So far, though, there’s scant clinical evidence for the claimed benefits of CBD. In June, the Food and Drug Administration approved the first CBD drug, Epidiolex, for treating seizures associated with two rare forms of epilepsy. Otherwise, the FDA doesn’t consider CBD products to be dietary supplements—manufacturers can’t claim the products will diagnose, treat, or cure any diseases. Instead, CBD product literature contains phrases like “restore vitality,” “relax and recover,” and “may keep healthy people healthy.”
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.”
In a series of placebo-controlled studies involving 15 healthy volunteers, Fusar-Poli et al. investigated the effects of CBD and THC on task-related blood-oxygen-level dependent functional magnetic resonance imaging activation, specifically the go/no-go and fearful faces tasks [109, 110]. The go/no-go task measures response inhibition, and is associated with activation of medial prefrontal, dorsolateral prefrontal, and parietal areas [111]. Response activation is diminished in PTSD and other anxiety disorders, and increased activation predicts response to treatment [112]. CBD produced no changes in predicted areas (relative to placebo) but reduced activation in the left insula, superior temporal gyrus, and transverse temporal gyrus. The fearful faces task activates the amygdala, and other medial temporal areas involved in emotion processing, and heightened amygdala response activation has been reported in anxiety disorders, including GAD and PTSD [113, 114]. CBD attenuated blood-oxygen-level dependent activation in the left amygdala, and the anterior and posterior cingulate cortex in response to intensely fearful faces, and also reduced amplitude in skin conductance fluctuation, which was highly correlated with amygdala activation [109]. Dynamic causal modeling analysis in this data set further showed CBD reduced forward functional connectivity between the amygdala and anterior cingulate cortex [110].

Critics contend that the Realm of Caring parents are using their kids as guinea pigs, that not enough studies have been done, that many, if not most, of the claims can be dismissed as the result of the placebo effect. “It’s true, we don’t know the long-term effects of CBD, and we should study it,” Meagan says. “But I can tell you this. Without it, our Addy would be a sack of potatoes.” No one asks, she notes, about the long-term effects of a widely used pharmaceutical that has been routinely prescribed for her two-year-old. “Our insurance pays for it, no questions asked,” she says. “But it’s highly addictive, highly toxic, turns you into a zombie, and can actually kill you. And yet it’s perfectly legal.”


