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What is the Stepwise Dosing Procedure?

The Stepwise Dosing is a process by which you first establish a minimum baseline dosage, then adjust the dosage incrementally over a set period of time – typically 3 days. This is continued until the effective dosage is established.

On that note, it is important to recognise that everyone responds a little differently to CBD. Consequently, there is no set dose for everyone or every condition. By following the Stepwise Dosing Procedure, you can easily find your most effective dosage of CBD which will vary depending on different factors such as age, weight, metabolism, etc.

The Stepwise Dosing Procedure

Start Low and Go Slow : The first step to finding your minimum effective dose is to establish a baseline dosage. Since many people report desirable results with CBD at low doses, we suggest you start with a least dose possible and slowly increase the dosage until you are comfortable with the results.

As a rule of thumb, start with a small baseline dosage between 2-5mg, two times or three times daily (6-10mg total).

Next is to:

  1. Maintain your baseline dosage for 7 days, taking note of how the CBD interacts with your body (see note below).
  2. If you are not receiving the benefits you were expecting after the initial 7 days of taking your baseline CBD dosage, then increase the daily dosage by 1-2 mg every 3 days until you find the dosage that is most suited to you.
  3. Once you have determined your minimum effective dose, you may wish to decrease your dosage by one step to see if you can maintain the benefits at a slightly lower dosage.

Important Note: Typically, people decide to try CBD because of a specific condition, only to find it helps other areas of their health as well. Remember, your endocannabinoid system runs throughout the entire body at a cellular and sub-cellular level. CBD is a whole-body compound. When you start taking CBD for the first time, pay attention to everything going on in your body. Do not be surprised if you find various benefits from your dosage. 

About Sleep: Often times, certain conditions or side-effects from medication can create insomnia. Sleep is essential to the bodies healing and recovery process. If sleep deprivation is an issue, you may want to consider increasing your dosage slightly at night, to assist with a more sound sleep.

Establishing A Baseline Dosage Based On Weight

If you feel you need a higher dosage, we have created the following chart to assist you in establishing your baseline dosage depending on your weight. This chart is submitted as a suggestive guide only and is not meant to take the  place of a qualified physician. This chart has not been approved or evaluated by the FDA for the diagnosis, cure, mitigation, treatment, or prevention of any disease.

CBD Oil Dosing By Weight

Dosing With Sublingual CBD Oils

Once you have established a minimum effective dose using the stepwise dosing procedure, the following chart will help you determine which sublingual oil potency will best meet your daily dosage requirement. To find the best product match for your dosage simply match your daily dosage to the row on the chart labeled “30 Day Supply in Bottle”. For example: If you need 8mg CBD daily then according to the chart you would need a 300mg product. The chart also acts as a guide to how to use the glass dropper to measure out CBD in milligrams.

CBD Oil Dosage Measurement Guide

Dosing With CBD Vapor

*You must be 18 years of age or older to purchase vaporizer products. Not recommended for children. 

Once you have established a minimum effective dose using the stepwise dosing procedure above, the following chart will help you determine how to measure milligrams of CBD using either our 250mg or 500mg CBD Vapor Cartridges. As an example, if you needed an 8mg dosage, the chart shows several options to dial-in that dosage using a vape pen. To get 8mg total CBD you could choose to take four 4-second puffs or you could choose two 8-second puffs. A puff is measured by drawing on the vape and counting seconds as 1-1000, 2-1000, etc. Keep in mind everyone will draw their puff a little differently so the values on this chart are only best approximations.

Measuring dosage in 250mg and 500mg CBD oil vapes

Sublingual Oils vs Vapor – Which Are Best?

*You must be 18 years of age or older to purchase vaporizer products. Not recommended for children. 

Looking at the comparison chart you can see the differences between these two popular delivery methods. CBD sublingual oils are taken by placing the desired amount of drops under the tongue and holding for 40-60 secs before swallowing. CBD Vapor is taken by puffing on a vaporizer pen (vape) with the desired CBD vaporizer cartridge.

Many people do not like vaping so the choice to use a sublingual oil is easy. Others may choose a vapor product over a sublingual oil because of the higher absorption rate, faster onset and convenience of carrying it on your person. Some prefer the sublingual oils because the effects last longer, it is easier to dial-in an exact dosage, and easier to take higher dosage servings. Many customers will opt to do both, using the sublingual oil for the main dose and a vape pen to supplement between doses. This is especially helpful for people tackling anxiety or chronic pain who may need to supplement throughout the day.

CBD Oil vs Vapes Comparison Chart


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Consumers who buy cannabis online embraces cryptocurrency future with inclusion of Bitcoin at checkout.

With more than 12 million Coinbase users and 12,000 transactions an hour, Bitcoin has transformed the global marketplace forever. Now, consumers can send and receive digital currency instantaneously, anywhere in the world. As Bitcoin CEO, Roger Ver, puts it, “Bitcoin is one of the most important inventions in all of human history.

For the first time ever

Anyone can send or receive any amount of money with anyone else, anywhere on the planet, conveniently and without restriction. It’s the dawn of a better, more free world.” Indeed, 65% of consumers in developed nations have fully embraced digital currency, eliminating the need for cash or credit cards. With the future of global digital currency at hand, it is vital for companies to completely adopt this method of payment.

Bitcoin is the clear leader in cryptocurrency. As the first cannabis company to adopt Bitcoin.  When it came to accepting Bitcoin as payment, it just made sense for us to accept digital currency,” stated the Owner of KanaRelief when asked about the dispensary’s latest move. KanaRelief is a native California dispensary that produces 87.5% THC or higher RSO from organically grown flowers. They prominently display a certificate of analysis from Confident Cannabis on their website and are verified by BG Medical Technologies.

Rick Simpson began using cannabis oil in 2003 when he was diagnosed with untreatable skin cancer. Since his discovery of cannabis’ healing capabilities, Rick Simpson’s oil or RSO has been successfully used to treat a variety of medical conditions, from prostate cancer and arthritis to Parkinson’s disease and anxiety.

Also known as the Rick Simpson Oil Protocol, this progressive treatment plan outlines the medical cannabis industry’s preferred method of safely introducing cannabis oil to the body: Low dosage ingestion over the course of several weeks allows the body to build up a tolerance so that a patient can take the full dosage of 60 gms./60 mls. of medical cannabis oil in 90 days.

As a distributor of approved Rick Simpson Oil, KanaRelief not only sells quality RSO, but also provides a safe and effective treatment plan based on each patient’s needs.

By accepting Bitcoin, KanaRelief offers a 15% discount on total price. On how to get bitcoins online using CREDIT / DEBIT CARD you can checkout    IT IS BEST YOU BUY USING OUR WALLET ADDRESS WHICH YOU WILL SEE ON THE CHECKOUT PAGE. IT IS FASTER THAT WAY

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Pain Relief and CBD Oil: Easing Joint, Muscle, & Back Pain

When suffering from chronic pain, it can be difficult to find lasting and effective pain relief. Taking CBD oil for pain can be the perfect solution, especially when you consider how bleak the other options can appear. You can suffer through medications that do not provide enough relief, or, you can take a variety of prescribed pharmaceuticals that can carry significant side effects that can further diminish your health and quality of life.

The good news is that there may be a better way. While there is some evidence that cannabis has been used medicinally as early as 400 A.D., it is only now that CBD oil starting to catch the attention of modern medicine in a significant way.

Cannabidiol (CBD) and tetrahydrocannabinol (THC) are two compounds found within the cannabis plant that are showing promise as pain relievers. And as the legalization of cannabis continues to spread, and as researchers continue to study the plant’s therapeutic potential, the stigma will continue to disappear. The number of people using CBD for pain relief is on the rise, showing that cannabis, and the cannabinoids it produces, can do so much more than produce an intoxicating high, it can actually help heal.

woman sleeping contentedly

How CBD Oil Helps Relieve Pain

Our bodies contain two types of cannabinoid receptors that are aptly namely, cannabinoid receptor type 1 (CB1) and cannabinoid receptor type 2 (CB2). CB1 receptors are found mostly in the brain. The CB2 receptors, on the other hand, are located throughout the body and play a significant role our immune systems, regulating pain and inflammation. In fact, nearly every type of human disease, including pain-related illnesses, involve some sort of change in CB2 function.

Research suggests that CBD can bind to some CB2 receptors but it seems that in most instances, the benefits of CBD occur indirectly through the activation of non-cannabinoid receptors.

Glycine receptors, for example, are inhibitory receptors located in the central nervous system that play a major role in the perception of pain. Studies have found that cannabinoids like CBD greatly potentiate these receptors, or increase the likelihood of their effects, producing a promising result for the treatment of neuropathic pain.

CBD is able to reduce inflammation in the body by limiting re-uptake of the neurotransmitter adenosine. CBD does this, in part, by inhibiting equilibrative nucleoside transporter 1 (ENT1). By slowing its re-uptake, the amount of adenosine in the brain is increased which in turn impacts the activity of adenosine receptors.  These receptors, particularly the A2A receptor, play a significant role in reducing inflammation throughout the body.

These are just a few examples of the ways CBD oil can impact pain. As research continues, it is likely that the number of these impacts will continue to grow.

