CBD is short for cannabidiol, a cannabinoid compound that is found in hemp and marijuana. Both hemp and marijuana are part of the plant family known as Cannabis. The main difference between marijuana and hemp is the level of THC in each. THC, like CBD, is a cannabinoid compound. There are 60 different known cannabinoids, but THC is the most well-known—the Beyoncé of cannabinoids, if you will. The reason THC is so famous is because it's associated with the psychoactive high that people experience after smoking or ingesting weed.
Taking CBD oil is like drinking milk and calling it calcium, Hernandez said: There’s some in there, but at very low concentrations dispersed among a host of other ingredients. And what those other ingredients are is anyone’s guess. “The thing to know is that CBD hasn’t gone through the safety controls, the efficacy controls that we usually use, the clinical trials,” Hernandez said. “The jury is still out regarding how safe this drug is.”
PPAR agonism: Agonism of PPARs (peroxisome proliferator activated receptors) may have a variety of benefits including: anticancer, neuroprotective (via removal of beta-amyloid plaques), and antipsychotic effects.  Cannabidiol bolsters PPAR-alpha signaling and simultaneously decreases inflammation.  Although PPAR agonism may not directly foster an anxiolytic effect, it cannot be ruled out as a potential synergistic contributor.

"A CBD company may create a CBD oil, test it, and use the test results to create their label," Bonn-Miller says. "The problem is if they never test their product again, or they test it once a year, you have no idea whether each batch is the same as the first one that they used to create the label. The vast majority of companies are not using manufacturing standards that assure product consistency over time. Companies should be testing every batch they make and tossing batches that don't fall within the specs of their label."


Chronic administration: There’s minor evidence suggesting that chronic administration of CBD may be deleterious to neurophysiological health. This evidence didn’t come from a human study, but discovered that chronic CBD administration (10 mg/kg, intraperitoneal injections) for 14 days reduced BDNF expression in various regions of the brain.  It also altered protein expression of TrkB and phospho-ERK1/2 – indicating (potentially) unwanted epigenetic changes.

Cannabis Oil: Cannabis oil is typically made from marijuana with a high THC percentage. Therefore, it must be purchased in an area where marijuana is legal or can be obtained with a prescription. The amounts of compounds, including CBD and THC, will drastically vary from product to product. Commercially produced cannabis oils will have more controlled concentrations of CBD and THC for medical purposes.
Furthermore, THC and CBD oils also differ in the nature and effect of their Cannabinoid content. Cannabinoids typically bind to receptor sites located in the brain, called CB-1, and various parts of the human body called CB-2. But different cannabinoids produce different effects depending on which type of receptor they bind to. THC mostly binds to receptors in the brain, but CBD unlocks the receptors scattered throughout the body, making it far more useful for healing properties.
Depending on which hormone is stimulated, cannabis can boost or suppress appetite. For this reason, cannabis oil can help patients with eating disorders or be a natural way to treat obesity. This manipulation of the cannabinoid system is becoming popular, and more research is being done to determine its efficacy for patients with weight concerns. (6)
Topical solutions also vary greatly in potency. For example, Prevail Botanical’s salve contains 1,000 milligrams of CBD in 2.2 ounces. Floyd’s of Leadville cream has 700 milligrams in a 30-gram (1.05 ounce) container. These deliver higher amounts of CBD than other topicals I tried, such as PlusCBD’s balm (100 milligrams in 1.3 ounces) and Medterra’s cream (750 milligrams in 3.4 ounces). Remember, more isn’t necessarily better.
The first product I tried was Plus CBD Oil Drops ($42; pluscbdoil.com). One serving—about half a dropper—contains 5mg. "Taking drops has the benefit of sublingual absorption, which means you're going to feel it a little faster than a pill, maybe in 15 or 30 minutes," says Shunney. I did feel sleepy about 45 minutes after taking it (the last time I checked my phone) but I'm pretty sure I was still awake a while longer. I did sleep soundly, with some groggy effects when I woke up. The next two nights, I doubled my dosage (to 10mg) but I didn't fall asleep any faster.
My mom is late stage dementia. We have tried coconut oil/black pepper/curcumin combo for years. Gives only tine bit of help, and is not something that reverses dementia. Maybe in someone who can score better than a 14 on the mme it could be of help. But cannabinoid is a different story. Cannabinoids produce better results in less time. Can't say yet that they will reverse anything though.
Jackson Leyden had always been a healthy kid; he practiced taekwondo, and he played lacrosse and baseball. But in 2011, a few months after his eighth birthday, he began having seizures several times a day. Many were brief, a half-minute of staring into space, but he also had severe episodes in which he would collapse, sometimes injuring himself. Over the next two years, he was hospitalized about 50 times, and he missed much of fourth and fifth grade.
Relevant studies in animal models are summarized in chronological order in Table ​Table1.1. CBD has been studied in a wide range of animal models of general anxiety, including the elevated plus maze (EPM), the Vogel-conflict test (VCT), and the elevated T maze (ETM). See Table ​Table11 for the anxiolytic effect specific to each paradigm. Initial studies of CBD in these models showed conflicting results: high (100 mg/kg) doses were ineffective, while low (10 mg/kg) doses were anxiolytic [59, 60]. When tested over a wide range of doses in further studies, the anxiolytic effects of CBD presented a bell-shaped dose–response curve, with anxiolytic effects observed at moderate but not higher doses [61, 90]. All further studies of acute systemic CBD without prior stress showed anxiolytic effects or no effect [62, 65], the latter study involving intracerebroventricular rather than the intraperitoneal route. No anxiogenic effects of acute systemic CBD dosing in models of general anxiety have yet been reported. As yet, few studies have examined chronic dosing effects of CBD in models of generalized anxiety. Campos et al. [66] showed that in rat, CBD treatment for 21 days attenuated inhibitory avoidance acquisition [83]. Long et al. [69] showed that, in mouse, CBD produced moderate anxiolytic effects in some paradigms, with no effects in others.

