CBD has also been shown to have neuroprotective properties in cell cultures as well as in animal models of several neurodegenerative diseases, including Alzheimer’s,xii,xiii,xiv stroke,xv glutamate toxicity,xvi multiple sclerosis (MS),xvii Parkinson’s disease,xviii and neurodegeneration caused by alcohol abuse.xix Nabiximols (trade name Sativex), which contains THC and CBD in roughly equal proportions, has been approved throughout most of Europe and in a number of other countries for the treatment of spasticity associated with MS. It has not been approved in the United States, but clinical trials are ongoing, and two recent studies reported that nabiximols reduced the severity of spasticity in MS patients.xx,xxi There have been limited clinical trials to assess the potential efficacy of CBD for the other indications highlighted; however, a recent small double-blind trial in patients with Parkinson’s disease found the CBD improved quality-of-life scores.xxii
Our Editor’s Pick is the tincture from CBDistillery. This tincture is available in five strengths ranging from 250mg to 5,000mg, which accommodates a wide range of THC preferences, as well as 15 and 30 milliliter containers. The tincture has a price-point that is slightly below average, making it a good option for value seekers. The tincture, which is non-flavored, routinely undergoes third-party testing to ensure safety and high quality; the testing results are available on CBDistillery’s product pages.
I work well under pressure, but being extremely busy at work has almost made me less productive—I'm constantly distracted by email, Slack, and the people around me, to the point where getting my work done becomes difficult. This week, however, I've found it easier to put my blinders on, block out all distractions (especially social distractions) and focus on one task at a time. I think this is partly related to the lessened anxiety—I feel more frazzled and off task when my anxiety is running high. It almost feels like a newfound sense of clarity and calm that enables me to focus.
CBD stands for cannabidiol. It is the second most prevalent of the active ingredients of cannabis (marijuana). While CBD is an essential component of medical marijuana, it is derived directly from the hemp plant, which is a cousin of the marijuana plant. While CBD is a component of marijuana (one of hundreds), by itself it does not cause a “high.” According to a report from the World Health Organization, “In humans, CBD exhibits no effects indicative of any abuse or dependence potential…. To date, there is no evidence of public health related problems associated with the use of pure CBD.”
If you haven’t been bombarded with CBD marketing or raves about it from friends, get ready. This extract—which comes from either marijuana or its industrial cousin, hemp—is popping up everywhere. There are CBD capsules, tinctures, and liquids for vaping plus CBD-infused lotions, beauty products, snacks, coffee, and even vaginal suppositories. Already some 1,000 brands of CBD products are available in stores—and online in states that don’t have lenient cannabis laws. This is a tiny fraction of what’s to come: The CBD market is poised to exceed $1 billion by 2020, per the Chicago-based research firm Brightfield Group.
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.
In addition to fighting inflammation in the body, CBD oil may reduce anxiety by directly affecting the brain. Studies have found that CBD actually lowers activity in the amygdala and increases prefrontal cortex activation, two parts of the brain involved in anxiety. There is also evidence that CBD is able to activate hippocampus neurogenesis, aka regenerate new neurons! This activates CB1 receptors, which has a positive balancing impact on GABA and glutamate levels, associated with reducing anxiety.
Due to the need for confirmatory studies to verify the clinical benefit coupled with the promising nature of the clinical evidence, Sativex was also given a Notice of Compliance with Conditions (NOC/c) by Health Canada for the following indications: 1) as adjunctive treatment for the symptomatic relief of neuropathic pain in adult patients with multiple sclerosis; 2) as adjunctive analgesic treatment in adult patients with advanced cancer who experience moderate to severe pain during the highest tolerated dose of strong opioid therapy for persistent background pain [15].
Extensive studies have demonstrated that many common illnesses are related to deficiencies or imbalances of specific fatty acids in the body. Symptoms are often related to a lack of Omega 3 and Omega 6 fatty acids and their derivatives, the postaglandins. Most people eating a healthful diet, one that includes a balanced ratio of essential fatty acids, also have healthy skin and a strong immune system. Yet some individuals may experience shortages in specific fatty acids or their metabolites due to dysfunctional enzyme systems or other inhibitions in their metabolic pathways caused by genetic, immune-system-related, or even environmental factors. It has been proven in several clinical studies that dietary supplementation with essential fatty acids or their metabolites (such as GLA) will often prevent or even cure these illnesses. Since hemp seed oil contains both essential fatty acids in a desirable balance while also providing two of the essential fatty acid metabolites, it is a good resource for the prevention and treatment of certain illnesses.
Pharmaceutical companies producing oils are subject to a pharmaceutical production licence for controlled drugs, issued by government regulators. Currently there are no pharmaceutical companies producing cannabis oil as a medicine. This might change in the future when a standardised, GMP-certified production method becomes available, setting the standards for the production of cannabis oil as a pharmaceutical product.
That leaves those touting CBD’s effectiveness pointing primarily to research in mice and petri dishes. There, CBD (sometimes combined with small amounts of THC) has shown promise for helping pain, neurological conditions like anxiety and PTSD, and the immune system—and therefore potentially arthritis, diabetes, multiple sclerosis, cancer, and more.

