Adverse effects of cannabinoids on immune function have been observed in experimental animals at doses 50–100 times the psychoactive level (Cabral 2001). In four patients using herbal cannabis therapeutically for over 20 years, no abnormalities were observed in leukocyte, CD4 or CD8 cell counts (Russo et al 2002). Investigation of MS patients on Cannador revealed no major immune changes (Katona et al 2005), and similarly, none occurred with smoked cannabis in a short-term study of HIV patients (Abrams et al 2003). Hematological measures have been normal in all Sativex RCTs without clinical signs of immune dysfunction.
Cognitive effects of cannabis have been reviewed (Russo et al 2002; Fride and Russo 2006), but less study has occurred in therapeutic contexts. Effects of chronic heavy recreational cannabis usage on memory abate without sequelae after a few weeks of abstinence (Pope et al 2001). Studies of components of the Halstead-Reitan battery with Sativex in neuropathic pain with allodynia have revealed no changes vs placebo (Nurmikko et al 2007), and in central neuropathic pain in MS (Rog et al 2005), 4 of 5 tests showed no significant differences. While the Selective Reminding Test did not change significantly on Sativex, placebo patients displayed unexpected improvement.
If you’re just diving into the world of CBD, we recommend a starting serving size of two to three milligrams. From there, you can work your way up to 100 or even 200 milligrams, after you’ve taken the time to gradually observe how CBD affects your body and mind. Remember, you cannot overdose on CBD, and there are no reported side effects from using high concentrations.
The researchers leading many of the studies on marijuana extracts and obesity are affiliated with the UK’s GW Pharmaceuticals, which makes me cringe that pharmaceutical companies are going to make some kind of very expensive CBD-based weight loss drug. But regardless of motive, in these studies, the researchers found that the two compounds, THCV and cannabidiol, boosted metabolism, and reduced levels of liver fat, and blood cholesterol. These same compounds also made mice more sensitive to insulin, protected the cells that produce insulin, and increasing metabolic rate – all while suppressing the appetite. Nice.
Among the company’s many offerings is Real Scientific Hemp Oil, which it sells through its subsidiary HempMedsPx, also based in Poway. On its web site, HempMedsPx describes how its hemp “is grown in northern European microclimates, without the use of any pesticides, herbicides or chemical fertilizers.” The company promises that it “continuously scrutinizes and improves the processes to meet all regulations and exceeds quality standards.”
If you live in a state where medical marijuana is legal and available, look for CBD products made from high-resin cannabis (rather than low resin industrial hemp) that are sold in medical marijuana dispensaries. Unregulated hemp-derived CBD-infused products of varying quality are also available via dozens of internet storefronts. Many of these products are mislabeled. Compared to whole plant CBD-rich cannabis, industrial hemp grown for fiber or seed is typically low in cannabinoid content. A huge amount of fiber hemp is required to extract a small amount of CBD, thereby raising the risk of contaminants because hemp, a bioaccumulator, draws toxins from the soil. That’s a great feature for restoring a poisoned ecosystem, but it’s not recommended for extracting medicinal oil. Heavily refined CBD paste or terpene-free CBD isolate crystal is poor starter material for formulating CBD-rich oil products. The debate over sourcing CBD from cannabis rather than hemp will soon be moot as plant breeders succeed in developing high-resin CBD-rich cannabis varietals with lass than 0.3% THC, the arbitrarily designated legal limit for hemp.
