"If it proved effective for anxiety, depression and panic disorder, it may have other effects as well that could be useful and beneficial [but] this is a really early stage," says David Shurtleff, the acting director of the National Center for Complementary and Integrative Health. His organization's stance: "Take it one step at a time and do the work and really state where we are right now with the research," he says.
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:
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.
CBD is one of over 110 active cannabinoids inside marijuana plants and is most predominant inside the resin glands (trichomes) of the female cannabis plant. Your body contains cell receptors known as cannabinoid receptors. Cannabinoids, found in cannabis, are agonists that bind to these receptors. Cannabinoid receptors can be found all over the body including, but not limited to, the:
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We also grow our hemp in close rows, limiting the ability of weeds to establish themselves among our fields. Since we sow our hemp seeds close together, the shade from the fast growing hemp plants inhibit the growth of common weeds, negating the need to use herbicides that could cause contamination. Like with pesticides, we avoid using herbicides because they can affect local biological communities or be absorbed by our hemp plants and transferred residually to our customers.
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 has proven anti-anxiety effects and may be helpful in depression, based on anecdotal reports,’ says Dr Gordon. ‘I use high CBD prescription cannabis medicine products as part of a mental health protocol with my patients suffering with anxiety and depression. The antidepressant effects of CBD have been shown in animal models, but we now need large, depression-specific studies in humans as the next step.’
Buying online is less reliable still because there’s no regulation or standardization. What you see on the label may not be what you are getting. A 2017 study in JAMA found that of the 84 CBD products researchers bought online, 43% had more CBD than indicated, while 26% had less, and some had unexpected THC. “There’s a 75% chance of getting a product where the CBD is mislabeled,” says Marcu, one of the study’s coauthors.
“What is CBD oil” may be your first question, but the real question we have to answer is, “What does CBD oil do?” 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.