Unrefined hemp oil does not have a very long shelf life. The oil quickly goes rancid, unless it is stored in dark containers in a refrigerated environment. People who use unrefined hemp oil generally purchase it in small amounts so that it will not become rancid. The oil is also not suitable for cooking, because it has a very low smoking point. Refined hemp oil is much more shelf stable, although many of the benefits of it are not present after refining.
Now 13, Jackson — whose diagnosis is undetermined — continues to use marijuana every day. (Like many patients, he ingests it in droplet form, which allows for more precise dosing and avoids lung problems.) He still has seizures, but they are less severe and they occur once every week or two, down from around 200 a month before he started using cannabis. He is back in school full time and is well enough to go on hikes and bike rides with his family.
Cannabidiol is one of several cannabinoids, chemical substances found in cannabis plants. Although there are several cannabinoids, CBD and tetrahydrocannabinol (THC) are the two that are most widely known. THC is found in large quantities in marijuana plants – it’s the cannabinoid that’s responsible for most of the psychoactive effects that cause marijuana users to get “high.” Cannabidiol also is found in marijuana plants but only at low levels. The primary source of CBD in nature is the hemp plant, a botanical cousin to marijuana.
Cannabis oil also posses antioxidant properties. This property makes cannabis oil useful in the treatment and prevention of wide variety of diseases, such as ischemic, age-related inflammatory and autoimmune diseases. Cannabis oil may also have a use as neuroprotectants for such things like limiting neurological damage following a stroke or head trauma. It can also be used in the treatment of neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease and HIV dementia.  
Cannabis oils and CBD oils are not the same thing. So what is CBD oil? Cannabidiol (CBD) oil has a high concentration of cannabidiol, while cannabis oil contains both CBD and THC. CBD oil is created by extracting CBD from either the cannabis or hemp plant and then diluting it with a carrier oil like coconut or hemp seed oil. CBD does not produce a euphoric “high” or psychoactive effect because it doesn’t affect the same receptors as THC.

It's a little more uniform when the product is absorbed by smoking or vaping the oil, Ward said. But, "there are obvious concerns about smoking something." A 2007 review published in the journal JAMA Internal Medicine found that smoking marijuana resulted in similar declines in respiratory system health as smoking tobacco. A similar review published in 2014 in The American Journal of Cardiology found that marijuana smoke inhalation can increase the chances of heart attack or stroke. Neither review analyzed the effects of vaping cannabis oil alone, so it's unclear if it has the same health risks as smoking other marijuana products.
In this edition of Cannabis Conversations, Project CBD Director, Martin A. Lee, discusses the benefits of CBD, the "entourage effect" and the microbiome with Dr. Ethan Russo. A neurologist, scientist, and widely published author, Dr. Russo is currently the director of research and development at the International Cannabis and Cannabinoids Institute in Prague (www.icci.science).
As of November 2016, 33 states and the District of Columbia legally allow cannabis for personal medical use. Rules surrounding the use of medical cannabis (medical marijuana) vary by state. The first state in the union to legalize the medical use of marijuana was California in 1996. States that allow medical marijuana include: Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Hawaii, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, North Dakota, New York, Ohio, Oregon, Pennsylvania, Rhode Island, Utah, Vermont, Washington, and the District of Columbia. It is important to recognize that these state marijuana laws do not change the fact that using marijuana continues to be an offense under Federal law.

