Dosage: It is relatively difficult to determine the optimal dosage of CBD for anxiety. CBD is thought to have an extremely low bioavailability when administered orally as a standalone agent. The standard dosage used in research is around 600 mg for anxiolytic effects, but this is in an oral format which has a bioavailability of around 6%. Perhaps even higher dosages and/or cofactors are necessary to improve oral absorption. (Source: www.mdpi.com/1424-8247/5/5/529/pdf).
My trouble falling asleep has never been a major problem. But when I recently learned that nearly 60 percent of people taking cannabidiol—better known as CBD, one of the over 80 compounds found in the marijuana plant—are doing it to help with sleep, I was intrigued. (That stat's according to a survey conducted by Brightfield Group and HelloMD, an online community that brings doctors and cannabis patients together.)
Overall, preclinical evidence supports systemic CBD as an acute treatment of GAD, SAD, PD, OCD, and PTSD, and suggests that CBD has the advantage of not producing anxiogenic effects at higher dose, as distinct from other agents that enhance CB1R activation. In particular, results show potential for the treatment of multiple PTSD symptom domains, including reducing arousal and avoidance, preventing the long-term adverse effects of stress, as well as enhancing the extinction and blocking the reconsolidation of persistent fear memories.
While researching for this blog, we discovered some major disparities between the findings in scientific studies and the anecdotal evidence of regular CBD users. Unfortunately, the academic research is fundamentally flawed, and in some cases, seemingly compromised by a conflict of interest. Similarly, it can be difficult to conclude the true nature of anecdotal arguments.
Dr. Will Cole, leading functional-medicine expert, consults people around the world via webcam at www.drwillcole.com and locally in Pittsburgh. He specializes in clinically investigating underlying factors of chronic disease and customizing health programs for thyroid issues, autoimmune conditions, hormonal dysfunctions, digestive disorders, and brain problems.Dr. Cole was named one of the top 50 functional-medicine and integrative doctors in the nation and is the author of Ketotarian in which he melds the powerful benefits of the ketogenic and plant-based diets.
Still, for many, cannabis has become a tonic to dull pain, aid sleep, stimulate appetite, buffer life’s thumps and shocks. Pot’s champions say it peels back layers of stress. It’s also thought to be useful as, among other things, an analgesic, an antiemetic, a bronchodilator, and an anti-inflammatory. It’s even been found to help cure a bad case of the hiccups. Compounds in the plant, some scientists contend, may help the body regulate vital functions—such as protecting the brain against trauma, boosting the immune system, and aiding in “memory extinction” after catastrophic events.
The 44,000-square-foot building hulks across from a police station in an industrial part of Denver, along a gritty stretch of converted warehouses that’s come to be known as the Green Mile. There’s nothing to indicate the nature of the enterprise. The door buzzes open, and I’m met by the chief horticulturist of Mindful, one of the largest cannabis companies in the world. A druidlike 38-year-old with keen blue eyes, Phillip Hague wears fatigues, hiking boots, and the incredulous grin of someone who—through a confluence of events he never imagined possible—has found his exact life’s calling.
Here’s my experience: started with insomnia in 2011 that led up to a vicious circle insomnia/anxiety/depression. Took all kinds of sleeping pills/benzodiazepines for around 3-4 years straight until I decided to stop. Yoga, meditation, binaural beats, smoking pot, you name it. I started reading about CBD like 2 months ago and decided to give it a try. I live in Europe so I was able to get my hands in a product that’s a mix of CBD and melatonin. So far it has been working great if I take it after exercising for around 1 hour at the gym. It works well but in moments of high stress it has no effects at all. As soon as I get worried about anything, or if I get sick I’m not able to sleep at all even if I take the whole bottle of CBD oil, I honestly don’t know why, I guess it’s very “mental” but in general I sleep very well after taking CBD oil.
It was the seizures that tipped Penny off that something wasn’t right with Harper after she and her husband Dustin brought her home from the hospital as a newborn. Several months later, having tried a battery of epilepsy medications and still without a diagnosis, Penny and Dustin flew to Boston with Harper to see an expert in infant seizures. It was there they first heard of CDKL5. “This is the point where life changed significantly,” Penny said, “because now we had this diagnosis. You know, this abnormality in our family that we cannot fix.”
Cannabis oil is a concentrated extract obtained by extraction of the dried flowers or leaves of the cannabis plant. It is not actually an oil, but derives its name from its sticky and oily appearance. The purpose of producing cannabis oil is to make cannabinoids and other beneficial components, such as terpenes, available in a highly concentrated form.
Like Elixinol, CBD Essence has been around for quite a few years and they definitely know a thing or two about hemp oil. The owner Don has actually been around the pharmaceutical industry for some years, and therefore knows how to deliver a quality and effective product. All of their oils are created using CO2 extraction methods, which have been known to be safer and more effective than solvent-based extraction. They avoid CBD isolates, and they always disclose lab test results to ensure there are no heavy metals or contaminants in the oil.
Enter CBD oil: an anti-inflammatory and anti-anxiety compound. I have seen in my own life, and many of my patients' lives, the positive impact CBD oil can have on anxiety. Studies have found that CBD oil is a natural anxiolytic (anxiety calmer) and is effective in treating social anxiety. CBD calms anxiety naturally without the potential side effects of pharmaceutical anti-anxiety medications.
Cost is another consideration. Most CBD oils are sold in concentrations of 300 to 750 mg, although this may range from less than 100 mg to more than 2,000. A good indicator of price-point is the cost per milligram. Low-cost CBD oils usually fall between five and 10 cents per mg; mid-range prices are 11 to 15 cents per mg; and higher-end oils cost 16 cents per mg or higher. Given these varying per-milligram costs, a bottle of CBD oil may be priced anywhere from $10 or less to $150 or more.
The side effects and risks involved with consuming marijuana-based products aren't clear, either, Bonn-Miller said. It's important to "determine cannabinoids that are useful therapeutically while understanding and using cannabinoids that are associated with less risk," he said. At least with CBD, he said, it doesn't appear to have the potential for addiction. That's different from THC, which has been associated with addiction, he said, and negative side effects, including acute anxiety.
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