As of now, researchers understand that sleep is divided into multiple cycles with different phases, and it is generally regarded that CBD oil increases sleep in the third phase, which is the “deep sleep” phase. Furthermore, it has been shown that CBD decreases the duration of REM sleep, which is a phase of light sleep and is also the phase where dreams occur.
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.
You can rub CBD oil on your skin or drop it under your tongue; you can eat it as a sugarcoated gummy or drink it as a Goop-approved cocktail. There's evidence (some scientific, plenty anecdotal) that it helps with epileptic seizures, opioid addiction, PTSD, arthritis, anxiety, insomnia, nausea, chronic pain, and much more. If you believe the hype, CBD can do just about anything for your physical and mental health — and it won't get you high as a kite.

In 1937, the U.S. Treasury Department introduced the Marihuana Tax Act, which imposed a levy of $1 per ounce for medicinal use of cannabis and $100 per ounce for recreational use. This was opposed by physicians who were not required to pay a special tax for prescribing cannabis, use special order forms to obtain it and keep records detailing its professional use. The American Medical Association believed that evidence of cannabis’ harmful effects was limited and the act would prevent further research into its medicinal worth.
Great Article on CBD – Did you learn anything about how the efficacy of the CBC is affected by the source species? e.g. Cannabis vs Hemp. Also, Sativa vs. Indica. All of the referenced studies just state CBC, do you know what is the typical source of CBD used in these type of studies? CBC oil from Hemp is readily and cheaply available on the internet from many companies, however I have read that the efficacy of Hemp derived CBD is less than from Cannabis. Any thoughts? Thanks!
Selective Serotonin Reuptake Inhibitors (SSRIs) like Celexa, Lexapro, and Zoloft, are primarily prescribed to treat depression. They work by preventing serotonin from being absorbed by the brain, increasing its availability. SSRIs are popular antidepressants that can be used long-term and are commonly prescribed to those who suffer from anxiety as well.

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.
If the lack of sleep turns into a chronic state, it can trigger insomnia, which may further lead to serious neurological conditions. People suffering from insomnia often find themselves in a vicious circle; they are constantly exposed to stress and thus start to have anxious thoughts over time; chronic stress and anxiety trigger insomnia; insomnia leads to depression.
At first, I was wary. Although I live in Los Angeles, where it seems like there’s a medical marijuana depot on every corner, I’m not one for doing drugs (legal or otherwise). I mean, I don’t even take Advil when I get a headache!  But despite the fact that CBD oil is made from hemp, it doesn’t contain THC. THC is the compound responsible for the “high” that comes with ingesting marijuana. In fact, scientific reviews have proven that CBD “does not interfere with several psychomotor and psychological functions,” and is safe to ingest without any side effects. Let me repeat: YOU WILL NOT GET HIGH FROM CBD!
@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.
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.
Once the map is complete, enterprising geneticists will be able to use it in myriad ways, such as breeding strains that contain much higher levels of one of the plant’s rare compounds with medically important properties. “It’s like discovering some hidden motif deep in a piece of music,” Kane says. “Through remixing, you can accentuate it and turn it up so that it becomes a prominent feature of the song.”

My grandson has severe anxiety. His anxiety and meltdowns were so severe that we couldn’t go shopping, out to eat, or anything else normal people do. The medicines his doctors put him on have horrible side effects. We started him on the cbd oil once a day. Within a couple weeks we saw a huge difference. Yes, he still has some anxiety, and meltdowns, but nothing like they were. We can actually go you the grocery store with him now! And it’s not a coincidence because when we run out for a few days we can see the difference! – Dian


CBD’s potential usefulness in treating certain conditions is yet another argument in favor of legalizing the entire cannabis plant. Removing cannabis from the federal list of Schedule I narcotics that are illegal under the Controlled Substances Act would allow scientists to research its full medical potential and pharmaceutical companies in the United States to develop marijuana-based drugs and submit them for FDA approval. Government-regulated labs could test products like CBD oil to ensure safety and quality. Doctors could prescribe marijuana- based medicines with full knowledge of potential side effects and drug interactions, and without fear of losing their medical licenses or being thrown in jail.
Hernandez said interactions between FDA-approved pharmaceuticals and CBD oils are a serious concern. “What we’ve found so far is that [CBD] can actually affect the levels of some of your epilepsy medications,” Hernandez told me. The diarrhea and vomiting associated with CBD oil ingestion can lower the levels of other drugs in patients’ bloodstreams, while the way the body absorbs CBD can raise the levels of certain medications.
In regard to their products, Elixinol offers a variety of CBD oils, tinctures, balms, and if you want to treat your pet, they’ve even got pet relief edibles. For those of you who don’t mind taking capsules, they provide a 450mg CBD Hemp oil capsule which some people have said helps assists specific conditions, but their tinctures are more popular and for many are known to do the trick.

