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  • "CBD gets you high."

  • CBD doesn't make us feel high.

  • In fact, it can reduce the effects of feeling intoxicated.

  • "CBD is a scam."

  • It's been used as a marketing tool.

  • So, we really have to be able to weed it out.

  • [laughing]

  • No pun intended.

  • My name is Dr. Chanda Macias.

  • I am the CEO of Ilera Holistic Healthcare.

  • I've been working in the cannabis industry since 2011.

  • And I'm Dr. June Chin.

  • I've been an integrative cannabis physician

  • for over 15 years.

  • I treat both children and adults.

  • And today we will be debunking myths about CBD.

  • "CBD gets you high."

  • A lot of people think that CBD gets you high.

  • CBD doesn't make us feel high,

  • but it definitely makes us feel

  • less anxious and more relaxed.

  • So when people say they use it to fall asleep,

  • I can understand why they feel that way.

  • CBD can be extracted from the cannabis plant,

  • but it doesn't have the same ability to create a high,

  • or a state of euphoria, like marijuana or THC.

  • In fact, it can reduce the effects of feeling intoxicated.

  • Chin: "CBD works the same for everyone."

  • CBD does not work the same for everyone.

  • Everybody has a different system, physiologically.

  • When we think about patients using CBD

  • and considering things of, what's the right dosage?

  • You have to really consider how heavy you are,

  • your tolerance levels,

  • have you ever used it before?

  • If you haven't used it,

  • how long your cell receptors will react

  • to the presence of CBD.

  • These are all the things we have to take in account.

  • And if you think about prescription medications

  • or even supplements,

  • that's not the same reaction for everyone either.

  • So CBD is going to be very,

  • very different for each individual.

  • Depending on our metabolism, our body's own enzymes,

  • some patients will find that it works right away.

  • Some patients will find that it takes a few hours.

  • I think that when people use CBD over the counter

  • they get a little confused,

  • and their confusion might be because

  • the product might be full-spectrum,

  • the product might be an isolate,

  • or even broad-spectrum.

  • You'll have some patients

  • that are very, very sensitive

  • about introducing their bodies to THC, period.

  • Because during accumulative use of THC,

  • you could have a positive drug test

  • from an over-the-counter product.

  • You always, when taking any new supplement

  • or cannabinoid medicine, you have to be careful.

  • And it's nice to be able to talk

  • to your doctor, or your pharmacist,

  • or even the dispensary retail workers

  • to see if there is any possible interaction.

  • "CBD doesn't have side effects."

  • So, CBD does have side effects.

  • For some patients, it doesn't intoxicate you,

  • but it can be really relaxing

  • and almost produce an uplifting effect.

  • A small amount of patients will find

  • that CBD makes them very sleepy.

  • CBD does improve your REM sleep.

  • Patients that take CBD find that

  • they get a much more restorative night's sleep,

  • because THC can disrupt REM sleep,

  • so patients will take THC to fall asleep faster,

  • but if they concentrate on more CBD-dominant doses

  • they might find much more restorative sleep.

  • Sometimes patients will find that when they're taking CBD

  • they do have stomach upset.

  • You know, that might change their bowels a little bit,

  • but it's usually due to

  • the carrier oil that accompanies the CBD.

  • "CBD and marijuana are the same thing."

  • CBD and marijuana are not the same thing.

  • CBD, also called cannabidiol,

  • and THC, tetrahydrocannabinol,

  • are the most common cannabinoids

  • found in the cannabis plant.

  • THC and CBD are both in marijuana and hemp.

  • Marijuana contains much more THC,

  • while hemp has a lot of CBD.

  • The main difference is I think preventative care

  • versus active treatment using cannabis.

  • And if I have a patient that is facing more pain,

  • not preventative care,

  • then definitely THC helps with that more than a CBD.

  • Absolutely.

  • CBD provides that foundational anti-inflammatory component,

  • so you're getting to the root cause of the problem,

  • especially with chronic pain.

