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So if you want to avoid the head-high, it's better to stick with CBD from hemp. Many CBD products sold online and in retail stores come from hemp, not marijuana. And the source of that hemp can be important. Most hemp used in CBD products sold in the U. Among those sources, Lanier considers Colorado to have the most robust hemp program. Note that the Farm Bill, now in Congress, may make it easier for farmers to grow hemp and expand the number of states where it is grown and tested.
Products made with hemp grown overseas can be even more problematic, because they are not subject to any state or federal testing, say both Lanier and Boyar. So for CBD products from hemp, check labels to see whether they say where it was grown, and look especially for those from Colorado. Not all products, however, include that information.
So in a dispensary or a retail store, ask the staff whether they know where the hemp was grown. And for products purchased online, check the companies' website to see whether it has that information, or contact the seller to ask the same question. That document shows how a product performed on tests checking for CBD and THC levels, and the presence of contaminants.
So any COA for those final products comes from testing the company arranged on its own. Though not all manufacturers take that step, many do, Lanier says.
One state, Indiana, has made it easier for consumers to find these COAs. That suggests the lab adheres to high scientific standards. Also look to see whether a company uses testing methods validated by one of three respected national standard-setting organizations: Unlike hemp-derived CBD products, those made from marijuana must undergo testing—at least in states that permit medical and recreational use of marijuana. In some of those states, dispensary staff are supposed to have the COAs available and be willing to share them with you.
In states that have only legalized the medical, not recreational, use of marijuana, testing is less consistent, Boyar says.
Look for products that show how much CBD or cannabidiol, its full name you get not just in the whole bottle but in each dose, says Lee, from Project CBD. Dosages, which are expressed in milligrams, or mgs, vary considerably depending on the form of the product, and experts often suggest starting with products that have relatively low doses.
For example, with tinctures, consider a product that has just 10 mg per dose, says Mitch Earleywine, Ph. Companies may take that labeling approach because they hope it will attract less scrutiny from the Food and Drug Administration, Lee says.
Depending on the type of CO2 extraction used, the technique might be able to extract not just CBD but other cannabinoids see number 5 in the plant, Boyar says. And it may not be safer, either, because some forms of CO2 extraction still use solvents, Boyar says. That oil is often included in hemp-based soaps, cosmetics, and similar products. Making health claims, even just the ability to treat relatively minor problems like migraines, is legal only for prescription drugs, which undergo extensive testing for effectiveness and safety.
And the more dramatic the claim, such as the ability to cure cancer or heart disease, the more skeptical you should be. Since , the FDA has cracked down on dozens of companies selling CBD products online for making unallowed health claims.
Vape pens produce little smoke and are easy to transport and use—plus they can easily go undetected. But the concentrated oils used in vape pens of CBD might contain a solvent called propylene glycol. When burned at high temperatures, propylene glycol can degrade into formaldehyde, a chemical that can irritate the nose and eyes and could increase the risk of asthma and cancer.
As a dorky kid, I spent many a Saturday at the Bloomington, Ind. Now, as a much bigger kid, that's still my job! Identifying products and services, especially in healthcare, that are safe, effective, and affordable—and highlighting those that aren't—is my top concern. Please call Member Services at Welcome to Consumer Reports. You now have access to benefits that can help you choose right, be safe and stay informed. How to Shop for CBD. Sharing is Nice Yes, send me a copy of this email. Send We respect your privacy.
I am 74, and had an operation at the t 10 level 4 years ago which has left me with enduring pain, for which I take Percocet. I also have sciatica, which is getting worse, leading to locomotion difficulties. I cancelled another scheduled lumbar back operation, happily.
Unfortunately, I told my physician about this: I had both a urine and blood draw drug screen yesterday, results not back yet. So, this is my comment:. I have neuropathic pain. I never really knew how much to take. There is so much confusion on dosing, so I just take a dropper full now. Should I take it twice a day, or once? I find it very hard to compare brand to brand. Thank you for your detailed, informative article.
If anyone would care to share how much oil they take daily, I would appreciate it. I just started using CBD oil about 6 to 8 weeks ago after much research. He said that he used CBD oil when he started getting restless leg syndrome. He would take the oil and put about 2 or 3 dots behind his knee and to his surprise, the tingling went away right away.
I found this hard to believe, but after hearing from some other people on the benefits of CBD, I decided to give it a try. I had to pay 50 dollars for an oz. The first night that I got restless leg syndrome and went into the bathroom and put 3 dots behind my knees on both legs it was only a matter of seconds before I had relief. I also rubbed some on a couple of sour spots near my back, and it seems to have helped.
Im also, in a better mood, I feel more alert and more full of energy. I believe it to be the thing of the future! I have tried several different CBD products from different US companies, capsules, drops, sprays, even a balm…..
I do hope this will be approved since the one was approved of someone attacking marijuanna supporting opiate pills yet lying on marijuanna to keep rights to their pain pills.
Patients like me stage 4 cancer up recurrence were just cold turkey took off left pain meds left to feel cancer and opiate withdrawal pain.
