"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."
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.)

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.)


Accordingly, CB1R activation has been suggested as a target for anxiolytic drug development [15, 43, 44]. Proposed agents for enhancing CB1R activation include THC, which is a potent and direct agonist; synthetic CB1R agonists; FAAH inhibitors and other agents that increase eCB availability, as well as nonpsychoactive cannabis phytocannabinoids, including CBD. While CBD has low affinity for the CB1R, it functions as an indirect agonist, potentially via augmentation of CB1R constitutional activity, or via increasing AEA through FAAH inhibition (reviewed in [21]).
It is known that lack of sleep can interfere with certain aspects of cognitive functioning, such as attentional levels (Goel et al., 2009) and PVT, which has a high sensitivity to measure responses that require selective attention (Basner and Dinges, 2011). However, the results of the present study did not show any significant impairment in either the reaction time or number of errors measured by the PVT, suggesting that the attention levels of the volunteers were preserved in the morning after the sleep assessment, regardless of the administration of CBD or placebo. Not having administered the PVT test before CBD and placebo administration does not significantly affect the conclusions once the study does not intend to assess the effect of CBD on baseline vigilance (which would require comparison with baseline PVT results), but to rather evaluate if CBD may be safely administered to patients without affecting their vigilance state overall, such that the patients may safely conduct every-day tasks, like for example driving.
Anxiety subtypes: While the literature confers therapeutic efficacy of CBD for anxiety disorders, it doesn’t mention whether CBD may be more effective for certain subtypes of anxiety compared to others. Although most types of anxiety share commonalities, not all are the same nor exhibit the same underlying neural abnormalities.  Therefore, it is logical to assume that CBD may provide greater benefit to those diagnosed with one type of anxiety (e.g. social phobia) than another (e.g. OCD).

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.
All of this makes CBD remarkably difficult for even the most dedicated health care providers to manage safely. Dr. Kelly Knupp, an associate professor of pediatrics and neurology at the University of Colorado, and the director of the Dravet Syndrome program at Children’s Hospital Colorado, said families of epileptic children have tried to bring CBD oils to the hospital for testing. “They’re just concerned that they don’t know exactly who’s growing [the hemp],” Knupp said. “They know it’s not being regulated.” But because CBD is a Schedule I controlled substance, high-tech, regulated laboratories, like those at the University of Colorado, can’t accept, store, or test CBD oils, lest they risk prosecution. “There is no such lab that can take that product,” Knupp said, which leaves any testing up to the unregulated testing centers that cater to the cannabis industry.
I assume this is also a side effect of the eased anxiety, but I seem to fall asleep within the 20- to 30-minute range rather than my normal 45 minutes to one hour (or longer). Not only do I seem to be skipping (or at least shortening) the whole tossing-and-turning phase of my sleep cycle, but I'm able to snap out of the overthinking mindset that often keeps me up at night. Of course, there's no telling whether a big life event would kindly disrupt this newfound bliss, but I'd like to think it's helped on day-to-day basis.
It's a little more uniform when the product is absorbed by smoking or vaping the oil, Ward said. But, "there are obvious concerns about smoking something." A 2007 review published in the journal JAMA Internal Medicine found that smoking marijuana resulted in similar declines in respiratory system health as smoking tobacco. A similar review published in 2014 in The American Journal of Cardiology found that marijuana smoke inhalation can increase the chances of heart attack or stroke. Neither review analyzed the effects of vaping cannabis oil alone, so it's unclear if it has the same health risks as smoking other marijuana products.

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