Like many of my fellow New York City residents, I’ve recently grown aware of the presence of CBD in my surroundings. In particular, CBD at coffee shops. It started when some friends of mine were discussing a pilgrimage out to Flower Power Coffee Co., known for its “artisanal CBD-infused coffee.” Then, at a fancy matcha cart I went to for Instagram-related purposes, I noticed that alongside health food add-ins like oat milk was the option to include a one-dollar shot of CBD. I didn’t do it, because weed in most forms tends to make me sleepy and it was 1 p.m. on a Saturday in the middle of Brooklyn's trendiest neighborhood.
Stephanie, generally, I have patients take 20 to 150mg a day for sleep +/- anxiety. Start low and go slow. Know the dosages of your product. Usually 2/3 to 3/4 of the daily dose is 1-2 hours before bedtime, and the other portion is upon waking (to improve wakefulness during the day). Other factors such as stress, hormone replacement, other meds & medical conditions, etc. play a role along with individual differences. I own a compounding pharmacy, so we see a lot of unique needs. I can't give more specific advice in this forum, but there is help!
Additionally, CBD oil can benefit people with other medical conditions. CBD oil may be prescribed for patients with Lennox-Gastaut syndrome or Dravet syndrome, two rare forms of severe epilepsy; the medication Epidolex, a CBD oil oral solution, is typically prescribed in these instances. Many people with depression, anxiety, post-traumatic stress disorder, and other mental health disorders have also found that CBD oil has a calming, therapeutic effect when they experience symptoms. Most medical experts agree that marijuana is not particularly beneficial for these individuals, as the THC can increase the symptoms of these disorders, making CBD oil a good alternative option.
For ingested CBD, that fat solubility is a problem. “[Ingested] CBD has a very low bioavailability, something between 6 and 15 percent, which varies between people,” says Blessing. Because ingested CBD is so inefficient at actually getting to the brain to stimulate CB1 and other receptors, the doses shown to be effective have to be very high. “There’s no evidence that doses below 300 mg of CBD have any effect in any psychiatric measure,” says Blessing. “And in fact, dose-finding studies show that the lowest clinically effective dose of CBD for reducing anxiety is 300 mg.” Blessing is talking about induced anxiety in otherwise healthy patients, which is all we have studies on; studies of CBD’s efficacy in treating clinical anxiety, which would require regular doses, haven’t been published.
The final advantage in the above list of a lower cost per milligram is one worth looking into further. As previously mentioned, because a full spectrum product is derived from a whole plant ex-tract it typically costs more (you the consumer are getting more than just CBD). Chase Terwilliger, CEO of CBDistillery, adds, "It is less expensive to manufacture isolate-based products com-pared to full-spectrum products. Rather than taking advantage of a larger margin, we decided to pass the savings along to the consumers." For those looking for a pure CBD product, you will al-so be delighted to find that CBD oil made from isolate is typically less expensive than a full-spectrum product. Which brings up a final point which is to do your research on the industry standard pricing for cost per milligram to ensure you are not paying an unnecessary premium.