Whatever the case, if you suffer from anxiety, panic attacks, depression, or insomnia, I would absolutely recommend you give a quality CBD oil a shot. I was certainly not quick to buy into the whole hype machine (I know that the cannabis industry is pretty crazy right now), but I can say as a first time user that it legitimately did work, and it caused absolutely no high or side effects whatsoever.
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].
A search of MEDLINE (PubMed), PsycINFO, Web of Science Scopus, and the Cochrane Library databases was conducted for English-language papers published up to 1 January 2015, using the search terms “cannabidiol” and “anxiety” or “fear” or “stress” or “anxiety disorder” or “generalized anxiety disorder” or “social anxiety disorder” or “social phobia” or “post-traumatic stress disorder” or “panic disorder” or “obsessive compulsive disorder”. In total, 49 primary preclinical, clinical, or epidemiological studies were included. Neuroimaging studies that documented results from anxiety-related tasks, or resting neural activity, were included. Epidemiological or clinical studies that assessed CBD’s effects on anxiety symptoms, or the potential protective effects of CBD on anxiety symptoms induced by cannabis use (where the CBD content of cannabis is inferred via a higher CBD:THC ratio), were included.
While we don’t normally think of anxiety as desirable, it’s actually a critical adaptive response that can help us cope with threats to our (or a loved one’s) safety and welfare. These responses help us recognize and avert potential threats; they can also help motivate us to take action to better our situation (work harder, pay bills, improve relationships, etc.). However, when we don’t manage these natural responses effectively, they can become maladaptive and impact our work and relationships. This can lead to clinically diagnosable anxiety-related disorders. We’ve all heard the saying, “stress kills.” It’s true!
Few interactions: Most evidence indicates that CBD is unlikely to interact with pharmaceutical drugs. However, when taken at a reasonable dosage, CBD is understood to inhibit CYP450 isoenzymes in the liver.  This may alter the pharmacokinetics of other drugs such as Warfarin which are metabolized by similar enzymes.  That said, the pharmacokinetic and pharmacodynamic contraindications associated with CBD appear minimal.
The cannabinoids found in both CBD and THC oil mimic the endocannabinoids that our bodies naturally produce. Endocannabinoids are compounds that regulate vital functions such as internal stability, homeostasis, pain regulation, and immune system functioning. Whether they’re produced by the body or obtained from the cannabis plant, cannabinoids facilitate communication on a cellular level between cells to trigger various bodily processes. Therefore, a deficiency of cannabinoids can result in a system thrown out of balance, manifesting in unwanted symptoms and other health complications.

