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The Essential Guide
The Endocannabinoid System
Phytocannabinoids interact with our Endocannabinoid System (ECS). This is an extensive part of human physiology – with receptors in almost every organ of the body including the lungs, heart and brain. This signalling system is comprised of CB1 and CB2 receptors, with CB1 found mostly in the central nervous system (CNS) and CB2 primarily in the peripheral nervous system (PNS). As these receptors are linked to almost every system of the body, the ECS is involved in a huge plethora of functions – including homeostasis, sleep, mood, pain, appetite, fertility, and memory.
Whether or not you are a Cannabis user, you have an ECS that regulates your overall health and wellbeing, and your body produces its own natural cannabinoids as part of this. The body’s own supply of cannabinoids are known as endogenous cannabinoids, and those that are derived from external initiators such as the cannabis plant, are known as exogenous cannabinoids. The two are structurally similar, which means that exogenous cannabinoids interact with the body’s receptors in much the same way as endogenous ones.
The body’s supply of endocannabinoids can become disrupted via things like pollution and toxins, stress, hormonal imbalances and other common afflictions. This is why many people are turning to exogenous cannabinoids from mother nature to aid in restoring some of the balance. The market is teeming with options, however choosing the right product is not simple – it requires investigating purpose, formulation, bioavailability, dose and some self-experimentation. There are also other lifestyle factors that affect your base level of cannabinoids, including coffee and exercise.
“There are more cannabinoid receptors in the brain than there are for ALL the neurotransmitters put together.’ The significance of cannabinoids for the body is undeniably important – and the ECS has the potential to have a powerful impact on the body. It’s a significant part of the makeup of every human being, and can have a substantial impact on our health.“ – Dr Ethan Russo
Is CBD Safe?
Quality, Quantity and Overdosing
Possible Drug Interactions
How Should You Take CBD?
Oils, Vapes, Smokes, Creams Or Gummies?
Inhalation: vaping and smoking (buds, liquids, resins or concentrates)
Intranasal Sprays
Oral Consumption (edibles, oils, capsules, gummies, concentrates, powders and beverages)
Different Oral Formulations:
In order to improve CBD absorption orally, many companies have tried to alter the size of the CBD molecule by making it smaller, and / or targeting its formulation by making it more water soluble. Cannabinoids are usually fat soluble, meaning they absorb as much as three times better when mixed with medium-chain triglycerides (MCTs) – healthy fats that improve uptake by the body. As the body consists mostly of water, lipophilic (fat-soluble) cannabinoids do not absorb well naturally (oil and water do not mix), making it difficult for them to dissolve. Improving the water solubility of CBD requires an emulsifier (breaks up fat droplets into smaller droplets) or surfactant (lowers the surface tension of a liquid), to achieve a finer dispersion of the oil into the water. CBD particles measure around 2,000 nanometers, while human cells only absorb molecules smaller than 80 nanometers. Our liver naturally produces its own emulsifiers, however this preparation can also be useful for methods like sublingual administration which does not pass through the digestive tract. The 3 most common formulations for increasing oral bioavailability are currently: Liposomic, Macroemulsions, Microemulsions and Nanoemulsions:1. Liposomal CBD
The cannabinoids can be made to dissolve in water by giving the spherical molecules a hydrophilic (water-attracting) outer-layer, whilst the inner cavity encapsulates the fat-soluble CBD. Scientists have also understood the importance of liposomes – a body of fat that surrounds or is attached to another molecule (a vitamin, pharmaceutical, or cannabinoid for example), allowing nutrients to be delivered more effectively.2. CBD Macroemulsions
When CBD oil is mixed with a healthy fat such as MCT, the MCT carrier oil improves absorption via the GI tract, but the molecules remain large (> 1µ) and bioavailability is roughly on par with a sublingual dose.3. CBD Microemulsions
The same as above, except that the droplets are broken down into a smaller size (about 1/10th the size of a macroemulsion). They require more surfactant to allow them to be more stable than macro-emulsions, as there is a larger surface area for absorption.4. Nano Particles & Nanoemulsions