My husband has RSD and we are considering CBD oil -= I would ask at Hempmed because the spray won't have enough in it. Our dgt';s friend has ovarian cancer and it is shrinking her tumors but the spray would never have been enough. I would get CBD oil and check with Hempmeds to see what they suggest. It isn't cheap but it does work. LOW dose Naltrexone about 4.5 mg is very helpful for RSD and is usually used for getting people off of drugs but is working on turning off the glial cells that surround the nerve that is causing the nerve to scream in pain. We are also using PeaPure that is out of the Netherlands and we are seeing a response, even though small. His other leg touched the painful leg without causing more severe pain. That is progress. We also are using Poison Ivy Cream through Meadowlake Farms that has helped the burning surface pain. Change your diet and get rid of Gluten and Sugar, anything that causes inflammation. This is to allow your own body to work. Absolutely do not use any pain killers as it will turn up your pain. all the Hydrocodone, etc causes neural inflammation and so it will keep cascading higher your pain. Hope this is helpful. Mary
Results indicated that CBD significantly reduced subjective measures of anxiety as evidenced by changes in VAMS scores.  Neuroimaging data revealed decreased ECD-tracer uptake when participants received the CBD compared to when they took the placebo.  Particularly, activity in the left amygdala-hippocampal complex and the left posterior cingulate gyrus decreased following CBD administration.
It’s taken me a while to get on the CBD kick but the more I research, the more excited I am about it, and…. the more disappointed I am in our society that there are so many politics involved with hemp. I sell CBD oil with Kannaway (https://kannaway.com/3623402) and education is key. I know people that hesitate to use CBD oils because they just cannot separate CBD and THC in their minds. I’m convinced, though, that we’re going to break through and help retrain the people about the need for CBD. Yes Zoloft helped me with anxiety related to PTSD but CBD helped with that and got me healthy and less foggy and more energy and able to sleep… the list goes on and on. I cannot watch a Parkinson’s impact video with crying; the things CBD oil can do is nothing short of amazing. Everyone needs CBD oils.
I ended up trying it for the first time about three days later. I started getting that same old butterfly in the stomach type feeling that I always get when my anxiety creeps up, and I found that as the day went on at work, it was getting gradually worse (and for absolutely no reason at all, like always). So I decided as soon as I got home, I was going to try the oil.
Sourcing: In addition to formatting of CBD, the sourcing may make a difference in terms of quality. The modality of CBD extraction used to isolate the CBD may affect its quality and efficacy.  Examples of some common extraction techniques include: carrier-oil extraction, CO2 extraction, and alcohol extraction.  Implications of sourcing and extraction techniques should be considered by researchers.
If you are suffering from pain which is preventing you from having a good nights sleep, then CBD Essence may be the solution. CBD essence has quite a unique extraction process which involves state-of-the-art technology and high-grade hemp that goes through some of the most rigorous testing. This allows them to produce a product that is rich in hemp extract, and contains several key ingredients found in the Cannabis plant.
CBD is showing real promise as a compound that can contribute to protecting the brain, thanks to its anti-oxidant and anti-inflammatory abilities. Scientists are investigating its role in neurogenesis and its ability to help the brain heal from injury, and as a treatment for neurodegenerative disease. Research suggests that CBD may help to reduce brain damage from stroke or other neurological injury. And CBD is increasingly looked to as a possible therapy for several neurodegenerative diseases, including Parkinson’s, Alzheimer’s, and multiple sclerosis.
Of course, parents who desperately want to find something—anything—that will help their sick children, don’t have the luxury of caring whether CBD is classified as a drug or a supplement, or whether they get it from a doctor or an online retailer. One reason why people are willing to trust companies like HempMedsPx is that, for some, CBD oil does seem to work.
As noted in the previous section, CBD oil prices vary significantly by brand. The best practice for most is to determine a per-milligram budget for CBD oil, as well as a maximum price for the entire bottle. For example, you might decide that 10 cents per milligram or less is a reasonable budget; and that $45 (for a 450-mg concentration, based on the budget) is a maximum bottle price. Also, if ordering online, be sure to include potential shipping costs.
Kent, My mother has suffered from severe migraines since she was a child. Six weeks ago, she received the hemp oil tincture (I do not know what dosage). She does not take it daily. She rubs a drop or two on her temples at the start of a migraine. The drops worked more effectively for her than her medication did, and now that is all she uses. Hope this helps.
"There's a certain level of individualized dosing with this ingredient, which makes it challenging," says Shunney. "And think about the dynamic balance our bodies have with how we're responding to stress all the time; it's going to vary from person to person." The reality is, it can take one person 15 minutes to feel the effects of CBD and another person 70 minutes. And it'll involve a fair amount of trial and error to figure out what dosage is right for you.

Unknown long-term: The long-term effects of cannabidiol aren’t well understood. In just the past few years, the substance has received more mainstream attention and is increasing in popularity.  As more scientific studies support its safety and efficacy as a treatment for medical conditions, more data will be gathered from long-term users.  As of now, we aren’t sure whether there could be any detrimental long-term effects of cannabidiol – especially when used by minors.


Is it possible that some types or “strains” of hemp extracts used for CBD tinctures/capsules could actually increase a persons anxiety and insomnia? I’m a chiropractor and I personally use and sell CBD products in my office. I sell a few different brands. I have had several patients complain about a new higher dosage (50mg per serving) brand saying it actually increased their anxiety, increased their heart rate and prevented them from sleeping well. I have a few other patients that say that this same brand has been very useful in pain relief. Does this have more to do with the terpene profile that the amount of CBD?
Hi Diane, how did you go on with the CBD oil please. If it worked how long before you saw any results. I'm scared of flaring everything. Nerve damage across buttocks from a surgeon who found the nerve stuck to the bulge during a laminectomy operation and prised it off. I haven't sat for 5 years and getting worse. A muscle in my buttock is now throbbing constantly and causing pain to the muscle above. I've only started taking it today but the muscle pain is still as painful. Does it take a while for it to work. Only started on low dose to see what happens. Thank you Lyn
At Noho’s Finest, a medical marijuana dispensary in the Los Angeles area, Damaris Diaz checks the scent and stickiness of her products. Crossbreeding has yielded powerful new hybrid strains that are much higher in psychoactive THC than those in decades past—a source of concern for health officials, who cite evidence that the prolonged smoking of high-THC varieties can adversely affect the developing brain.

