Mr. Chairman, Ms. Chairwoman, and Members of the Senate Drug Caucus, thank you for inviting the National Institute on Drug Abuse (NIDA), a component of the National Institutes of Health (NIH), to participate in this hearing to share what we know about the biology and the potential therapeutic effects of cannabidiol (CBD), one of the main active chemical compounds found in marijuana. In light of the rapidly evolving interest in the potential use of marijuana and its derivative compounds for medical purposes, it is important to take stock of what we know and do not know about the therapeutic potential of CBD.
CBD is otherwise most often used for its potential to provide calm and relaxation. On a chemical level, CBD is known to possess powerful antioxidant properties, which may contribute to reducing inflammation and relieving pain. Ongoing research and study are required to fully understand the potential of the cannabinoids therapeutic effects, but CBD may also help to:
However, there is so much more to both CBD and THC than just THC’s psychoactive properties that it is a shame not to explore their applications and learn the truth about them, especially since they are both being used nowadays to better the lives of countless people on a daily basis. Science is an evolving process and it pays to stay up to date, especially on new industries like CBD.
Cannabidiol, or CBD for short, is a natural phyto-cannabinoid (or plant-based chemical compound) found in cannabis plants, including hemp and marijuana. Unlike other cannabinoids — namely tetrahydrocannabinol, or THC — CBD does not produce any psychoactive effects, and will actually counteract these effects to a degree. CBD will induce feelings of sleepiness; for this reason, it can be an effective soporific for people who struggle to fall and/or remain asleep due to insomnia and other sleep disorders.
Until relatively recently (1980s), scientists believed that CBD was a natural precursor to the formation of THC, and since THC was a strictly controlled substance back then (it still is), it only followed that CBD should be equally strictly regulated. However, CBD is actually unrelated to the chemical chain that results in THC. They share some characteristics but are created via different paths. Again, unlike THC, CBD is considered a legal cannabinoid and is safe to consume in any amount and concentration.
In addition to acting on the brain, CBD influences many body processes. That’s due to the endocannabinoid system (ECS), which was discovered in the 1990s, after scientists started investigating why pot produces a high. Although much less well-known than the cardiovascular, reproductive, and respiratory systems, the ECS is critical. “The ECS helps us eat, sleep, relax, forget what we don’t need to remember, and protect our bodies from harm,” Marcu says. There are more ECS receptors in the brain than there are for opioids or serotonin, plus others in the intestines, liver, pancreas, ovaries, bone cells, and elsewhere.
Transparency: Receptra Naturals’ website has a database where you can look up lab reports for their products. The first time we checked, we got some 404 errors for a couple of the lab reports, but these glitches seem to have been fixed since then. We were able to see third-party lab reports for all their tinctures (though, apparently not for their topicals). 
The people have spoken: this Full Spectrum Hemp CBD Oil from Bluebird Botanicals is our Best-Rated CBD Oil — and with good reason. Few other products combine the beneficial properties of CBD and hemp as well as this one. Potent and rich in organic, nutritional ingredients, it helps to quickly ease symptoms related to pain and anxiety. In short, there’s so much to enjoy in such a small bottle.
The purest way to include our CBD hemp oil in your daily routine, our Real Scientific Hemp Oil™ Gold Label has the highest CBD content per serving of all our full-spectrum hemp oil products. Extracted using supercritical CO2 and Triple Lab Tested™, our hemp oil is an impeccably pure way to add CBD to your diet. Our RSHO™ is naturally abundant in vitamins, minerals, essential fatty acids, terpenes, CBD, and other trace cannabinoids. Each Gold Label tube contains 2400 mg of decarboxylated CBD and is clean filtered to remove any chlorophyll and excess plant matter for a refined taste.

Food and beverage products containing CBD were introduced in the United States in 2017.[dubious – discuss][47] Hemp seed ingredients which do not naturally contain THC or CBD (but which may be contaminated with trace amounts on the outside during harvesting) were declared by the FDA as GRAS in December 2018. CBD itself has not been declared GRAS, and under U.S. federal law is illegal to sell as a food, dietary supplement, or animal feed.[13] State laws vary considerably as non-medical cannabis and derived products have been legalized in some jurisdictions in the 2010s.
It’s also important to select CBD oil products based on your concentration preferences. Some forms of CBD oil – such as vapors and tinctures – normally have higher-than-average concentrations, whereas sprays and topicals tend to have lower concentrations. Remember: higher concentration means more pronounced effects, but not necessarily mean higher quality.

