This is a critical area for new research. While there is preliminary evidence that CBD may have therapeutic value for a number of conditions, we need to be careful to not get ahead of the evidence. Ninety-five percent of drugs that move from promising preclinical findings to clinical research do not make it to market. The recently announced elimination of the PHS review of non-federally funded research protocols involving marijuana is an important first step to enhance conducting research on marijuana and its components such as CBD. Still, it is important to try to understand the reasons for the lack of well-controlled clinical trials of CBD including: the regulatory requirements associated with doing research with Schedule I substances, including a requirement to demonstrate institutional review board approval; and the lack of CBD that has been produced under the guidance of Current Good Manufacturing Processes (cGMP) – required for testing in human clinical trials – available for researchers. Furthermore, the opportunity to gather important information on clinical outcomes through practical (non-randomized) trials for patients using CBD products available in state marijuana dispensaries is complicated by the variable quality and purity of CBD from these sources.
A 2013 study conducted at the University of Haifa in Israel found that cannabinoid treatment after a traumatic experience may regulate the emotional response to the trauma and prevent stress-induced impairment. Cannabinoid treatment minimized the stress receptors in the basolateral amygdala (the nuclei that receives that majority of sensory information) and hippocampus (the part of the brain that is thought to be the center of emotion). (4)
With that said, I'm definitely intrigued enough by the subtle effects to continue taking the oil and possibly even to up the dosage to the recommended two full droppers of the 30mL bottle per day for a week or so. Plus, I take comfort in knowing that it's an all-natural treatment for anxiety that's responsibly grown on family farms in Colorado. Something that's safe, legal, requires no prescription, and makes me less anxious, less scatterbrained, and more focused? I'm definitely on board.
There are likely very complex relationships also occurring between various Cannabinoids in Cannabis that may lead to certain medical efficacy. That is important to remember when considering the consumption of products that contain Cannabinoids. There is an attractiveness to isolating a specific chemical, researching it, patenting synthetic derivatives, and marketing specific drugs. That said, the relationships are complex, will likely take years to understand, and many patients I’ve met appear to find the most medical benefit from a diverse group of Cannabinoids whose interactions are not particularly well understand, but the results are hard to argue with.

Cannabidiol has antipsychotic effects. The exact cause for these effects is not clear. But cannabidiol seems to prevent the breakdown of a chemical in the brain that affects pain, mood, and mental function. Preventing the breakdown of this chemical and increasing its levels in the blood seems to reduce psychotic symptoms associated with conditions such as schizophrenia. Cannabidiol might also block some of the psychoactive effects of delta-9-tetrahydrocannabinol (THC). Also, cannabidiol seems to reduce pain and anxiety. 

We’re proud to be present at Cannabis Europa; ‘the foremost arena to share knowledge and shape the future of medicinal cannabis in Europe’. Together with Nastasia Bach (Pivot Regulatory), Alex Hearn (Senzer), Jason Moscovici (ROBIC) and pharmaceutical consultant Sofia Sanz our Founder and CEO Tjalling Erkelens discusses ways to find common ground between the pharma world and the medicinal cannabis industry. ... See MoreSee Less

Welcome to Mayo Connect. I am a Volunteer Mentor and not a medical professional. As such I can offer the benefit of my personal experience, as can others on this site, but not medical diagnoses nor medical opinions. We strive to help each other with the understanding that we are all different and what works for me may not work for you. I have gotten so much good from participating in Mayo Connect that I love it.
I have been using Purekana for 13 months to help with my chronic anxiety. Before discovering this brand I had smoked cannabis but found it made my symptoms much worse and I had several panic attacks. Purekana’s CBD oil tastes good, works fast and lasts long without the paranoia effects. I can’t thank this company enough for helping me turn my life around.
Some CBD oil brands can be evasive when it comes to product testing details. Populum addresses this by including a hard copy of the oil’s lab testing results in the product packaging. Full lab results are easily accessible on the brand’s website, as well. Prices for the Populum CBD oil range from 18 to 24 cents per milligram, depending on the container size, making it a relatively inexpensive full spectrum product. All U.S. military veterans receive a 25% discount, as well. Populum offers a risk-free 30-night product trial.

These cannabinoid-rich extracts can pose risks to patients who consume them. The exact composition of different available oils is frequently unknown. They are not checked for quality by external certified laboratories for the presence of residual solvents, or contaminants such as microbes, pesticides, heavy metals or mycotoxins. The lack of standardisation of both the cannabis starting material and oils makes it impossible to fully evaluate their therapeutic effects over time and, hence, their medicinal value.