Forty million Americans suffer from anxiety. Anxiety is a state of worry that can be experienced in varying intensities. Mild anxiety can be characterized by that feeling of having butterflies in your stomach and is generally considered normal. However, anxiety can often be debilitating to a person impacting their social, professional, and personal lives. Anxiety disorder is an umbrella term, describing conditions where anxiety interferes with a person’s everyday life. Phobias, social anxiety, panic disorder and even obsessive-compulsive disorder are considered anxiety disorders. Common symptoms of anxiety include dizziness, panic, insomnia, tingling hands or feet, shortness of breath, nausea, and tense muscles. For many, anxiety is a driving force behind how they live their everyday lives and people are increasingly turning to CBD and other natural remedies to find relief.
No, hemp oil is not the same as cannabis oil. All-natural hemp oil is obtained by cold pressing of hemp seeds whereas cannabis oil is obtained by separating the resins from cannabis flowers. Their uses and chemical composition are quite different. Cannabis oil is much higher in THC (tetrahydrocannabinol) content, which has certain effects, whereas hemp oil tends to be higher in CBD (cannabidiol) levels.
We suggest those suffering from anxiety start with 5-10mg per day of CBD. If relief is not felt at this dosage, we suggest increasing by 5-10mg until the desired effects are achieved. You’ll notice that the Gel Capsules are pre-filled and contain 25mg of CBD per pill – there is no harm in starting at 25mg CBD daily as you cannot overdose on CBD nor are there any serious side effects. These ingestible products provide sustained relief for several hours – many people find they provide relief for the whole day – or night as the case may be! The one thing to keep in mind with ingestible CBD products is the delayed onset time – it can take up to 90 minutes for the full effects of the tinctures or capsules to be felt.
The following instruments were used: (a) Visual Analog Mood Scale – VAMS (Norris, 1971); (b) State-Trait Anxiety Inventory – STAI (Spielberger et al., 1970), translated and adapted to Brazilian Portuguese by Gorenstein and Andrade (1996); (c) Epworth Sleepiness Scale – ESS (Johns, 1991); (d) Pittsburgh Sleep Quality Index – PSQI (Buysse et al., 1989); (e) digit symbol substitution and symbol copying tests of the Wechsler (1955) Adult Intelligence Scale – WAIS; and (f) Psychomotor Vigilance Test – PVT (Graw et al., 2004; as made available by the National Center on Sleep Disorders Research).
There are thousands of unique varieties of hemp. The cultivars used for CBD oil contain significantly higher concentrations of CBD than others. Using these uniquely potent plants, it is possible to extract cannabis oil that contains significant levels of cannabidiol, as well as essential vitamins, minerals, fatty acids, terpenes, flavonoids, and other non-psychoactive cannabinoids.
The consequences of sleep deficiency include multiple adverse outcomes. You can expect deterioration in all aspects of your health and wellbeing. Lack of sleep and/or poor-quality sleep will age you prematurely, compromise your decision making, dramatically decrease your athletic performance, and increase the risk of injury. Alcohol or drug-induced sleep is not the healthy, restorative sleep the mind and body needs either.
The eCB system regulates diverse physiological functions, including caloric energy balance and immune function [28]. The eCB system is also integral to regulation of emotional behavior, being essential to forms of synaptic plasticity that determine learning and response to emotionally salient, particularly highly aversive events [29, 30]. Activation of CB1Rs produces anxiolytic effects in various models of unconditioned fear, relevant to multiple anxiety disorder symptom domains (reviewed in [30–33]). Regarding conditioned fear, the effect of CB1R activation is complex: CB1R activation may enhance or reduce fear expression, depending on brain locus and the eCB ligand [34]; however, CB1R activation potently enhances fear extinction [35], and can prevent fear reconsolidation. Genetic manipulations that impede CB1R activation are anxiogenic [35], and individuals with eCB system gene polymorphisms that reduce eCB tone—for example, FAAH gene polymorphisms—exhibit physiological, psychological, and neuroimaging features consistent with impaired fear regulation [36]. Reduction of AEA–CB1R signaling in the amygdala mediates the anxiogenic effects of corticotropin-releasing hormone [37], and CB1R activation is essential to negative feedback of the neuroendocrine stress response, and protects against the adverse effects of chronic stress [38, 39]. Finally, chronic stress impairs eCB signaling in the hippocampus and amygdala, leading to anxiety [40, 41], and people with PTSD show elevated CB1R availability and reduced peripheral AEA, suggestive of reduced eCB tone [42].
Selective breeding of cannabis plants has expanded and diversified as commercial and therapeutic markets develop. Some growers in the U.S. succeeded in lowering the proportion of CBD-to-THC to accommodate customers who preferred varietals that were more mind-altering due to the higher THC and lower CBD content.[55] Hemp is classified as any part of the cannabis plant containing no more than 0.3% THC in dry weight form (not liquid or extracted form).[56]
Grant says this may lead to a “dampening” or mellowing of some neurochemical processes, including those linked to pain. “CBD may also react with other receptors, like those for serotonin, and it may have actions that reduce the inflammatory molecules produced whenever there is tissue damage or bacteria coming in,” he says. “But we really don’t know the mechanisms.”
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.

