Our Hemp Classic CBD Oil extract contains 250+ mg cannabinoids per fluid ounce extracted from industrial hemp. It contains an abundance of naturally-occurring, beneficial components, including cannabinoids, terpenes, amino acids, trace minerals (such as iron, zinc, calcium, magnesium, potassium), omega fatty acids (including omega 3 & 6), carbohydrates, flavonoids, beta-carotene, chlorophyll, glycosides, nitrogenous compounds, alkanes, and vitamins (including B1, B2, B6, D). The cannabis oil is emulsified in organic hemp seed oil.
Online retailers: Most CBD oils are sold through online retailers. These establishments tend to have the widest product range, and many offer free doorstep delivery. Online retailers also frequently post product reviews, allowing buyers to compare different oils based on customer experiences to determine which is best for them. These reviews can also be used to evaluate the retailer based on customer service, delivery, and product quality.
Bonn-Miller also explained that it's imperative to exhaust the traditional and established front-line treatments that are available before seeking out these products. "CBD is not really a first-line treatment for anything," he said. "You don’t want situations where somebody says, 'I have cancer I'm going to forgo chemotherapy because I read something about CBD or THC helping with cancer.'" That's not a good idea, Bonn-Miller said. "Not only is the science not there, but you may end up worse off."
Infusions: Research and opportunity have driven chefs and chemists to infuse CBD into all sorts of readily usable products, such as edibles to elixirs, sublingual sprays, capsules and even topicals. Much like concentrates, each infusion sports specific combinations or isolations of CBD, THC, and other cannabinoids, allowing users to pick and choose products that suit their exact needs. CBD topicals, for example, are incredibly effective when applied to surface-level problems like bruises, joint aches, and headaches, and have been scientifically proven to successfully combat skin-based issues including pruritus with far broader implications.

Tammy et al, Through trial and error you will find a correct dosage. Try 50 mg daily....25 each 2x daily....if no results up the dosage until it works for you. Remember, there has never been a death from marijuana or CBD use. You might want to try a tincture or rub with CBD and THC. You won't get the psych high from it. Helps my friend with PArkinsons tremors. She takes 50mg of tincture and uses the rub morning and night. It is a miracle for arthritis. Good luck
In the U.S., dietary supplements come with serving size suggestions located on the Supplement Facts label. We tend to encourage a “less is more” mentality when it comes to the amount of oils or capsules our customers consume on a regular basis. (We recommend starting out with 15 drops.) That being said, the serving size of our supplements is a matter of personal preference. We strongly encourage Bluebird customers to experiment with our products and consult with a healthcare professional as needed. This is the best way to identify the amount and frequency of consumption that works best for each individual.
Cannabidiol has been found to act as an antagonist of GPR55, a G protein-coupled receptor and putative cannabinoid receptor that is expressed in the caudate nucleus and putamen in the brain.[31] It has also been found to act as an inverse agonist of GPR3, GPR6, and GPR12.[12] Although currently classified as orphan receptors, these receptors are most closely related phylogenetically to the cannabinoid receptors.[12] In addition to orphan receptors, CBD has been shown to act as a serotonin 5-HT1A receptor partial agonist,[32] and this action may be involved in its antidepressant,[33][34] anxiolytic,[34][35] and neuroprotective effects.[36][37] It is an allosteric modulator of the μ- and δ-opioid receptors as well.[38] The pharmacological effects of CBD have additionally been attributed to PPARγ agonism and intracellular calcium release.[6]

Several studies have shown that regular cannabis users have a lower body mass index, smaller waist circumferences, and reduced risk of diabetes and obesity. One 2011 report published in the American Journal of Epidemiology, based on a survey of more than fifty-two thousand participants, concluded that rates of obesity are about one-third lower among cannabis users.[176] This is despite the findings that participants tend to consume more calories per day, an activity that is potentially related to THC’s stimulation of ghrelin, a hormone that increases appetite but also increases the metabolism of carbohydrates. CBD on its own was shown in 2006 to lower the incidence of diabetes in lab rats,[177] and in 2015 an Israeli-American biopharmaceutical collective began stage 2 trials related to using CBD to treat diabetes.[178] Research has demonstrated that CBD benefits weight loss by helping the body convert white fat into weight-reducing brown fat, promoting noatherogenesisrmal insulin production and sugar metabolism.[179]