"The data supporting efficacy and dosing are specific to one product: Epidiolex," Bonn-Miller says. "That's not necessarily translatable to 'Joe Bob's CBD Blend.'" A CBD extract you buy online or in a dispensary will almost certainly have less CBD in it, he explains, and will contain other cannabinoids—meaning that it will work differently and will need to be dosed differently. "This is not to say that 'Joe Bob's CBD Blend' definitely isn't going to be effective for pediatric epilepsy, but it means that we need to study it before we know."
We are all aware of the promising therapeutic benefits that can be derived from using CBD oil, but it also may interact poorly with other prescription and over-the-counter drug and medications. Since side effects are unavoidable when taking CBD extracted from both hemp and marijuana, its interaction with drugs that are taken simultaneously may result in adverse effects or serious complications. Hemp CBD oil can inhibit the liver’s ability in processing certain medications, which may result in an overall increase in processing times. As the liver experiences difficulty in metabolizing, drugs stay longer in the body. In some cases, the interaction could cause serious side effects or even overdose. With this in mind, you should consult your physician before starting on any hemp CBD oil therapy and may be required to alter your CBD dosage.
The nervous system’s endocannabinoid system is not well understood. But it’s thought to play a role in regulating pain, sleep, mood, memory, appetite, and other cognitive and physical processes. Because CBD is able to mimic the actions of some natural brain chemicals, its potential therapeutic benefits are wide-ranging but—at this point—nebulous. “We know that cannabidiol modulates the endocannabinoid system, but we don’t know how it works,” Szaflarski says. That said, there are theories.
Despite the fact that marijuana remains illegal at the federal level, companies like HempMedsPx claim their CBD products are legal in all 50 states. According to a legal opinion written by Medical Marijuana, Inc.’s attorney and submitted to the New Republic, “HempMedsPx’s CBD hemp oil, containing naturally occurring CBD and miniscule amount of THC, is exempted from the definition of marijuana, is not a controlled substance, complies with the Controlled Substances Act, and is legal on the federal level.” The opinion is based in large part on a 2004 court ruling which allowed the importation of hemp food products derived from the mature stalks of cannabis plants.

Symptoms of fibromyalgia include chronic musculoskeletal pain. The use of cannabis oil for pain can also be a part of natural fibromyalgia treatment. A 2018 study published in the Journal of Clinical Rheumatology looked at the effects of medical cannabis on 26 fibromyalgia patients. The researchers found that after an average of about 11 months of medical cannabis use, all of the patients reported a significant improvement in every parameter on the questionnaire, and 13 patients (50 percent) stopped taking any other medications for fibromyalgia.


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Even as the research proceeds, thousands of people are using CBD as medicine. A British pharmaceutical company, GW Pharma, has developed two CBD drugs: Sativex, which contains a 1-to-1 ratio of CBD and THC, and Epidiolex, which is pure CBD. The former is prescribed for the painful muscle spasms that occur in multiple sclerosis, while the latter is aimed at childhood seizures. Sativex is not available in the United States, but it is approved in 29 other countries, including Canada, England and Israel.
NuLeaf Naturals CBD oil tinctures are all full spectrum; it is 100% organic and never made with herbicides, pesticides, or chemical fertilizers. The brand offers a full spectrum pet CBD oil tincture, as well. NuLeaf Naturals offers free shipping to all 50 states; the brand’s products are also sold in more than 200 retail locations across the country.
"We still don't fully understand all of the mechanisms involved in CBD's actions," says Marcel Bonn-Miller, Ph.D, who studies CBD and its effects, primarily on PTSD. "We know some pieces but definitely not the whole story at this point. A lot of our understanding of the many potential benefits of CBD is rooted in work either on the cellular level or in preclinical models with rodents."

Locsta....I share your pain of degenerative and bulging disk disease, along with fibromyalgia, chronic fatigue and arthritis. Absolutely no energy and chronic pain all day, every day. I'm curious as to what type and brand of the CBD oil you are taking and for how long have you been using it? I've been researching CBD oil for months and am quite confused!
Typical treatments for anxiety usually center around either therapy, medication or both. This includes talk therapy or cognitive behavioral therapy, and medications like benzodiazepines, antidepressants, beta blockers and SNRIs (serotonin and norepinephrine reuptake inhibitors). But non-pharmaceutical solutions are also becoming more popular, especially as new research on them emerges. Case in point: CBD products.

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).
For people who suffer from insomnia, constant anxiety during the night or simply struggle to get a sound, restful night of undisturbed sleep, cannabis sativa essential oil may work like a charm. However, according to a research report published by Dr. Ethan Russo, Director of Research for the International Cannabis and Cannabinoids Institute, terpenoids produce an “entourage effect”.
The nervous system’s endocannabinoid system is not well understood. But it’s thought to play a role in regulating pain, sleep, mood, memory, appetite, and other cognitive and physical processes. Because CBD is able to mimic the actions of some natural brain chemicals, its potential therapeutic benefits are wide-ranging but—at this point—nebulous. “We know that cannabidiol modulates the endocannabinoid system, but we don’t know how it works,” Szaflarski says. That said, there are theories.
Typical treatments for anxiety usually center around either therapy, medication or both. This includes talk therapy or cognitive behavioral therapy, and medications like benzodiazepines, antidepressants, beta blockers and SNRIs (serotonin and norepinephrine reuptake inhibitors). But non-pharmaceutical solutions are also becoming more popular, especially as new research on them emerges. Case in point: CBD products.
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Another major reason people reported not being able to get to sleep, or maintain substantial sleep, was due to chronic pain. Many who suffer from insomnia say that they cannot find enough relief from pain to manage to get to sleep or at least to remain asleep through the night. A rodent study submitted to the European Journal of Pain noted a significant drop in inflammation and signs of pain in rats with arthritis after they received topical treatment of CBD for sleep.
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.”)