  • And THC is also very valuable,

  • because it can help with acute muscle spasms,

  • acute pain, nausea, appetite increase.

  • So I think that the THC

  • and the CBD work synergistically together,

  • and we can't stress that enough.

  • "CBD is illegal."

  • So, I need to debunk the myth that CBD is illegal.

  • In 2018, the farm bill passed the usage of hemp,

  • where we extract CBD from.

  • So the isolate and other cannabinoids

  • extracted strictly from the hemp plant

  • is perfectly legal today.

  • So, what's interesting about legal CBD

  • is that the percentage of THC present

  • has to be lower than 0.3% to remain legal

  • and to be sold over the counter.

  • All in all, hemp and CBD oil

  • are considered federally legal in all 50 states.

  • "All CBD products are safe."

  • I have to debunk that myth,

  • because we know that CBD products

  • are allowable on the regulated market,

  • but they're also available on the illicit market,

  • which are not products that are required to have testing

  • and the identification of their different ingredients.

  • The problem with CBD is that it's not FDA regulated.

  • So really anyone can come out with a product

  • and put it on the internet to sell.

  • CBD eye drops have not been tested.

  • CBD aerosolized nebulizers have not been tested,

  • or the nasal spray have not been tested.

  • So it really is on the onus of the consumer and the patient

  • to make sure that it is effective

  • and reliable and third-party tested.

  • It's as simple as checking the label,

  • looking for what's called a COA, certificate of analysis,

  • because that COA will tell you

  • the quality of the CBD source.

  • It will list all of the information

  • that is key on telling you potency.

  • Is there any bacteria or fungus?

  • Or are there any solvents or heavy metals

  • or pesticides that have been tested on the label?

  • You want to make sure that that lab has been accredited,

  • so it's tested by an accredited lab.

  • So unfortunately there's a lot of homework

  • that consumers and patients have to do

  • to make sure that that CBD product

  • is as good as what it says it does.

  • When you purchase CBD,

  • make sure you purchase it from a credible resource.

  • Like, if you're in a pharmacy

  • and they have it on their shelves,

  • usually there was some type of vetting of the product,

  • versus a gas station, you know,

  • there might be a compromise

  • in the quality of the product.

  • "All CBD is the same."

  • I debunk that myth.

  • All CBD is not the same.

  • The molecular structure of CBD is the same,

  • but quality control could definitely be different.

  • And it also depends on the formulation.

  • Some of my patients that use CBD

  • for anxiety or for panic attacks,

  • and sometimes before that panic attack comes on,

  • before you start spiraling,

  • you need something to work within 30 seconds.

  • And that's when you would use an inhaled version of CBD,

  • such as the vape cartridge or a flower.

  • And some of my patients have

  • terrible pain, spasm, and inflammation,

  • and they need something that'll work throughout the day.

  • They can't leave work or take a break to go outside

  • and use something that's inhaled,

  • so they need something that's long-lasting.

  • And that's when they would use a capsule or a tincture.

  • "CBD fixes everything."

  • CBD is not a miracle pill, it is not the silver bullet,

  • it is not a miracle elixir to all things,

  • it cannot cure everything that moves.

  • I have to agree completely.

  • CBD has its known benefits, and we embrace those,

  • but if I lose my car keys,

  • CBD's not gonna find them for me.

  • When you think about CBD,

  • you definitely need to keep it within its realm.

  • And I think that it definitely can lead the pathway

  • to integrative health benefits,

  • but I think common sense needs to come into play

  • when we use CBD.

  • I don't think CBD and cannabis cures Parkinson's,

  • but for my Parkinson's patients,

  • it decreases the tremors,

  • it decreases the muscle spasm and pain,

  • it increases appetite

  • and gives my Parkinson's patients better quality of life.

  • So I think it's a piece of the puzzle.

  • "CBD is addictive."

  • CBD is not addictive,

  • but I can see why social media

  • says that CBD is addictive,

  • because CBD is derived from the cannabis plant.

  • And many a people associate it with marijuana

  • and assumes that there's a potential for addiction.