Cannabidiol, a non-euphoriant phytocannabinoid common in certain strains, shares neuroprotective effects with THC, inhibits glutamate neurotoxicity, and displays antioxidant activity greater than ascorbic acid (vitamin C) or tocopherol (vitamin E) (Hampson et al 1998). While THC has no activity at vanilloid receptors, CBD, like AEA, is a TRPV1 agonist that inhibits fatty acid amidohydrolase (FAAH), AEA’s hydrolytic enzyme, and also weakly inhibits AEA reuptake (Bisogno et al 2001). These activities reinforce the conception of CBD as an endocannabinoid modulator, the first clinically available (Russo and Guy 2006). CBD additionally affects THC function by inhibiting first pass hepatic metabolism to the possibly more psychoactive 11-hydroxy-THC, prolonging its half-life, and reducing associated intoxication, panic, anxiety and tachycardia (Russo and Guy 2006). Additionally, CBD is able to inhibit tumor necrosis factor-alpha (TNF-α) in its own right in a rodent model of rheumatoid arthritis (Malfait et al 2000). At a time when great concern is accruing in relation to NSAIDs in relation to COX-1 inhibition (gastrointestinal ulcers and bleeding) and COX-2 inhibition (myocardial infarction and cerebrovascular accidents), CBD, like THC, inhibits neither enzyme at pharmacologically relevant doses (Stott et al 2005a). A new explanation of inflammatory and analgesic effects of CBD has recently come to light with the discovery that it is able to promote signaling of the adenosine receptor A2A by inhibiting the adenosine transporter (Carrier et al 2006).
But now, as more and more people are turning to the drug to treat ailments, the science of cannabis is experiencing a rebirth. We’re finding surprises, and possibly miracles, concealed inside this once forbidden plant. Although marijuana is still classified as a Schedule I drug, Vivek Murthy, the U.S. surgeon general, recently expressed interest in what science will learn about marijuana, noting that preliminary data show that “for certain medical conditions and symptoms” it can be “helpful.”
The glutamatergic system is integral to development and maintenance of neuropathic pain, and is responsible for generating secondary and tertiary hyperalgesia in migraine and fibromyalgia via NMDA mechanisms (Nicolodi et al 1998). Thus, it is important to note that cannabinoids presynaptically inhibit glutamate release (Shen et al 1996), THC produces 30%–40% reduction in NMDA responses, and THC is a neuroprotective antioxidant (Hampson et al 1998). Additionally, cannabinoids reduce hyperalgesia via inhibition of calcitonin gene-related peptide (Richardson et al 1998a). As for Substance P mechanisms, cannabinoids block capsaicin-induced hyperalgesia (Li et al 1999), and THC will do so at sub-psychoactive doses in experimental animals (Ko and Woods 1999). Among the noteworthy interactions with opiates and the endorphin/enkephalin system, THC has been shown to stimulate beta-endorphin production (Manzanares et al 1998), may allow opiate sparing in clinical application (Cichewicz et al 1999), prevents development of tolerance to and withdrawal from opiates (Cichewicz and Welch 2003), and rekindles opiate analgesia after a prior dosage has worn off (Cichewicz and McCarthy 2003). These are all promising attributes for an adjunctive agent in treatment of clinical chronic pain states.
Further testing found what the world now knows: This compound is the plant’s principal active ingredient, its mind-altering essence—the stuff that makes you high. Mechoulam, along with a colleague, had discovered tetrahydrocannabinol (THC). He and his team also elucidated the chemical structure of cannabidiol (CBD), another key ingredient in marijuana, one that has many potential medical uses but no psychoactive effect on humans.
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The cost of treatment varies: Depending on the dispensary and the dosage, it can range from around $100 a month to more than $1,000. Despite the cost, which is not covered by insurance, CBD medicines are drawing great interest for children with severe, intractable epilepsy. California and Colorado, which were among the first states to legalize medical marijuana, have become hot spots for such patients. Before other states legalized medicinal CBD use, some families moved to these states so they could have access to the compound.
Charlotte’s Web 35mg Hemp Plus Capsules are excellent products for all-day relief. When consuming CBD orally, higher doses are recommended. At 35 milligrams, these capsules provide a moderate dose of CBD oil that is slightly greater than the standard dose recommended for consumers hoping to take CBD as a tool for wellness. Containing laboratory-tested and broad-spectrum hemp oil, Charlotte’s Web CBD has a reputation for providing some of the highest quality products on the market.
As with a fermented food like kombucha, slight natural variations are normal and to be expected in a product such as CBD oil because it is made from living plants. Changes in the weather, soil, and water can all impact the biology of the source material. While we verify Certificates of Analysis (and take many other criteria into consideration during our review process), even the most reputable five-star companies have no way to control for every variable in this organic process.
I sustained a brain & spine injury 4.5 years ago. I’ve followed all therapies religiously & taken meds as instructed but have not responded as my dr’s & ot’s/pt’s would like. I still have 3 herniated discs in my neck, double vision, chronic headaches, and neck, upper back & shoulder pain. My neuro had me on 2 different muscle relaxants, an anti-convulsant, sleep aid, anti-depressant, and anti-anxiety medications, so I was also on meds to deal with the side effects of those meds. I was so sedated that 3mos ago I fell during the night and re-concussed. My neuro’s solution was to increase my sleep aid so I wouldn’t sleep walk. Instead I took back my health and began reducing my medications. I heard about cbd 6wks ago & haven’t looked back. I’m currently at 600mg, am off the sleep aid & 1 muscle relaxant entirely, have the other relaxant at 50% dose, and have begun lowering the anti-convulsant dose. I haven’t taken the anxiety med at all and will begin working on the anti-depressant with my other dr soon. I feel better and have more energy and less pain than I ever did when taking all those meds. I still have word lapses and my brain feels “off”, but overall I feel more present. A huge surprise side effect has been weight loss – I gained 70lbs the first 8mos of my injury through inactivity and courses of prednisone and STRUGGLED to lose it. Since taking cbd I’ve lost 15lbs with no other changes. I’ll continue to work on my dose as I reduce the remainder of my prescription meds. I still feel aching soreness even pain when I’ve increased activity levels, but I have a lot of damage to my cervical vertebrae so know I may need to increase my daily cbd dose or carry a quick delivery smaller dose with me to supplement what I normally take. Before my injuries I was an athlete training to qualify for the U.S. open/masters team. Since then, Ive lived with limited range of motion and have been told I’ll never be able to return to the activities I’ve done in the past and certainly will never do impact activities again. I’ve lost significant time with my family because of this. I now have my sights on activity again and am slowly doing more with my them. I’m realistic and will see where things go in terms of returning to impact activities, but just by controlling the pain to this degree, cbd is literally giving me back my life.
"As far as I know, CBDs are compatible. My daughter was on several epileptic meds while using MMJ and CBDs. Also as you know CBDs often help with Type 2 diabetes, but not so much with Type 1. However you should continue to monitor closely. My numbers have dropped a little since using CBD. As far as adding CBD to your routine, as always, start slow and build."
I’ve been reading a lot about hemp vs. marijuana derived etc. but my major reasons for looking into this are a strong family history of Alzheimers/Parkinsons, depression, anxiety, learning disabilities and ADD with some members of the family having insulin resistance, pre-diabetes, and obesity. CBD oil has very little THC–isn’t that the chemical that is helpful w/ Alzheimers prevention? Is there a product w/ more–but not illegally more–THC? Thanks so much.
In an interview with the Herald Times Online, Dr. Gary Gettelfinger, who practices out of the Indiana University Health Pain Center, said he is thrilled with Indiana’s new law allowing CBD to be legally sold in Indiana. “I’m excited for my patients,” Gettelfinger said. “The fact of the matter is, (CBD) is working, and nothing good ever came without a fight.”
Did you know that the number one reported condition for medical marijuana cards is pain? In Colorado, 92% of patients, over 86,000 people, use cannabis to treat their chronic pain. Research on CBD and pain management has shown great promise and people are increasingly turning to cannabinoid therapy as the harms of opioids garner more attention and scrutiny.
My question is specifically regarding CBD interactions with the endocannabinoid or limbic system and a mention made in your post regarding homeostasis. In April of this year I got a tube of "high CBD" oil which was foul tasting and made me gag. It did not sit well and my digestion went off. The company said that there was nothing wrong but by the end of the month I was in trouble. I stopped taking CBD and basically had an emotional breakdown. I went to a therapist to find out how and why I had basically lost homeostasis – precisely how I summarized my condition.
It is a strict violation of the Food and Drug Administration DSHEA guidelines to make medical claims about the efficacy of CBD products in the treatment of any medical condition or symptom. Although preliminary research has shown tremendous promise of CBD oil helping people in pretty remarkable ways, legitimate CBD companies will refrain from making any direct medical claims. Be very wary of companies that defy this guideline, because if they disregard this particular rule, what other rules are they willing to ignore?
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