The equivalency factor is not designed to compare the effects of cannabis oil to dried cannabis, or provide dosage information. For many patients, consuming cannabis orally will produce much stronger effects than inhaling it. For example, when considering a product that has an equivalency factor of 12ml of oil to 1 gram of dried cannabis, and a patient who usually consumes 1 gram of dried product a day, this patient will likely use less than 12 ml of oil per day. Even for patients who have previous experience of using cannabis oil, it is recommend that you start with a low dose and go slow.
However, Bonn-Miller told Live Science that he thinks cannabis research is on the upswing. "If we flash forward five years I think you'll see more studies," he said. Those studies could reveal more conditions that CBD may be helpful for and may also reveal that some of the reasons why people say they use CBD oil are not supported by the science but are instead a placebo effect. "And that's why we need to do the studies," he said.  
There are two types of cannabinoid receptors. CB1 receptors are located in the central and peripheral nervous system and are credited with creating homeostasis with health and disease. CB2 receptors are located in the immune system, gastrointestinal system, and the brain. In a 2001 study, researchers from Vanderbilt conducted a study on mice to search for CB1 receptors in the central amygdala — an area of the brain associated with anxiety and stress responses. They found the presence of receptors in the mouse brain and furthermore, discovered that when endocannabinoids interacted with them that the excitability of these brain cells decreased. Further studies are needed to prove this finding.
Again, with all things, each person will react differently so you will have to know yourself well and maybe experiment with a few different concentrations to know what is right for you.  My friend used an equal ratio of CBD to THC and after just a week, his blood pressure was down, his bowel movements were much more regular, and it helped with his lactose intolerance.

Likewise, selective serotonin reuptake inhibitors (SSRIs) and selective serotonin and norepinephrine reuptake inhibitors (SNRIs) may interfere with sleep architecture and decrease restorative sleep, leading to increased awakenings, reduced REM sleep, increased REM latency, as well as increased periodic limb movement during sleep (Feige et al., 2002). In addition, SSRIs and SNRIs have been associated with REM sleep without atonia, characterized by increased tonic or phasic motor activity in electromyographic channels during REM sleep (Schenck et al., 1992; American Academy of Sleep Medicine, 2014; Lee et al., 2016).
“By smoking weed, you suppress the REM sleep, and with that you also suppress a lot of important functions of that REM sleep. One of those functions is reliving the things you have experienced and coming to terms with them, as it were. Processing all kinds of psychological influences is something you do in REM sleep. You also anticipate the things that will happen the next day or the days after that. While you're sleeping, you already consider those and make decisions in advance."
There were distinct changes in neural activation associated with the significant anxiolytic effects provided by CBD.  When compared to the placebo, administration of CBD significantly: increased ECD tracer uptake in the right posterior cingulate gyrus and decreased ECD tracer uptake in the left parahippocampal gyrus, hippocampus, and inferior temporal gyrus.  Researchers concluded that reductions in social anxiety from CBD are related to modulation of neural activity in the limbic and paralimbic regions.
REM is a state of sleep that occurs in cycles during the night. People are more likely to have vivid dreams during this period. When one is in an REM cycle, the body is almost completely paralyzed. The part of the brain that controls the muscles is completely suppressed and a person is unable to move during this time. This is called REM atonia and the only muscles that function as normal is the heart and the muscles that control breathing.
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 2016 study evaluated the effects of CBD on a 10 year old girl with pediatric anxiety and post traumatic stress disorder. “Pharmaceutical medications provided partial relief, but results were not long-lasting, and there were major side effects. A trial of CBD oil resulted in a maintained decrease in anxiety and a steady improvement in the quality and quantity of the patient's sleep. CBD oil, an increasingly popular treatment of anxiety and sleep issues, has been documented as being an effective alternative to pharmaceutical medications. This case study provides clinical data that support the use of CBD oil as a safe treatment for reducing anxiety and improving sleep in a young girl with post traumatic stress disorder.”

"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."