@lalyfa In 2010 I went off a cocktail of psychotropics including antidepressants, antianxiety and antipsychotics cold turkey. The meds were wrong for me and the withdrawal was severe and I rarely slept, had RLS, neuropathy and cranky beyond words. Some of these meds took 9+ months to clear my system. Be sure to follow doctor's advice. I did not have a doctor at the time and would not go to the ER knowing it would have resulted in more abuse. Not an intelligent thing to do and not sorry I made the choice even though the experience was horrific and would not reccomend anyone go this route. As to how long the withdrawal lasts the best thing is to discuss this with a pharmacist as this is where their training is and they understand much better and be of help. Wishing you the best.
Cannabidiol (CBD), a Cannabis sativa constituent, is a pharmacologically broad-spectrum drug that in recent years has drawn increasing interest as a treatment for a range of neuropsychiatric disorders. The purpose of the current review is to determine CBD’s potential as a treatment for anxiety-related disorders, by assessing evidence from preclinical, human experimental, clinical, and epidemiological studies. We found that existing preclinical evidence strongly supports CBD as a treatment for generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive–compulsive disorder, and post-traumatic stress disorder when administered acutely; however, few studies have investigated chronic CBD dosing. Likewise, evidence from human studies supports an anxiolytic role of CBD, but is currently limited to acute dosing, also with few studies in clinical populations. Overall, current evidence indicates CBD has considerable potential as a treatment for multiple anxiety disorders, with need for further study of chronic and therapeutic effects in relevant clinical populations.
@parus i just got my certification for medical marijuana. Upon buying what was recommended I was given CBD oil, I’ve not been on it a week yet today will be my fourth day of using it. It takes about 1/2 hour to work but it seems to help. They also gave me a cannabinol patch to use at night fir the severe itch in my head from the shingles. Also a vape two puffs as needed for the itch break through which I have not tried yet. I’m a bit anxious about using it.
Hi. I really do believe it depends on the mg & ratio of the CBD to THC. My first try at high CBD : low THC tincture oil was with Humboldt Anthropology 16:1. I started off with 2 drops twice a day after 3 days I went to 4 drops twice a day. After a few daysof that I went up to 6 drops and then 8 drops and then 10 drops twice a day. 10 drops twice a day was a perfect dosage for me. FINALLY no pondering worries or fears from all the “what if’s”. If I didn’t want to think about something I had control over not thinking about it. It was an amazing feeling. It was complete FREEDOM. Sadly the dispensary I use no longer has the Humboldt Anthropology 16:1 tincture. Last week I moved on to my first trial with a different brand. They recommend Jayden Juice 28:1 tincture 2 to 3 drops twice a day. Very 1st dose tried 4 drops(because I was up to 10 with my other tincture) and felt weird. Kinda spaced or like a head change. Not sure if it was my tincture or the fear (my anxiety) of trying something different. Didn’t like that feeling one bit. My second dose for the day I took 2 drops. With that said I took 2 drops twice a day for a couple of days. I could feel the anxiety stirring around within me. That warm tingling feeling in my chest and arms. All the “what if” thoughts are far off in the back ground of my mind. Crazy thing because I haven’t felt that feeling in over a year while taking Humboldt Anthropology 16:1 even after the passing of our son this past Aug. As of yesterday I started 3 drops twice a day with the Jayden Juice 28:1 that I currently have. Praying that I can make this work for me. $80 for .05 oz is a tad pricey, “what if” it doesn’t work for me.
Lidicker added that people’s responses have a lot to do with how they personally process the product, and how cannabinoid receptors are distributed throughout the body. This is why it’s also difficult to standardize dosing recommendations for CBD. I was administering 0.5 ml of CBD oil under the tongue about half an hour before bed every night (that was the amount recommended on the bottle), but it’s worth noting that the concentration of cannabidiol may vary by product and that some people require more or less to feel the effects.
