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.
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.
Considered the most scientific method this is also among the cleanest techniques of extraction. Referred to as sub-critical or super critical CO² method, it uses carbon dioxide under different pressures to extract the medicinal oil. This is among the most expensive techniques of extraction due to use of hi-tech equipment that can be operated by trained personnel only. The advantage of this technique is that the end product is the purest form of CBD oil which is highly potent and free of chlorophyll. However if the heat used during extraction is too high it can damage terpenes in the oil that have therapeutic benefits and provide flavor and essence to the oil strain.
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.
At least one benefit of CBD is well-supported by science: It can be effective in treating children with rare, genetic seizure disorders. Adults, children and even animals with epilepsy have been shown to benefit from the chemical too, the World Health Organization reports. There's also some evidence that CBD can help with anxiety, says Dr. Robert Carson, an assistant professor of neurology and pediatrics at Vanderbilt University who focuses on children with epilepsy. "In children, especially those with autism spectrum disorders, this may manifest as improved interactions with others," he says. Other preliminary research shows CBD holds promise for conditions including Alzheimer's disease, cancer, psychosis and Parkinson's disease – and is pretty much impossible to abuse or become addicted to, WHO says.
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.)

Your statement about cannabis being illegal is misleading. Cannabis is the plant/herb itself. The difference in what is legal vs illegal to all states is the flower of the herb containing THC. Anything < 0.3% is regarded as HEMP as the constituents lack enough of the THC compound to create the psychoactive effect. MARIJUANA is known for the psychoactive effects. They are both forms of CANNABIS.
“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.
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