Now that were a couple days withdrawn from the race and my season has come to a bittersweet end I want to give a huge thanks to my sponsors.. If you haven't heard of them or used their products I am a true believer in every last one of them: @inov_8 for the countless amounts of shoes I have destroyed @orangemud for running packs that are absolutely invincible in the mountains @purepowerlife for the CBD supplements that allowed me to push through some massive training blocks this summer @thefarmdispensary for a non stop flow of all wonderful things thc has to offer! @iloveincrediblestoo for the countless amount of delicious "night night" bars I have ate @honeystinger for fueling the way with delicious waffles @crankednaturals for the protein shakes and hydration mix I use in training as well as in competition Pc: @horizonsportstv

Administration of CBD reduced the anxiogenic effects of THC, suggesting that it is capable of decreasing anxiety in animal models.  It was also documented that standalone CBD treatment reduced expression of c-Fos in the central nucleus of the amygdala.  Reduction in c-Fos is understood to yield anxiolytic effects – possibly another mechanism by which cannabidiol attenuates symptoms of anxiety.
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.
My MD has prescribed at least 20 different BP drugs for me, but I do not feel that any really worked; and some were so dangerous that I refused to used them more than one or 2 nights, and then would disgard them, especially after reading about the possible side effects. Never tried CBD oil, but my guru nutritionist has given me a bottle of 1200mg organic hemp oil from Veggimins and I have been hesitant to really try it.
Low concentrations of CBD aren’t the only concern, either. Cannabis plants are hardy and tough, and their thick stalks possess a special property: bioremediation. When grown in contaminated soil, hemp plants absorb heavy metals and other chemical waste, effectively cleansing the terrain. While all plants absorb some chemicals from the soil, the structure, size, and genetic makeup of hemp make it especially adept at this task. Cannabis is so effective that crops of industrial hemp were planted in the aftermath of the 1986 Chernobyl disaster to help purify heavily irradiated soil. When hemp stalks are used for fiber, paper, and other nonconsumptive industrial purposes, the contaminants absorbed into the plants pose no threat to humans.
“The brain has these receptors that respond to endocannabinoids, which are neurotransmitters that are naturally produced in the body and brain,” says Jerald Simmons, a neurologist at Houston’s Comprehensive Sleep Medicine Associates. “Some of the cannabinoids in the marijuana plant are very similar to the endocannabinoids in the brain, and they act on the same receptors.”
Hi, Congrats on finishing chemo & radiation that’s awesome!! I wish you the best of luck!! I was actually wanting to know about dosage for cancer as well..My parents both have recently been diagnosed with cancer 4 months apart and are currently going thru chemo together. I have tried looking for the dosage info but can never find what i’m looking for..I want to try to help lesson the chemo side effects and hopefully kill some of the cancer cells. Can someone please help us?Thank You Christy
An animal study involving male Wistar rats conducted by Resstel et al. (2009) examined the effect of CBD on restraint stress (RS).  Previous research had demonstrated that the phytocannabinoid cannabidiol (CBD) yielded anxiolytic and antipsychotic properties in animal models.  For this reason, they investigated whether CBD facilitates adaptation to scenarios of inescapable stress and whether this response is mediated by 5-HT1A receptors.
Although nearly all of the published studies found CBD effective for the attenuation of anxiety, there are some notable limitations associated with the research.  Perhaps the most notable limitation is the fact that most CBD studies investigate the effect of acute, single-dose administration.  The problem with this is that it remains unclear as to whether chronic or long-term CBD ingestion maintains therapeutic efficacy.
I am currently going through red skin syndrome/topical steroid withdrawal. The only cure as of now is time(6 months to 3 years) and waiting out horrible eczema-like flares. My main issue is burning/tingling skin that is almost constant. Steroids close off blood vessels and when you stop them they 'wake' up causing this nerve discomfort/pain. I've been smoking medical cannabis for the duration of my recovery(1.5 years) and It's done wonders except that the flare is around my mouth and I'm afraid the smoking is causing more issues.. as well as helping. I need to step up my game and take a different approach. I am wondering how to go about using cbd but I don't know where to start and was wondering if you could help. Thank you
Hi Eric, sorry to hear you are suffering. In regards to the oils, i am no doctor and tried a few before i found what works best for me. I think it depends on your condition and genetics. For example, I use green roads and it is extremely effective, but it doesn’t work for my wife. I think you have to find the one that works for you. Maybe someone else can who has more experience can also help.
Some researchers believe that hippocampal neurogenesis may play a critical role in attenuating symptoms of severe anxiety and/or depression.  Although not all 5-HT1A partial agonists may induce hippocampal neurogenesis, there’s evidence to suggest that cannabidiol does.  A study published in 2013 assessed the anxiolytic effects of CBD in mice exposed to chronic stress.
But all was not well. Harper has continued to experience health issues related to her condition. And seven months after starting to use CBD oil, Harper’s seizures returned— although not as frequently as before. Penny uses eleven iPhone reminders to keep track of Harper’s daily regimen of medications and food, and she records all of Harper’s seizures in a thickly bound black book. But as her parents continue to closely monitor Harper’s health and adjust her medications accordingly, her doctors are tightly limited in the advice they can offer when it comes to CBD oil. “There’s no research on this product, so they don’t say it’s good or bad. They just say, ‘Don’t stop giving it,’” Penny told me.
This is a topic I am asked about all the time, and have been for years: how does cannabis help sleep and health? I’ve heard that the number-two reason why people smoke or use cannabis is for sleep. Considering the recent passing of the recreational use of cannabis in California and other several states I think it is high time (pun intended!) to look at understanding CBD, one of the most active ingredients in medical cannabis.
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.
Food and beverage products containing CBD were introduced in the United States in 2017.[51] Similar to energy drinks and protein bars which may contain vitamin or herbal additives, food and beverage items can be infused with CBD as an alternative means of ingesting the substance.[52] In the United States, numerous products are marketed as containing CBD, but in reality contain little or none.[53] Some companies marketing CBD-infused food products with claims that are similar to the effects of prescription drugs have received warning letters from the Food and Drug Administration for making unsubstantiated health claims.[54]

Harper was diagnosed as an infant with CDKL5, a rare genetic condition doctors only discovered in 2004 and that afflicts roughly 600 people worldwide. The disorder shares its name with the minute particle of DNA it affects, a gene responsible for the production of a protein crucial for neurological development. Symptoms of CDKL5 include intellectual disability, developmental delays, breathing and vision problems, limited or absent speech, poor muscle tone, and, perhaps worst of all, frequent seizures.
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.
But all was not well. Harper has continued to experience health issues related to her condition. And seven months after starting to use CBD oil, Harper’s seizures returned— although not as frequently as before. Penny uses eleven iPhone reminders to keep track of Harper’s daily regimen of medications and food, and she records all of Harper’s seizures in a thickly bound black book. But as her parents continue to closely monitor Harper’s health and adjust her medications accordingly, her doctors are tightly limited in the advice they can offer when it comes to CBD oil. “There’s no research on this product, so they don’t say it’s good or bad. They just say, ‘Don’t stop giving it,’” Penny told me.
I have been in treatment for anxiety for several years. I am sure that most of you know that anxiety, whether it be panic disorders, social anxiety or another form is hard to live with. It really drags you down. CBD has managed to bring me back up. It leaves me clear headed and I am able to get through the day. I still go to therapy but I see CBD as an added bonus.

