But CBD (an acronym for cannabidiol) oil isn't a cure-all, despite what the best efforts of marketers the world over may tell you. "It doesn't work for everything," said Perry Solomon, M.D., a board-certified anesthesiologist and founder/chief medical officer of HelloMD. For example, "if you have a lung infection like bronchitis, you can't put a cream on your chest—you need to take a Z-pack. You're not going to cure something like that with cannabis."
So is it worth it to buy pure CBD oil or spend the money on a top-shelf product, with no medicinal "guarantee" that it will have therapeutic effects? That's a decision that you'll have to make personally, but let us leave you with this bit of food for thought: as of June 2018, the FDA has approved its first-ever natural CBD extract (Epidiolex) for prescription use, and many have said that this will just be the tip of the iceberg in terms of high-profile health organizations beginning to attest to the true therapeutic qualities of CBD oil and other CBD-based hemp extracts.
Stephanie Kahn, who with her husband, Jeffrey, runs the Takoma Wellness Center, a medical marijuana dispensary in Northwest Washington, says that about half of her 1,200 patients use CBD-rich products. Her dispensary offers several strains of high-CBD cannabis as well as CBD oil, with different ratios of CBD and THC, each of which she recommends for particular conditions. “We get questions about it every day,” she says. “A lot of our patients get relief with this, and a lot of times this works better than pharmaceutical drugs.”

DiPatrizio says, “There may be some benefits outside of improving epilepsy outcomes, but a lot more research is required.” Any research on athletic claims would almost certainly come from the industry; there are more urgent public health CBD topics to investigate than whether it reduces runners’ knee pain. For the foreseeable future, runners interested in CBD’s effectiveness will have to rely on anecdotal, subjective reports.


Jump up ^ Hayakawa K, Mishima K, Nozako M, Ogata A, Hazekawa M, Liu AX, Fujioka M, Abe K, Hasebe N, Egashira N, Iwasaki K, Fujiwara M (March 2007). "Repeated treatment with cannabidiol but not Delta9-tetrahydrocannabinol has a neuroprotective effect without the development of tolerance". Neuropharmacology. 52 (4): 1079–87. doi:10.1016/j.neuropharm.2006.11.005. PMID 17320118.
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.”

There has been a fair amount of confusion surrounding the legality of CBD oil. But while the vast majority of cannabinoids are controlled substances under the Misuse of Drugs Act, rest assured that CBD oil is legal across the UK for medicinal purposes, provided it has been derived from an industrial hemp strain that is EU-approved. These strains contain very little to no THC (the psychoactive cannabinoid).


Hernandez said interactions between FDA-approved pharmaceuticals and CBD oils are a serious concern. “What we’ve found so far is that [CBD] can actually affect the levels of some of your epilepsy medications,” Hernandez told me. The diarrhea and vomiting associated with CBD oil ingestion can lower the levels of other drugs in patients’ bloodstreams, while the way the body absorbs CBD can raise the levels of certain medications.
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. 
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.
The compounds found within cannabis (known as cannabinoids) are very similar to the ones produced naturally by our bodies. These cannabinoids have been observed to relieve the symptoms of various conditions by attaching themselves to particular receptors in the brain, thereby blocking or boosting certain signals. This can help bring calm to an otherwise stressful situation.
Can CBD oil help anxiety? Cannabidiol (CBD) is a chemical occurring in cannabis plants. It is possible to add CBD oil to food, and an increasing amount of evidence suggests that it may improve mental health, particularly anxiety. It does not seem to have adverse side effects, but CBD oil is illegal in some states. Learn more about CBD oil here. Read now

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