The appeal? Proponents claim CBD can help ease pain, anxiety, depression and stress, boost focus and productivity, improve the immune system, reduce inflammation and more. And – unlike its psychoactive cousin THC – CBD, they say, is harmless, legal and can't get you high. "The known is it's good for you, it helps a lot of people and a lot of things, and you can't hurt yourself," says Phil Asquith, a farmer and producer of extra-virgin olive oil in California, who founded one of the first companies in the CBD space. "The unknown is all the details."
Lisa Hamilton, a jeweler and doula in Brooklyn, NY, knows about the side effects. She recently tried CBD for the shoulder pain that plagued her five years after an accident. Her doctor certified that she was in chronic pain, which under New York State law allowed her to buy from a state dispensary. One Friday, she swallowed two 10-mg capsules, the amount recommended at the dispensary, then took another two on Saturday. “By Sunday, it felt like I’d gotten hit by a truck. Every muscle and joint ached,” Hamilton says. She cut back to one pill a day the following week, but still felt hungover. She stopped after that.
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Lab techs use state of the art equipment to create phase changes in carbon dioxide by utilizing temperature and pressure. The carbon dioxide is cooled and compressed to upwards of 10,000 psi – by comparison your car tire is pressurized to about 300 psi. When compressed to these extremes, CO2 becomes ‘supercritical’, which simply means that it converts to liquid when placed under extreme pressure.
And, if you do luck out and get a tincture truly containing CBD, you'll likely dish out $200 or so to take 10 to 40 milligrams daily. Since research participants take closer to 1,000 milligrams a day, it's hard to imagine a benefit without drinking the whole (expensive, calorie-dense) bottle, Tishler says. "Most people will adjust their doses based on what they're comfortable spending," Asquith 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.
The reason so many people are interested in cannabis products that don’t make them high, proponents say, is that CBD helps with everything from pain and nausea to rheumatoid arthritis, cancer, Crohn’s disease, and dementia. CBD is anti-inflammatory, anti-anxiety, antibacterial, immunosuppressive, and more, says Joseph Cohen, D.O., a cannabis doctor in Boulder, CO.
In the United States marijuana is still listed under Schedule I of the Controlled Substances Act. However, the federal Food and Drug Administration (FDA) has authorized clinical trials on a CBD-based drug that treats childhood-onset epilepsy. CBD oil also shows promise in treating intestinal conditions as well as anxiety, post-workout aches, inflammation, and some types of cancers. Additional conditions are neurological inflammation, oxidative injury, and schizophrenia.
Cannabinol results from the degradation of THC. There is little of it in the fresh plant, but decarboxylation often raises the amount of CBN in the plant as an effect. CBN is only mildly psychoactive and has a higher affinity for the CB2 receptor than the CB1 receptor, linking CBN to the body’s immune system. In hemp oil, CBN is present in levels of 0.2% or lower.
ISA HERRERA HEARD IT from her patients first. "I have less pain." "I'm having less anxiety." "My menstrual cramps are less intense," they told the New York City physical therapist about taking CBD oil, a product containing cannabidiol, one of many chemicals found in the cannabis plant. "I was like, 'I need to find out more about this,'" recalls Herrera, who specializes in integrative pelvic floor therapies.
exhaustion and pain that kept her on the couch much of the day. The 58-year-old Seattle speech coach didn’t want to take opioid pain-killers, but Tylenol wasn’t helping enough. Roth was intrigued when women in her online chat group enthused about a cannabis-derived oil called cannabidiol (CBD) that they said relieved pain without making them high. So Roth, who hadn’t smoked weed since college but lived in a state where cannabis was legal, walked into a dispensary and bought a CBD tincture. “Within a few hours of placing the drops in my mouth, the malaise and achiness that had plagued me for weeks lifted and became much more manageable,” she says. She took the drops several times a day and in a few weeks was back to her regular life.
Since it is non-toxic and non-flammable, supercritical CO2 is preferable over chemical solvents like butane, hexane, and acetone, which can linger in the extracted oil if not purged correctly, rendering the oil toxic. It has also been noted that botanical essential oils extracted using supercritical CO2 are truer to the scent of the original plants than in other forms of extraction, meaning more of the plant’s chemical structure is retained in the oil with the use of CO2.
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.
Most human studies of CBD have been done on people who have seizures, and the FDA recently approved the first CBD-based drug, Epidiolex, for rare forms of epilepsy. Clinical trials for other conditions are promising, but tiny. In one Brazilian study published in 2011 of people with generalized social anxiety disorder, for example, taking a 600-mg dose of CBD (higher than a typical dose from a tincture) lessened discomfort more than a placebo, but only a dozen people were given the pill.
Miller, whose clients include patients referred by physicians, uses CBD in a variety of delivery modalities that she has found effective. “Patches can be worn for pain or anxiety management. Capsules or concentrated drops can be taken orally for pain, inflammation, sleep, and anxiety. Balms and creams can be used on the hands and feet to manage arthritic pain. Vaping is another delivery method,” she says.
Just one last thing before we explain the benefits of full spectrum CBD oil; it’s important to understand that CBD from cannabis is only legal in medical or recreational states, while CBD hemp oil is legal in all 50 states under the 2014 US Farm Bill. While it may not be able to treat all conditions, it has been known to assist with a variety of medical conditions including anxiety, depression and acute pain.
Given CBD’s reputation as a popular, artisanal remedy, one would think that Epidiolex would command a lot of “off label” attention. After all, physicians often prescribe pharmaceuticals off label to treat conditions that were not the actual focus of clinical trials. But the costly price tag for Epidiolex (more than $30,000 annually) precludes off label prescribing as well as affordable access for tens of millions of Americans without health insurance.
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Everything you need to know about marijuana (cannabis) Marijuana, or cannabis, is the most commonly used illicit drug in the world. It alters the mood and affects nearly every organ in the body. With at least 120 active compounds, marijuana may have health benefits as well as risks. We describe these, addiction, and withdrawal. Learn more about cannabis here. Read now