit the patient.

Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include Micromedex® (updated Oct 1st, 2018), Cerner Multum™ (updated Oct 2nd, 2018), Wolters Kluwer™ (updated Oct 2nd, 2018) and others. To view content sources and attributions, please refer to our editorial policy.
Now that were a couple days withdrawn from the race and my season has come to a bittersweet end I want to give a huge thanks to my sponsors.. If you haven't heard of them or used their products I am a true believer in every last one of them: @inov_8 for the countless amounts of shoes I have destroyed @orangemud for running packs that are absolutely invincible in the mountains @purepowerlife for the CBD supplements that allowed me to push through some massive training blocks this summer @thefarmdispensary for a non stop flow of all wonderful things thc has to offer! @iloveincrediblestoo for the countless amount of delicious "night night" bars I have ate @honeystinger for fueling the way with delicious waffles @crankednaturals for the protein shakes and hydration mix I use in training as well as in competition Pc: @horizonsportstv
“CBD oil has a lifting and relaxing effect on mood with none of the adverse psychoactive effects associated with marijuana,” says Healthspan medical director Dr Sarah Brewer. “It acts via the body’s own endocannabinoid system to promote feelings of wellbeing. It’s a great choice if you’re finding it difficult to relax, as it’s not habit-forming”, she adds, noting that the oil is “particularly helpful for reducing anxiety, promoting relaxation and restful sleep.”
By 1942, cannabis was removed from the U.S. Pharmacopoeia because of persistent concerns about its potential to cause harm. In 1951, Congress passed the Boggs Act, which included cannabis with narcotic drugs for the first time. In 1970, with the passage of the Controlled Substances Act, cannabis was classified as a Schedule I drug, giving it no accepted medicinal use.
Kent, My mother has suffered from severe migraines since she was a child. Six weeks ago, she received the hemp oil tincture (I do not know what dosage). She does not take it daily. She rubs a drop or two on her temples at the start of a migraine. The drops worked more effectively for her than her medication did, and now that is all she uses. Hope this helps.
CBD oil products are liquid drops of hemp which are taken orally. They are non-psychoactive and are available in low and high concentrations. Hemp oil tinctures are easy-to-use and offer all of the benefits associated with CBD. Hemp oil can be used sublingually via a dropper, or it can be added to your food and beverages which is why most customers have made it their go-to CBD product.

But now, as more and more people are turning to the drug to treat ailments, the science of cannabis is experiencing a rebirth. We’re finding surprises, and possibly miracles, concealed inside this once forbidden plant. Although marijuana is still classified as a Schedule I drug, Vivek Murthy, the U.S. surgeon general, recently expressed interest in what science will learn about marijuana, noting that preliminary data show that “for certain medical conditions and symptoms” it can be “helpful.”


From their small town in southwestern Maine, Meagan and her husband, Ken, took Addy to Boston to consult with neurologists. These epileptic seizures, they concluded, were the result of a congenital brain malformation called schizencephaly. One of the hemispheres of Addy’s brain had not developed fully in utero, leaving an abnormal cleft. She also had a related condition called optic nerve hypoplasia, which caused her eyes to wander—and which, further tests revealed, made her all but blind. By summer Addy was having 20 to 30 seizures a day. Then 100 a day. Then 300. “Everything was misfiring all at once,” says Meagan. “We were afraid we were going to lose her.”