I just started taking CBD oil , I am on my 2nd Hip replacement surgery due to device failures looking at a 3rd surgery. Has you can imagine the pain, stress and anxiety levels are off the charts. Especially at an otherwise healthy 54 yr women. So i understand from reading posts its best to take it under the tongue. I am taking 1-2 ml a day. I can tell some difference,is your recommended dosage. I am using for pain , stress and sleep. I appreciate your feedback.
When appropriate doses of CBD are taken during the day (which should be determined in consultation with your doctor, but often include one dose in the morning and one in the evening), daytime performance is drastically improved, and in turn, both the “strength and consistency” of the sleep-wake cycle is also improved. Naturally, this enhances the ability of the body to enter the all-important non-REM sleep cycle at night.
FDA DISCLOSURE Representations regarding the efficacy and safety of Rosebud CBD have not been evaluated by the Food and Drug Administration. The FDA only evaluates foods and drugs, not supplements like these products. These products are not intended to diagnose, prevent, treat, or cure any disease. Click here (https://www.ncbi.nlm.nih.gov/pubmed/22625422) and here (https://www.ncbi.nlm.nih.gov/pubmed/18728714) to find evidence of a test, analysis, research, or study describing the benefits, performance or efficacy of CBD Oil based on the expertise of relevant professionals. These statements have not been evaluated by the FDA and are not intended to diagnose, treat, or cure any disease. Always check with your physician before starting a new dietary supplement program. The Cannabidiol (CBD) in Rosebud CBD is a natural constituent of industrial hemp plant and grown in the United States of America. Rosebud CBD does not sell or distribute any products that are in violation of the United States Controlled Substances Act (US CSA).
Every person has their own tolerance and reactivity threshold. Hence, we would advise you to consult your doctor who can set the CBD dose you need to put you into sleep. However, the best way to calculate your customized dosage is by starting at a low amount and increasing it gradually thereon, until the desired effects are met. Be careful not to overdose.
Combining the powerful properties of CBD with a unique mix of herbs and other all-natural ingredients, this Hemp Signature Blend from Bluebird Botanicals offers real and effective relief from the symptoms of inflammation. Designed to support your body and soothe your joints, this is CBD oil redefined. The fascinating inclusion of frankincense carteri, black cumin seed, cold-pressed oil, and rosemary extract marks this out as something special.
Subjects were instructed to abstain from alcohol for 24 h and caffeine for at least 24 h before each visit to the laboratory. Subjects who reported having less than 6 h of sleep the previous night were excluded from the trial. After at least 8 h of fasting, subjects were instructed to have a light, standardized meal 2 h before the experiment. For the present study, a randomized, double blind, and crossover model was used. Once one volunteer gave up participating the study, the 26 participants were assessed on two different occasions, in a 2-week interval, with identical procedures except for the substance that was administered. In each visit, participants were first submitted to a cognitive and subjective evaluation, then an oral dose of CBD (300 mg) or placebo was administered 30 min before the polysomnographic recordings began.
The first time I decided to take BioCBD+ was on a whim.  I had just finished work and didn’t have much to do the rest of the day.  I had been reviewing the literature on cannabidiol and talked myself into trying an extremely low dose.  I popped one capsule of BioCBD+ at 10 mg and continued on with some household chores including: dishes, cleaning, and folding laundry.
In Colorado, chronic pain is by far the number one qualifying condition for a medical marijuana card. Chronic main manifests in several different ways. A broken ankle that never fully recovered, arthritis, migraines, and so on — all of these reasons may contribute to pain in the body and be keeping you up at night. CBD is diverse, complex, and incredibly efficient. CBD has anti-inflammatory properties, so it will find the pain, decrease inflammation, and provide relief.