I too never overtook my pain meds. Two years of pure suffering goes by and I give in to medical marijuana and cannibas oil and my life changed! I went from hospice 2mo max to hospice leaving my health improved so much! A surgery where tumors on bile ducts, liver was cancelled, the pain gone vomiting stopped and MRI confirmed tumors gone. Opiates can not cure conditions, slow or kill cancer or near what cannibas-marijuanna is known to do.
Until medical marijuana I continued to slowly lose my battle to cancer, not blaming pain meds at all only saying they provided no medical benefit other than pain relief and pleasure feeling. I only use minimum amount early morning and late night. I have went on to teach myself about other things like enzymes and other plant life to alkaline, anti-inflammatory my body.
I support opiates when needed but highly support medical marijuana and cannibas oil.. Marijuana is not addictive unless the brain is not fully developed but even then in kids it can save their life: Noone has ever overdosed or died of marijuana per DEA. Although I advocate for being fair to true pain patients on opiates.
I did my research and have great product. I hate taking pills! I also have DDD, RA, Fibro, sciatica, ruptured discs in lower back, brain lesions and seizures and adrenaline tumors 3 ….
There are 20 mg of cannabiniol in each 1 ml dose. Just read your article about CBD oil and checked the label on the oil I bought 9 months ago from a legal dispensary in Pendleton, Oregon.
Across from the Subway. It lists herbs and supplements long before CBD oil and it is a derivative of Hemp oil. I had not done any research prior to my purchase and relied on the folks at the marijuana shop to sell me a good product. Buyer beware is the best advice I got from this article. I have not achieved any pain relief from this product and use about 1 ml under my tongue with the dropper in the bottle.
I intend to find a full spectrum CBD oil and I hope to notice a difference in pain relief. Thanks for the great information. I had desperately hoped for pain control but while it helped a little while on low dose fentanyl, without I get no relief to speak of.
The positive is in its helping my severe digestive issues! I have not been able to eat or digest what I ate for many years and with the use of this oil I am actually gaining weight! I was losing as much as five pounds a week! Just wish it helped with pain control!
By the way cbd oil of ANY kind tastes like ten dead dogs in the hot sunshine! I sandwich mine between small pieces of peppermint bark! Excellent, informative article — so many need this information to make good decisions! A hundred years ago, what Martin Lee describes, was common to all pharmaceuticals. Standardizing the growing conditions was difficult. Ultimately, standardization was a matter of isolating the active ingredient and making pure crystals of it, then weighing out the crystals milligram by milligram, to mix the finished medicine.
The problem with these cannabis extracts, is that very few people are isolating each pure active ingredient and studying what each ingredient does by itself. A number of people who have used cannabis to fight cancer, have later died of the cancer. The people kept dosing themselves with their oils or tinctures, but the oils and tinctures no longer contained enough cancer-fighting agents to defeat the cancer, and the people had no way of measuring this.
Cannabis research is very much a research field. But cannabis supporters must do their part as well. Hiding from the scientific method, and hurling bizarre conspiracy theories around to impugn the motives of science researchers, is making cannabis medicine less reliable than it needs to be, for the people whose lives most depend on it. I have to share this with you all, I live in Washington State where pot is legal to everyone of age except if your sign a Pain Contract. As we all know to well who suffer from chronic pain that taking or lowering our life saving pain medications is slowly killing us, but we need to all remember that our country and state and the CDC are all trying to save us from addiction.
So to my ear, I heard on the radio an advertisement from a local pot shop on their quality products and then when you listen to it, then it goes on to say as fast as they can, it my lead to addiction, so use cautiously. WHAT, it may lead to addiction but those of us who tried everything else to ease our miserable pain to only find that pain medications is so far the only thing that gives us relief.
But our government and states want to protect us from ourselves by taking away our much needed medications and in my state offer me instead marijuana that may cause addiction, I say that is so CRAZY!
Let people young and old use marijuana either to get high or for help with medical conditions with the chance that they may become addicted to it but for me, who I have never ever abused my pain medications, we have to lower you because you could become addicted to it and it is dangerous for your health.
At least with the proper dosage that aids me to have some life is so much better for my health than not enough or not any. Are there any recommendations? I see this list: And that we could confidently recommend to our CPS chronic pain readers? Like everything else in the U. S it is buyer beware.
The CBD Craze is mostly hype. It does little or nothing for pain, or anything else. The only thing I have seen is that when it is derived from marijuana in the for of a Salve with the a small amount of THC in it, it might help with arthritis topically. Dispensaries are charging 30 bucks and ounce for Hemp Oil so they have no economic incentive to derive the CBD from Marijuana.
I found that it was like pulling teeth, just to get the to admit the CBD oil came from Hemp. They isolate the CBD and then add it back to the Oil. This means there is no THC or Terpenes or any of the beneficial compounds found in marijuana.
I half expected the Dispensary employee to explain that because the Hemp Oil was in contact with CBD, it was the same thing. The Industry even has high quality magazines where they advertise and give advice, most contain a lot of pseudo science.
The other issue with the Medical Marijuana Industry is that they are throwing pain patients under the bus. In order to market their products they are conflating Heroin Addiction, with pain patients taking medically prescribed medications.
The Marijuana business has become like a Cult. They already believe that Medical Marijuana can replace pain medications for chronic pain.
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