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What strength cbd oil should i use for anxiety

CBD oil for anxiety: can cannabidiol treat anxiety?

Cannabinoid specialist Dr Julie Moltke looks at the relationship between CBD oil and anxiety.

Cannabidiol – more commonly known as CBD – has a number of health benefits. Along with treating pain, epilepsy and acne, several studies have found that CBD oil is helpful for easing symptoms of anxiety. But is CBD oil something anxiety sufferers should consider over traditional treatment methods?

Cannabinoid specialist Dr Julie Moltke looks at the relationship between cannabidiol and generalised anxiety disorder:

What is CBD oil?

CBD oil contains a carrier oil with a CBD extract in one form or the other. Examples of typical carrier oils are MCT oil (coconut oil) or virgin olive. The CBD is added to the oil, either an isolate of pure 99.9 per cent CBD or as a full or broad-spectrum extract.

The broad-spectrum is often made from industrial hemp and contains CBD, along with all the other components of the plant. This includes terpenes (the essential oils giving cannabis its distinct smell) and other cannabinoids like CBG, CBN and THC. The broad-spectrum extract is a full spectrum, where all traces of THC has been removed.

Millions of people use CBD oil to deal with anxiety and stress due to our high-paced lifestyles.

In the UK THC is considered an illegal substance and therefore full-spectrum CBD oils are technically not allowed. Retailers that follow regulation will therefore only sell CBD oils based on either isolate or broad-spectrum. Some people will testify that full-spectrum oils work better because of what we call the entourage effect. This is the effects gained by all the cannabinoids and terpenes working together.

We still do not have enough clinical research to fully understand and support the entourage effect, and at the end of the day, it is down to the consumer to decide which product they feel most comfortable with.

How does CBD oil work?

Millions of people use CBD oil to deal with anxiety and stress due to our high-paced lifestyles. Researchers have investigated this association between CBD and anxiety reduction in a well-known study from 2011. In a gold standard double-blinded placebo-controlled randomised clinical trial patients with social anxiety disorder (SAD) were either given a dose of CBD or a placebo. They then had to do a social speaking simulation and their anxiety levels measured by different parameters were assessed.

People who had received CBD showed significantly lower anxiety levels than participants who had been given a placebo. The ways CBD work in the brain are complicated and still to be further investigated but there is evidence to suggest that CBD might even work against depression and addictive disorders.

How does CBD oil ease anxiety?

CBD works by interacting with one of the body’s own regulatory system called the endocannabinoid system (ECS). We have endocannabinoid receptors almost everywhere in the body and it is part of our nervous system. We find them most abundantly in the brain but also in the gut, reproductive system, bones and immune cells.

CBD works by interacting with one of the body’s own regulatory system called the endocannabinoid system.

The ECS plays an essential role in keeping the body within a narrow range of operating conditions and controls important functions like mood, memory, stress, sleep, behaviour, appetite, pain, immune function and reproductive health. In the body we naturally produce chemical substances called endocannabinoids which binds to the endocannabinoid receptors and regulate all the above functions – the endocannabinoid system holds an important role in keeping us healthy and happy.

CBD can also bind to these receptors and active the ECS, thereby regulating the same functions. If this seems a bit too geeky all you need to remember is that CBD works a bit like social media. It acts everywhere and controls everything.

How does CBD oil ease anxiety?

As described above CBD works with the endocannabinoid system to produce some of the effects that people report, but CBD is also binding to other receptors in the brain like the serotonin (5HT)1a receptor. Serotonin deficiency is associated with depression and other psychiatric disorders and it is likely that the effects CBD has on mood and anxiety are related to this interaction.

The ways CBD work in the brain are complicated and still need to be further investigated, but there is evidence to suggest that CBD might even work against depression and addictive disorders.

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What is the best CBD oil dosage for anxiety?

In the study mentioned above the participants were given a one-time dose of 600 mg CBD. This is a very high dose which I would not recommend outside a clinical setting. If you haven’t tried CBD before I would start low and then slowly increase the dose.

Starting with 5 mg twice a day and eventually, you might end at 50 mg twice a day. As everyone reacts different to CBD, one person might feel symptom relief with a dose of 10 mg per day and others will need 200 mg.

Many people like to use a vape for acute anxiety as it works very quickly and this might be useful if you suddenly feel anxious in a crowded space or other acute situations.

Does CBD oil have any risks?

The World Health Organisation has stated that CBD is safe and with no addictive potential. In a 1000 mg CBD, 30 ml bottle, a full 1 ml pipette contains 33 mg CBD. This means that 1 drop contains a bit more than 1,5 mg CBD.