In 2015, The Hebrew University of Israel published a study that documented the potency of single-molecule CBD extract versus the potency of whole-plant CBD-rich extract. It found that extract taken from whole plant CBD-rich cannabis is therapeutically superior to single-molecule extract. The scientists behind this study noticed that science had been utilizing pure, single-molecule CBD, which resulted in a bell-shaped dose-response curve. This means that CBD’s efficacy plummets at very high and very low doses.
Tetrahydrocannabinol (THC) and cannabidiol (CBD) are two types of cannabinoids found naturally in the resin of the marijuana plant, both of which interact with the cannabinoid receptors that are found throughout the body. Although THC and CBD have been the most studied cannabinoids, there are many others identified to date including cannabinol (CBN), cannabigerol (CBG), Cannabidivarin (CBDV), and Tetrahydrocannabivarin (THCV) that can be found within the medical cannabis [10]. While both CBD and THC are used for medicinal purposes, they have different receptor activity, function, and physiological effects. If not provided in their activated form (such as through synthetic forms of THC like Dronabinol or Nabilone), THC and CBD are obtained through conversion from their precursors, tetrahydrocannabinolic acid-A (THCA-A) and cannabidiolic acid (CBDA), through decarboxylation reactions. This can be achieved through heating, smoking, vaporization, or baking of dried unfertilized female cannabis flowers.
Finding the perfect CBD Oil daily dosage is now easier than ever, thanks to CBD Daily Doses, from Green Roads. Cannabinoids like CBD interact with our body’s endocannabinoid system to produce their effects. This network of chemicals signalers and receptors is responsible for maintaining homeostasis of both body and mind. While it’s important to balance your endocannabinoid system with CBD, it’s just as important to balance your daily schedule, and CBD Daily Doses make it easy and simple to do just that.
Many cells in the body have what are called cannabinoid receptors, protein molecules on a cell’s surface that react when they come in contact with certain chemical substances. Different receptors react with different substances to cause different reactions – for instance, the release of a hormone or other chemical. The cells that react with cannabinoids comprise what’s known as the endocannabinoid system. When these receptors are activated, they exert an effect on mood, pain sensation, appetite and other biologic responses.
Based on history cannabis is believed to have originated from Central Asia. Cannabis is one of the oldest plant medicines known to man. It is difficult to trace the beginnings of cannabis use use by humans because it was cultivated and consumed long before the appearance of writing. According to archeological discoveries, cannabis has been known in China since the Neolithic period, around 4000 BC.
Anxiety disorders are the most common mental health concern in the United States. An estimated 30 percent of adults in the United States (that's 66 million people) and an estimated 25 percent of teenagers and preteens are affected by anxiety. As a functional medicine practitioner, I see many people who struggle with anxiety and panic attacks, and from these statistics, it should be no surprise. But just because something is common doesn't make it normal. Fortunately, new insights into the cause of anxiety may help with the development of more effective treatment options.
These cannabinoid-rich extracts can pose risks to patients who consume them. The exact composition of different available oils is frequently unknown. They are not checked for quality by external certified laboratories for the presence of residual solvents, or contaminants such as microbes, pesticides, heavy metals or mycotoxins. The lack of standardisation of both the cannabis starting material and oils makes it impossible to fully evaluate their therapeutic effects over time and, hence, their medicinal value.
Are you willing to share what you're anxiety is about? I had panic and anxiety attacks for years and used Ativan and later Lorazepam for them, especially when I had to fly in planes. About 6 years ago I started taking Citalopram antidepressant, and all my anxiety/panic attacks went away. I only had it again recently during my withdrawal process. I know my relief from anxiety is from the Citalopram. I even did 7 zip lines in Costa Rica a little over a year ago. My flights there, to Panama and back were anxiety free. That has been so incredible for me! I love traveling now.
A. No. Based on available evidence, FDA has concluded that THC and CBD products are excluded from the dietary supplement definition under sections 201(ff)(3)(B)(i) and (ii) of the FD&C Act, respectively. Under those provisions, if a substance (such as THC or CBD) is an active ingredient in a drug product that has been approved under 21 U.S.C. § 355 (section 505 of the FD&C Act), or has been authorized for investigation as a new drug for which substantial clinical investigations have been instituted and for which the existence of such investigations has been made public, then products containing that substance are outside the definition of a dietary supplement. FDA considers a substance to be "authorized for investigation as a new drug" if it is the subject of an Investigational New Drug application (IND) that has gone into effect. Under FDA’s regulations (21 CFR 312.2), unless a clinical investigation meets the limited criteria in that regulation, an IND is required for all clinical investigations of products that are subject to section 505 of the FD&C Act.
Our CBD oil is lab-tested as soon as it is extracted and then again by a third party lab (Steep Hill) in Berkeley, California, to ensure an accurate amount of CBD. In addition, we test for over 200 pesticides, herbicides, mold, fungi, heavy metals, and mycotoxins. We use cutting-edge testing and world-class equipment to ensure that our products are safe and healthy. Please contact us for current lab results.
Specific city and county laws have been enacted to regulate how citizens and tourists may possess and consume marijuana. Penalties exist for driving while under the influence of marijuana. Someone driving under the influence of marijuana is considered impaired in both Colorado and Washington when five nanograms per milliliter (ng/mL) of blood or more of active THC is detected.
Cannabidiol is a chemical in the Cannabis sativa plant, also known as marijuana. Over 80 chemicals, known as cannabinoids, have been identified in the Cannabis sativa plant. While delta-9-tetrahydrocannabinol (THC) is the major active ingredient, cannabidiol makes up about 40% of cannabis extracts and has been studied for many different uses. According to the U.S. Food and Drug Administration (FDA), because cannabidiol has been studied as a new drug, products containing cannabidiol are not defined as dietary supplements. But there are still products labeled as dietary supplements on the market that contain cannabidiol. The amount of cannabidiol contained in these products is not always reported accurately on the product label.