Why The Status Quo Is Failing

The traditional system of taking non-steroidal anti-inflammatory drugs (NSAIDs) or opiates is failing a large number of people.

When aches or pains arrive, it is common to reach for NSAIDs, like aspirin or ibuprofen. They are easily accessible and have long been considered relatively safe. But the chronic, or long term, use of these pain relievers can have a very negative effect on your health. Use of NSAIDs in older adults has been found to increase the risk of peptic ulcers, acute renal failure, and stroke or myocardial infarction.

Opiates are another common pain solution and, unfortunately, they also present a significant number of problems. Opiate medications can be effective at reducing pain symptoms but they are often incredibly strong, causing sedation and a lack of functioning when trying to perform daily activities. A tolerance to opiates can develop over time which means higher and higher doses are required to achieve the same results. Opiates are also very habit forming. It is easy to misuse and overdose on opiates which is one of the reasons that North America is currently in the grip of an opioid crisis, with more than 115 people dying from opiate overdose in the United States every single day.

In contrast, a 2008 review of CBD studies conducted between the late 1980s and 2007 concluded that CBD was effective for pain management with very few side effects. This is good news given the potential dangers that accompany other pain relievers.

CBD oil is the topic of many conversations these days and if you are wondering whether or not CBD oil can help your particular pain, here are a few examples:

man clutching on his right ankle

CBD Oil For Joint Pain

When people think of cannabis, they often think of the high that is associated with smoking it. That high, however, is produced by psychoactive elements in THC. CBD does not have the same impact.

For people experiencing joint pain related to various types of arthritis, CBD offers hope. As mentioned before, CBD can reduce inflammation in the body. Inflammation can increase or cause pain, stiffness and discomfort.

Conditions like rheumatoid arthritis and lupus impact the immune system which can lead to achy joints. These autoimmune disorders occur, in part, because the immune system is unable to recognize the body’s natural processes and begins to attack and destroy the wrong cells. Cannabinoids like CBD act as immune suppressors, reducing or eliminating this undesired immune response. Current testing and research shows positive results and as more studies are done, we will get a better picture of the ways in which CBD may be able to provide relief.

man clutching on his lower backside

CBD Oil For Back Pain

Chronic back pain is a common complaint and it is often difficult to find relief. Back pain is actually the number one cause of disability the world over. Pain or injury in the back can cause stiffness, immobility, and debilitating nerve pain or damage.

In most cases, back pain is treated with opiate medications and this is where CBD oil can potentially have its greatest benefit. Its pain reducing, anti-inflammatory properties can reduce the reliance on these medications without the negative and harmful side effects.

A recent study of mice with degenerative disc disease found that they experienced improvement with high doses of CBD. Researchers actually found reduced damage to the spin in their experimental population. While the exact mechanism and reasons for these results are unclear, it is certainly promising. More research needs to be done but this is certainly a good start.

CBD Oil For Muscle Pain and Spasms

We all experience muscle pain, tightness and spasms from time to time. Unfortunately, for some people with certain conditions, like multiple sclerosis and epilepsy, the pain and spasms are chronic.

A 2012 study out of the University of California, San Diego School of Medicine found that participants given cannabis reported a one third reduction in spasticity and a 50 perfect reduction in pain perception compared to those who received a placebo.

Similar results were found in a 2014 study of patients with Parkinson’s disease. Participants reported a reduction in tremors and involuntary movements after using cannabis.

As with the other chronic conditions mentioned here, more research is needed but early results are certainly exciting, especially for people suffering with previously untreatable, painful conditions.

When to Take CBD Oil for Pain

First, you should not take anything without consulting your physician. While CBD oil is largely safe, a small number of people experience side effects and it could interact with medications you may already be taking like certain antidepressants and antibiotics. Do not be shy about discussing this option, the more open and honest you can be with your doctor, the more they can help you figure out the best path forward if you are considering using CBD oil for pain.

Opiates can make mental functioning difficult, and NSAIDs may harm your stomach or simply not be effective enough. If you have run into the proverbial wall with your treatment plan, it may be time to consider CBD oil.

If you find your current pain management strategy is causing sleep disturbances, loss of appetite or nausea, CBD may be able to help. Sleep and proper nutrition are essential to your body’s natural ability to heal. CBD oil can help stimulate your appetite and promote sleep by reducing pain and anxiety.

How to take CBD Oil For Pain

There are multiple ways to take CBD oil. How you use CBD oil depends on your personal preferences and your specific needs. For example, if you are suffering from joint or muscle pain, using a topical cream may be the most effective format. But you can also take it in capsule form, vape, smokables, transdermal patches, edibles, and drops. You can take it with THC (which may actually boost the anti-inflammatory benefits) or without.

Consider your personal needs and discuss them with your physician. Most doctors don’t specialize in helping patients who want to start using CBD for pain. If you have detailed questions about dosage, drug interactions or just want to know what to do next consider consulting with a cannabis doctor.

CBD Oil for Pain Dosage

Because all people are different, there is no one standard dosage of CBD oil for pain. No matter which format you choose for your CBD oil, it is important that you follow the suggested serving sizes.

At KanaRelief we have analyzed hundreds of products and come up with a standard serving suggestion:

To determine if CBD oil is the best solution for you, continue to do your research and talk to your physician. Together you can examine all the ways in which cannabis may benefit you.

What are the Best CBD Oils for Pain?

If you’re ready to try CBD oil for pain relief but don’t know where to start or which products to buy, fill free to Contact Us and feel support talking to licensed physicians

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What is Full Spectrum CBD and Why it Should be Used Over CBD Isolate

What is Full Spectrum CBD?

Well, what if we told you that it’s a better version of CBD isolate? And for pain and inflammation alone, you should always use Full Spectrum CBD over its purified option?

You’re probably thinking, “oh no, not another CBD marketing ploy”.

Or rather, you probably want details. Reasonable and logical explanations. HARD DATA.

Or maybe, you want a comparison of each, as in the details to what is full spectrum CBD and CBD isolate and then, the good hardy details/arguments.

Either way, we have you covered! So, let’s get started.

What is Full Spectrum CBD and How it Differs from CBD Isolate

CBD isolate, as the name suggests, is CBD extracted and purified to be on its own. Designed to have no other ingredients.

As for Full Spectrum CBD or its other alias “Whole Plant CBD”, it not only contains the prize molecule CBD, but also other medically viable cannabinoids and terpenoids.

This means in Full Spectrum CBD, you’ll find smaller amounts of CBG-V, THC-V, CBN, THC and a whole host more, differing on the manufacturer of course.

Differences aside, however, both concentrates are extracted from the same sources, that being, CBD-rich hemp and cannabis plants.

So with a rudimentary understanding of both, here are 3 reasons why you should use Full Spectrum CBD over CBD Isolate for pain and inflammation. At the least.


What is Full Spectrum CBD: 3 Reasons Why it Should be used over CBD Isolate 


1.The Entourage Effect is Utilized with Full Spectrum CBD

“It’s not in numbers, but in unity, that our great strength lies”
– Thomas Paine

The entourage effect is a term that perfectly conveys the idea that there’s strength in unity. Coined by scientists, it describes the combined medical power of cannabis’ HUNDREDS of different molecules when used together.

For instance, in studies that have compared Full Spectrum CBD and CBD isolate on the same sample groups, Full Spectrum shows to be more effective in treating pain and inflammation, and just as effective in tackling tumor cell growth for different types of cancer.

Figure 1: The entourage effects get its name from CBD playing the main rock star role, while the many other molecules play the “entourage” role. Some scientists argue it should be labelled “the ensemble effect” instead, because they all have an equally important role. Click for better view.

Along with this, there’s also piles of more clinical studies detailing the strength of cannabis’ molecules in numbers.

For better sedation and anesthetic effects, THC with CBN proves to do the trick. For a reduction of cannabis’ short-term memory impairments, pairing THC with the terpenoid Alpha Pinene seems to work better. What about for anxiety? The group of terpenoids – pinene, myrcene and caryophylenne – shows to be more effective.

The studies go on and on, where finding the ideal proportions and relationships for the hundreds of different molecules in targeting certain ailments remains a hot research field.

2. Finding the “Perfect Dose” is Easier with Full Spectrum CBD

“Healing was only observed when CBD was given within a very limited dose range, whereas no beneficial effect was achieved at either lower or higher doses”
– Authors of Full Spectrum CBD Study

In clinical studies, CBD isolate shows to have medical value ONLY within a restricted dosage window. Or in technical lingo, its dosage follows a bell-shaped curve.

Figure 2: Finding the perfect dosage with CBD Isolate is not easy. The main reason is because of below the minimum dose and above the optimal dose, it’s medical efficacy is drastically reduced. Click for better view.

This means anything taken below the minimum and over the maximum levels will have drastically reduced therapeutic effects.

But there’s more to it.

Because when you include that everyone’s dosage window isn’t the same and is dependant on their biology, their symptoms and their circumstances, using CBD isolate becomes an exhaustive quest that requires adjusting day and night. Not to mention needing expert advice.

Yet for Full Spectrum CBD, this exhaustive quest of finding the “right dosage” is SOLVED.