Ganja is simply around us more, its unmistakable but increasingly unremarkable smell hanging in the air. Yes, smoking it may lead to temporary laughing sickness, intense shoe-gazing, amnesia about what happened two seconds ago, and a ravenous yearning for Cheez Doodles. Though there’s never been a death reported from an overdose, marijuana—especially today’s stout iterations—is also a powerful and in some circumstances harmful drug.
In most countries it is forbidden to create oil from cannabis, because cannabis is a controlled substance (i.e. illegal drug). However, CBD, unlike THC, is not a controlled drug, and regulations are minimal by comparison in many places around the world. This has led to the appearance of numerous CBD-rich extracts on the international market. Most of these extracts contain low levels of CBD and high levels of CBD-acid, the natural constituent of the fresh cannabis plant before it is heated.
This Pure CBD Tincture from Elixinol allows you to absorb more cannabinoids thanks to a unique product enhancement. CBD hemp oil is pre-dissolved and embedded into microscopic liposomes to act as an efficient delivery method, since they’re quickly absorbed through a cell wall. In other words, just a few sprays under your tongue and you’ll feel the effects of CBD faster than any other tincture on the market.
The body produces its own chemicals called endocannabinoids that modulate biological processes throughout the entire body. As such, these endocannabinoids have wide-ranging effects on everything from fertility to pain. Phytocannabinoids are compounds found in nature that influence and support the ECS. They are the compounds responsible for the health benefits of Thorne’s Hemp Oil +.
The active cannabinoids and terpenes having been faithfully extracted from the cannabis flower, Emblem’s concentrated cannabis oils are taken orally, providing for precise dosing through the oral syringe included with the bottle. Thanks to the easy and discreet usage, along with the more consistent effects that come with precise dosing, cannabis oils are an excellent choice for medical cannabis consumption.
Cannabis oil also posses antioxidant properties. This property makes cannabis oil useful in the treatment and prevention of wide variety of diseases, such as ischemic, age-related inflammatory and autoimmune diseases. Cannabis oil may also have a use as neuroprotectants for such things like limiting neurological damage following a stroke or head trauma. It can also be used in the treatment of neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease and HIV dementia.  
Hemp seed oil contains essential fatty acids, including docosahexaenoic acid (DHA), that are required for brain development. DHA is crucial to the health of the brain as well as the retina of the eye, particularly in the first year of life. Mothers who supplement with hempseed oil during pregnancy may provide brain- and eye-protective benefits for the developing baby.
In 2012, voters in Colorado and Washington state passed initiatives legalizing cannabis for adults 21 and older under state law. In November 2014, Oregon, Alaska, and Washington D.C also approved recreational use of marijuana. In November 2016, four more states - California, Massachusetts, Maine, and Nevada - voted in recreational marijuana. It is important to note that the federal government still considers cannabis a dangerous drug and that the illegal distribution and sale of marijuana is a serious crime. Under the Controlled Substances Act (CSA), marijuana is still considered a Schedule 1 drug. Cultivation and distribution of marijuana are felonies; possession for personal use is a misdemeanor; possession of “paraphernalia” is also illegal. Cultivating 100 plants or more carries a mandatory minimum sentence of five years according to federal statutes.
In 2012, voters in Colorado and Washington state passed initiatives legalizing cannabis for adults 21 and older under state law. In November 2014, Oregon, Alaska, and Washington D.C also approved recreational use of marijuana. In November 2016, four more states - California, Massachusetts, Maine, and Nevada - voted in recreational marijuana. It is important to note that the federal government still considers cannabis a dangerous drug and that the illegal distribution and sale of marijuana is a serious crime. Under the Controlled Substances Act (CSA), marijuana is still considered a Schedule 1 drug. Cultivation and distribution of marijuana are felonies; possession for personal use is a misdemeanor; possession of “paraphernalia” is also illegal. Cultivating 100 plants or more carries a mandatory minimum sentence of five years according to federal statutes.
I have had several neurological conditions like Bells Palsy three times, double vision, paralysis of left side of tongue. I have a lot of relief whenever I have pain by taking an inflamattory drug etoshine90 mg. Presently I have started taking Steroids for my facial palsy. The various pains I was having on the left side of neck, below the left ear, dizziness, pain around the head have subsided immidiately after the first dose of prendisolone 60 mg.I have read that CBD hemp oil can be useful for my condition of neurological and inflammation issues. My question is what concentrate (mg) of the oil should I take and for how long. Any brand that you may suggest that are available in the UK. Thank you.
Distinguishing cannabis and hemp can be confusing, so let's make it simple. There are many varietals of Cannabis sativa, all of which have different amounts of THC and CBD. Cannabis sativa varietals that have more than 0.3 percent THC are commonly referred to as marijuana. Hemp is any varietal of Cannabis sativa that contains less than 0.3 percent THC.