Dry mouth: As is the case with many other hemp- and marijuana-based products, CBD oil often leads to a condition known as dry mouth (or cottonmouth). This is likely due to cannabinoids altering receptors in the lower jaw that trigger salivation. In most cases, mild discomfort and stronger-than-average thirst are the only issues associated with dry mouth.

Tetrahydrocannabinol (THC) is the naturally occurring compound that famously produces cannabis’ mind-altering states. The CBD compound found in the plant, however, does not have psychoactive properties. CBD produces a calming effect on the mind, making it a good treatment for people with social anxiety and other nervous disorders. When combined with THC in stronger amounts, CBD can help balance out the medication, ensuring that the user does not get too high. Oil can be slightly harder to procure and more expensive than medical marijuana flowers, depending on state laws. Smoking cannabis can be more beneficial to some people, largely depending on their condition.
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.
5-HT1A agonist: 5-HT1A is a subtype of the serotonin receptor, which is important because anxiety and depression can sometimes be treated with medications that target the serotonin system. This is why drug companies developed selective serotonin reuptake inhibitors (SSRIs) like Prozac and Zoloft. SSRIs work by blocking reabsorption of serotonin in the brain, which increases availability of serotonin in the synaptic space. This helps brain cells transmit more serotonin signals, which can reduce anxiety and boost mood in certain cases (although the full biological basis for this is more complicated and not fully understood).
CBD oil and cannabis oil are both known to reduce the symptoms and side effects of cancer. The presence of both THC and CBD helps in treating the pain associated with cancer. According to research done by Hansen M., Medical University of Vienna, Vienna, Austria, it also treats the side effects of chemotherapy including nausea, vomiting, and anxiety.
CBD is readily obtainable in most parts of the United States, though its exact legal status is in flux. All 50 states have laws legalizing CBD with varying degrees of restriction, and while the federal government still considers CBD in the same class as marijuana, it doesn’t habitually enforce against it. In December 2015, the FDA eased the regulatory requirements to allow researchers to conduct CBD trials. Currently, many people obtain CBD online without a medical cannabis license. The government’s position on CBD is confusing, and depends in part on whether the CBD comes from hemp or marijuana. The legality of CBD is expected to change, as there is currently bipartisan consensus in Congress to make the hemp crop legal which would, for all intents and purposes, make CBD difficult to prohibit.
Serotonin: Most people associate serotonin with happiness. However, the role of this neurotransmitter is very complex, and its effects depend on where it is and what it binds to. (Contrary to popular belief, more serotonin is not necessarily better — dysfunction can stem from low or high levels of serotonin, as well as from malfunctions with their receptors.) Serotonin has at least 14 different receptors, but CBD specifically binds to 5-HT1A which is thought to have the strongest role in anxiety disorders. The anti-anxiety drug buspirone also binds to this particular receptor, which explains the anti-anxiety effects of CBD on rats exposed to stressful situations.
Reflecting the next morning, I was most surprised by the fact that I never felt "high" in any way—there was never a moment of It's kicking in; I can feel it now like with pain medications or even anti-anxiety drugs. Considering it takes time, consistency, and the right dosage to experience the full effect, I continued taking the oil once a day for the next six days. Here's what went down.
However, Bonn-Miller told Live Science that he thinks cannabis research is on the upswing. "If we flash forward five years I think you'll see more studies," he said. Those studies could reveal more conditions that CBD may be helpful for and may also reveal that some of the reasons why people say they use CBD oil are not supported by the science but are instead a placebo effect. "And that's why we need to do the studies," he said.  
I was feeling anxious throughout the day, and it was the first time I wasn't sure if the CBD oil helped or not. I didn't leave the house like I intended (one of my old anxiety-driven habits), which wasn't good. However, I did feel like I wasn't fixating as much on how anxious I felt (yes, I get anxious about feeling anxious). But I still felt like sh*t.
Understanding CBD’s analgesic, or pain-relieving, interactions with the ECS can shed light on CBD’s other interactions and effects. Importantly, the ECS participates in our bodies’ pain processing, but when CBD is introduced to our ECS, it stops the body from absorbing a pain-regulating compound known as anandamide — one of our body’s’ own natural cannabinoid molecules. Inhibiting the absorption of this compound shunts excess quantities into the bloodstream that in turn reduces pain. One study has revealed that CBD targets alpha-3 (α3) glycine receptors to suppress chronic pain and inflammation associated with dysfunctional glycine receptors, which are an important target for pain processing in the spine. In both humans and animal models, CBD has been shown to have a variety of anti-inflammatory properties.

After we collect the concentrated cannabis resin, our third-party analytical laboratory tests it for potency and purity. A known amount of cannabis resin is then taken and gently heated in a carrier oil to reach a desired cannabinoid potency. This heating allows for the cannabinoids to become fully decarboxylated, making the cannabis oil ready to use.
We're on the edge of a CBD explosion. The U.S. market for CBD products is estimated to be worth $2.1 billion by 2020, up 700 percent from 2016; the World Anti-Doping Agency removed CBD from its list of banned substances; the Food and Drug Administration approved an epilepsy medication containing CBD oil for the first time, causing the U.S. Drug Enforcement Administration to shift its stance — albeit very slightly — on CBD.
The NIH recognizes the need for additional research on the therapeutic effects of CBD and other cannabinoids, and supports ongoing efforts to reduce barriers to research in this area. NIH is currently supporting a number of studies on the therapeutic effects as well as the health risks of cannabinoids. These include studies of the therapeutic value of CBD for:
Both Bonn-Miller and Ward stress that it's up to the consumer to be well-educated about the material they're purchasing and the research that's out there. "The companies that are creating [cannabis oils] are offering lots of claims about its use that are not necessarily substantiated by any research," Bonn-Miller said. So "I think there needs to be, from a consumer standpoint, a lot of vigilance," he added.

My sister has convinced me that I should live a more healthy lifestyle and I think that hemp oil would be a great contributor to that. Your information that hemp oil contains omega fatty acids and proteins and can be used as a cooking substitute only convinces me more. I will start looking into purchasing some pure hemp oil so that I can improve my skin and live a more healthy life.


A. When a product is in violation of the FD&C Act, FDA considers many factors in deciding whether or not to initiate an enforcement action. Those factors include, among other things, agency resources and the threat to the public health. FDA also may consult with its federal and state partners in making decisions about whether to initiate a federal enforcement action.
LEGAL NOTICES: Care By Design products have not been evaluated by the Food and Drug Administration (FDA). This information is not intended to diagnose, treat or cure any disease. This information should not be interpreted as medical advice or treatment. You should consult your physician or other health care professional before starting any medication or supplements. Further, Care By Design does not manufacture, sell or distribute any products that are in violation of California State Law.
For reasons discussed previously, despite its molecular similarity to THC, CBD only interacts with cannabinoid receptors weakly at very high doses (100 times that of THC),xl and the alterations in thinking and perception caused by THC are not observed with CBD.iii.iv,v The different pharmacological properties of CBD give it a different safety profile from THC.
LEGAL NOTICES: Care By Design products have not been evaluated by the Food and Drug Administration (FDA). This information is not intended to diagnose, treat or cure any disease. This information should not be interpreted as medical advice or treatment. You should consult your physician or other health care professional before starting any medication or supplements. Further, Care By Design does not manufacture, sell or distribute any products that are in violation of California State Law.

Prescription medicine (Schedule 4) for therapeutic use containing 2 per cent (2.0%) or less of other cannabinoids commonly found in cannabis (such as ∆9-THC). A schedule 4 drug under the SUSMP is Prescription Only Medicine, or Prescription Animal Remedy – Substances, the use or supply of which should be by or on the order of persons permitted by State or Territory legislation to prescribe and should be available from a pharmacist on prescription.[80]


Most CBD oils are available in round-number concentrations such as 250mg, 500mg, and 1,000mg. While these strengths accommodate many CBD users, they may not be sufficient for those with preferences that fall outside round numbers. NuLeaf Naturals offers a less conventional selection of concentrations: 240mg, 725mg, 1,450mg, 2,425mg, and 4,850mg. This range ensures that most users will find a strength that works for them.

Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 9 Jan 2019), Cerner Multum™ (updated 14 Jan 2019), Wolters Kluwer™ (updated 7 Jan 2019) and others. Refer to our editorial policy for content sources and attributions.


As an advocate of industrial hemp, Nutiva Founder John Roulac successfully sued the US Drug Enforcement Administration in 2002 to keep hemp foods legal, paving the way for hemp foods to be sold in the United States. Roulac has authored four books on environmental topics including composting and hemp that have combined sales of over one million copies. With expertise ranging from home composting and natural healing to forestry, hemp agriculture, GMO labeling and organic farming, Roulac has founded five nonprofit ecological groups, one of which, Forests Forever, placed the California Forest Protection Act (Prop 130) on the state ballot in 1990.
I rely heavily on chiropractic care and medications. And, yet, the one, almost laughable thing I didn’t know about was hemp oil. When my friend told me she was a representative for a hemp oil company, and thought it would be helpful for my peripheral neuropathy at night, I just stood there with my mouth open. I had no idea about what it was or how it differed from medical marijuana, even.
Omegas 3 and 9 fatty acids act as an anti-inflammatory and help quell irritating skin conditions while helping your skin heal itself. Omega 6 is essential at maintaining the overall health of your skin's natural barrier so it can better maintain moisture and ward off pesky acne-causing bacteria. High in skin-loving antioxidants, Hemp Seed Oil helps protect against sun damage and diminish signs of aging. 
Industrial hemp contains, by weight, far less CBD than CBD-rich cultivars such as Harlequin or Sour Tsunami. This means that producing a single 10 mL dose of CBD would require the cultivation and extraction of far more hemp than it would from whole-plant marijuana; thus raising the risk of exposing users to more contaminants. Hemp is classified as a “bioaccumulator,” or a plant that naturally absorbs toxicants from the soil.
Cannabidiol did not reduce responses to negative emotional stimuli or reduce anxiety in healthy participants, according to a study published in Cannabis and Cannabinoid Research in 2017. Researchers tested participants' responses to negative images or words and threatening emotional faces and sensitivity to social rejection after taking oral cannabidiol.
Check Dr. Stephen Porges’ work, as well as Stanley Rosenburg. Both treat trauma and the vagus nerve’s role in bodily symptoms, which cause a lot of the symptoms you mention, as well as other people here. Some of Stanley Rosenburg’s simple exercises along with Stephen Porges’ work, can realign the vagus nerve and when done regularly have a cumulative effect. Basically, most symptoms, even seizures can be caused by misalignments and/or contracted muscles, (even the tiniest muscle in the human body, the stapedius muscle when chronically contracted can cause havoc on body) all under the umbrella of the vagus nerve (polyvagal nervous system). This is very well researched and is cutting edge treatment without the use of drugs of any kind. Some of Porges’ treatments use music, believe it or not, specially designed headsets with bone conduction. But please research, there are therapists trained in this field and in meantime, you can self-apply Stanley Rosenburg’s Basic Exercise, as well as others, first and you will see drastic results.
This does nothing for me. I have been taking between 4 and 8 Aleeve a day for back pain related to kyphosis and hoped this would help me cut down on those medications. This is hemp oil, not CBD oil. After trying this and receiving no results I switched to CBD oil from a well reviewed company and the CBD oil is helping. I now take the CBD oil twice a day and have noticeable results. I have cut my regular pain meds to one or two a day.
In states with medical cannabis laws, consumers should try to purchase cannabis from licensed suppliers who share their test results, which hopefully validate their products’ robust cannabinoid and terpenoid profiles. If you’re looking to purchase hemp through an online outlet, research your purchase beforehand to ensure that you aren’t being duped.