I started taking 100 mg cbd a month ago (2-3 drops at night every other day) I had a eye twitch and stayed up late doing homework and on my phone but was able to sleep fine. A few weeks ago I started increasing my dosage. 4-5 drop before bedtime every night (though my eye twitching is gone) the past two weeks I have been suffering from horrible insomnia/anxiety/depression/loss of appetite. Could CBD not be for me? Am I not taking enough? Can the low dosage I am taking be stimulating my nervous system keeping me up at night? help.
Hey Linda. Thanks for your comment. I understand your frustration. Since you say you are taking Seroquel, I recommend checking with a doctor if you are mixing CBD with this and other medications. As far as dosage goes, always best to start low (0.5 mg to 20 mg of CBD) and then only add more if you need it and slowly increase your dose. A good guidebook I have been recommending lately which provides helpful information is called CBD: A Patient’s Guide to Medicinal Cannabis–Healing without the High Check it out and let me know what you think and if you have more questions 🙂
my mom is 61 years old, actually got her to try CBD oil for anxiety and she’s actually been using it for months hahah. Does not have a medical marijuana card (lives in FL), but bought her the purekana 1,000 mL and sometimes she’ll go over a week without having to take her Xanax or sleep med prescription. amazing stuff I really hope CBD oil gets its due credit soon and more doctors start prescribing
My favorite thing about it is how incredibly mild it is – like I said, the effects just kind of slowly ooze their way in without you even really noticing. Also, I love how seemingly long-lasting the effects are. I’ve read that some people prefer vaping over taking the oil drops because they say vaping is more potent, but I also understand that the effects of vaping are much shorter lived.
Dispensaries: In states where marijuana is legal for recreational use, dispensaries are a common sight. They are much rarer in states with more restrictions. In states that permit the use of medical marijuana, hemp-based CBD oils do not normally require a prescription but marijuana-based oils do. Like brick-and-mortar locations, dispensaries offer more customer service. However, as noted, this may not be an option depending on the buyer’s state of residence. Also, CBD oil prices tend to be significantly higher at dispensaries.
Researchers utilized SPECT neuroimaging with an ECD tracer to assess regional cerebral blood flow of the participants ~90 minutes after CBD or placebo administration.  They also administered the VAMS (Visual Analogue Mood Scale) to determine subjective mood of participants throughout the study.  After each participant had been examined twice (once with the placebo, once with the CBD) – data was compared.
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.
I have sporadic back spasms for year I see a chiropractor monthly for maintenance (it help) and deal with daily Knee & hip joint pain due to my job (heavy mechanic/steel work with lots of walking). after reading all the great reviews on CBD oil I want to get off the daily ibuprofen regiment and try CBD oil. I would like to try it as a gel cap but would like some advise on dosage size. I also want to know how often I should take the CBD treatments. any and all advise is appreciated
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 exerts several actions in the brain that explain why it could be effective in treating anxiety. Before we dive in, it’s important to note that most research describing how CBD works is preclinical and based on animal studies. As the saying goes, “mice are not men” — and, results from animal studies don’t always neatly transfer to human therapies. However, preclinical studies provide insights that move us in the right direction:

Since then several other so-called endocannabinoids and their receptors have been discovered. Scientists have come to recognize that endocannabinoids interact with a specific neurological network—much the way that endorphins, serotonin, and dopamine do. Exercise, Mechoulam notes, has been shown to elevate endocannabinoid levels in the brain, and “this probably accounts for what jogging enthusiasts call runner’s high.” These compounds, he explains, apparently play an important role in such basic functions as memory, balance, movement, immune health, and neuroprotection.
Whether the claim of 10-fold bioavailability of nano-engineered CBD can be scientifically verified isn’t known, however, preliminary testing from the company suggests that 10 mg of their product is equivalent to 100 mg of others.  Assuming the nano-engineering is effectively increasing bioavailability by 10-fold, each BioCBD+ capsule I’ve taken (with 10 mg CBD) is delivering the equivalent of 100 mg standard CBD.
Summary: Early research has found that CBD oil has the potential to reduce chronic pain, anxiety, depression and acne, and may help those overcoming addiction. Its anti-inflammatory properties may also play a role in lowering the risk of diabetes and cardiovascular disease. It has even shown anti-tumor effects and could be effective in inhibiting the progression of cancer and its related symptoms.

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