The medical benefits of cannabinoids have been studied extensively; and cannabinoids and CBD oil have been linked in various studies to reducing chronic pain, treating epilepsy and arthritis, and acting as an anti-inflammatory, among other potential medical benefits. “Typically people [come] to us to use CBD oil to reduce anxiety, reduce muscle spasms, seizures, reduce nerve pain, and inflammation,” Cargile says. It’s also “known to be an antioxidant, [which] is really important in skincare,” she notes, pointing out that antioxidants like vitamin C and vitamin E are often added to lotions. Indeed, antioxidants work to protect the body and skin from damage (like broken-down collagen) caused by free radicals, molecules produced when your body breaks down foods or certain medicines or is exposed to pollutants like cigarette smoke or UV radiation.
Moreover, simple statistical data has been showing that CBD oil and anxiety is one of the most thoroughly  searched topics on the internet, at least in terms of cannabis-related therapies and medical treatments. Specific searches on “CBD oil anxiety,” in fact, have increased exponentially over the last five years. This is modern proof that natural cannabis therapies are beginning to “see the light” in terms of widespread use, and indeed many countless thousands of individuals are already reaping the benefits of the hemp-based compound.
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.

What do you think about CBD? Why offer those alternatives (which are good for everything, it is patently true not just “provable”, while it is probable). I have chronic pain and scoliosis as well as stiffness and fatigue from schizophrenia medication, and CBD is both antipsychotic and minimizes anxiety, as well as assists pain which allows me TO meditate or exercise. I can’t even do those half as effectively without medical marijuana products. Whatever they are proven to do, pot and pot components are thankfully getting proven and studied more rigorously and informatively.

The equivalency factor is not designed to compare the effects of cannabis oil to dried cannabis, or provide dosage information. For many patients, consuming cannabis orally will produce much stronger effects than inhaling it. For example, when considering a product that has an equivalency factor of 12ml of oil to 1 gram of dried cannabis, and a patient who usually consumes 1 gram of dried product a day, this patient will likely use less than 12 ml of oil per day. Even for patients who have previous experience of using cannabis oil, it is recommend that you start with a low dose and go slow.
CBD Isolate is the purest supplement available. It’s a 99% pure CBD supplement derived from hemp oil. Despite its concentration, CBD isolate effects are similar to other CBD concentrates, and it can be used in a variety of ways. It can be consumed itself, added to foods and beverages, or vaporized. You can also add it to other CBD products to increase their potency.
Now 13, Jackson — whose diagnosis is undetermined — continues to use marijuana every day. (Like many patients, he ingests it in droplet form, which allows for more precise dosing and avoids lung problems.) He still has seizures, but they are less severe and they occur once every week or two, down from around 200 a month before he started using cannabis. He is back in school full time and is well enough to go on hikes and bike rides with his family.
When exposed to air, warmth and light (especially without antioxidants), the oil loses its taste and psychoactivity due to aging. Cannabinoid carboxylic acids (THCA, CBDA, and maybe others) have an antibiotic effect on gram-positive bacteria such as (penicillin-resistant) Staphylococcus aureus, but gram-negative bacteria such as Escherichia coli are unaffected.[28]
^ Jump up to: a b Pamplona, Fabricio A.; da Silva, Lorenzo Rolim; Coan, Ana Carolina (12 September 2018). "Potential Clinical Benefits of CBD-Rich Cannabis Extracts Over Purified CBD in Treatment-Resistant Epilepsy: Observational Data Meta-analysis". Frontiers in Neurology. 9. doi:10.3389/fneur.2018.00759. ISSN 1664-2295. PMC 6143706. PMID 30258398.
CBD and THC interact with our bodies in a variety of ways. One of the main ways they impact us is by mimicking and augmenting the effects of the compounds in our bodies called “endogenous cannabinoids” - so named because of their similarity to the compounds found in the cannabis plant. These “endocannabinoids” are part of a regulatory system called the “endocannabinoid system”.
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