Most people take between 10-100 mg CBD per day which is thought to be completely safe. One study showed that when you take doses of CBD above 1000 mg you might see a small effect on liver enzymes but this dose is uncommon and not recommendable. If you have any doubts, consult your doctor.

⚠️ If you’re taking other medication for anxiety or any other condition, it is important that you consult with your GP before trying CBD oil.

What’s the safest way to purchase CBD oil?

It is definitely of the highest importance to purchase your CBD oil from a trusted source. My advice to a new consumer is to ask a lot of questions. Ask about the labelling, the labelling is not always clear, and sometimes even I get confused. If it says, 200 mg on the label is it then 200 mg of pure CBD or is it CBD plus a mixture?

It is definitely of the highest importance to purchase your CBD oil from a trusted source.

As brands cannot suggest serving size, it is good to know what you are looking for and do your background research when you want to find the right product. Ask questions like do they quality test their products and what are the quality standards. All brands should use third-party testing.

Personally, I use different products throughout the day. At the moment I use a calming oil before going to sleep. I always liked to drink chamomile tea while reading a few pages in a book, as it makes me really calm before going to bed. I also have no phones on the bedside table and no computers one hour before bedtime. I recently added this oil by Yuyo Botanics to my evening routine and I take 1 full pipette which is approx. 30 mg cannabinoids one hour before going to bed.

Netdoctor top pick: we love Grass & Co’s Ease CBD Hemp Oil, a citrusy blend of CBD, ginger, turmeric and orange.

Dr Julie Moltke MD – Cannabinoid specialist Dr Julie Moltke qualified as a Doctor at Copenhagen University of Medicine and studied at Karolinska University, Stockholm and Pierre & Marie Curie University, Paris.

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Here’s How to Determine How Much CBD You Should Take

Many people use CBD for pain and anxiety relief. But how do you know if you’re taking too much?

Taylor Leamey writes about all things wellness. She holds a bachelor’s degree in both Psychology and Sociology and is a certified sleep coach.

It’s safe to say that CBD is pretty mainstream now — you can buy it in grocery stores. No longer is it considered a trendy health hack but a legitimate option for pain and anxiety relief. But even with the largely widespread acceptance, there are still a lot of questions about how much and how often you should take CBD.

CBD products do not have federal oversights or regulations. In fact, up to 70% of CBD products you buy on the internet either have more or less CBD than listed on the label. Finding the ideal CBD dosage for pain or anxiety can be difficult. Here’s how to make it easy.

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What can you use CBD for?

Research, though limited, indicates that CBD has legitimate health benefits. While there is no FDA regulation, research has shown that full-spectrum and broad-spectrum CBD effectively treat pain and anxiety. There’s only one FDA-approved CBD product, called Epidiolex, that’s available by prescription. Epidiolex treats seizure disorders such as Lennox-Gastaut syndrome and Dravet syndrome.

However, there are several other benefits and uses of CBD products.

The most common uses of CBD

  • To lessen symptoms of anxiety and depression for things like muscle pain or migraines
  • To reduce chemotherapy-induced nausea
  • Relieve inflammatory diseases
  • Help with behavioral symptoms of dementia or Alzheimer’s disease
  • Managing multiple sclerosis and improving mobility

The CBD market is continuously expanding with new products. However, there are four main types of CBD product categories. All of which will vary in potency and dosage per unit.

Oils and tinctures

CBD oils generally come in either a liquid or capsule form. You can take the extracts independently or use the dropper to add them to food or drinks. Liquid tinctures are usually taken directly under the tongue.

“Tinctures are generally taken at higher concentrations than oils. This means that if you were taking 1 milliliter of tincture, you would need to drop the concentration down to 0.5 milliliters. A good rule of thumb is to start with a small dose (0.25 milliliters) and slowly increase your dose over time,” says Reda Elmardi, a registered dietician and certified nutritionist.

Edibles

Edible CBD products are quickly becoming very popular, likely because of their convenience and flavor profiles. With edibles, you have several options in flavor, potency and prices. They have everything, from gummies to cookies, chocolates and even granola bars.

Topical

CBD is also available in topical creams and salves applied directly to the skin. Popular forms are lotions, creams or ointments. Topical CBD products are good options for muscle pains, joint inflammation or nerve pain.

Topical CBD is one of the more difficult forms for determining dosage. Not only does potency vary by product, but also varies by how much you use each application. It’s important to follow manufacturer instructions carefully.

How to determine the best CBD dosage for you

CBD products express dosage in milligrams. Epidiolex starts with a dosage of 2.5 milligrams taken twice a day. After a week, you can increase the dosage to 5 milligrams twice a day. Federal regulation makes determining dosage straightforward.