In a Nano-Particle formulation, the active particles (CBD oil) and its carrier oil are disrupted and dispersed / broken down using sonic frequencies. These break the droplet size down to a tiny size in a process known as ultrasonication. Because of their small size, the droplets can then easily pass through the walls of cell membranes, resulting in a higher level of absorption and efficacy. The downside is that the effect may not last as long, as the particles are also broken down more quickly. In a Nano-Emulsion the nano-particles are blended with a surfactant that is equally small and designed to be easily absorbed by the body. This is still considered a relatively new technology, however theoretically it should allow for improved bioavailability where CBD can reach the system quickly and effectively, by increasing stability and absorption. CBD as a nano-emulsion allows it to be absorbed at higher rates than other methods of delivery, the size therefore makes all the difference, with a 25 nanometer emulsion being absorbed more than 50%, whereas a 500-5000 nanometer (i.e. Liposomal) emulsion will have less than 20%.Sublingual (under the tongue: oils, tinctures and sprays)
When CBD is placed and held in the vascular region under the tongue for 1-2 minutes, before swallowing. The longer the oil is kept under the tongue, the more that shall be absorbed into the circulation. Onset of Action: 20-40 minutes Duration of Action: 18-32 hours Bioavailability: Around 13-19% with some studies estimating as high as 35% This is higher than when taken orally as it bypasses the digestive tract. Placing the oil under the tongue allows the oil to be absorbed directly by the sublingual gland, blood vessels under the tongue and the mucous membranes. This offers a fast and efficient means for the CBD to enter straight into the systemic circulation. The time of onset is also faster and longer lasting than oral administration. The trick here is to make sure you don’t swallow too soon, and hold the drops for at least 60 seconds. Also be sure to place the drops under the tongue, not on top.Topical (transdermal skin patches, salves, balms, creams, gels and serums)
Suppositories and Pessaries (transcutaneous / mucosal)
Cannabis Oil Profiles
Full Spectrum, Broad Spectrum or Isolate?
Full Spectrum
Broad Spectrum
Isolate
The Entourage Effect
How To Calculate Your CBD Dosage
Start Small And Increase
A 2011 review on CBD’s safety and side effects found that even high doses such as 1500mg a day, are generally well tolerated by humans. However there are a few more factors to consider when it comes to metabolism and efficacy. Factors- The concentration of CBD you’re using
- Your weight
- Body chemistry and fat %
- Symptoms you’d like to alleviate, or use as a general health supplement
- Dosage based on body weight As with most substances, if you have a higher body mass, you are likely to require a higher dose. It is said that a good rule of thumb is to take 1-6mg CBD for every 10 pounds of body weight. You can also find online calculators such as Honest Marijuanas Simple Dosage Calculator.
- Start small and increase gradually The best means of self-experimentation is to start low and gauge your body’s reaction to that dose, by keeping a symptom journal, before increasing over time. This will more accurately allow you to feel for the optimum dose for you. This could mean starting with 20-40mg a day, and increasing the amount by 5mg after a week. You could continue to do this until you think you have found the optimal dosage for you.
- Consult a physician Whilst the system is a little behind the times (the ECS still isn’t even taught in medical schools), many progressive physicians are taking an interest in the promising potential of cannabis. When in doubt, it is always best to find a qualified health professional that you can consult.This is especially important if you are on any pre-existing medication, as there may be interactions or contraindications. And any liver conditions should also be taken into consideration, as even though a 2017 study confirmed few adverse side effects, a 2019 study in mice raised some possible concerns about potential for liver damage and interactions with medications utilising specific liver enzymes. A 2018 report from the centres for disease control and prevention noted that 52 US residents had bad reactions to certain CBD products, however it turned out that most of them used products that contained synthetic CBD and some contained little information about the manufacturer or its ingredients.