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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.
Given the current state of evidence, it is important to avoid assuming CBD is a sustainable long-term intervention for anxiety disorders.  As further research is conducted with larger-scale, longer-term, robustly designed trials – we will better understand the anxiolytic capacity of CBD.  Those with refractory cases of anxiety in search of an alternative pharmacological intervention may want to discuss the feasibility of “as-needed” CBD administration with a medical professional.
I work well under pressure, but being extremely busy at work has almost made me less productive—I'm constantly distracted by email, Slack, and the people around me, to the point where getting my work done becomes difficult. This week, however, I've found it easier to put my blinders on, block out all distractions (especially social distractions) and focus on one task at a time. I think this is partly related to the lessened anxiety—I feel more frazzled and off task when my anxiety is running high. It almost feels like a newfound sense of clarity and calm that enables me to focus.
Given the current state of evidence, it is important to avoid assuming CBD is a sustainable long-term intervention for anxiety disorders.  As further research is conducted with larger-scale, longer-term, robustly designed trials – we will better understand the anxiolytic capacity of CBD.  Those with refractory cases of anxiety in search of an alternative pharmacological intervention may want to discuss the feasibility of “as-needed” CBD administration with a medical professional.
Well, apart from day to day anxiety that most of us suffer with, anxiety is actually a very complex disorder, which can be at times extremely paralyzing and debilitating. According to recent data published by the National Institute of Mental Health, Anxiety disorders affect 19.1% of adults in the United States in any given year. Furthermore, it is estimate that 31.1% of American adults experience any anxiety disorder at some time in their lives.
Regardless of how CBD oil induces hippocampal neurogenesis, the growth of new brain cells may be enough to decrease anxiety.  A report published in 2015 documented that increasing adult neurogenesis (regardless of the modality) is sufficient enough to decrease anxiety.  Therefore, it could be that CBD is an effective anxiolytic predominantly through mechanisms implicated in neurogenesis.
Mike, what kind of breast cancer (invasive ductal, I presume)? How many of her lymph nodes were positive? How big was the primary tumor? Reason I ask is that in women with Stage I or IIA tumors that are estrogen-and progesterone-receptor-positive and HER2-negative (ER+/PR+/HER2-) with three or fewer positive lymph nodes, there is a genomic assay test on a sample of the tumor, called OncotypeDX, that will tell doctors whether chemo is necessary or would even work at all. Medicare covers that test 100%.That type of breast cancer mentioned above, which I had as Stage IA, is treated in postmenopausal women with anti-estrogen drugs called aromatase inhibitors(aka AIs: anastrazole, letrozole, or exemestane)which have as a side effect joint pain. CBD oil is effective for this joint pain it is not, I repeat, NOT a substitute for chemo, radiation or these anti-estrogen drugs.So don’t assume your mom’s cancer will require chemo; but if it does, CBD helps with those side effects as well. If she lives in a state where medical marijuana is legal, there are doctors who sub-specialize in certifying applications for a medical marijuana card, and in the interim before the card is issued can advise as to the appropriate dose of CBD oil (legal and over-the-counter in all 50 states). Some (though not most) medical oncologists will certify their own patients’ medical marijuana card applications so she need not seek out another doctor; and will advise the appropriate dose for her symptoms. Once she gets her card, the “budtenders” in the licensed dispensaries can advise her as to the right CBD product (with or without THC), strength, and dosage. If she lives in a state where recreational weed is legal, the “budtenders” in the marijuana shops can steer her to the right strength of CBD oil and the right dosage.

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.
Hi Lauren I've just started today with 250mg cbd oil. I'm starting low to see what happens. I've nerve damage across buttocks from a laminectomy. I've not been able to sit for 5 years. I've recently started with a muscle spasm in my left buttock and the muscle above is painful. It is only the first day, also tried a cbd night time tea as well. Do change in muscle pain so tight on my left hand side. How long before felt it starting to work please. I'm trying not to expect changes straightaway. I also take 1100mg gabapentin and 30mg amitriptyline and I hate both of them - they both can cause muscle tightness affecting the nerve. Thank you Lyn
The 5-HT1A receptor (5-HT1AR) is an established anxiolytic target. Buspirone and other 5-HT1AR agonists are approved for the treatment of GAD, with fair response rates [50]. In preclinical studies, 5-HT1AR agonists are anxiolytic in animal models of general anxiety [51], prevent the adverse effects of stress [52], and enhance fear extinction [53]. Both pre- and postsynaptic 5-HT1ARs are coupled to various members of the Gi/o protein family. They are expressed on serotonergic neurons in the raphe, where they exert autoinhibitory function, and various other brain areas involved in fear and anxiety [54, 55]. Mechanisms underlying the anxiolytic effects of 5-HT1AR activation are complex, varying between both brain region, and pre- versus postsynaptic locus, and are not fully established [56]. While in vitro studies suggest CBD acts as a direct 5-HT1AR agonist [57], in vivo studies are more consistent with CBD acting as an allosteric modulator, or facilitator of 5-HT1A signaling [58].