My racing thoughts seemed to come to a screeching halt within an hour of taking it, and when I got into bed I fell asleep as soon as my head hit the pillow. Even better, I woke up feeling refreshed and ready to take on the day. And this isn’t unusual: As Michael Breus, a clinical psychologist and board-certified sleep specialist, explained in a 2017 HuffPost article, there’s a good chunk of research to suggest that CBD can be beneficial for rest. Research shows CBD may increase overall sleep amounts and reduce insomnia. CBD has also been shown to improve sleep in people who suffer from chronic pain.
I should preface this segment by documenting the specific type of CBD that I ingested.  I purchased the supplement BioCBD+, a product that received solid customer feedback online and appears to have high-quality manufacturing standards.  What’s more is that the product incorporates Hybrid-NanoEngineering technology which is thought to increase the bioavailability of orally administered CBD by 10-fold.
Several complexities of the eCB system may impact upon the potential of CBD and other CB1R-activating agents to serve as anxiolytic drugs. First, CB1R agonists, including THC and AEA, have a biphasic effect: low doses are anxiolytic, but higher doses are ineffective or anxiogenic, in both preclinical models in and humans (reviewed in [33, 45]). This biphasic profile may stem from the capacity of CB1R agonists to also activate TRPV1 receptors when administered at a high, but not low dose, as demonstrated for AEA [46]. Activation of TRPV1 receptors is predominantly anxiogenic, and thus a critical balance of eCB levels, determining CB1 versus TRPV1 activation, is proposed to govern emotional behavior [27, 47]. CBD acts as a TRPV1 agonist at high concentrations, potentially by interfering with AEA inactivation [48]. In addition to dose-dependent activation of TRPV1 channels, the anxiogenic versus anxiolytic balance of CB1R agonists also depends on dynamic factors, including environmental stressors [33, 49].