Instead of following a bell-shaped curve, research shows that Full Spectrum CBD follows a linear curve that levels off as the maximum dose is reached.

Figure 3: As you increase the dose of Full Spectrum CBD, you should expect its medical efficacy to increase. That is, up to the “optimal dosage”. where above that, it levels off. Click for better view.

Or in other words, Whole Plant CBD is dose dependant, meaning, the more you take, the more medical value you can expect, that is, up to a maximum point. And when this maximum point is crossed, medical value simply stagnates, instead of being drastically reduced, like the case for CBD isolate.

So with Full Spectrum CBD, there’s no more worrying and constant titillating of medication to find the “right dosage”. Atleast, not to the extent of CBD isolate.

3. Full Spectrum CBD Holds Very, Very Little Psychoactive Effects

We get it. The psychoactive effects of cannabis, especially THC, isn’t for everyone. And it proves why many prefer CBD isolate over consuming whole cannabis for symptom relief.

But if not feeling mentally perturbed is the main reason why you prefer CBD isolate over Full Spectrum CBD, you might want to reconsider.

Because Full Spectrum CBD can have just as much psychoactive effects as your morning coffee or tea. That being, extremely little and not enough to interrupt your daily responsibilities.

At a maximum, Full Spectrum CBD can hold 0.3% THC, because they’re generally extracted from hemp plants, which are required by law to hold that exact level of THC.

But if they’re made from CBD-rich cannabis plants, Full Spectrum CBD can hold higher amounts of THC, ranging between 1-5%, so we suggest you do your research when finding the right Full Spectrum product if psych activity is a factor.

Important to Note: CBD is proven to be WAY more medically effective when paired with THC.

You might be thinking, what about THCv and THCa? Which Full Spectrum can have higher amounts of.

Research shows that THCv in smaller doses produces no psychoactive effects, while still having medical value. And as for THCa, this molecule serves as the mentally harmless precursor to THC, so it holds absolutely zero psychoactive properties.

What is Full Spectrum CBD? A Better CBD Isolate

With the changing paradigm of cannabis unfolding in front of our eyes, the access to its medical power is increasing.

But what’s also increasing is the research that’s trying to discover just how powerful it is.

There’re over 400 cannabinoids and 100 terpenoids in cannabis plants. Not to mention the number of flavonoids. All mysterious and being discovered for helping with specific conditions over others.

But as unclear as the functions of the hundreds of molecules may have, one thing remains clear:

When cannabis’ molecules are consumed together, they’re more beneficial to us. Thus, Full Spectrum CBD utilizes the “full spectrum” of cannabis’ mysterious, yet therapeutic properties.

And CBD isolate, well, it’s arguable that it doesn’t do as well of a job.

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CBD Oil Dosage: General Tips to Assess How Much CBD to Take

10 Strategies to Fine-Tune Your CBD Oil Dosage

By and large, the acceptance and use of cannabidiol as a therapeutic, healing substance is in its infancy. Medical professionals and scientists are only now beginning to develop dosing schedules for medical marijuana, medicinal hemp, and their extracts (including CBD).

Even with the current wave of states legalizing medical marijuana, many physicians are hesitant to prescribe cannabinoids like CBD. This is for two reasons:

1 – Doctors cannot prescribe (only recommend) cannabinoids, because there’s no recommended daily allowance (RDA) or universal dose for all people.

2 – Most medical schools never cover CBD/cannabidiol therapy in their pharmacology courses (the drug curriculum revolves primarily around substances that can be patented).

Because there is no recommended dose, the information presented on this page is intended to serve only as an informational guide – a starting point of reference.

When it comes to cannabinoids, there is one universal truth to keep in mind:

Everyone Is Different

There are countless variables such as weight, diet, metabolism, genetics, environment, product consistency, and more that make a universally prescribed dosage an impossibility.

While we wish we could provide the public with a mathematical CBD dosage calculator, it isn’t quite that simple – very rough estimates are about as good as it gets.

With these facts in mind, most people who are new to cannabidiol begin their journey by starting with the minimal suggested CBD dosage on any product, then gradually increasing the dose until they achieve the desired results.

Additionally, you might find it useful to record your daily experiences in a notebook so you can accurately narrow in on what works and feels best for you. With that understanding in place, it is now time to learn more about CBD oil and how to find the right CBD oil dosage for you.

How Much CBD Oil Should I Take?

Mayo Clinic suggests CBD dosages based on scientific research, publications, traditional use, and expert opinion. Cannabinoid dosages and duration of treatment depend mainly on the illness (and countless other factors).

The following chart from Mayo Clinic provides specific dosage recommendations for various illnesses:

  • Loss of Appetite in Cancer Patients: 2.5mg of THC (orally), with or without 1mg of CBD for six weeks. [S]
  • Chronic Pain: 2.5-20mg of CBD [with or without THC] (orally). [S]
  • Epilepsy: 200-300mg of CBD (orally) daily. [S]
  • Movement Problems Due to Huntington’s Disease: 10mg of CBD per kg of body weight daily for six weeks (orally). [S]
  • Sleep Disorders: 40mg-160mg of CBD (orally). [S]
  • Multiple Sclerosis (MS) symptoms: Cannabis plant extracts containing 2.5-120 milligrams of a THC/CBD combination daily for 2-15 weeks. Patients typically use eight sprays within any three hours, with a maximum of 48 sprays in any 24-hour period. [S]
  • Schizophrenia: 40-1,280mg oral CBD daily. [S]
  • Glaucoma: A single sublingual CBD dosage of 20-40mg (>40 mg may increase eye pressure). [S]

Learn the Types of CBD Products

CBD oil comes in seemingly endless forms, each with a different concentration of CBD and other phytocannabinoids. Determining how to use CBD oil first starts with choosing your route of administration – in other words, choosing the best way to take CBD oil for your needs and lifestyle.

These include…


  • Liquid hemp oil, like CBD tinctures or CBD drops
  • CBD concentrated into a thick paste (often referred to as Rick Simpson Oil, or RSO)
  • Encapsulated CBD oil
  • Phytocannabinoid-rich sprays/spritzers (generally designed for application beneath the tongue)
  • Bottled water containing nano-sized CBD particles
  • CBD-infused chewing gum
  • On-the-go dissolvable powders containing CBD (oftentimes blended with other adaptogenic herbs)
  • Cooking oils (such as coconut oil or olive oil) with added cannabinoids
  • CBD-infused edibles (i.e., gummies, brownies, cookies, etc.; generally for individuals who are sensitive to smoking/vaping)


  • Crystalline isolates
  • Wax (similar to THC-containing marijuana concentrates called “shatter”)
  • CBD-rich eLiquids and/or vape cartridges (akin to an e-cigarette)


  • Transdermal patches with CBD (similar to a nicotine patch)
  • Cannabidiol-infused salves,balms, lotions, shampoos, or soaps (for topical use)
  • Bath bombs infused with CBD

Decide How to Use CBD Oil

While many options like chewing gum need no instructions, we have compiled these tips on how to take CBD oil:

Liquid CBD Oil/Tinctures/Extracts: Drops or tinctures should have a “suggested serving size” and the total milligrams of CBD listed on their packaging. From there, you can determine the amount of CBD you would like to ingest. Simply place the correct quantity of drops under your tongue using the dropper and hold the CBD oil in place for a minimum of 60 seconds. The 60 second hold allows for absorption via the blood vessels underneath your tongue – efficiently bypassing first-pass metabolism. Once 60 seconds has passed, swallow the CBD oil.

CBD E-Liquid/Vape Cartridges: Vaping is excellent for people looking for an immediate response, as inhalation is the fastest way to deliver CBDs to your brain and body. To use vape simply exhale gently the air from your lungs then inhale through the mouthpiece slowly for 3 seconds. Then fill your lungs the rest of the way with additional breath and hold for a few seconds, exhaling when ready. There are pre-filled, cost-effective vape pens and cartridges available as well as more expensive vaporizers that you can refill with CBD-infused e-liquid.

CBD Edibles: With edibles, the only required steps are open, eat, and enjoy! This method of consumption will result in more drawn-out effects that also take longer to kick in than some of the other options. Edibles are great for those seeking sustained effects, or for those who want to be subtle about their usage of CBDs.

CBD Isolates/Concentrates: Anyone familiar with smoking hash or other cannabis concentrates like wax and BHO will be no stranger to this delivery method. Simply sprinkle some into a vaporizer or water pipe, ignite, inhale, and enjoy! We find that this option is useful for individuals looking to elevate their regular consumption of CBD-rich cannabis flowers or other smokable herbs.

For quick reference, refer to this chart of ingestion methods for the pros and cons of each delivery method so can decide for yourself the best way to take CBD oil:

Delivery Method
Time of Onset
Duration of Effects
Recommended if you…
Ingestibles(E.g. edibles; capsules; oil drops; drink powders)Convenient; Dosage control; Discreet; Familiar; Doesn’t harm the lungsSlow to take effect30-60 minutesEdibles/Capsules:4-6 hours; Tinctures/Drops: 2-4 hoursConsider discretion a top priority and/or want more control over dosage
Smokables (E.g. Vapes; flower)Fast acting; Easy to use; Social; FamiliarNon-discreet; Smoking/Vaping are illegal in many public settings; Can feel harsh on the lungsInstant45 minutes-1 hourAre trying to quit cigarettes or need fast-acting relief
Topicals (E.g. Lotions; balms; gels)Can be applied directly to affected area; Bypasses liver metabolism; Long-lasting; Can be worked into daily hygiene routineSlow to take effectVaries widely due to factors like hair growth and amount of fatty tissueTypically 5+ hoursExperiencing local pain of the skin or joints or into body care in general.
Transdermal PatchesLongest lasting effects;Bypasses liver metabolism;Steady release of CBD into the bloodstreamMay take hours to feel effectsVaries depending on amount of fatty tissue and hair on the skin1-2 daysHave chronic pain or will go a long period of time where the other delivery methods aren’t available

Choose a CBD Brand with a Dosage You Can Trust

Figuring out how much CBD oil to take can feel like trying to navigate through a complicated maze. The sheer volume of CBD brands on the market can create confusion for consumers, and when you take a closer look, it’s not difficult to understand why. Not only do vendors use different source materials (CBD-rich cannabis vs. industrial hemp, different strains, etc.), but they also implement different extraction techniques .

Adding to the confusion, many vendors recommend excessive doses, while others suggest amounts that are a fraction of what experts would consider effective.

As with a fermented food like kombucha, slight natural variations are normal and to be expected in a product such as CBD oil because it is made from living plants. Changes in the weather, soil, and water can all impact the biology of the source material. While we verify Certificates of Analysis (and take many other criteria into consideration during our review process), even the most reputable five-star companies have no way to control for every variable in this organic process.

While perhaps not as ideal as a CBD dosage chart, we at KanaRelief (KR) have created an official KR Serving Standard through an extensive analysis of hundreds of products.

Consider Why Your Health Would Benefit from CBD

Cannabinoids such as CBD have a dizzying array of functions in the human body, influencing  everything from inflammation to anxiety and depression. You don’t necessarily need to have a serious illness to benefit from CBD; even healthy individuals can experience a remarkable increase in their quality of life with its use.

The following is a chart of illnesses/conditions that whose symptoms may be relieved by CBD:

Keep in mind that this CBD benefits list is in no way complete; we are only beginning to discover how cannabinoids can help.

Know You Cannot Overdose on CBD

There is no established lethal dose of CBD, and chronic use/high doses of up to 1500 mg per day (30x  MORE than the KR Serving Standard!) have been repeatedly shown to be well tolerated by humans.

As with any natural product, it is important to speak with your physician prior to beginning use. There are some slight risks associated with using CBD in high doses or for extended periods of time, including:

  • Mild Low Blood Pressure
  • Dry Mouth
  • Lightheadedness
  • Sedation
  • Reduced activity of T and B Cells
  • Decreased Fertilization Capacity
  • Reduced p-Glycoprotein activity
  • Reduced activity of Cytochrome P450 (CYP450) Enzyme

Keep in mind that these side effects illustrate worst-case scenarios with CBD, and are not necessarily typical.

There is one major exception to the “generally harmless” attitude about CBD and that is the negative effect cannabinoids can have on the functioning of the liver’s CYP450 enzyme.  Approximately 60% of all pharmaceutical drugs undergo metabolism by this enzyme, including:

  • Steroids
  • HMG CoA reductase inhibitors
  • Calcium channel blockers
  • Antihistamines
  • Prokinetics
  • HIV-antivirals
  • Immune modulators
  • Benzodiazepines
  • Antiarrhythmics
  • Antibiotics
  • Anesthetics
  • Antipsychotics
  • Antidepressants
  • Anti-epileptics
  • Beta blockers
  • PPIs
  • NSAIDs
  • Angiotensin II blockers
  • Oral hypoglycemic agents
  • Sulfonylureas

It is important to note that even something as benign as grapefruit juice can cause the same CYP450 enzyme inhibitory action as CBD.

The most important things to do before taking CBD (or any other herbal product) are research any possible drug interactions and talk with your physician to address any additional questions regarding CBD drug interactions or overdose concerns. You and your doctor together will always know best!

Understand How Your Genetics Impact CBD Dosing

As if you didn’t have enough factors to consider when deciding your ideal CBD oil dosage, now you have to think about how your own genetics can impact this amount.

Some individuals have been found to have mutations on the CNR1 gene, which is responsible for coding the CB1 receptor (a type of receptor in cells throughout your body that interacts with cannabinoids). Issues with the CNR1 gene can ultimately result in a poorly functioning endocannabinoid system, which is an important variable when figuring out how to use CBD oil.

Here are some other cellular-level factors that can affect how CBD is absorbed in your body:

Various substances can profoundly affect CB1 receptors. Certain lifestyle choices can impact how your body metabolizes CBD.

What does this mean? Well, for example, THC increases the activity of CB1 receptors [1], while ethanol (alcohol) increases its expression [2]. So, theoretically, smoking cannabis and drinking alcohol may increase the effects of CBD.

Morphine and epinephrine decrease the activity of the CB1 receptor [3],[4].

What does this mean? It may mean those currently using opiates could, with approval and guidance from their physician, find CBD useful in decreasing opiate use .

Exercise and nicotine both increase anandamide levels (while similar to THC – this is a cannabinoid that we naturally synthesize in our brains) which is a natural CB1 receptor activator [5].

What does this mean? Being active, as well as ingesting nicotine (while the latter is not recommended), might increase the effects of CBD.

DHA (an omega-3 fatty acid) increases CB1 receptors [6].

What does this mean? Theoretically, those eating a diet rich in fatty fish would naturally need to use less CBD oil.

Prolonged elevated glucocorticoids (such as cortisol) reduce CB1 receptor density [7].

What does this mean? Those under high levels of chronic stress would potentially need higher CBD oil dosage to achieve the same effects achieved by people who are not chronically stressed.

We are only beginning to understand genetics, and as such it’s a good idea to take anything related to this emerging science with a grain of salt. As with any natural substance, consult with your physician about any questions and/or concerns you may have regarding CBD and how to use CBD oil.

Rest Easy Knowing CBD Oil Is Not Physically Addictive

People often ask us, “Can I get addicted to CBD oil?” This is a tricky question, and the answer ultimately depends on your school of thought.

Based strictly on chemistry, the answer is no. Cannabidiol is not physically addictive in the same way substances like heroin, cocaine, alcohol, opiates, benzodiazepines, and related substances can be. Further, CBD cannot produce any physical withdrawal symptoms in and of itself upon cessation of use.

(Interestingly, CBD is currently undergoing study for its ability to minimize withdrawal from drugs with severe cessation symptoms, like opiates.)

However, human beings can get addicted to just about anything that isn’t chemically addicting: exercise, music, sex, and food are great examples.

Those who take CBD daily to relieve symptoms of chronic illness and other severe conditions may find that their unpleasant sensations return shortly after they miss a dose. This is no different than one’s headache returning once the effects of ibuprofen wear off.

However, because CBD can alter the levels of essential liver enzymes, it is crucial to do your research, talk to your physician, and figure out the best way to take CBD oil for your specific situation. Information and education will be your allies in your quest for healing.

Get the Most Bang for Your Buck

If you’ve been using CBD products for some time without verifying the potency through their vendors, it’s highly probable you’ve been using a minimally effective formulation that hasn’t been delivering as much CBD as you thought (or as much as you’ve paid for!). At KanaRelief you get what yo paid for

Consider a Cannabis Doctor to Answer Your Difficult Questions

Most doctors don’t specialize medicinal cannabis and CBD oil. This means they may not be able to help you as thoroughly as you had hoped and they may be unable to offer guidance when it comes to helping you decide how much CBD oil to take. It is also worth noting that many patients feel uncomfortable talking to their doctor about cannabis and CBD.

If you have detailed questions about how much CBD oil to take, how to take CBD oil, drug interactions, or just want to know what to do next, consult with a cannabis doctor today!

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Ask a Marijuana Doctor: How to Use Medical Marijuana for Pain

Dr. Joseph Rosado is an experienced physician who specializes in Physical Therapy & Alternative Addiction Therapy/Management. caught up with him at his Florida practice to discuss how and why medical cannabis is an ideal choice for treating all kinds of pain.

What types of pain is marijuana best at treating?

Dr. Rosado: Cannabis is incredibly powerful for pain management. As a medical director I oversee the care of patients who have been put on cannabis for all kinds of pain, and we’re not talking mild pain you treat with aspirin, not just back pain from muscle spasm—but truly debilitating pain. Pain associated with failed back and neck surgeries, pain from scoliosis, degenerative joint disease, osteoarthritis, pain from sciatica, neuropathy symptoms, and nerve pathology.

In particular, neuropathic pain can be devastating. Not only are patients in excruciating pain, this type of pain doesn’t respond well to pain medications. And patients can get this sort of nerve damage from all sorts of circumstances: chemotherapy, from an old type of HIV medication, from infections like Lyme disease, and from certain vitamin deficiencies like from B-Vitamins.

I also see a lot of diabetic neuropathy, associated with Type 1 or Type 2 diabetes. That’s when prolonged high blood sugar causes permanent damage to a diabetic’s nerves, most often in the legs and feet, and it’s a very painful condition. And, we’re finding that cannabis can treat this sort of pain very, very well.

We’re even seeing results with this really rare, but freaky, condition called RSD, or Reflex Sympathetic Dystrophy — also now called CRPS (or Complex Regional Pain Syndrome) — and this is where the main symptom is nerve endings firing with extreme pain, out of proportion to the injury, and the condition gets worse over time. We were able to treat a 17-year-old girl suffering from RSD—because doctors applied a cast too tightly after a minor foot fracture—and for months she’d been in so much pain she was unable to tolerate the sensation of a bedsheet, or even the wind from a fan, on her foot. She hadn’t left her bed in months, and was on megadoses of opiates. Cannabis was able to alleviate her symptoms almost immediately. Granted, it will be a condition she’ll be treated for for the rest of her life, but she’s able to leave her house now and live her life. It’s amazing.

How does cannabis medicine treat pain, and chronic pain?

Dr. Rosado: As part of our nervous system, our brain sends and receives messages sort of like on an information railroad, via receptors that go from different parts of your body and run up your spinal cord to the brain, and back down again. And chronic pain is when the signals keep firing—and get completely overworked.

Over 140 phytocannabinoids in cannabis, particularly one called CBD, work to really calm these pain signals in the body, in particular via the receptors CB1 and CB2. And this is what can make a huge dent in chronic pain. Another, CBG, is an anti-inflammatory—twice as strong as hydro-cortisone, and up to 20 times stronger than aspirin. This is powerful stuff.

What makes cannabis particularly well-suited for treating pain?

Dr. Rosado:  Pain is often treated with strong pain medications like opiates. But opiates work on a single brain receptor. For example, opiates work on our endorphin receptor, and some antidepressants like SSRIs work specifically on the serotonin receptor.

Well, cannabis doesn’t work on just ONE receptor, it targets multiple receptors, located all over our body: in our gut, our brain, in the spinal cord. In a single dose of medicine you can treat not only the sensation of pain, but also treat the source of that pain, at the same time you’re engaging all the healing mechanisms of the body. This is through our endocannabinoid system.

On top of that, though it takes some experimentation because everyone is different, with cannabis you’re able to fine tune to treat different conditions, because each individual marijuana strain will have a different ratio of phytocannabinoids and a different ratio of CBD to THC. You’re also able to select between an indica for nighttime use or sativa for daytime use, and that kind of versatility doesn’t exist in any other kind of pain medication in pharmacology right  now.

Why is cannabis better than other sorts of pain medication?

Dr. Rosado: First, depending on the method of cannabis ingestion, the medication can be either fast-acting or slow-acting. This is huge for the treatment of pain, because often a patient needs both. First there’s the baseline pain—often a dull ache or pain that’s constant, and then also what we call “breakthrough” or acute pain. So, we treat the breakthrough pain with a fast-acting form of marijuana such as a tincture, smokeable flower or vaporized oil. And then we can also treat the baseline pain with longer-acting medication in the form of edibles or pills. Edibles can even replace the long-acting opiates in the 6-8 hour range, while vaporized or smokable marijuana comes on in about 3-5 minutes, and lasts up to 2-4 hours. .

Speaking of pain medications, some are calling cannabis some kind of cure, or hope, for the opioid epidemic. What do you think?

Dr. Rosado: Truthfully the opioid epidemic is where I see cannabis making the most difference in health care right now. More and more, I’m weaning patients—who, by the way, have spent decades addicted to pain medications—off their pills in a matter of months, if not days. One patient, a 45-year-old man, was taking up to 42-58 pills per day. We’ve also had success weaning patients off not only opiates, but other kinds of medications like benzodiazepines, antidepressants, anti-epileptics, antipsychotics.

But with millions of Americans addicted to painkillers, cannabis is poised to do really positive things in communities, getting patients to reduce the amount of pain meds they take if not stop them altogether. We’re seeing tolerance reductions for pain meds go up by up to 1.6 times on average. Cannabis can reduce the therapeutic dose for morphine by up to 3.6 times—and 9.5 times for codeine. That’s huge. I just weaned an 80-year-old woman off of opiates, for example, who’d been suffering terrible, chronic pain from a botched surgery. She’d been on opiates probably over a decade—and in a matter of months she was off her pills, having replaced them all with cannabis. This is really breakthrough therapy.

How does one go about getting a prescription for marijuana for pain?

Dr. Rosado: Until the federal laws around cannabis change, “prescriptions” for cannabis are called recommendations, and qualifying patients with a variety of pain conditions can seek out a certified local cannabis doctor to guide them through the process of registering with the state, applying for a medical card, and purchasing cannabis medicine through a licensed dispensary. Though with services like Marijuana and others, this process has become very fast and easy these days.

Dr. Joseph Rosado is a cannabis physician, lecturer, podcast host, and author of the book, Hope and Healing: the Case for Cannabis. Considered a pioneer in the medical cannabis community for being one of the first internal medicine doctors to recommend cannabis to patients in his home state of Florida, he’s treated hundreds since with cannabis medicine and proudly shares his expertise as a renowned speaker at police agencies, physician training programs, community groups, and medical associations all over the country as well as the world.

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How Long Does CBD Last?


With CBD oil becoming more widely available, it is being sought out by an ever-growing number of people due to its potential health benefits. The list of CBD’s reported therapeutic uses is also ever-growing, leading many people to consider trying it for the first time.

This increased interest in CBD oil tends to raise many questions, with one of the most common being, “how long does CBD last?” If you’ve never taken cannabidiol (CBD) before, knowing how long its effects will linger is important for nailing down your ideal dosage, and ultimately deciding if CBD oil is right for you.

Here’s your guide to how long CBD lasts, as well as information on what factors can affect its duration and onset.

CBD Delivery Methods and Duration of Effects

Depending on the product you use and your individual biochemistry, CBD oil can last anywhere from 30 minutes to 2 days.

For example, edible preparations of CBD oil, like gummies, can last between 4-6 hours while a CBD oil transdermal patch can last up to 48 hours. A CBD vape oils effects can disappear within an hour while a CBD oil tincture can last 2-4 hours.

When choosing a CBD oil delivery format, these durations need to be taken into account. If you are trying to relieve an ongoing chronic pain condition, it is likely that you will want a format that offers longer relief versus one that presents shorter-lived (but often faster-acting) effects.

CBD Duration Chart

CBD edibles, capsulestincturesvaporizersflower and topical creams are all methods for taking CBD, and each has its own time for onset and duration of effects.

CBD Oil Delivery Format
Onset of Effects
Duration of Effects
CBD inhalants (Vape oils; vape juice; e-liquid; CBD flower)Within minutes – These products bypass the digestive process and are absorbed directly into the lungs30 minutes to an hour
CBD EdiblesUp to 60 minutes – Edibles must pass through the digestive system before being absorbed through the liver4-6 hours
CBD Oil Tinctures or DropsUp to 30 minutes – Drops and tinctures bypass the digestive system and CBD is absorbed directly into the bloodstream through the thin skin under the tongue2-4 hours
CBD Oil CapsulesUp to 60 minutes – CBD capsules must pass through the digestive system before being absorbed4-6 hours
CBD Oil TopicalsUp to 2 hours – Topicals must be absorbed through the skin. The CBD’s absorption rate can be impacted by the amount of hair on the skin and fatty tissue under itTypically 5 hours or more
CBD Oil Transdermal PatchesMay take hours to show effects – The CBD’s absorption rate can be impacted by the amount of hair on the skin and fatty tissue under it; Transdermal patches may also be designed to release CBD at certain time intervals over the course of their relatively long lifetime24-48 hours

There really is no universal answer to how long CBD will last in your body. With many factors playing a part in CBD’s duration and the onset of effects, it can impact each person a little differently. By keeping the initial dosages low, you can see how you react before fully adopting a regular CBD oil routine.

Factors that Affect How Long CBD Lasts

How you choose to take CBD oil is not the only factor that determines the duration of its effects.

Other factors that affect how long CBD lasts in the body include body weight, certain lifestyle choices, how frequently you use it, and dosage.

Your Body Weight

Cannabidiol (CBD) is a fat-soluble compound. What this means is that it is stored in the body’s fat cells. With any fat-soluble substance, like vitamin D or vitamin K, weight plays a role in CBD oil’s rate of metabolization.

If you’re on the leaner side with a lower body fat percentage, CBD’s effects may not last as long as in a person with a higher body fat percentage. Typically, people with more muscle than fat have a higher metabolic rate which means substances like CBD oil will be processed through the body much faster, reducing the duration of their effects.

Your Lifestyle

Another factor that plays a role in how long CBD lasts in the body is lifestyle and activity level. If you lead an active lifestyle, your body is likely to process CBD more quickly because your metabolism will be faster, resulting in a reduced duration of effect.

Your Frequency of Use

The frequency with which you use CBD oil can influence its effects. Unlike other substances, it is unlikely that you will build a tolerance to CBD. In fact, it’s theorized that CBD creates a “reverse tolerance.” Simply put, with repeated use of CBD oil, it is likely that you will require less to feel the desired effects over time. It is believed that CBD increases the presence of naturally produced endocannabinoids in the body, so as your body adapts to create equilibrium, you require less to get the same effects.

If you take CBD regularly, the reverse tolerance you build could cause you to feel its effects for a shorter perceived amount of time.

Your Dosage

The more CBD oil you take, the longer it will take for your body to process it, and the longer the effects will last.

However, it is recommended that you begin with the lowest recommended dose on your CBD oil product. Until you know how CBD oil will impact you, it is best to take it slow.

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Medical Marijuana Benefits: Cannabis for Back Pain Remedy

Interested in using cannabis for back pain?  Before you pop over to your doctor or dispensary, make sure you know what the science actually says about using medical marijuana to manage pain!  Here, our resident nutritional anthropologist and traditional medicine expert helps you do just that!

Many people see the idea of using cannabis for back pain and other illnesses as very “new age-y”.  From the perspective of medical and nutritional anthropology, however, we know that cultures have used plants as medicine for centuries.

For example, in India, people have used aloe, turmeric, and lemongrass for thousands of years to treat inflammatory diseases in Ayurvedic medicine.  And in traditional Chinese medicine, ginseng is used to treat conditions like palpitations and insomnia.

And, believe it or not, cannabis, specifically, has a long history of use for medicinal purposes, as well.

So, while in much of the Western world today, marijuana is best known as a recreational drug that is smoked or eaten whole in foods to “get high”, some researchers argue that cannabis is, first-and-foremost, a medicine.

This perspective on marijuana has led to an increasing interest in researching the potential use of marijuana for medicinal purposes.

Over the past two decades or so, scientists have published mountains of research on the medicinal effects of medical marijuana.  Marijuana can potentially treat nausea from chemotherapy cancer treatmentsmultiple sclerosisappetite loss caused by HIVseizure disordersCrohn’s disease, and, yes, even chronic back pain.

This article provides an overview of the most up-to-date research on the use of marijuana for chronic back pain.

What Can Cause Chronic Back Pain?

To understand how cannabis could useful for easing chronic back pain, it’s important to understand how chronic back pain develops.

Back pain” describes discomfort felt between the costal margin and the gluteal fold.  (The costal margin is about one-third of the way down the spine.  The gluteal fold is at the bottom of the buttocks.)

For the pain to be diagnosed as “chronic”, it must continue for longer than three months.

Most people (about 60-85%) will experience back pain at some time in their life.  However, only about 6% of those who experience back pain will develop chronic back pain.

Mechanical Causes of Back Pain

Man bracing painful lower back with arm

The majority of chronic back pain cases have purely mechanical causes.

Typically, they originate in the mid- to lower-back and may extend down to the buttocks.

Back pain that is mechanical in nature has four main causes, as summarized by the anesthetic specialists, Dr. Jackson and Dr. Simpson:

Discogenic pain:  Discogenic pain accounts for about 40% of cases of chronic back pain.  Discogenic pain is pain which originates in the discs that separate the vertebrae in your back.  It most likely results from the leakage of inner disc material into outer layer disc material.

Sacroiliac joint pain:Sacroiliac joint pain accounts for about 20% of cases of chronic back pain.  The sacroiliac joints are the largest joints in the body, and they connect the spine to the pelvis.  Pain in this area can be caused by a change in weight, like that which accompanies pregnancy.

Lumbar facet joint pain: Lumbar facet joint pain accounts for 10-15% of mechanical back pain in young adults and up to 40% in the elderly.  The facet joint connects your vertebrae in a way that stabilizes the spine and limits rotation and shifting.  Damage to any of these joints between your vertebrae can lead to back pain.

Muscular back pain: Strains or tears in ligaments and muscles that stabilize the spinal column can produce pain.  These are often caused by injury.

Read “Can Probiotics Protect Bone Health?” to learn more about how to protect your back and spine! 

Nervous System Causes of Back Pain

Some back pain is not mechanical in nature but originates in the spinal column nerves themselves. Dr. Jackson and Dr. Simpson describe spinal root nerve pain as well-localized (as opposed to general) pain that often radiates down your leg(s) with bursts of sharp or electric-shock-like pains.  In this type of pain, the shooting pains in your buttocks, legs, and feet often hurt worse than the pain in your back.

There are three main causes of nerve root pain: disc herniation, spinal stenosis, and epidural adhesions.

Disc herniation: Above, I mentioned that discs are the tissues between your vertebrae in your spinal column.  A herniated disk occurs when the disc nucleus (center of the disc) pushes out of the outer layer.  This causes the disc to press on your spinal nerves, often causing debilitating pain.  The most vulnerable age for developing a herniated disc is 30-55 years old.

Spinal stenosis:  Spinal stenosis is a condition that occurs as a result of an enlargement of the bone and ligaments in your spinal cord, leading to a reduction in the diameter of the spinal canal.  This change results in pressure on nerve roots.  If you have spinal stenosis, you’ll find that you feel relief when your spine is curved and when you are walking or cycling uphill (as opposed to walking on flat terrain).  The most vulnerable age for developing spinal stenosis is anything over 55 years old.

Epidural adhesions (spinal nerve root scarring): Epidural adhesion can occur after spinal surgery or in response to chronic inflammation due to disc leakage or joint damage.

Anatomical diagram of the spine and spinal muscles

When Should I Go to Urgent Care for Back Pain?

Most back pain does not require you to visit an emergency room.  Typically, you can get your back pain under control with simple outpatient care (by making appointments with specialists).

However, there are a series of “red flag” markers that indicate you may have a serious spinal problem that should be examined by a physician as soon as possible.

In some cases, these “red flag” markers could indicate you have a very serious condition, such as a spinal tumor, a spinal infection, spinal trauma, an inflammatory/autoimmune disease, or cauda equina syndrome (a rare condition that affects a bundle of nerve roots at the end of the spinal cord).

If you experience any of these “red flag” markers, it is important to call your physician and visit urgent care as soon as possible.

  • extreme back pain (in people under 20 or over 55)
  • history of significant trauma
  • constant progressive thoracic (upper back) pain
  • sudden onset of back pain with a history of cancer, steroids, drug abuse, or HIV
  • unexplained weight loss along with back pain
  • generally feeling unwell with your back pain
  • numbness in your groin, inner-thigh and/or buttocks
  • changes in urination or bowel movements
  • changes in the way you walk
  • inability to bend forward (at your lower back) more than 5 cm
  • changes the curve or shape of your back
  • nerve pain (shooting, sharp, or electric-shock-like pains)

The Politics of Pot

Cannabis on a scale

Before I get into the details of how you might be able to use medical cannabis for your chronic back pain, it is useful to have a general understanding of the politics behind the legalization of medical marijuana, and why some people are still not convinced doctors should be allowed to prescribe it for pain.

The Drug Enforcement Administration (DEA), has a classification of drugs (drug scheduling) determined based upon the drug’s acceptable medical use and the potential for people to become dependent on it.  This scheduling assigns drugs to one of five different categories.

Marijuana is categorized as a schedule 1 drug

According to the DEA’s website:  “Schedule I drugs, substances, or chemicals are defined as drugs with no currently accepted medical use and a high potential for abuse.  Some examples of Schedule I drugs are: heroin, lysergic acid diethylamide (LSD), marijuana (cannabis), 3,4-methylenedioxymethamphetamine (ecstasy), methaqualone, and peyote.”

Groups in favor of promoting the legalization of medical marijuana, or people who are against the schedule 1 categorization of marijuana, have been fighting to remove marijuana from the schedule 1 list since the 1970s.  Those efforts had been mostly unsuccessful until the last two years.

Many critics of the classification argue that the schedule 1 classification blocks potential research.  This can keep researchers from finding the medical benefits that would allow the DEA to reschedule these drugs.  Schedule 1 substances are very restricted, with strict bans on their growth/synthesis and purchase, even for scientific researchers.

In fact, before 2016, only a single producer of marijuana in Mississippi had a license to produce research-grade marijuana.  This producer essentially had the monopoly over medical-grade marijuana produced in the US for over 50 years and anyone who wanted to research potential health benefits of marijuana had to buy from them, creating a serious bottleneck in the research process.

Changing Laws Regarding Medical Marijuana

Luckily, in 2016, after a significant rise in demand for medical-grade marijuana and extracts for research, the DEA decided to approve additional licenses to grow medical marijuana.  This should help speed up medical marijuana scientific and clinical trials.

At the same time that the research community has been fighting for access to marijuana to be able to really put its benefits (and risks!) to the test, some economically and politically-motivated movements support the flat-out legalization of marijuana — medical benefits or not.

Legislators across the United States are pushing for this legalization (and regulation).  It is estimated that legalization will result in important government revenue.  And on this argument alone, they are gaining ground.  As of early 2019, 10 states, plus Washington, D.C., had adopted laws that legalize marijuana for personal use in people over age 21.

Finally, both branches pushing for reclassification of cannabis also point to the DEA’s inconsistency in its treatment of cannabis as a whole plant versus individual components of cannabis as strong evidence for their side.  In 2018, for example, the DEA placed lab-made THC (the primary active ingredient in marijuana) as a Schedule 3 drug.  The DEA defines schedule 3 drugs as substances with moderate to low potential for physical and psychological dependence.

If the active ingredient in cannabis is safe for use, how can the whole plant be too dangerous to even do research on?

This is a political, social, and scientific debate that researchers, politicians and the public will soon have to find an answer to.

Popular on Nutrishatives: What is a Sustainable Diet? 7 Changes to Protect the Planet

What Do We Know Cannabis Does for Pain?

Cannabis plant and structure of CBD

Unfortunately, the political context and controversies surrounding cannabis use for different illnesses and conditions have made it difficult for scientists and doctors to point to definitive evidence for the use of medicinal cannabis.  This is especially true for vulnerable populations like adolescents and pregnant women.

Like the National Academies of Sciences, Engineering, and Medicine states, “Unlike with substances such as alcohol or tobacco, no accepted standards exist to help guide individuals as they make choices regarding if, when, where, and how to use cannabis safely and, in regard to therapeutic uses, effectively.”

Even so, there are thousands of high-quality research articles that help to point towards benefits (and potential risks) as guidelines for cannabis use are being developed.

How Does Cannabis Work?

Cannabis has over 60 active compounds that scientists and industries can extract for various uses, with the right permissions.

The main compounds that have been studied for their therapeutic effects are tetrahydrocannabinol (THC), and cannabidiol (CBD).

THC and CBD act on your body by way of your cannabinoid receptors, which are found on your nerve cells (neurons) and the cells of your immune system.

Some researchers believe that activating your cannabinoid receptors on your nerve cells, in particular, are responsible for the medicinal effects of cannabis for pain.  This activation is actually “inhibitory” for your nerves, “calming down” certain responses in your nerve cells, causing a relaxing effect and reducing pain sensations.

Interestingly, while THC provides medical benefits, it is also is the chemical responsible for the euphoric feeling of marijuana (its “high”).  CBD, on the other hand, only provides medical benefits, without inducing a high.  This suggests that opting for CBD-rich marijuana strains may offer a way to reap the medical benefits without experiencing psychological side effects.

Unfortunately, some research suggests that that medicines containing THC and CBD are the most effective for chronic, neuropathic pain.  Because of this, avoiding THC may also reduce the medicinal effects of your marijuana.  Future research will have to sort out exactly the best combination of THC and CBD for managing chronic back pain.

Which Strains of Marijuana are Best for Chronic Back Pain?

The two main strains of marijuana used for medicinal purposes are Cannabis indica and Cannabis sativa.

It is also possible to buy marijuana extracts which contain only CBD.  This will allow you to avoid the euphoric effects of cannabis.  But, as I mentioned above, it might be less effective for combating chronic pain than the whole plant, which contains both cannabinoids.

Evidence for Benefits of Cannabis for Back Pain

In efforts to fill the gap of conclusive recommendations for medical marijuana use, last year the National Academies put together a committee to draw up a comprehensive overview of the health effects of cannabis and cannabinoids identified, so far, in the medical literature.

The committee concluded that:  “There is conclusive and substantial evidence that cannabis or cannabinoids are effective… for the treatment of chronic pain in adults.”

Cannabis was found to be most effective at treating neuropathic pain and chronic pain.  This is to say pain caused by a spinal cord injury, low back nerve root pathology, and multiple sclerosis.

Unfortunately, the scientific community still has limited evidence that cannabis can help to reduce other types of chronic back pain.  This includes back pain from muscle injuries, for example.

Another benefit of cannabis is that it may work together with opioids in patients with severe pain, allowing people to reduce their intake of highly-addictive opioid medications.  A study in the Journal of Pain demonstrated that cannabis can help lower opioid use by up to 64%.  The study found that it can also improve the quality of life of people with chronic pain.

Potential Risks of Medical Marijuana

Man exhaling smoke into his hand

An overview of systematic reviews looked at the tolerability and safety of cannabis-based medicines for chronic pain management.  The study found that there are still inconsistent findings regarding the efficacy of cannabis for chronic pain from rheumatic diseases or cancer.  If you are looking to the use of cannabis for back pain, few studies examine its effectiveness specifically for back-related conditions.

In other words, medical marijuana may not be effective for you.

We also cannot overlook that cannabis does have a direct effect on your brain (called psychoactive effects).  The effects, in addition to including relaxation and stress relief, can also affect your thinking, potentially causing anxiety and paranoia.

Just like all recreational smoking, smoked marijuana may increase your risk for certain types of cancer, including testicular cancer and lung cancer.  Researchers are still working on determining the relative risk of smoking marijuana compared to smoking tobacco.

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7 Life Changing Health Benefits of CBD for Seniors

In the last few years, CBD has sparked a massive shift in the health and wellness communities as people everywhere are finding natural relief for their health conditions.

Based on the findings from multiple research studies, CBD can provide natural relief for over fifty conditions including arthritis, multiple sclerosis (MS), epilepsy, numerous stress-related disorders, and more.

While its properties can certainly benefit individuals of every age, in this article, I would like to discuss the population most affected by severe health conditions.

Let’s explore the amazing benefits of CBD for seniors and discuss the massive impact CBD can have on this group of individuals.

A Major Health Problem for Seniors… and America

Today in America, there are over 46 million individuals who are 65 years of age or older.

While some happily transition into this stage, others refuse to acknowledge it. At the end of the day, it makes no difference―we all get older.

Based on that same truth, as our bodies naturally age, we will all face the threat of serious health conditions, and most will be afflicted by them.

Findings from leading institutions confirm the unfortunate truth:

According to the Harvard Neurodiscovery Center:

  • 5 million senior citizens suffer from Alzheimer’s
  • 1 million senior citizens suffer from Parkinson’s
  • 300 thousand senior citizens suffer from MS

According to the CDC, 49.6% of senior citizens suffer from Arthritis

Mental Health America found that 27% of senior citizens suffer from severe anxiety disorders that are significantly impacting their ability to function

And these are just a few of the conditions that the older members of our population endure…

With America’s senior population projected to outnumber the minor population (under 18) by 2035, we need to think of a solution, and quick.

Could CBD be the solution we need to keep our senior population healthier, longer?

How CBD Can Benefit the Health of Seniors

CBD, short for Cannabidiol, is one of over 60 cannabinoids found in the Cannabis plant.

Like other cannabinoids, CBD can interact with receptors in our body’s Endocannabinoid System (ECS), which research has shown is the catalyst behind the many effects of the Cannabis plant. It is also the reason psychoactive cannabinoids like Tetrahydrocannabinol (THC) can induce euphoric or mind-altering effects on the user.

Now, unlike THC―CBD is non-psychoactive. This means it will not make the user high, while continuing to deliver the many health properties of the Cannabis plant.

Because these benefits are uniquely aligned with the conditions generally afflicted by seniors, CBD is positioned as the perfect solution to improving the health and lives of our senior citizens!

Keep reading to discover 7 Science-Supported Benefits of CBD for Seniors!

7 Health Benefits of CBD for Seniors

1. CBD can help manage pain

First on our list, is CBD’s ability to alleviate a condition that nearly every senior deals with―pain and inflammation.

With nearly half of the senior population in the United States suffering from Arthritis and 75–85% of seniors suffering from chronic pain―this is unfortunately a common problem for most seniors in America.

It doesn’t have to be though.

Studies have shown that CBD can reduce inflammation and alleviate pain from conditions such as Arthritis, Joint Paint and Multiple Sclerosis (MS).

By activating various receptors in the Endocannabinoid System, experts have found that patients treated with CBD experience a “clinically significant reduction” in pain related symptoms with little to no adverse side effects.

As a natural alternative to traditional pain medications, CBD creates a compelling case for health care professionals and senior caregivers.

2. CBD promotes bone health

As our bodies naturally age, we endure a condition known as Osteoporosis.

During Osteoporosis, our bones experience a loss of vital minerals and become fragile and brittle, making them more prone to breaking. Because of this, seniors can experience severe pain and fractures if they have a fall.

With falls as the number one cause of death for men over the age of 60, and 33% of women and 25% of men older than 50 suffering from osteoporotic fractures, bone health is a serious issue for the older generation.

In addition to reducing inflammation and promoting cell repair, research has shown that the cannabinoids like CBD can actually help strengthen the bones and even promote the healing process if a fracture does occur.

While additional clinical trials will be needed to determine the viability of this application for the masses, the results thus far are very promising.

3. CBD can improve quality of sleep

While sleeping disorders like insomnia are a condition suffered by individuals of every age, they are very common for seniors.

Experts suggest that this is caused by the shift in sleeping patterns as one gets older, along with the chemical imbalance caused by medical conditions and prescription medication.

Because sleep is the period that our body flushes out toxins and restores itself, conditions that prevent sleep are extremely harmful for seniors.

To alleviate their sleeping disorders, most seniors will turn to sleeping medications. While these may temporarily solve one problem, they create an even bigger problem in the long run.

By combatting the conditions that are causing sleeping disorders, such as stress, anxiety, restlessness, and general unbalance in the body, CBD can calm the user and naturally promote a healthier sleep problem for seniors. More importantly, it can prevent the need to take harmful sleeping medications.

4. CBD can combat addiction

When people are afflicted by a health condition, society’s first solution is to prescribe medication.

While this may provide temporary relief for that condition, it often requires gradually increasing dosages that leads to further damage to the body, and creates dependency on medication.

By the time we figure out how damaging this is for our body, it’s too late. Our body has already adapted to literally needing that medication.

With seniors suffering from a wide range of health conditions, you can bet they’ve been prescribed all kinds of medications. As they continue to rely on medication to alleviate their conditions, they ultimately develop a dependency.

Studies have shown that CBD can not only alleviate conditions that often involve harmful medication, it can help combat the dependency that was developed from that medication.

Findings from a 2018 study revealed that CBD can actually help combat addiction by preventing relapses. In the study, researchers found that after administering CBD once a day for seven days, patients no longer displayed “addictive behaviors” and it deterred the patient from relapsing for five months.

As seniors decide to switch from harmful medications to natural cannabis relief, CBD can help combat and alleviate the withdrawal and relapsing behaviors that will arise during this process.

5. CBD can improve heart health

According to the American College of Cardiology, heart disease is the most common condition amongst older adults and the #1 cause of death for this age group.

With more than half of all American adults suffering from high blood pressure, the leading cause of heart conditions, this fact comes at no surprise.

Based on the research from recent studies, CBD may be an effective and natural treatment for high blood pressure.

2017 study treated 10 men with one 600 mg dose of CBD and found that it reduced the resting blood pressure of the subjects. In this same study, researchers also administered stress tests to determine the effects CBD had on the subject’s stress response and found that the subject’s exhibited a lower blood pressure increase than normal.

In addition to reducing high blood pressure, studies found that the antioxidant properties of CBD may help reduce cardiac inflammation and can deter cell death caused from oxidative stress.

The researchers in charge of the study believed that the results “strongly suggest that it [CBD] may have great therapeutic potential in the treatment of diabetic complications, and perhaps other cardiovascular disorders, by attenuating oxidative/nitrosative stress, inflammation, cell death and fibrosis.”

By reducing blood pressure and deterring inflammation and cell death in the heart, CBD can significantly improve overall heart health and serve as a preventive measure against serious health conditions.

6. CBD can deter neurodegenerative diseases

Because CBD can interact with receptors in our brain and central nervous system, experts believe CBD could be a potential treatment for neurodegenerative diseases like Alzheimer’s and Multiple Sclerosis.

While it’s still early to make a conclusive assessment, the studies below have shown some promising results

  • 2007 study showing that CBD can reduce the neuro-inflammation associated with Alzheimer’s disease by attenuating Abeta evoked neuro-inflammatory responses
  • 2015 study discussing how cannabinoids can reduce the agitation and aggression of Alzheimer’s disease
  • 2014 study explaining how CBD can prevent the development of the social recognition

deficits associated with Alzheimer’s Disease

  • 2012 study showing how CBD can slow the degenerative process and alleviate the pain and spasms of Multiple Sclerosis
  • 2017 study examining the effectiveness of CBD in treating neurodegenerative diseases such as Alzheimer’s, Parkinson’s, Huntington’s and ALS

And the list goes on…

As you can see from the findings reported in these studies, there is a substantial amount of evidence supporting the neuroprotective benefits of CBD.

As more clinical trials are conducted, the evidence will become more and more evident. In the future, CBD could become one of the primary treatment methods for seniors suffering from neurodegenerative diseases.

7. CBD can improve mood and alleviate mood-related disorders

While we all deal with mood swings, as we start to experience the major changes associated with getting older―like the decline of health, disabilities, or the loss of a loved one―these mood swings can often become greatly intensified.

Prolonged, they can lead to major health problems, with a high chance of the individual developing a mental illness if they feel that they are disconnected, neglected, isolated, or lonely.

Based on the findings from numerous studies, CBD may help alleviate this condition.

By interacting with the receptors involved in regulating our mood (such as the Serotonin and Adenosine receptors), CBD can alleviate stress, calm the mind, and improve cognitive functions. These three things combined, greatly contribute to how your mind perceives its current situation, and can have a significant impact on your mood.

While studies have shown that CBD can effectively alleviate mood-related disorders, the thing that seniors need more than anything is to know that they aren’t forgotten…

It’s probably not a comfortable situation to talk about, but we can often get so involved with our lives that we forget these special people. Overtime, this can take a serious toll on their mental, physical, and psychological health.

While we try to make the most of it, nobody enjoys getting old, especially if they have to do it alone.

Whether it be your grandparent or parent―if there’s an older person in your life who you know could use some company, make the effort to spend some time with them. These are going to be some of the most precious moments you can share with them, and It will make a big difference in their health and lives.

With that being said, that ends the last benefit of CBD for seniors on our list. I hope that this article brought value to your life and helped you understand the many benefits of CBD for seniors. More so, I hope that it inspired you to help a senior in your life find relief for their condition, or (if you’re the senior) encouraged you to find relief for your condition with CBD.

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Guest post by Davit Tsilosani

Anxiety and depression afflict almost 45% of the world’s adult population, with the WHO stating that over 350 million people worldwide suffer from depression. In the U.S and many parts of the world, this is primarily treated through medication. There a number of pharmaceutical medications approved by the FDA that help to fight depression both in kids and adults. However, these come with the risk of addiction, kidney and liver failure and a host of other complications making them almost as beneficial as they are risky.

Anxiety is good as a natural response. It pushes us to do things we would have otherwise not done in a normal circumstance. However, if it comes in waves and goes unmanaged, the results are usually not as pleasing. Its impact on our daily lives can turn catastrophic, making us less than capable human beings. Unmanaged anxiety is the main cause of anxiety-related disorders like panic disorders, OCD, PTSD and several others. Just like depression, there are several approved medications that help people manage and, in some cases, overcomes such disorders. There are however patients that don’t respond to such medications and others that instantly become addicted.

Anti-depressant and anti-anxiety medication work with an almost 60% success rate. However, this comes with the probability of addiction. This is why there arose the need to seek alternative ways to manage these two conditions. Ways that would not cause more harm than good in the long run. One of these alternative treatments was the use of CBD Oil.


Cannabidiol (CBD) is a component of cannabis. It is one of the active cannabinoids in cannabis plants. It is the main component in CBD Oil which usually has very little THC levels. THC is the component of cannabis that is responsible for the psychoactive effects and the high feeling. It is for this reasons that CBD finds several uses in medicine.


For those that are still considering Pharmaceutical Drugs as their choice treatment, here are the reasons why CBD is a better alternative when it comes to the management of anxiety and depression.


The link between CBD and depression has revolutionized how people with anxiety and depression can get treatment to overcome the limitations of their conditions. CBD and CBD Oil products work with the body, helping it to release the right hormones to counter those that the brain in releasing during its constant state of anxiety or depression. This means that you not only get an all natural cure but a cure that works for the good of your body. You will always be in a state of relaxation, ensuring that you are able to go about life the right way.


While anti-anxiety and antidepressant medications like SSRI focus only on the serotonin receptors, CBD goes the extra mile to stimulate the hippocampal part of the brain. This ensures that while the brain is being flooded by serotonin, it is also being properly stimulated and encouraged to produce more neurons. This makes CBD for anxiety very effective and reduces the time that it takes to rid you of your symptoms and bring your brain back to a normal standing, something that some other pharmaceutical drugs are usually unable to achieve.


Drugs, especially those that help manage anxiety and depression usually come with a long list of side effects. These are usually written on the prescription bottle. That is not a bad thing, but a requirement by law. What makes them a poor choice is the fact they are bound to inflict almost all of the said side effects on the users. This means that you start out with one problem, anxiety or depression, but end up struggling with close to a dozen things. CBD Oil, on the other hand, is all natural and comes with no such side effects. Though people respond differently to it, the side effects experienced are minimal and don’t affect the quality of life in any way.


Unlike SSRI drugs where your dosage is determined then fiddled with over time till an optimum amount is arrived at by your doctor, CBD for anxiety is a freer alternative. You determine how much of it is enough for you at the time and what suits you on a daily basis. This enables you to heal faster and the sense of control motivates your brain to better battle what is afflicting it. It doesn’t get any better than CBD Oil.


When it comes to pills, the only way you can ingest them is through swallowing. Some people tend to mix it up from time to time and grind them before mixing them in their drinks. Research has however shown that the repeated action of swallowing pills a day in day out does harm to the progress that the person tends to make. After some time, it becomes a constant reminder, aggravating the depression or the anxiety. CBD for anxiety does not come with the same problem. CBD can be acquired in solid, liquid and gaseous form. You can actually cook it into your food. Vape it while you go about your daily life or simply chew on the pills while you focus on your work. The number of ways you can take it is only limited by your imagination. The fun that accompanies the medication helps relax the body further, curing you of your condition faster.

If your anxiety or depression are bothering you, then it may be time to look into CBD and depression. We are positive that CBD for anxiety will put a positive spin in your life. With CBD Oil, you cannot go wrong.

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