Sufferers of chronic pain owe it themselves to try this product. CBD oil has been a God sent miracle. I suffer from nerve/muscle pain from my L5/S1 disc being in my spinal canal instead of between the vertebrae. For 5 years I limited my activities down to almost nothing to avoid pain. At 35, being a runner/road cyclist that was very active and in great shape, that was devastating not only to my fitness level but also my emotional and mental state. Opioids did nothing for the pain and just produced unwanted side effects. About a month or two ago, a friend got me to try pure CBD oil and within 2 days I was able to tell a difference. No shooting pains down my back/butt/leg/foot. Less muscle cramping and discomfort. The only side effect Ive had so far has been softer bowel movements and I notice I go twice a day instead of once. Ill take that over liver issues/constipation/etc with pharmaceutical company drugs every time. I was able to do yard work back to back days without issue. I was able to go bowling and shopping for hours walking around without consequence. Ive been taking it daily, three times a day (anywhere from 0.25ml to 0.5ml each dose) and it keeps me 90% pain free. I rediscovered my mouth was capable of a smile instead of a grimace. This oil doesnt cure my affliction as it treats symptoms of pain/inflammation but its given me my life back. Im grateful every single day for this product!


What if your body could absorb cannabidiol faster and easier than before? Elixinol™ CBD Oil Liposomes use pre-dissolved cannabidiol that is then added into the microscopic liposomes. The technology is safe and uses natural phospholipids, which research show supports healthy cellular delivery of CBD oil. Elixinol™ CBD Oil Liposomes uses full-spectrum hemp extracts, with no synthetic or isolated cannabinoids.
Preliminary research indicates that cannabidiol may reduce adverse effects of THC, particularly those causing intoxication and sedation, but only at high doses.[22] Safety studies of cannabidiol showed it is well-tolerated, but may cause tiredness, diarrhea, or changes in appetite as common adverse effects.[23] Epidiolex documentation lists sleepiness, insomnia and poor quality sleep, decreased appetite, diarrhea, and fatigue.[2]
THC’s intoxicating powers come from its ability to mimic anandamide, an endocannabinoid or naturally occurring mood-altering substance in the body that binds to CB1 receptors in the brain and is associated with having a rosy disposition. THC binds to anandamide’s CB1 receptors even more tightly than anandamide itself, triggering an exaggerated or euphoric response — in other words, you get high.
If your looking for specialty products to help the pet in your family feel better then Elixinol™ CBD Pet Treats can help. Our latest CBD hemp dog treats deliver more dog treat contains 3 milligrams of CBD in every treat! Available in 4 pet-friendly flavors plus they come in larger sizes for large breed dogs who want more cannabidiol goodness! All pet treats are natural and tested by 3rd party laboratories to ensure the safety and efficacy. Elixinol™ CBD Pet Treats have has been specially formulated for canines.
When considering our different dietary hemp products, know that they all come in two strengths. Our Original Hemp blends (Hemp Classic, Hemp Complete, & Signature Blend) all have 250+mg of cannabinoids per fluid ounce, and our concentrated blends have 1,500+mg per fluid ounce, six times the potency of our traditional oils. We’ve found that sometimes less is more, but nevertheless, some people like to take very large serving sizes of our hemp extracts.
Hi Marilyn, I would recommend a topical lotion or salve to start for instant relief.. Maybe 250 to 300 mg tincture to see how you feel. For me, the salve took the pain in my hands away in under a minute. I didn't notice how much the tincture worked until I forgot to take on vacation. Pain that was pretty much gone but came back, I was tired, grumpy and felt horrible. It works, just need to find right product and dosage for you.
We use a combination of both Subcritical and Supercritical extractions. This allows us to perform a “fractional extraction” by first extracting at lower pressures to remove the lighter, temperature-sensitive volatile oils, and then subsequently extracting the same material at a higher pressure to remove the remaining oils. This approach is the best because it allows us to extract a complete range of cannabinoids, terpenes, essential oils, and other beneficial phytochemicals that yield a more potent blend.

