Jill A Antoine MD drjillantoinecom Major US Army ret Director Highland Hospital Perioperative Clinic Objectives To understand the differences between CBD and THC To understand the medicinal qualities of CBD ID: 760011
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Slide1
The 1,2,3’s of CBD’s
Jill A. Antoine MD
drjillantoine.com
Major US Army ret
Director Highland Hospital
Perioperative Clinic
Slide2Objectives
To understand the differences between CBD and THC
To understand the medicinal qualities of CBD
How to avoid contaminants
How and What to purchase to help treat your medical condition
How to titrate your dose
Slide3Hemp vs Marijuana
Both derive from Cannabis sativa species
Hemp: THC must be less than .3%
Hemp is C sativa L.
subsp
sativa var. sativa
Marijuana is
subsp
indica
or sativa with 2-35% THC
Check out
Leafly.com
Slide4The History
One of the earliest plants to be cultivated 8000 BC
THC bearing plant occurred in South-central Asia
Grown by our forefathers including George Washington
Humans have been eating it for centuries
Marihuana tax of 1937
Slide5What is CBD?
Cannabidiol
Second most prevalent active ingredient of marijuana
Derived from hemp or marijuana, but usually hemp
No high=
nonpsychoactive
Created by Decarboxylation of
CBDa
Slide6CBD is NOT
THC= tetrahydrocannabinol
Is one of many Cannabinoids in marijuana
CBG or CBC or
CBDa
Slide7Is CBD legal?
Feds: CBD = Marijuana as a crime
MD’s can now research
CBD made illegal in 1970 by Nixon
Slide8California Law on CBD
Not Legal
CDPH update July 2018:
Therefore, although California currently allows the manufacturing and sales of cannabis products (including edibles), the use of industrial hemp as the source of CBD to be added to food products is prohibited. Until the FDA rules that industrial hemp-derived CBD oil and CBD products can be used as a food or California makes a determination that they are safe to use for human and animal consumption, CBD products are not an approved food, food ingredient, food additive, or dietary supplement.
Slide9CBD Health Benefits
Epilepsy
Insomnia
Anxiety
Decreases Pain
Decreases Inflammation
Neuroprotection
Glaucoma
Antipsychotic
Multiple sclerosis pain
Lowers blood sugar
Slide10Recepetors in Human
THC tends to bind receptors in brain: CB1
CBD binds receptors in body: CB2
Humans have endocannabinoid receptors and makes its own CBD’s
Slide11FDA Warnings
No claims can be made to health benefits
Must develop peer-reviewed, double-blind, placebo-controlled clinical studies
Slide12Is CBD safe?
Yes….BUT
Side Effects: nausea, fatigue, irritability
Increases blood levels of medications
No regulation so purity and pollution are an issue
Some products may not even contain CBD
Slide13How is CBD taken?
Oral liquid
Vape oil or inhaler
Topically
Salve
Lotion
Tincture sublingually
spray
Slide14How do I pick the right CBD product?
No FDA review
States with legal marijuana laws have regulated lab testing in dispensaries; CA, WA, CO, OR, Ak, ME, MA, NV, DC
Where does it come from?
How is it made?
What is in it?
Slide15Where does it come from?
Certified US farms
Certified USDA Organic
Pesticide free in European Union
Roundup free?
Slide16How is CBD Oil made?
Organic
pharmaceutidal
-grade ethanol extraction
CO2 extraction
Slide17What is in your CBD oil?
Make sure your supplier is at least second source verifying
Devoid of pesticides, herbicides and solvents
No heavy metals
Decarboxylated
Ask for certificate of analysis or lab report. Do NOT buy without this.
Make sure you buy organic at all times.
Slide18Recommended Products
Ojai Energetics
, Full Spectrum Hemp Elixir
CBDPure
, Hemp Oil
CW Hemp
, Hemp Extract Oil
H. Hemp
, CBD Infused with MCT oil
Sagely Naturals Relief & Recovery Capsules
Bluebird Botanicals Hemp Classic
Highest concentration
Plenty Relief
, Concentrated Hemp Oil
Pure Spectrum
, Hemp Oil Tincture
Plus CBD Oil
Slide19Research
https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2697762
https://www.ncbi.nlm.nih.gov/pmc/?term=CBD
J Neuroendocrinol.
2008 May;20
Suppl
1:10-4.
doi
: 10.1111/j.1365-2826.2008.01671.x.
Cannabinoid receptors: where they are and what they do.
Philos Trans R Soc Lond B Biol Sci.
2001 Mar 29;356(1407):381-408.
The neurobiology and evolution of cannabinoid
signalling
.
https://
www.cdph.ca.gov
/Programs/CEH/DFDCS/CDPH%20Document%20Library/FDB/
FoodSafetyProgram
/HEMP/Web%20template%20for%20FSS%20Rounded%20-%20Final.pdf