Dosing CBD Oil
Using a CBD tincture or oil is one of the easiest means of measuring dosage. A standard pipette will usually contain about 1ml of product. Therefore you can use the below formula to calculate the amount in a single dropper:[Total CBD in Bottle] ÷ [Number of ML in Bottle]
= Mgs of CBD in a Dropper
For example say you have a 30ml solution of 300mg CBD, this will give you 10mg per 1ml dropper. If you are aiming to take say 25mg a day, you would take 2 and a half pipette-fulls. Of course this method is difficult to get 100% accuracy, especially when accounting for your body fat percentage and metabolism, but for some it is better than not measuring at all.
A single drop (not a full dropper / pipette) is about 0.05ml, this means a 10ml bottle contains around 200 drops, and if the strength is 1000mg then each drop will contain 5mg. Therefore 20mg a day will mean 4 drops a day.
Dosing CBD Buds
This preparation is popular both for effectiveness and for those who want to ‘feel something’ without getting high – many people report feeling a distinctive ‘body high’, especially through the use of herbal joints. It’s akin to a mild tingling sensation and feeling of lightness. When you buy herbal CBD as a bud, it will usually give you the weight in grams, along with the concentration of CBD. One gram of hemp flower will contain between 100 – 200mg of CBD depending on the concentration of CBD in the strain of plant. Concentrations of cannabinoids are often advertised as percentages. I.e. a strain with a CBD concentration of 17% would contain around 170mg in a gram of flower. You can also purchase pre-rolls where all the weighing has been done for you. The advantages of using buds are that heating plant matter is believed to ‘activate‘ the cannabinoids, which work at different optimal temperatures, and it avoids the need for additives which are found in things like Vape oils. The drawback is that it is much harder to calculate a specific dose in mg, compared to oils or capsules. However if you start low and increase, or only partially finish joints, it should be easier to progress until you reach the desired effects.Dosing CBD Vapes
When using an e-liquid for vapes you would start by measuring the amount in a single dropper, so you can work out the amount in each tank. If you are aiming for a dose of 25mg, and using a 1000mg bottle of e-liquid, a single tank would contain approximately 33.33mg of CBD. You should note how often you need to refill the tank during the day. Vaping is still a relatively new technology so the long term effects are not well established. It also received a lot of negative press in 2019, as some people have found that the oil droplets can be irritating to the lung lining, and contributed to a form of pleurisy. Using a dry herb atomiser is one way around this. Instead of using oils, it heats the CBD buds to a certain temperature, allowing the cannabinoids to be inhaled as a vapour. Dosing is the same as for the CBD buds described above.Dosing CBD Capsules
These are the easiest means of measuring set dosages as the capsules are already filled. However it should be noted that they don’t always offer the best means of absorption, as the oil cannot be placed under the tongue and CBD is not hugely bioavailable via the stomach. As described above, tinkering with the formulation or opting for a stronger concentration, can be a means of compensating for some of this.The Bi-Phasic Effects of CBD
A bi-phasic effect refers to the way in which a substance has a different effect on the body as its blood concentration increases. A good example is alcohol – when you start off having a drink, the effects are invigorating and stimulating, however beyond a certain point the opposite starts to happen, and you’ll become lethargic and sedated. A similar thing happens with cannabis. When CBD is taken in different dosages, different effects seem to occur. For instance, many people use CBD to help them feel focused and energised, while others use it to help induce sleep and relieve the symptoms of insomnia. The reason for this is due to how CBD interacts with the body and the endocannabinoid system (ECS) through different pathways and in distinct ways. CBD has the potential to activate conflicting pathways that result in what can sometimes be contradictory effects (e.g. stimulant-sedative effects). In addition to the effects at different dosages, the biphasic effect of CBD is also important when considering the dosage. One example of such a dose-response relationship with CBD is in relation to anxiety. Several studies have shown that when combating both generalised anxiety as well as paranoia induced by THC, more does not mean better. Because of the range of complex biological responses that occur at different dosages, excessive amounts of CBD could be less effective for treating anxiety than smaller dosages.CBD’s Bell-Curved Effectiveness