  • On the contrary, the World Health Organization concluded

  • that CBD is nonaddictive with no withdrawal symptoms.

  • And I can say that as a clinician,

  • patients that I treat that take CBD

  • are not dependent on CBD.

  • Matter of fact, I've seen patients

  • that have been battling addiction

  • has actually used CBD to help them in their recovery.

  • Yes, because CBD and THC can help offset

  • some of those withdrawal symptoms,

  • and it can decrease pain,

  • decreases that inflammation, that nausea feeling,

  • perhaps when you're weaning off medication.

  • So I often use CBD and cannabis

  • to help patients wean off opiates,

  • benzos, and even sleep aids.

  • "CBD cures cancer."

  • I always debunk that myth,

  • but cannabis medicine can help you

  • get through chemotherapy and radiation that much better.

  • And if it helps you with your mood,

  • if it helps you sleep better,

  • if it decreases some of your pain and inflammation

  • and revs up your appetite,

  • or maybe it gives you a little bit of energy

  • during the day so you can take a walk,

  • all of these things will help your body

  • fight the cancer that much better.

  • There are so many wonderful benefits of cannabis,

  • and specifically CBD,

  • in helping the symptoms of cancer,

  • but we can't say with 100% surety

  • it reduces the densities in different tumor sizes

  • without that research element being conducted properly.

  • So, to say directly "cannabis cures cancer" is a myth,

  • but cannabis can help you fight the cancer.

  • Macias: "CBD is a scam."

  • I have to debunk this myth.

  • CBD does have its inherent anti-inflammatory benefits.

  • It has pain-relief benefits,

  • especially for preventive care, insomnia, and anxiety.

  • Patients use it for a lot of these reasons,

  • and it has helped and changed thousands of lives.

  • I can see why social media would label CBD as a scam,

  • because over the past couple of years,

  • CBD's been everywhere

  • and it's been touted as this miracle elixir.

  • If you look at Epidiolex, which is an FDA-approved,

  • plant-derived CBD medicine for seizures.

  • But then you look at the beverage industry,

  • like Budweiser developing CBD-infused beer.

  • Or your neighborhood café.

  • You can add a shot of CBD to your morning latte.

  • And then you look at the beauty industry and CBD lipstick,

  • or Sephora has CBD mascara for thicker and longer lashes.

  • There are some CBD creams and balms and lotions

  • that work well, but you have to look at

  • if they have another added ingredient.

  • Maybe it's the menthol that's in the product

  • or the arnica that's supplementing it

  • and creating a decreased sense of inflammation

  • and relief for your muscles and ligaments.

  • It's been used as a marketing tool.

  • So, we really have to be able to weed it out.

  • [laughing]

  • No pun intended.

  • Chin: "CBD won't affect other medications."

  • That is not true.

  • CBD may interact with certain medications

  • and certain natural supplements.

  • And if you take it in extremely large doses,

  • it can actually elevate your liver enzymes.

  • So, seizure medications, if you're on blood thinners.

  • Certain patients will find that if they take cannabis,

  • elderly patients, that there could be a fall precaution.

  • Maybe they're taking too much THC

  • and they're a little bit dizzy or groggy.

  • Macias: And I think that's why it's so important

  • that patients work where physicians,

  • specifically those that are educated

  • in the endocannabinoid system,

  • so that they can help them on that path to wellness.

  • When patients come to see me asking about CBD

  • or cannabis for their health or wellness,

  • I take it into full context of their medical history.

  • So I look at labs, I look at their medical history,

  • I do a full physical exam

  • to make sure that CBD and cannabis

  • is something that they could integrate

  • into their health and wellness.

  • Now, the problem is you can't always find a physician

  • that is knowledgeable about cannabinoid medicine.

  • Actually, it's very, very rare.

  • So what's wonderful with Dr. Macias and her dispensaries

  • is that regulated medical dispensaries

  • tap into a knowledge base of physicians,

  • plant scientists, cultivators, and researchers.

"CBD gets you high."

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