Elixinol™ Hemp CBD Oil capsules are extracted from specially bred industrial hemp plants that contain high potency cannabidiol. All our hemp is organically grown and CO2 extracted. Our CBD capsules contain all the synergistic cannabinoids, essential oils, terpenoids, and other powerful compounds from the original hemp plant. A container has 60 capsules and contains 900mg of CBD hemp oil. A single CBD capsule includes 15mg of CBD and other valuable nutrients.


Prolonged use at high doses has not shown potential for abuse of CBD. In fact, a clinical study published in 2018 found that recreational polydrug users did not show abuse potential with use of CBD. Long-term studies have not evaluated potential changes in hormonal balance or long-term adverse changes in liver function, though prolonged use of CBD enhances metabolism of certain drugs. Stopping CBD oil suddenly has not been associated with withdrawal effects.

“It is important to remember that CBD benefits and improves the activity in the endocannabinoid system by increasing the time anandamide works on the CB1 and CB2 receptors,” writes Dr. Michael Moskowitz. “Anandamide works on the serotonin, norepinephrine, and dopamine systems. It also works on the GABA-glutamate system and the hypothalamic-pituitary-adrenal axis. Its main role is restoring balance through inhibition when levels are too high and enhancement when they are too low. This is the most likely reason phytocannabinoids in general and CBD specifically are able to regulate depression and anxiety.”[321]


“We’ve found that an effective dose for psychological issues, like stress anxiety, generally tends to start out at 6 mg and can go up to 20 mg,” says Zachary Clancy, a horticulturist and clinical herbalist at the Alchemist’s Kitchen, which sells a wide range of CBD goods at its retail store in lower Manhattan and also sells wholesale to restaurants. (Clinical herbalists can complete any of a variety of educational programs and apprenticeships to gain that title.)
A report from the American Academy of Pediatrics (AAP) published in the journal Pediatrics cautions pregnant women and nursing mothers to avoid marijuana use due to possible adverse developmental effects to their baby. In a study reviewed for the report, short-term exposure to CBD was found to increase the permeability of the placental barrier, potentially placing the fetus at risk from certain substances.
You move fast, train hard, and recover the best that you can. Whether an athlete, government employee, or working professional that prefers the least amounts of THC in your CBD oil – our X-Oil was made with you in mind. It contains only the barest of trace amounts of THC, for ultimate confidence and effectiveness, so you can focus on performing at the top level.The first-ever CBD oil compliant with worldwide regulations brought to you by HempMeds. It’s ahead of the curve, just like you want to be.
“Placebo response always needs to be taken into account for any treatment being studied,” says Baron. “Placebo response is actually quite high in many pharmaceutical trials, for example. In fact, there are many treatment trials for various medications and other treatments where benefit responses to placebo are actually higher than the treatment itself being studied.”
I suffer fr migraines. Currently having Botox injections every three months for the last three years. This has helped went fr 24 to 30 migraines a month to 6 to 8 , now I'm back up to 14 to 20 a month. My doctor thought CBD oil might help. I have also started having anxiety attacks for a year now. I'm really confused with the dosages. Any thoughts would b helpful
The Cannabis Health Index (CHI) is an evidence-based scoring system for cannabis (in general, not just CBD oil effects) and its effectiveness on various health issues based on currently available research data. Refer to cannabishealthindex.com for updated information. Using this rubric and based on eleven studies, cannabis rated in the possible-to-probable range of efficacy for treatment of anxiety.
Sublingual CBD Oils – also known as CBD Tinctures or CBD Hemp Oil – are the most popular type of CBD products, because of their high bioavailability and rapid absorption. There are many other kinds of products as well, including CBD edibles, CBD topicals, and even CBD-infused Coffee. CBD products have gained immense popularity in health and wellness circles thanks to their natural support of our endocannabinoid system (ECS).
All this talk about THC lands us nicely in the whole “Full Spectrum vs. Pure Isolate” debate. Once you begin shopping for CBD products, you’ll notice a lot of jargon that gets thrown around without much explanation. Now that we’ve introduced THC into the conversation, we can talk about the difference between, and relative benefits of, Full Spectrum CBD and CBD Isolate (and the lesser-known contender: Broad Spectrum).