Schematic representation of the participants selection and of the protocol – this was a four period crossover study. CBD, cannabidiol; ESS, Epworth Sleepiness Scale; PSQI, Pittsburgh Sleep Quality Index; PSG, polysomnography; PVT, Psychomotor Vigilance Test; STAI, State-Trait Anxiety Inventory; TCLE, written informed consent form; VAMS, Visual Analog Mood Scale; WAIS, Wechsler Adult Intelligence Scale.

If you have been diagnosed with an anxiety disorder and/or are dealing with significant stress, have you tested CBD oil as an intervention?  Assuming you have tried CBD oil, share your experience in the comments section below.  To help others get a better understanding of your situation, include details such as: type of anxiety you have (e.g. social phobia), the dosage of CBD you took, and how effective it was for attenuating your anxiety (on a scale of 1 to 10).

Very detailed and well researched article, thank you. I would like to highlight the possibility of using CBD suppositories as well, since the bioavailability of rectal administration can reportedly reach up to 70%, compared to 6% via oral ingestion or 30% when vaporized. I have even heard of people who produce their own suppositories or simply inject a mixture of CBD and organic edible oils with a syringe. Might not me the most pleasant option, but obviously very efficient.

There are an array of speculative advantages associated with using CBD [oil] as a treatment for anxiety.  The agent appears effective for reducing many different types of anxiety and stress when administered on an acute, single-dose basis.  In addition to reducing anxiety, preliminary research suggests that CBD may enhance mood, reduce inflammation, improve sleep quality, and preserve healthy brain function.  Compared to traditional anxiolytics, CBD isn’t associated with any significant side effects nor substantial contraindications, thereby making it an appealing investigational treatment.
The good news is that most of the official research done on CBD oil has shown that there are very few negative side effects from using it. However, CBD is not without some side effects. Most notably, in the clinical studies for epilepsy, sedation was one of the more common side effects. Decreased appetite and diarrhea were also seen in some patients. Depending on what other medicines they are taking, certain patients may need to have periodic blood tests to check on liver function.
Efficacy: While it is impossible to confirm that CBD will effectively reduce anxiety in all users, most evidence indicates that it is likely to provide benefit when ingested at a sufficient dosage (600 mg – orally) on an acute basis. In other words, most people seeking immediate relief from anxiety will likely feel significantly less anxious after using CBD than if they had ingested a placebo.  Placebo-controlled studies have already documented the efficacy of acute CBD administration for anxiety.
Hi Dr. Kevin. Thanks for your question. I have seen people react differently to CBD. For some, yes it can help them relax and sleep. For others, it can make them feel more energetic. And yes, unfortunately for some it may increase their anxiety. For those people, CBD would not be a good fit. You made a good observation about the possibility this has to do with the terpenes involved. There are some theories about that but I have no definitive knowledge on that being the cause.
Cannabidiol is insoluble in water but soluble in organic solvents such as pentane. At room temperature, it is a colorless crystalline solid.[42] In strongly basic media and the presence of air, it is oxidized to a quinone.[43] Under acidic conditions it cyclizes to THC.[44] The synthesis of cannabidiol has been accomplished by several research groups.[45][46][47]
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Although the science is still unclear on the subject, cannabis oil is being considered as a natural cancer treatment as well as cancer preventer option because it may decrease the size of tumors and alleviate nausea, pain, lack of appetite and weakness. The U.S. Food and Drug Administration has not approved alternative cannabis oil cancer treatment or use of cannabis oil for any other medical condition, but research shows that it has some anti-cancer properties.
Sample sizes: As was already mentioned, the sample sizes used to test the effects of CBD for anxiety were relatively small-scale. Although the results from these small-scale studies may be accurate, larger-scale trials (with larger sample sizes) are warranted to confirm preliminary outcomes.  A therapeutic effect found in just 10-20 patients may not hold up in a group of several hundred.
CBD for sleep has shown to hold significant benefits, with findings suggesting CBD to have powerful anxiolytic effects in both animal and human test subjects. In a human study, researchers investigated the possible anxiolytic action of CBD in experimentally-induced anxiety in healthy volunteers, using the simulated public speaking (SPS) model. When CBD and a placebo were administered to two test groups with Social Anxiety Disorder (SAD), they found that levels of anxiety in the group who were given the placebo were far higher than those who received CBD; whom performed similarly to healthy controls in some measures.
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The interesting thing about CBD and sleep is that in small to medium doses, CBD is mildly alerting – stimulating the same receptors as caffeine. However, several patients with insomnia report that consuming CBD oil (in tincture or extract form) a few hours before bed leads to a great night’s sleep. So why do the anecdotal results contradict the reported medical studies? 
Possession or manufacture of cannabis and cannabis extracts is illegal in most jurisdictions. People caught with small amounts of extracts can face extremely harsh prison sentences. As of 2017 in some regions of the United States mandatory minimums of a year in jail still exist. However, it is widely produced in states where cannabis has been legalized.[1]
Mood enhancement: While CBD isn’t known for provoking a euphoric high, there’s some evidence to suggest that it may enhance mood. Research in animal models notes that CBD yields a combination of anxiolytic and antidepressant effects.  That said, this research cannot be generalize to humans.  If you’re severely depressed, don’t expect CBD to treat your depression.  However, the fact that the drug targets the 5-HT1A receptor and CB1/CB2 receptors suggests that it could improve mood in certain individuals.
Even without changes at the federal level, there are steps that states could take on their own to make the CBD market safer. States with broad marijuana legality or CBD-only measures could mandate the calibration and regulation of testing labs, and use them to conduct safety testing. They could fund research into the benefits, dosing, and drug interactions of CBD through their public university systems. Medical boards could redouble efforts to educate physicians in what research exists regarding medical marijuana in all its incarnations, so that doctors are prepared to prescribe and manage these medications as they become available.

I have crohns dibeates 2 stage kidney failure I take 6000 mg of chemicals a day when I get a flair l might lose a lot of blood I've had fistula surgery once darn mean killed me 2 more just gut surgerys little bit of gut removed I tease my gut doctor he schoold just put in a zipper any way I'm looking for something natural to try for pain also where I live if you get caught automatic life so the delima begins how much would any one suggest starting out with thanks for your time also compared to most of the folks mine seems like a minor problem on this site but I would appreciate some advice I hope all you folks have good lives and remember god always loves you even though sometimes you think he may have forgotten you
McGuire published his own study in August, in which CBD was shown to reduce psychotic episodes in people with schizophrenia. The daily dose was 1,000mg of pure CBD. And a study in which CBD seemed to ease anxiety, published in Nature in 2011, administered a single dose of 600mg, an hour and a half before giving participants a public speaking task. These larger doses contrast with that found in, say, Botanical Labs’ CBD drink. Rebekah Hall, the company’s founder, says her drink is for recreational rather than medicinal purposes and “the amount of CBD per batch is constant and precise, at 2mg per bottle”. A daily dose of two hemp capsules made by Nature’s Plus offers 15mg of mixed “plant cannabinoids” without a specific CBD count.

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