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Fab CBD offers full refunds for all products returned within 30 days of the original purchase. Inexpensive shipping rates are also available; most customers receive their delivery within seven or fewer business days. Customers can contact Fab CBD by phone or email if they have questions or concerns about their delivery. Those who join the brand’s online community qualify for product discounts, as well.
The reason so many people are interested in cannabis products that don’t make them high, proponents say, is that CBD helps with everything from pain and nausea to rheumatoid arthritis, cancer, Crohn’s disease, and dementia. CBD is anti-inflammatory, anti-anxiety, antibacterial, immunosuppressive, and more, says Joseph Cohen, DO, a cannabis doctor in Boulder, CO.
There truly is no one-size-fits-all serving size, but for those just starting out, the best rule of thumb is to start low and slow. Start with just two to three milligrams and work your way up. This may take some trial and error, but you certainly don’t want to go too hard into the deep end. Thankfully, you cannot overdose on CBD, and even the highest concentrations of pure CBD oil report no significant side effects.
Seizure disorder (epilepsy). A specific cannabidiol product (Epidiolex, GW Pharmaceuticals) has been shown to reduce seizures in adults and children with various conditions that are linked with seizures. This product is a prescription drug for treating seizures caused by Dravet syndrome or Lennox-Gastaut syndrome. It has also been shown to reduce seizures in people with tuberous sclerosis complex, Sturge-Weber syndrome, febrile infection-related epilepsy syndrome (FIRES), and specific genetic disorders that cause epileptic encephalopathy. But it's not approved for treating these other types of seizures.
Customer Service: There are multiple ways to get in touch with customer service, and Pure Hemp Botanicals’ customer service representatives are both quick to respond and forthcoming with information. On the down side, free shipping kicks in at $100 — otherwise it’s a pricey $9.99 flat rate. And you can return products, but only if they’re unopened.
Thank you for your questions. Marijuana and hemp are two extremely different strains of the same cannabis sativa plant that have been bred over thousands of years to have entirely different purposes. (Hemp is not the male version of the marijuana plant.) They both contain CBD. Hemp only contains CBD whereas marijuana contains CBD and perhaps a hundred or so other chemicals with a variety of functions, such as THC, the molecule that makes people “high”. Any medicine can have different effects on different people. For example, Benadryl makes some people sleepy yet can make others wide-awake. So, it is not inconsistent for a particular medicine to cause a symptom in one person and to help alleviate it in another. So while many people experience relaxation with CBD, so people do experience the “paradoxical” effect of irritability.
The good news is that numerous states have enacted legislation that allows for the use of CBD. Just four states (Idaho, South Dakota, Nebraska, and Kansas) forbid any access to marijuana. Ten states and Washington, D.C., currently allow for both medical and recreational use of cannabis, including CBD products. The other 36 states allow for the use of medical cannabis in some form, though some of these relegate this to CBD oil only.
Online Retailers: Most CBD oils are sold through online retailers. These establishments tend to have the widest product range, and many offer free doorstep delivery. Online retailers also frequently post product reviews, allowing buyers to compare different oils based on customer experiences to determine which is best for them. These reviews can also be used to evaluate the retailer based on customer service, delivery, and product quality.
Historically, hemp could legally be grown and cultivated for academic research purposes only. However, the legality of hemp growth has changed in the past year. In April 2018, Sen. Mitch McConnell of Kentucky introduced the Hemp Farming Act of 2018, a piece of legislation that proposed legalizing all hemp products at the federal level. The act was incorporated in the 2018 United States Farm Bill, which passed in both the House and Senate in December 2018. Per the farm bill, industrial hemp will be descheduled as a federally controlled substance.
Hemp-producing cannabis has tall, fibrous stalks that are very strong and have very few flowering buds. On the other hand, marijuana strains are short, bushy, and have high amounts of THC. In fact, industrial hemp and medical marijuana are so distinctively different that most lay people wouldn’t be able to tell that they belong to the same genus of plants if they encountered them in the wild!
The people have spoken: this Full Spectrum Hemp CBD Oil from Bluebird Botanicals is our Best-Rated CBD Oil — and with good reason. Few other products combine the beneficial properties of CBD and hemp as well as this one. Potent and rich in organic, nutritional ingredients, it helps to quickly ease symptoms related to pain and anxiety. In short, there’s so much to enjoy in such a small bottle.
The majority of the population already realizes just how powerful products that contain Cannabidiol are, a component of the Cannabis plant species that are known to possess numerous medicinal properties. With the ever-increasing popularity of these products, more people are becoming interested in using CBD products in their everyday lives, to assist with the treatment of certain conditions or simply as a way of boosting their immune system and aiding their overall well-being.
As Your Trusted CBD Source, HempMeds® takes careful steps to ensure that we provide you with only the safest and most reliable CBD hemp oil and hemp oil products. These steps begin with the selection of our specific hemp cultivar, chosen due to its ability to thrive in our farm’s microclimates and its optimal ratio of CBD to THC. All our non-GMO hemp is grown free of pesticides, herbicides, and chemical fertilizers. Our hemp oil is then extracted using supercritical CO2, a process considered GRAS (generally regarded as safe) by the FDA.
From 2015 to July 2019, the FDA issued 48 warning letters to 23 American manufacturers of CBD products for false advertising and illegal interstate marketing of CBD as an unapproved drug to treat diseases, such as cancer, osteoarthritis, symptoms of opioid withdrawal, Alzheimer's disease, and pet disorders.[91][92] The FDA said that the letters were issued to enforce action against companies that were deceiving consumers by marketing illegal products for which there was insufficient evidence of safety and efficacy to treat diseases.[91] In July 2019, the FDA stated: "Selling unapproved products with unsubstantiated therapeutic claims — such as claims that CBD products can treat serious diseases and conditions — can put patients and consumers at risk by leading them to put off important medical care. Additionally, there are many unanswered questions about the science, safety, effectiveness and quality of unapproved products containing CBD."[91]
Cannabidiol (CBD) is a naturally occurring compound found in the resinous flower of cannabis, a plant with a rich history as a medicine going back thousands of years. Today the therapeutic properties of CBD are being tested and confirmed by scientists and doctors around the world. A safe, non-addictive substance, CBD is one of more than a hundred “phytocannabinoids,” which are unique to cannabis and endow the plant with its robust therapeutic profile.
More important than legality is understanding if CBD is safe for you. While studies are still ongoing about the long-term safety of CBD usage, most experts agree that it is easily tolerated by most adults with no significant side effects on mood, physiology, or the central nervous system. Many CBD products, including oils and tinctures, also allow you to customize your serving size, which can help you avoid or mitigate any potential side effects.
Sub-lingual CBD drops have helped me enormously with sleeping and with radiation damage pain. I have a cancer that spread from the pelvic area to my sacrum and sciatic nerve and whilst the chemo and radiotherapy saved my life I have been taking MST (morphine derivative) for nerve pain ever since. My tumours are presently all quiet and last March I decided I wanted to stop taking the pain relief drugs, fearing dementia. CBD oil was recommended by my son who has arthritis and, for me, it really works. It’s so good to read an article that isn’t put out by a CBD sales site – I wish it could be properly prescribed and regulated (I’m in the UK) in order to have confidence with purity and dosage.