Note that the federal definition of hemp requires that it contain less than 0.3% delta-9-tetrahydrocannabinol (THC), the euphorigenic component of cannabis. And while the terms “cannabis” and “marijuana” are often used interchangeably, the Controlled Substances Act of 1970 specifically excluded the mature stalks of the cannabis plant used in industrial applications — essentially hemp — from its definition of marijuana.
This is great news for hemp farmers and consumers interested in CBD, an industry that’s predicted to hit $22 billion by 2022. However, the CBD market has all the makings of a wild west show, with many businesses anxious to get in on the action and make a tidy profit. As such, you’re likely to see CBD-infused products with prices all over the map. And with no official system of checks and balances, it will be hard to tell how much CBD is actually present or what quality it is.
You move fast, train hard, and recover the best that you can. Whether an athlete, government employee, or working professional that prefers the least amounts of THC in your CBD oil – our X-Oil was made with you in mind. It contains only the barest of trace amounts of THC, for ultimate confidence and effectiveness, so you can focus on performing at the top level.The first-ever CBD oil compliant with worldwide regulations brought to you by HempMeds. It’s ahead of the curve, just like you want to be.
And now, onto the thorny issue of legality. The simple answer to the question is yes – if it is extracted from hemp. The 2014 Farm Bill established guidelines for growing hemp in the U.S. legally. This so-called  “industrial hemp” refers to both hemp and hemp products which come from cannabis plants with less than 0.3 percent THC and are grown by a state-licensed farmer.
Hi Marilyn, I would recommend a topical lotion or salve to start for instant relief.. Maybe 250 to 300 mg tincture to see how you feel. For me, the salve took the pain in my hands away in under a minute. I didn't notice how much the tincture worked until I forgot to take on vacation. Pain that was pretty much gone but came back, I was tired, grumpy and felt horrible. It works, just need to find right product and dosage for you.
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.
If you’re taking the oil in liquid form, one dropperful of a low concentration product (100 mg CBD per fluid ounce) will provide about 3 mg of CBD per dropperful — not enough to notice any significant effects. A dropperful of the medium grade product (500 mg of CBD per fluid ounce) will deliver about 15 mg of CBD — a good starting dose. And a dropperful of a high concentration product (1500 mg CBD per fluid ounce) will provide about 50 mg of CBD per dropperful.

Clancy says his dose estimates are based on a book called CBD: A Patient’s Guide to Medicinal Cannabis: Healing Without the High. The co-author of that book is Leonard Leinow, the founder of Synergy Wellness, which calls itself a “hand crafted artisanal CBD cannabis collective.” He is not a doctor or a scientist, but he is a sculptor of erotic bronze pieces, like a yin-yang symbol made up of two interlocking penises.
This is great news for hemp farmers and consumers interested in CBD, an industry that’s predicted to hit $22 billion by 2022. However, the CBD market has all the makings of a wild west show, with many businesses anxious to get in on the action and make a tidy profit. As such, you’re likely to see CBD-infused products with prices all over the map. And with no official system of checks and balances, it will be hard to tell how much CBD is actually present or what quality it is.
For immediate medicinal effects, vaporizing or smoking work well. This can be helpful for either initial sleep onset or for wakefulness in the middle of a rest period but only lasts one to three hours. The medication effect is immediate, whereas most ingested products take thirty to sixty minutes before taking effect (faster on an empty stomach) and last six to eight hours. Vaporizers that use a cartridge filled with the CO2 concentrate are convenient and highly effective, and these are available in various ratios of CBD to THC. Herbal vaporizers that use the whole plant are also an effective delivery method. Sublingual sprays or tinctures taken as liquid drops also take effect quickly and last longer than inhaled products.
^ Jump up to: a b Resstel LB, Tavares RF, Lisboa SF, Joca SR, Corrêa FM, Guimarães FS (January 2009). "5-HT1A receptors are involved in the cannabidiol-induced attenuation of behavioural and cardiovascular responses to acute restraint stress in rats". British Journal of Pharmacology. 156 (1): 181–8. doi:10.1111/j.1476-5381.2008.00046.x. PMC 2697769. PMID 19133999.
Unlike with THC, CBD’s effects aren’t limited to that single receptor. These effects are not precisely known, though CBD certainly has some impact on CB1’s sister receptor (CB2) as well as a receptor called 5-HT1A. When the 5-HT1A receptor comes into contact with a material that agonizes it, the effects can include reduced anxiety and increased calmness.