When you find that sweet spot, consistency is key. A good plan is to stick with your starting dose for 2-3 weeks to see how it affects you before increasing. While some folks might feel a difference right away, others may have to build up to an optimal dose to feel the desired results. Be patient with yourself, and give the product a chance to work.

Pure undiluted cannabis essential oil is a green concentrated, sticky, resinous substance that is considered highly volatile, and its component parts are very powerful, including monoterpenes, sesquiterpenes, and other highly active organic compounds. It is extracted by steam distillation from the flowers and upper leaves of cannabis plants, which are in the Cannabis genus. The essential oil is primarily made and distributed from France and various other European countries, but its exportation is somewhat limited by, as mentioned above, the legal ramifications of what cannabis essential oil is derived from.
In general, the preparation methods for unregulated cannabis oil are relatively simple. They do not entail highly specialised equipment, and use easily accessible solvents such as petroleum ether, naphtha, alcohol and olive oil. For this reason, people who have access to cannabis plant material, from either legal or illegal sources, may prepare it at home by themselves.
Based on reviews, smoking or vaporizing CBD vape oil seems to have less effects when compared to other methods of administering CBD, such as tinctures, capsules and sprays. On the flip side, others argue that smoking or vaporizing has less drawbacks than taking CBD orally, since ingesting CBD orally could result in inconsistent absorption and a delayed effect.
Scientific studies have established that synthetic, single-molecule hemp-oils have a very narrow window of efficacy and requires great precision to achieve that efficacy, whereas lower concentration, whole-plant, full-spectrum, phyto-nutrient rich nutritional supplement regimens are already showing efficacy for many. Full-spectrum compounds interact collectively and enhance their therapeutic benefits. Scientists call this the “entourage effect.” Numerous hemp  compounds have medicinal attributes, but the therapeutic impact of whole plant hemp  is greater than the sum of its parts.
This article may contain certain forward-looking statements and information, as defined within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, and is subject to the Safe Harbor created by those sections. This material contains statements about expected future events and/or financial results that are forward-looking in nature and subject to risks and uncertainties. Such forward-looking statements by definition involve risks, uncertainties.
Research suggests that CBD may exert some of its pharmacological action through its inhibition of fatty acid amide hydrolase (FAAH), which may in turn increase the levels of endocannabinoids, such as anandamide, produced by the body.[8] It has also been speculated that some of the metabolites of CBD have pharmacological effects that contribute to the biological activity of CBD.[41]
Actually, no. BUT...there’s a very good reason for that! Because Functional Remedies’ hemp oil, Hemp Tincture and other sustainable hemp products are classified as dietary supplements by the FDA, we can’t make any specific claims as to what diseases and conditions they treat. So, while we are unable to speak to specific diseases and conditions, there are large (and growing) array of sites, online resources, and scientific research from around the world that point to the many beneficial uses of hemp oil. We also encourage you to sign up for our email list and we’ll send you lots of valuable information about hemp as well as updates and news that are cutting edge.
Buying CBD OIL has never been easier.  Since CBD Oil from the Hemp plant does not contain unlawful measures of THC, it is legitimate in every one of the 50 states. This is imperative to individuals everywhere throughout the US who need CBD however can’t get it locally. What’s more, legitimate CBD is accessible for home conveyance in every one of the 50 states meaning numerous individuals don’t need to move to a state with sanctioned Medical Marijuana. Additionally, in states where medicinal weed is lawful, buyers utilizing this hemp plant type of CBD don’t need to obtain a medical marijuana card.
Colored impurities from the oil can be removed by adding activated charcoal to about one third to one half the weight or volume of the solvent containing the dissolved oil, mixing well, filtering, and evaporating the solvent.[2] When decolorizing fatty oils, oil retention can be up to 50 wt % on bleaching earths and nearly 100 wt % on activated charcoal.[20]
To deal with the bitter taste and viscous nature of the hemp oil, it was mixed with honey, a known natural digestive aid, and then administered to the patient in daily doses. The objective was to quickly increase the frequency and amount of the dose and to hopefully build up the patient’s tolerance to cannabis oil. In the beginning stages of cannabis treatment, the girl experienced periods of panic, increased appetite and fatigue.
Premium Full Spectrum Hemp Oil is commonly used for assisting with pain, stress, sleep, anxiety, and more. To assist with Pain, Stress, Anxiety take as recommended once a day in the morning. To assist with sleep take as recommended in the evening. All of Zatural's Hemp products are always 0 THC. If needed, one may increase the daily recommended dosage slowly according to their needs. 
Do you think CBD oil may be right for you? Then check out Green Roads CBD oils for the highest-quality CBD tinctures on the market! We offer CBD hemp oil tinctures in a different range of dosages, from 100mg to 3500mg per bottle, to meet your specific needs. Designed to fit into your daily routine and easy to buy online, Green Roads CBD oils were made with our customers in mind.
Medical marijuana in the U.S. is controlled at the state level. Per federal law, cannabis is illegal as noted in the Controlled Substances Act, but the federal government has stated they will not actively prosecute patients and caregivers complying with state medical marijuana laws. However, use of medical marijuana outside of the state laws for illegal use or trafficking will not be tolerated by state or federal government.
If he had his way, what Mechoulam regards as the often irresponsible silliness of recreational pot culture would give way to an earnest and enthusiastic embrace of cannabis—but only as a medical substance to be strictly regulated and relentlessly researched. “Right now,” he complains, “people don’t know what they’re getting. For it to work in the medical world, it has to be quantitative. If you can’t count it, it’s not science.”
One of the biggest stumbling blocks to widespread use of CBD is price. High-quality tinctures from brands like Floyd’s of Leadville and PlusCBD cost $35 or more; the bottles contain enough tincture to last about a month if you’re using an eyedropper’s worth per day. Prevail’s 2-ounce topical salve, which the company says should last most users between 30 and 45 days, costs $133. A one-month supply of a daily gel typically costs $30 to $60.