Designs: To accurately know whether CBD is an effective intervention for anxiety disorders, robust designs should be implemented in research. In other words, study designs should be placebo-controlled, double-blinded, randomized, and preferably with large sample sizes.  Unfortunately, a majority of the published literature investigating the anxiolytic potential of CBD utilizes suboptimal designs, has limited numbers of participants, or both.

Throughout the SPST, researchers utilized the Visual Analogue Mood Scale (VAMS), Negative Self-Statement scale (SSPS-N), and physiological measures (blood pressure, heart rate, skin conductance) to determine the anxiolytic efficacy of CBD.  Results indicated that those receiving the CBD exhibited significantly less anxiety, cognitive deficits, speech discomfort, and decreased alertness on the VAMS measure.  Contrastingly, the individuals receiving the placebo exhibited high anxiety, cognitive deficits, high alertness, and overall discomfort on the VAMS.


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.
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).
With some of the dreadful reactions I have had to medications I mostly say no to drugs. The psychotropics turn me psycho. I read about addictions and have been through thus…I went off cold turkey with pain medication, antidepressants, anti psychotics, anti anxiety…I do not care to go through anything like that again. If I can get something stronger than an OTC I only want a low dose and do not want to go through what I did in 2010 again. This is where I am currently. Maybe my pain is not as severe as pain is for others. I do know what withdrawal is like and…I have had a good life all in all. I endeavor to be content and learn what I can. I do know what does not work for me.
I’m the same about taking any medication in case it makes me feel dizzy or light headed, which would then lead to massive anxiety. I am excited at my first bottle of CBD oil arriving in the post but I know I will put off taking it until I feel brave enough. I have been advised to just have one drop at a time and not the 15 that I see others take per dose. I would also like to take it daily as I do my vitamin B tablets. Thoughts anyone please?
I read your comment about cbd for your anxiety and as I am about to start and looking for a brand and strength , I’d like to ask you if you feel more benefits nowadays.. I suffer from anxiety that has gotten pretty bad due to a depression.. If you could share any info or tips I’d really appreciate it! I live in Brazil and have to import. But that’s ok as long as it’s worth it I’d try anything..
Let's start with the most officially proven medical use of CBD. Earlier this year, the FDA approved the first-ever drug containing CBD, Epidiolex, to treat two rare forms of pediatric epilepsy. To get to that point, the drug's manufacturers had to do a whole lot of randomized, placebo-controlled trials on humans. They had to study how much children could take, what would happen in case of overdose, and any possible side effects that would occur.

Regardless of how CBD oil induces hippocampal neurogenesis, the growth of new brain cells may be enough to decrease anxiety.  A report published in 2015 documented that increasing adult neurogenesis (regardless of the modality) is sufficient enough to decrease anxiety.  Therefore, it could be that CBD is an effective anxiolytic predominantly through mechanisms implicated in neurogenesis.
“CBD coupled with stretching, icing, and foam rolling is a common treatment plan for tendonitis injuries about the knee, such as iliotibial band syndrome,” says Charles Bush-Joseph, M.D., a professor of orthopedics at Rush University Medical Center in Chicago. “Many patients like the fact that CBD is a natural substance. While specific research on the use of CBD in this instance is lacking, many believe that it helps prevent muscle and collagen breakdown.”
A review published in 2017 in the journal Frontiers in Pharmacology described how CBD may work to protect the hippocampus — the part of the brain responsible for several important functions, such as learning, memory and navigation — during times of stress, and may also help prevent brain-cell destruction that results from schizophrenia. Another 2017 review published in the journal Annals of Palliative Medicine summarized a handful of studies that suggest cannabis oils containing THC or CBD, or both, may help with chronic pain management, but the mechanism is unclear.

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