Some states offer cannabis for medical conditions, and this may require a medical note or proof of injury and illness. You can also join a collective, which is a group of patients who grow and share medical cannabis with each other. If you are using cannabis oil, it’s so important to make sure it’s purchased through a reputable company that sells pure and lab-tested oils. If you’re wondering how to make cannabis oil, you should first make sure this is legal in your state. Some people also like to make cannabis coconut oil, which is basically cannabis-infused coconut oil.
CBD exerts several actions in the brain that explain why it could be effective in treating anxiety. Before we dive in, it’s important to note that most research describing how CBD works is preclinical and based on animal studies. As the saying goes, “mice are not men” — and, results from animal studies don’t always neatly transfer to human therapies. However, preclinical studies provide insights that move us in the right direction:
The relationship between THC and CBD is complex, but in short, CBD appears to minimize some of THC’s undesirable effects, such as paranoia, heart palpitations, and impaired thinking. Compared with THC in isolation, or its synthetic cousins such as Marinol, the combination of THC and CBD has much greater therapeutic value to patients. This phenomenon of cannabis-derived molecules working better together than they do in isolation is commonly referred to as the entourage effect.
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CBD is short for cannabidiol, a cannabinoid compound that is found in hemp and marijuana. Both hemp and marijuana are part of the plant family known as Cannabis. The main difference between marijuana and hemp is the level of THC in each. THC, like CBD, is a cannabinoid compound. There are 60 different known cannabinoids, but THC is the most well-known—the Beyoncé of cannabinoids, if you will. The reason THC is so famous is because it's associated with the psychoactive high that people experience after smoking or ingesting weed.
CBD oil alleviates physical pain and anxiety – both of which can have a negative impact on sleep. Additionally, CBD oil can actually prolong sleep for some, leading to more rest from night to night. Most medical experts agree that marijuana is not particularly beneficial for individuals with medical conditions and/or mental health disorders, as the THC can increase their symptoms; this makes CBD oil a good alternative option for people with the following sleep disorders and medical conditions.
Extinction learning: One way we get over anxiety is through “extinction learning,” or learning to let go of triggers when there’s nothing left to fear. These experiments often train test subjects to associate something harmless with something painful, and then measure how long it takes to stop fearing the harmless trigger after they stop delivering pain. This is particularly relevant for people suffering from PTSD:
Hemp seed oil has been dubbed "Nature's most perfectly balanced oil", due to the fact that it contains the perfectly balanced 3:1 ratio of Omega 6 (linolei/LA) to Omega 3 (alpha-linolenic/LNA) essential fatty acids, determined to be the optimum requirement for long-term healthy human nutrition. In addition, it also contains smaller amounts of 3 other polyunsaturated fatty acids in gamma-linolenic acid (GLA), oleic acid and stearidonic acid. The EFA combination is unique among edible oil seeds.
This is a critical area for new research. While there is preliminary evidence that CBD may have therapeutic value for a number of conditions, we need to be careful to not get ahead of the evidence. Ninety-five percent of drugs that move from promising preclinical findings to clinical research do not make it to market. The recently announced elimination of the PHS review of non-federally funded research protocols involving marijuana is an important first step to enhance conducting research on marijuana and its components such as CBD. Still, it is important to try to understand the reasons for the lack of well-controlled clinical trials of CBD including: the regulatory requirements associated with doing research with Schedule I substances, including a requirement to demonstrate institutional review board approval; and the lack of CBD that has been produced under the guidance of Current Good Manufacturing Processes (cGMP) – required for testing in human clinical trials – available for researchers. Furthermore, the opportunity to gather important information on clinical outcomes through practical (non-randomized) trials for patients using CBD products available in state marijuana dispensaries is complicated by the variable quality and purity of CBD from these sources.
NIDA provides research-grade marijuana for scientific study. The agency is responsible for overseeing the cultivation of marijuana for medical research and has contracted with the University of Mississippi to grow marijuana for research at a secure facility. Marijuana of varying potencies and compositions is available. DEA also may allow additional growers to register with the DEA to produce and distribute marijuana for research purposes.
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