“I’ve got to be really careful what I say when it comes to preaching about benefits that CBD can bring,” says Richard Roocroft, the vice president of global sales and marketing for Flower Power. “We just say, have a cup of coffee once a day to keep the doctor away.” I ask about his dosage and whether he has information indicating it has any effect. “To answer your question, ‘Do we have the studies?’ No. We have nothing that would support that,” he tells me.
It’s a truism to state that pain is an inevitable part of life. And it’s true that we all, from time to time, experience pain that is short-lived and treatable. But those who deal with chronic pain know the debilitating, life-sucking reality of this condition. And traditional medications often come with long lists of side effects which can be as debilitating as the pain itself.
In addition to CBD, Cannabis sativa L contains organic compounds called terpenes. Terpenes are isomeric hydrocarbons (C10H16) used to create essential oils, balsams, and other by-products. When chemically modified through oxidation or other methods, terpenes become terpenoids (sometimes referred to as isoprenoids). Vitamin A is one example of a terpenoid.
Does anybody know about cbd vs thc for chronic exhaustion? There are times that I can barely get out of bed and can’t do work due to it, and it has gotten my mood swings to go over the roof! I don’t have much interest in doing just thc because it makes me feel more lethargic, but cbd has seem to be able to help me! I need to know if someone has used it for this problem, and is results
It should be noted that recreational use of marijuana (high THC, low CBD cannabis) does result in dependence (but different from narcotics or alcohol, and not as debilitating). Chronic use of THC may be associated with atrophy in certain areas of the brain and reduction of certain cognitive functions (at this point, studies are not conclusive). Interestingly, studies have shown that taking CBD oil regularly can restore areas of the brain that have become atrophied in marijuana abusers.
A study from 2016 worked with 214 people with epilepsy. The study participants added oral doses of 2 to 5mg of CBD per day to their existing anti-epilepsy medications. The study’s researchers monitored the participants for 12 weeks, recording any negative side effects and checking on the frequency of their seizures. Overall, participants had 36.5 percent fewer seizures per month. However, severe adverse effects were recorded in 12 percent of the participants.
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.
“With CBD, they’re finding a certain level of anxiety and stress reduction that other things hadn’t afforded them or a similar effect but without the side effects,” she said. “My concern is about the potential reliance on the CBD doing the job for you rather than actually doing the meditative work. So maybe it could be like a boost that you could eventually let go of, instead of doing CBD plus meditation for the rest of your life.”
“Even though I took it right off my website, they wouldn’t take me back on,” Kase said. Even though CBD is legal in New York, she explained that it is considered “a risky product, in the same category as marijuana.” After a few months of searching, Kase eventually found a new credit card processing company, but, she said, “It already had a huge impact on the functioning of my business.”
In the past several years however, public interest in CBD has skyrocketed based on claims — largely unsubstantiated through good clinical research thus far — that it may be a kind of cure-all miracle drug, with therapeutic effects ranging from pain relief to eradicating cancer. In fact, while CBD research has been limited due to federal restrictions, preliminary evidence does suggest that it might help with psychiatric conditions like anxiety disorders (note that while many people claim that CBD is not “psychoactive,” it’s potential as an anxiolytic medication suggests otherwise) and recent randomized, controlled clinical trials suggest a possible role in the treatment of psychotic disorders.2,3 In 2018, the Food and Drug Administration (FDA) approved Epidiolex, a form of CBD manufactured by GW Pharmaceuticals, for the treatment of rare forms of pediatric epilepsy (see my blogpost "Cannabis for Kids: Can Marijuana Treat Childhood Seizures?").
Nature’s Script offers a wide range of CBD oil products. Tinctures are available in 30mL containers and 300mg, 600mg, 1000mg, 2,000mg, and 4,000mg concentrations. These products come in watermelon or peppermint flavors. Nature’s Script recommends a beginning dose of 5mg to 10mg per day, and to gradually increase the dose until the desired effects are reached. Nature’s Script also sells CBD capsules and vape juice, as well as gummies and mixing syrup for those who enjoy edibles and a pain-relief topical sold in one- and four-ounce containers. These products do not contain any THC and pose no risk for drug test takers.
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.
Let’s start by looking at THC. THC (tetrahydrocannabinol) is the compound found in cannabis with psychotropic properties. Medical marijuana companies breed their plants to have the highest concentrations of this compound. It is associated with the feeling of being high that marijuana smokers experience. Effects include feelings of euphoria, pain relief and sometimes increased anxiety and paranoia.
That lines up with one of the rare instances of FDA testing. In 2016, the FDA tested several “CBD oils,” ultimately issuing warnings to eight companies. Some of those oils were found to contain no or barely any CBD, and many contained illegal quantities of THC. For example, Healthy Hemp Oil’s “Herbal Renewals 25% CBD Hemp Oil Gold Label” contained 8.4 mg/g of THC. Sana Te Premium Oils, which sold 25 mg “CBD oil” capsules on Etsy, contained between 13 and 19 mg/g of THC and less than 0.1 mg/g of CBD.
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.
My coffee shop is not unusual in selling CBD products. In New York, and all over the country, you can find CBD oil in convenience stores, CBD vapes in smoke shops, and CBD tinctures and topical creams in beauty stores. You can buy CBD dog treats in Chicago, a $700 CBD couples massage in Philadelphia, and CBD chocolate chip cookies in Miami. CBD is also being combined with ice cream, savory snacks, and cocktails. Even Coca-Cola is reportedly working on a CBD-infused beverage.
We also rated the product based on the type of CBD they used: isolate, full-spectrum decarb, broad-spectrum, or distillate. There’s a lot of debate around what is actually best, but our first decision was to give points to CBD oil that contains a range of cannabinoids. While there are certainly people with good reasons for choosing an isolate, there’s a lot of good evidence that CBD works better in combination with other cannabinoids (this is called the “entourage effect”).
With the increasing hype surrounding CBD, some — including this author — have speculated that it will become the next health fad, like taking fish oil or opting for a gluten-free diet, whether or not the research to support far-reaching health benefit claims pans out (see this recent New York Times op-ed by Cornell Medical College psychiatrist Richard Friedman urging caution). “Big Beverage” companies like Coca-Cola have even been exploring whether they should jump in the ring lest they miss out, bringing CBD infused drinks to the mass market sometime in the not-too-distant future (see my blogpost "Coca, Cola, and Cannabis: Psychoactive Drugs as Beverages").
Blessing’s clinical manager contacts did not perform formal studies on CBD. They didn’t want to open themselves up to legal challenges from the CBD companies, and in any case saw very little reason to bother challenging a product with a name like “100% Pure organic cbd oil hemp seed oil for skin with cheap price” that ships in bulk from Alibaba. They see a market littered with items like this and assume that no customer would reasonably assume it’s of high quality.
The mosaic of laws that govern CBD legality across the globe varies just as much as the legislation across the US. Generally, CBD extract is legal in most countries, but what makes it illegal is where and what it’s extracted from. Most Group of 20 (G20) countries allow CBD extracted from industrial hemp, but not CBD extracted from whole-plant marijuana. Note, however, the differences between the two. Legislation regarding international travel with CBD also varies among countries. For the foreseeable future, the best practice would be to search online, or contact the respective embassies or consulates, before traveling to determine whether your CBD is safe and legal.