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
In 1992 Mechoulam’s quest for quantification led him from the plant itself to the inner recesses of the human brain. That year he and several colleagues made an extraordinary discovery. They isolated the chemical made by the human body that binds to the same receptor in the brain that THC does. Mechoulam named it anandamide—from the Sanskrit for “supreme joy.” (When asked why he didn’t give it a Hebrew name, he replies, “Because in Hebrew there are not so many words for happiness. Jews don’t like being happy.”)
Hernandez said interactions between FDA-approved pharmaceuticals and CBD oils are a serious concern. “What we’ve found so far is that [CBD] can actually affect the levels of some of your epilepsy medications,” Hernandez told me. The diarrhea and vomiting associated with CBD oil ingestion can lower the levels of other drugs in patients’ bloodstreams, while the way the body absorbs CBD can raise the levels of certain medications.
As someone dealing with anxiety — hi pals, isn't this pool getting crowded? — all day, every day, taking CBD oil sounded like something that was at least worth a shot. So, I contacted Charlotte's Web by the Stanley Brothers, a CBD hemp oil company based in Colorado. Their hemp oil had positive reviews, which is good for me and my tattered memories of freshman year. They kindly sent me some of their Everyday Advanced Oil, which they recommend taking 0.6 ml of twice a day. I decide to try it for a week.
Over the past two years, 17 states have passed laws legalizing CBD so that patients can obtain the drug without fear of prosecution from local authorities. For intractable childhood epilepsies—the sorts of seizure disorders that for centuries have ruined lives and shattered families, the ones even specialists like Hernandez dread—CBD could be a miracle cure.

I’ve been on anti-depressants for 11 years since having a stroke and having to stop taking estrogen. I started on Zoloft, then celexa, then Effexor. I’ve been having bad blurry vision for a few years that has my eye dr stumped. Finally my primary doctor thought it could be the Effexor since that is one of the side effects. So we decided that I would wean off the Effexor and try Wellbutrin instead. I lowered the amount of Effexor over 3 weeks till I wasn’t taking it any longer but started the Wellbutrin the last week of taking Effexor. After 3 days of no Effexor the withdrawals seemed to hit me. Headaches, nausea, extremely emotional, and bad dizziness. I had an important event to go to on day 3 of no Effexor so I took a low dose (37.5 mg) hoping to get me through the night. I felt decent for a couple days then boom, the withdrawal symptoms came on fully again. So I decided I would just try to go off both the Effexor and Wellbutrin because I didn’t want to go through this again and really wanted to see if I could handle life without them. Well it’s been a week without any Effexor but the dizziness and emotional outrages are still going on. I’ve been using Bonine (motion sickness) which does seem to help a little. My daughter mentioned the CBD oil which I was totally against at first but after doing a lot of research I am now quite interested in it.
A friend texted me to hang out while I was grocery shopping and I replied yeah (not something I normally would’ve done).  On my drive to the grocery store I felt completely calm without a major change in alertness or vigilance of my environment.  While I was at the store, I had a pleasant experience, but noticed that my emotions felt slightly subdued again – but the effect wasn’t extreme.
CBD products that don't contain THC fall outside the scope of the U.S. Drug Enforcement Agency's (DEA) Controlled Substances Act, which means CBD products are legal to sell and consume as long as they don't have THC. That's likely one of the reasons why CBD products, including CBD oil, are becoming more socially acceptable and increasingly popular. In 2016, Forbes reported that CBD products are expected to be a $2.2 billion industry by 2020.

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Medical Disclaimer: Statements in any video or written content on this site have not been evaluated by the FDA. If you are pregnant, nursing, taking medications, or have a medical condition, consult your physician before using this product. Representations regarding the efficacy and safety of CBD oil 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. The material on this site is provided for informational purposes only and is not medical advice. Always consult your physician before beginning any supplement program.

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