In order to create a system where oils can be provided to patients when the original prescription is expressed in grams of dried product, each Licensed Producer must provide an ‘Equivalency Factor’. This allows you to see how much oil you can purchase to be in line with your prescription and ensures that you do not go over your prescribed allowance. For example, a 60ml bottle of Blueberry Lamsbread Cannabis Oil, which has an equivalency factor of 12 ml of oil to 1 gram of dried cannabis, will use 5 grams of your possession limit.


Food and beverage products containing CBD were introduced in the United States in 2017.[51] Similar to energy drinks and protein bars which may contain vitamin or herbal additives, food and beverage items can be infused with CBD as an alternative means of ingesting the substance.[52] In the United States, numerous products are marketed as containing CBD, but in reality contain little or none.[53] Some companies marketing CBD-infused food products with claims that are similar to the effects of prescription drugs have received warning letters from the Food and Drug Administration for making unsubstantiated health claims.[54]
Our CBD oil is lab-tested as soon as it is extracted and then again by a third party lab (Steep Hill) in Berkeley, California, to ensure an accurate amount of CBD. In addition, we test for over 200 pesticides, herbicides, mold, fungi, heavy metals, and mycotoxins. We use cutting-edge testing and world-class equipment to ensure that our products are safe and healthy. Please contact us for current lab results.
I have idiopathic peripheral neuropathy ... the only thing they found that would work is lyrica. I picked up some CBD oil yesterday morning. I am prescribed to take 75 mg of lyrica 3x per day. I took one yesterday morning and have only used the CBD oil since. I bought the Koi brand, flavored, 250 MG. I used a full dropper yesterday late morning and a full dropper yesterday late afternoon. I used it once today (one full dropper) and I am amazingly pain free.

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Medical Disclaimer: Statements in any video or written content on this site have not been evaluated by the FDA. If you are pregnant, nursing, taking medications, or have a medical condition, consult your physician before using this product. Representations regarding the efficacy and safety of CBD oil have not been evaluated by the Food and Drug Administration. The FDA only evaluates foods and drugs, not supplements like these products. These products are not intended to diagnose, prevent, treat, or cure any disease. The material on this site is provided for informational purposes only and is not medical advice. Always consult your physician before beginning any supplement program.

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