Another thing to keep in mind is that CBD has been shown to have a bell curve regarding its effectiveness. Similar to its bi-phasic effect, the bell-curved response means its efficacy will increase as dosage increases until it has reached its maximum efficiency rate. Thereafter it falls off as it reaches saturation levels, resulting in wasted product. This means that each consumer has to monitor how they respond to different CBD dosage amounts to find their optimal dose for their particular desired effects. It is also important to keep in mind that a little CBD can often go a longer way than larger dosages. There is no one-size fits all approach to health. Where a compound such as CBD is generally considered safe, with a large therapeutic window, it’s important to get to know your body, to experiment via some trial and error, and to be the informed scientist in your life.How To Choose The Product Concentration
Mg and Percentages
Most commonly you’ll see products labelled using either milligrams or percentages. If a product does not list its concentration on the packaging in this form (as with many beauty products and creams on the market), then it will contain next to no CBD and have very little effect. Milligrams – The absolute amount of cannabinoids The number of mg typically refers to the total absolute amount of cannabinoids in the product. The other variable that needs to be taken into account is the volume. If you have a 1000mg product in a 10ml and a 20ml container then the products will be different strengths. The 20ml product will be half the strength of the 10ml product drop for drop. This is where percentages come in. Percentages – The concentration per drop The percentage given represents the The percentage given represents the concentration, i.e. the true measure of the drop-for-drop strength of the product., i.e. the true measure of the drop-for-drop strength of the product.1 milliliter = 1 gram = 1000 milligrams of CBD oil
So for a 30 ml bottle of CBD with a concentration of 15% CBD:
→ 15% of 3,000 mg = 1.5 x 3,000 = 4,500 mg of CBD per bottle
→ 4,500 ÷ 30 = 150 mg of CBD per 1 ml
A 1000mg of CBD in a 10ml bottle is a concentration of 10%. Therefore 1000mg in a 20ml bottle is 5% concentration, as it is diluted by twice the volume, drop for drop. As a beginner you may want to start with around 2-3%, if you have a product of a larger volume that offers less than this, you just need to take it slightly more often, or use slightly more of it. Depending on how and why you are using the product, this will be down to personal choice. You can use this calculator or the table below.
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CBD Oil Strength Conversion Table |
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| Volume | 10ml | 20ml | 30ml | 50ml | 60ml | 100ml |
| mg | ||||||
| 250 | 2.5% | 1.25% | 0.83% | 0.5% | 0.42% | 0.25% |
| 400 | 4% | 2% | 1.33% | 0.8% | 0.67% | 0.4% |
| 500 | 5% | 2.5% | 1.67% | 1% | 0.83% | 0.5% |
| 750 | 7.5% | 3.75% | 2.5% | 1.5% | 1.25% | 0.75% |
| 1000 | 10% | 5% | 3.33% | 2% | 1.67% | 1% |
| 1500 | 15% | 7.5% | 5% | 3% | 2.5% | 1.5% |
| 2000 | 20% | 10% | 6.67% | 4% | 3.33% | 2% |
| 2500 | 25% | 12.5% | 8.33% | 5% | 4.17% | 2.5% |
| 3000 | 30% | 15% | 10% | 6% | 5% | 3% |
| 6000 | 60%* | 30% | 20% | 12% | 10% | 6% |
(*You’re unlikely to find any oil that is 60% strength, it’s very hard to dissolve that amount of CBD in the given volume.)
So in summary, if you already measure your doses by calculating the exact milligrams of CBD that you’re taking then you don’t have to worry about percentages because you’ll already be adjusting your dose with stronger or weaker CBD products by taking a lesser or greater volume of the product respectively.
Therefore instead of measuring your doses in drops, droppers or mls, start by considering how much absolute CBD you would like to be taking per day, e.g. 20-30mg a day, and then depending on what product you use, adjust accordingly.