The first step to finding your correct CBD dosage is getting as much information as you can about the product you’re using. What is the concentration of CBD? Are there third-party lab tests that can confirm that? The CBD industry is still mainly a grassroots therapeutic movement, and as such, largely unregulated. Concentration and purity levels can differ greatly depending on the manufacturing process.  
The Alchemist’s Kitchen and Clover Grocery are high-end stores that cheerfully tell customers where they source their products from and only stock brands with similarly transparent sourcing. This CBD usually comes from cannabis plants farmed in Colorado or Oregon, or, increasingly, states not normally associated with the cannabis trade. EarthE CBD, a prominent online seller of CBD products, for example, sources from local farms in New Jersey; it also publishes lab results on its website showing that its products have been tested to have no THC and the amount of CBD the company says they should have.
Using CBD in defined doses for medicinal purposes is one thing, but putting it in food and beverages is something entirely different. Someone may wind up getting CBD from multiple products, and so their daily dose could vary significantly. Taking a standardized dose of CBD oil daily as a recognized medicinal is a very different thing from taking uncontrolled doses of CBD isolate daily infused artificially into food and beverage products, and the long term risk may be very different — no one really knows for sure.
Answering the question “what is CBD oil” would be incomplete without mentioning the many CBD oil benefits. In addition to positively affecting the endocannabinoid system, CBD has been the focus of more than 23,000 published studies about cannabinoids in relation to various medical indications including anxiety, epilepsy, inflammation, cancer and chronic pain to name few. You can even find CBD for pets that is specially formulated to safely allow your pets to experience the natural benefits of CBD. For a more comprehensive look at these and other studies, visit our medical research and education page.
We do sell pure, isolated cannabidiol in crystalline form. This CBD isolate is somewhere between 96% and 99.9% pure. While all the Certificates of Analysis (COAs) for our CBD Isolate reveal cannabidiol levels at 90%-100%, we are almost completely certain that every batch of our CBD Isolate extract has been more than 99% pure. The deviation in results is due to instances of unreliable third-party testing.
I have been recently diagnosed with a rare brain disease. This product helps with the debilitating headaches and the extreme nausea. My geneticist recommended this product to me. My doctor is on the cutting edge of genetic research and is highly regarded and published in several scientific journals. This product is effective and the best part is the fact that there are no side effects like other medications.
My mother has dementia/Alzheimers along with a broken knee that they will not repair do to her mental status. She is currently in a nursing home. I firmly believe her mental situation began with the over use of hydrocodone for over 30 years and was acerbated by the trauma of breaking and disconnecting her knee cap. Since weaning her off of her meds (still in progress) we have regained much of her consciousness. I want to try CBD to help in her recovery or to help slow down the disease. I cannot find a dosage recommendation plus the nursing home/doctor does not recommend it. I would need to give it to her when I am there visiting (about 3 - 4 times per week). Is there a recommended dosage for dementia/Alzheimers?
CBD also modulates other receptors in the body. For instance, modulation of the 5-HT1A receptor (involved with serotonin, a mood hormone) provides mood-balancing properties: It’s calming, but not highly sedating, so it’s considered neutral — though it often results in improved sleep for many people. Another example is modulation of opioid receptors, which provides pain relief and tissue-supporting properties.
While researchers are calling for more robust studies on the role of CBD on mood disorders, there is promising research that points to CBD’s role as an anxiolytic – which means it has anti-anxiety effects. Another study showed CBD to have antidepressant effects comparable to those of the prescription antidepressant Imipramine. We noted above that CBD increases levels of glutamate and serotonin – and it’s these same neurotransmitters that play a crucial role in mood regulation.
It remains to be seen whether the FDA will introduce new regulations pertaining to the sale of hemp-derived CBD products intended for human consumption. For now, the agency has indicated that its position on CBD products is clear. We’ll be watching closely to see if this enforcement action constitutes a ramp-up of enforcement against CBD companies nationwide.
We use ethanol/alcohol to extract our hemp, the most historically used method for cannabis/hemp extracts. It is a clean and cold extraction method that allows for optimal retention of terpenes and other sensitive compounds. We also employ low-temperature and relatively low-pressure CO2 extractions for some of our products. For the CBD isolate and CBD vape products, further processing is required to obtain the purity level achieved.
For relief of immediate symptoms, as in a flare-up of pain, vaporizing or smoking work well. The medication effect is immediate and lasts one to three hours, whereas most ingested products take thirty to sixty minutes before taking effect (faster on an empty stomach) and last six to eight hours. Vaporizers that use a cartridge filled with the CO2 concentrate are highly effective, and these are available in various ratios of CBD to THC. Herbal vaporizers that use the whole plant are also an effective delivery method. Sublingual sprays or tinctures taken as liquid drops also take effect quickly and last longer than inhaled products.
The FDA’s refusal to allow companies to market CBD as a dietary supplement is based on the fact that federal classification as a dietary supplement requires that a substance has not been authorized for investigation as a new drug or medicine. Since Epidiolex has been studied in clinical trials by GW Pharmaceuticals going back several years now and was granted orphan drug status by the FDA in 2013, CBD cannot therefore be classified as a dietary supplement. Or so the FDA says. But cannabis companies are arguing that they started marketing CBD as a dietary supplement before there were any drug trials involving CBD, such that they should still be allowed to claim dietary supplement status for their products. Thus far however, the FDA isn’t budging on this issue.  
This product was recommended for me by a friend and I couldnt be happier that we talked about this. Ive had very minor issues with anxiety from work or personal life. By taking this in the morning it really has helped me with those feelings and allowed me to enjoy my day and focus more. Its had a significant affect on my personal life and work because of it. Will be recommending to all my friends who have similar issues.
It may have something to do with the fact that THC stimulates that CB1 receptor a lot, in turn triggering the psychoactive effects of marijuana like disturbed sensory perception, impaired motor skills, and anxiety. Conversely, CBD stimulates CB1 very lightly, causing some effects that seem downright opposed to those of THC including relief from anxiety, stress, and hyper-excitability.
Since marijuana is illegal on a federal level, but legal on a state-by-state basis, growers and cannabis businesses cannot legally transport cannabis products across state lines. Some companies that make CBD products — usually supplied in the form of lotion, oils, and pills — have done so anyway, based on the claim that CBD derived from hemp can be classified as botanical extract and a dietary supplement. But over the past few years, the FDA has issued numerous “cease and desist” letters to companies produce cannabis products warning them not to make health-related CBD claims and making clear that it does not consider CBD a dietary supplement.
This is great news for hemp farmers and consumers interested in CBD, an industry that’s predicted to hit $22 billion by 2022. However, the CBD market has all the makings of a wild west show, with many businesses anxious to get in on the action and make a tidy profit. As such, you’re likely to see CBD-infused products with prices all over the map. And with no official system of checks and balances, it will be hard to tell how much CBD is actually present or what quality it is.
In September 2018, following its approval by the FDA for rare types of childhood epilepsy,[13] Epidiolex was rescheduled (by the Drug Enforcement Administration) as a Schedule V drug to allow for its prescription use.[14] This change applies only to FDA-approved products containing no more than 0.1 percent THC.[14] This allows GW Pharmaceuticals to sell Epidiolex, but it does not apply broadly and all other CBD-containing products remain Schedule I drugs.[14] Epidiolex still requires rescheduling in some states before it can be prescribed in those states.[64][65]
THC is the primary psychoactive compound in marijuana and it is what people are searching for when they want a product that gives them a "high." Unlike THC, CBD isn't known to cause psychoactive effects, and is therefore attractive to those who want to avoid the high but who believe there are other benefits of CBD, said Sara Ward, a pharmacologist at Temple University in Philadelphia. [Healing Herb? Marijuana Could Treat These 5 Conditions]
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CBD oil products can be somewhat expensive, which may be a barrier for individuals seeking treatment or relief from different conditions and disorders. cbdMD is a notable exception as far as price-point is concerned. cbdMD offers it’s premium, non-THC oils at a large variety of concentrations (300mg-5,00mg) as well as sizes (30mL and 60mL) . These oils are priced at $28 for 300mg oils and $90 for 1,500mg oils; both price-points are significantly below average. 
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