For the rest of the products on the market not regulated by the FDA, there are no established guidelines for CBD concentration, which makes determining how much you should take a little more difficult. There are a few key factors you need to keep in mind — your weight, what you’re treating and the concentration of the product.

The ideal dosage for you will vary depending on what you’re using it for and what form you’re taking. Don’t forget that different forms also mean how quickly it takes effect. Generally, edibles, oils and capsules will take roughly 30 to 60 minutes to take effect. Smoking or vaping CBD will bring it on significantly quicker since the CBD absorbs into your bloodstream rather than your digestive system.

CBD dosage will vary by condition

In general, the CBD dosage is dependent on the disease and its ability to be managed by CBD. The research that is available on CBD treatments has very varied dosage levels. Clinical studies have varied in oral doses from 100 to 800 milligrams a day. Others administer lower levels around 40 milligrams. A 2019 study investigating CBD for anxiety found that 300 to 600 milligrams reduced anxiety symptoms. However, that study was limited to 57 adult males.

“For generalized anxiety or sleep disorders, 25 to 75 milligrams per day is recommended, while for PTSD, 33 to 50 milligrams per day is recommended. In severe anxiety, a patient’s dose might be increased to 300 to 600 milligrams. If the patient is experiencing pain due to chemotherapy, 50 to 60 milligrams is recommended, with a maximum daily dose of 600 milligrams,” says Kimberly Langdon, a board-certified MD.

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How much CBD is best for you will depend on your body. Your body weight and existing medications will influence the ideal dosage for you.

Can you take too much CBD?

A clinical review of studies confirmed that people tolerate doses as high as 1,500 milligrams a day. We want to stress that the research around CBD dosage is still really young, so there is not much to point to about how much is too much for people. More research is needed to definitively conclude the ideal dosage for each condition.

Not a ton of known side effects associated with CBD products. Though fatigue, diarrhea and appetite changes have been reported. The FDA states that CBD can cause liver damage and potentially impact the other prescription medications you’re taking.

If you’re starting your CBD journey, it’s best to slowly build your dosage so you can monitor how it affects you.

“The idea is to start very low (i.e., 5 milligrams per use) and increase daily usage by 5 milligrams every two days until you start feeling results. Then, stop increasing and keep using the same number of milligrams or drops. For many people, the amount that provides modest benefits in the first couple days will, after consistent use, provide more and more benefit over time,” says Dr. Dustin Sulak, an integrative physician and leading cannabis clinician.

How to calculate CBD dosage

For some forms of CBD, determining how much is each unit is simple. Capsules or gummies tend to have an expressed milligram content, making dosage much easier than oils or creams.

Oils or tinctures with a dropper bottle list the CBD content for the total liquid bottle. So instead of eating a gummy that’s 50 milligrams, it will look more like 7,500 milligrams of CBD in the 30-milliliter bottle. Some bottles will offer serving sizes — like one drop — to indicate dosage. This allows you to have greater control over how much you are intaking, but even still, it’s not a perfect science.

Some bottles with a traditional nutrition label on the back will tell you exactly how much is in one dropper. If you are unsure, it’s a good idea to reach out to the company to find out. It can be difficult to figure out how much you’re intaking for the bottles that do not break down by serving size and offer only the total amount. It is difficult, but not impossible; it just takes a little bit of math.

Say you have a 30-milliliter bottle of CBD oil, and each drop is 0.05 milliliters.

To determine how many milligrams of CBD per milliliter, you divide the total milligram content by how much the bottle is. In this example, the math would look like this:

7,500 milligrams divided by 30 milliliters = 250 milliliters.

There is 250 milligrams of CBD per milliliter for this product. Next, you want to know exactly how much CBD is in each drop.

250 milliliters x 0.05 milliliters = 12.5 milliliters per drop.

This calculation works with any bottle of CBD. Once you know how much CBD is in each drop, you can accurately take your ideal amount. “To ensure the best results, keep track of how much you take, how many times a day you take it and rate your symptoms daily (by rating 1 to 10, 10 being best) to see if they are getting better or worse,” Sulak advises.

Too long, didn’t read?

CBD is a continually evolving field in both products and research. While research is lacking, what is available suggests that CBD does have therapeutic benefits and is generally very well tolerated by people. Still, more research is needed to really dig into the long-term side effects and best dosage markers for the average person.

In place of federal regulations, use your best judgment regarding how much CBD you are taking. Talking to your doctor about dosage is always a good idea when in doubt.

The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives.