Not much, as far as humans are concerned—at least not yet. The vast majority of studies have been on animals, as of yet, and there are few high-quality studies on humans. Even the oil’s effect on pain—something that CBD oil is popularly used for—isn’t proven. “The studies available are small or not well designed,” says Dr. Devinsky. “There’s a lot of religion out there, but not a lot of data.”


Keep in mind, too, that CBD product companies use different CBD sources, extraction methods and production techniques – and not all resulting products are created equal. You'll have to do your own research to determine which companies you're willing to trust, Asquith says. Plus, how the products are packaged and consumed – be they in oils, creams or capsules – affect how they're absorbed in the body. Edibles, for example, are well-absorbed, while oils taken under the tongue are "baloney," Tishler says. And of course, salespeople at herb shops don't have the same mission, knowledge, training or oversight as physicians and pharmacists. "We have spent the last 100 years or so developing the pharmaceutical system because it works," Tishler says.
First, ethanol is a polar solvent. This means that it will readily mix with water and dissolve water-soluble molecules. This creates a great challenge for companies using the ethanol extraction method because chlorophyll is one of the compounds that will easily co-extract. Chlorophyll in the concentrate will result in a dark green coloring and an unpleasant bitter, grassy flavor.
Scott Shannon, M.D., assistant clinical professor at the University of Colorado, recently sifted through patient charts from his four-doctor practice to document CBD’s effects on anxiety. His study, as yet unpublished, found “a fairly rapid decrease in anxiety scores that appears to persist for months,” he says. But he says he can’t discount a placebo effect, especially since “there’s a lot of hype right now.”
Extracts of CBD—either from marijuana or hemp (a cannabis variant that is essentially free of THC)—are sold as an oil or in tinctures. You can also get CBD via a transdermal patch, capsule, sublingual spray, gel, cream, or vapor. Some contain pure CBD extract (or so they say); others—particularly if you’re in a state where recreational marijuana is not legal—will contain hemp extract, which includes CBD as part of its makeup. As of this reporting, recreational marijuana is legal in nine U.S. states and medical marijuana in 29. Don’t miss these 50 weird things that are banned in the United States.
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It probably depends on each individual’s preference, but many researchers support the effects of the full spectrum CBD. They say that the full spectrum’s healing factors through the “entourage effect” are very useful for the treatment of any of the chronic condition. This is why the full spectrum CBD has to be part of the ingredients, not the isolate non-pure one.
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Another concern is about medications with which CBD might interact. This won’t be an issue with most drugs, says Sunil Kumar Aggarwal, M.D., Ph.D., a palliative medicine physician and scientist who studies cannabis and integrates it into his Seattle medical practice. The exceptions are blood thinners, IV antibiotics, and other drugs whose exact dosing is crucial and must be monitored closely, he says. (Of course, if you have a health problem, talk to your doctor before using CBD, and never take it instead of seeing your physician for a serious condition.)
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The aforementioned entourage effect is the main reason behind the efficacy of whole plant extracts. There are over 100 ‘identified’ compounds in the cannabis plant. While most of these compounds have their own therapeutic benefit, they combine synergistically to provide far better performance than any single compound alone, and that includes CBD. Here are a couple of examples of conditions that benefit from the entourage effect:

There’s no definite amount that’s appropriate for everyone, but the ratio of CBD to THC will indicate how psychoactive the product is and if it’s legal in your state. The more CBD compared with THC, the less of a high, and vice versa. “Managing psychoactivity is key to successful cannabis therapy,” says Lee. “Amounts should be made clear on the label and lab-certified so people know what’s helping them and what’s not.”


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So which is better? Hemp derived CBD or Medical marijuana derived CBD?  I believe, given the information I have found, that the reasonable and definitive question we should ask is: What are the pros and cons of both options and, most of all, what will be best for me and fit my lifestyle. In addition, legality within the state and country you live must be taken into consideration. 

'If the Patient Information Leaflet that comes with your medication says to avoid grapefruit juice, for instance, then do not take CBD, as the same type of interaction can affect circulating blood levels of your medicine. Even if the leaflet does not mention grapefruit juice, you should still check with your doctor before taking CBD. You should also not take CBD if you are pregnant or breastfeeding.’

Keep in mind, too, that CBD product companies use different CBD sources, extraction methods and production techniques – and not all resulting products are created equal. You'll have to do your own research to determine which companies you're willing to trust, Asquith says. Plus, how the products are packaged and consumed – be they in oils, creams or capsules – affect how they're absorbed in the body. Edibles, for example, are well-absorbed, while oils taken under the tongue are "baloney," Tishler says. And of course, salespeople at herb shops don't have the same mission, knowledge, training or oversight as physicians and pharmacists. "We have spent the last 100 years or so developing the pharmaceutical system because it works," Tishler says.
CBD isolate is pure CBD, extracted and purified until none of the plant’s other constituent compounds remain. It has been isolated down to just the CBD molecule. This purity and potency is why it’s the preferred treatment for patients needing unadulterated doses of CBD and nothing else. It has no other active ingredients and its purpose is simply to deliver therapeutic doses of CBD. CBD isolate products often come as a white powder or a mix with a oil.
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For applications where pure CBD isn’t required, full spectrum CBD oil is the better alternative, as it provides patients the ancillary benefits associated with the many other cannabis compounds. However, important to note, is the issue of what medical conditions are best treated by either pure or full spectrum CBD oil, given the research is in its infancy. 
Full spectrum CBD, like hemp oil, contains every cannabinoid present in the cannabis plant. This means cannabidiol, cannabicyclol, tetrahydrocannabivarin, and cannbichromevinaric acid, to name a few. In full spectrum CBD oil, there is nothing held back or left out. These mixed together compliment each other and produce an entourage effect. This effect is good for the health of the user because the individual is taking all of the properties of all the terpenes and cannabinoid mixed together. All of these combined properties make the user absorbent of more effective effect and treatment. The treatment is very much beneficial for the health of the user hence that is why many users consider the full spectrum CBD far better than Isolate is CBD. Most products of CBD are from full-spectrum CBD.
It probably depends on each individual’s preference, but many researchers support the effects of the full spectrum CBD. They say that the full spectrum’s healing factors through the “entourage effect” are very useful for the treatment of any of the chronic condition. This is why the full spectrum CBD has to be part of the ingredients, not the isolate non-pure one.
In terms of how CBD is extracted from the cannabis plant, there a few different techniques that can be used. The most popular used to be by running harsh chemicals like butane (lighter fluid) or hexane over the raw plant material, but people quickly found out that this resulted in trace amounts of carcinogenic compounds (like formaldehyde) being left over in the end product. Not good.

Cannabidiol (CBD) is a naturally occurring compound found in the resinous flower of cannabis, a plant with a rich history as a medicine going back thousands of years. Today the therapeutic properties of CBD are being tested and confirmed by scientists and doctors around the world. A safe, non-addictive substance, CBD is one of more than a hundred “phytocannabinoids,” which are unique to cannabis and endow the plant with its robust therapeutic profile.
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