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“A lot of times patients won’t even bring this up because they think, ‘Oh, my doctor will just blow it off and they won’t take it seriously,” Mauck explains. The Mayo Clinic review is intended to provide health professionals with working knowledge to better advise their patients.

Even though CBD is legally and medically murky, consumers can take a few strategies to minimize risk. Scrutinize labels, buy organic, and purchase from a certified medical dispensary or company that has a certificate of analysis. This certificate means an independent lab has studied the product and certified what it does and does not contain. Find out how and where the hemp plant from which the CBD product is derived is grown, Mauck says. Make sure it is grown legally and not from a foreign source.

The only thing we know for sure is that purified CBD can help children and young adults with two forms of particularly rare and brutal treatment-resistant epilepsy called Dravet syndrome and Lennox-Gastaut syndrome (LGS). In June 2018, the FDA approved Epidiolex, a purified CBD oral solution for patients with these conditions. Patients reported drastically lowered seizures, and in some patients, the seizures stopped completely.

Snake Oil or Miracle Cure?

Despite these challenges, Mauck stresses that it’s important for health professionals to be as current on the research and developments as possible. She and her co-authors designed the review to be a clinical tool to help physicians more effectively advise patients on CBD use.

It’s hard to know exactly what you’re getting. A 2017 review of 84 CBD products published in JAMA found that only a third of the products accurately labeled CBD and THC levels: most over-labeled CBD and under-labeled THC.

But a new systematic research review from Mayo Clinic, one of the country’s leading medical centers, warns there’s still a lot to learn about CBD.

“Because CBD is not controlled, basically, it’s anybody’s guess what can be in these. And so they can claim that it’s 30% cannabidiol and otherwise pure. But if it’s not independently tested, it may have other pesticides, toxins, heavy metals,” Mauck says.

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THE MAYO CLINIC WEIGHS IN ON CBD – OFFERS DOSAGE SUGGESTIONS.

I have just received a supply of b+ pure cbd in the mail. This is all new to me. I have arthritis in my joints which includes somewhat crippled arthritic hands. I am searching for relief. The cbd oil comes in 300mg bottles. From what I read above I’m wondering is this is too much of a daily dose for me.

CBD is a chemical derived from Cannabis sativa (marijuana). CBD contains little or no delta-9-tetrahydrocannabinol (THC), the psychoactive ingredient in marijuana that produces a high. The usual CBD formulation is oil, but CBD is also sold as an extract, vaporized liquid or oil-based capsule.

A: Cannabidiol (CBD) oil is popular for symptom relief in a number of ailments. While it’s mostly considered safe, it’s not without risks.

Reported uses for CBD include relief from:

While it’s generally well tolerated, CBD can cause side effects such as dry mouth, diarrhea, reduced appetite, drowsiness and fatigue. CBD can also interact with other medications you’re taking, such as blood thinners. Another cause for concern is the unreliability of the purity and dose of CBD in products since they aren’t regulated. CBD products can also be quite expensive.

The only CBD product approved by the Food and Drug Administration is a prescription oil called Epidiolex. It’s approved to treat two types of epilepsy. Aside from Epidiolex, state laws on CBD vary. Some states place specific medical restrictions on who can purchase CBD products, while other states may allow people to obtain them openly at a dispensary or store.