Nabiximols (brand name Sativex) is a patented medicine containing CBD and THC in equal proportions. The drug was approved by Health Canada in 2005 for prescription to treat central neuropathic pain in multiple sclerosis, and in 2007 for cancer related pain.[32] In New Zealand, Sativex is "approved for use as an add-on treatment for symptom improvement in people with moderate to severe spasticity due to multiple sclerosis who have not responded adequately to other anti-spasticity medication."[33]


Cannabis – A type of flowering plant that includes three distinct variations: Cannabis ruderalis, Cannabis indica, and Cannabis sativa. Cannabis has a wide range of industrial and medical applications. It has been used since antiquity for its sturdy fiber, for oils, and for medicinal purposes. However, it has also been used as a recreational drug, a fact that renders the cultivation of cannabis strictly regulated because of some variations including high concentrations of THC.
Back pain can be extremely debilitating, and it’s understandable if you want to steer clear of pharmaceutical painkillers in favor of something a little more natural. That’s what makes this Green Label Raw CBD Oil from Herbal Renewals so special. Available in three sizes, it’s a potent concentrate that gets to work in around fifteen minutes, and it can last for up to twelve hours, bringing real relief to back aches.
Children: A prescription cannabidiol product (Epidiolex) is POSSIBLY SAFE when taken by mouth daily. The most common dose used is 10 mg/kg daily. Higher doses of 15-20 mg/kg daily may be used in some children, but these higher doses are more likely to cause side effects. This product is approved for use in certain children 2 years of age and older, but has been used in children as young as 1 year of age. 

Cutting-edge science has shown that the endocannabinoid system is dysregulated in nearly all pathological conditions. Thus, it stands to reason that “modulating endocannabinoid system activity may have therapeutic potential in almost all diseases affecting humans,” as Pal Pacher and George Kunos, scientists with the U.S. National Institutes of Health (NIH), suggested in a 2014 publication.
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