Multiple sclerosis (MS). A prescription-only nasal spray product (Sativex, GW Pharmaceuticals) containing both 9-delta-tetrahydrocannabinol (THC) and cannabidiol has been shown to be effective for improving pain, muscle-tightness, and urination frequency in people with MS. This product is used in over 25 countries outside of the United States. But there is inconsistent evidence on the effectiveness of cannabidiol for symptoms of multiple sclerosis when it is used alone. Some early research suggests that using a cannabidiol spray under the tongue might improve pain and muscle tightness, but not muscle spasms, tiredness, bladder control, mobility, or well-being and quality of life in patients with MS.
Reviews may be few, but all on amazon are 4-star ratings and above. Currently, there are no negative reviews for this product. The majority of consumers state that they’ve experienced significant changes to pain levels as well as better management of arthritis pain. Most reviewers are very fond of the capsule intake method, which eliminates the need to measure oil dosages.
Martin Lee, co-founder of Project CBD, told Leafly that hemp fiber and seed contain no usable amounts of cannabinoids. “Cannabidiol can’t be pressed or extracted from hempseed,” he writes. “CBD can be extracted from the flower, leaves, and, only to a very minor extent, from the stalk of the hemp plant. Hemp oil start-ups lack credibility when they say their CBD comes from hempseed and stalk.”
To be clear, there is no one specific test, scan, or anything else of the sort that you can do to determine whether or not you need CBD oil for pain. Also, since cannabis is not yet recognized by the FDA, you unfortunately can’t really go to your doctor either and have them recommend it; until marijuana is FDA-approved, it cannot be prescribed by physicians.
In a small study published in the journal JCI Insight in 2017, researchers observed that CBD may help prevent stress-related changes in blood pressure. For the study, nine healthy male volunteers took a single dose of either CBD or placebo. Compared to those given the placebo, those treated with CBD had lower blood pressure both before and after experiencing a stressful event.
For epilepsy: A prescription cannabidiol product (Epidiolex) has been used. The recommended starting dose is usually 2.5 mg/kg twice daily (5 mg/kg/day). After one week the dose can be increased to 5 mg/kg twice daily (10 mg/kg/day). If the person doesn't respond to this dose, the maximum recommended is 10 mg/kg twice daily (20 mg/kg/day). In some research, higher doses of up to 50 mg/kg daily have been used. There is no strong scientific evidence that nonprescription cannabidiol products are beneficial for epilepsy.
In Georgia, for example, the legislature passed a law in 2015 that made legal possession of up to 20 ounces of CBD for patients with qualifying conditions like seizure disorders and multiple sclerosis. The law does not, however, set up any supply infrastructure—there are no licensed dispensaries or producers. Recently, the Georgia legislature passed a compromise law that includes Alzheimer’s disease, AIDS, autism, epidermolysis bullosa, peripheral neuropathy, and Tourette’s syndrome in the list of diseases that can be treated by CBD—as long as that CBD oil has no more than 5 percent THC.
CBD derived from marijuana is a different story, and the law varies from state to state. But as long as you’re using CBD oil that contains less than 0.3 percent THC, you have nothing to be concerned about anywhere in the United States. On the other hand, if you want to take your CBD on a trip outside the country, definitely look into local laws to avoid getting into awkward situations while you’re away.

Based in Los Angeles, Calm by Wellness plans to be among the largest hemp-growing and CBD extraction facilities in the world by the end of 2019. The company sources their hemp from Colorado and uses clean CO2 technology to extract their CBD and other cannabinoids (no THC though!). The company is also GMP and ISO9001 food-grade manufacturer certified.

San Francisco’s Johnny Apple CBD assures customers that it only uses organic, non-GMO hemp plants for its CBD extract. In addition, the company declares, it’s put the time and effort into ensuring the genetic quality of the raw material. Perhaps that rigorous process has helped Johnny Apple CBD in securing the often-superlative reviews given to its products, which have in total earned the company an “excellent” TrustSpot rating. Those duly tempted to purchase from the producer can take their pick from CBD oil blends specially formulated to encourage either tranquility, happiness or clear-headedness. Also available are a wax designed for dabbers, a cocoa butter “calm balm” and 99 percent-pure CBD in crystals – the finer variety of which, Johnny Apple CBD explains, is entirely suitable for adding to baked goods.
Frankly, not many customers on amazon are dissatisfied with St. Mortiz Raw Hemp Extract Oil. Many customers state they’ve experienced noticeable results in the management of joint pain, sleeplessness, and depression and anxiety symptoms. Even when used as a simple health supplement with no health-related symptoms to treat, users have favored the taste and the results felt following the use of this product. Critical reviewers state that the oil simply didn’t work for them, but some still attest to hemp oil’s ability to help manage their health-related issues.

CBD plays a major role in the immune system modulation which basically means that it helps in auto-immune conditions such as rheumatoid arthritis. Rheumatoid arthritis is a chronic progressive disease which causes inflammation in joints, resulting in painful deformity, and at times immobility in the fingers, feet, wrists, and ankles. Because to it’s anti inflammatory effects, CBD oil provides relief of joint pain caused by rheumatoid arthritis, and can also decrease joint destruction.
There’s plenty of research out there confirming CBD offers relief from a number of health issues. But if you really want to know whether it can help you, there’s an easier way: ask someone that’s tried it. Genuine, real-life users are reporting how CBD has given them the best sleep in years, relieved their anxiety and significantly alleviated their joint and muscle pain. Other candid reviewers report how CBD topicals leave them feeling renewed and radiated. For fresh insights into CBD’s multiple benefits, check out these testimonials for reliable and definitive proof.
A report from the American Academy of Pediatrics (AAP) published in the journal Pediatrics cautions pregnant women and nursing mothers to avoid marijuana use due to possible adverse developmental effects to their baby. In a study reviewed for the report, short-term exposure to CBD was found to increase the permeability of the placental barrier, potentially placing the fetus at risk from certain substances.
A report from the American Academy of Pediatrics (AAP) published in the journal Pediatrics cautions pregnant women and nursing mothers to avoid marijuana use due to possible adverse developmental effects to their baby. In a study reviewed for the report, short-term exposure to CBD was found to increase the permeability of the placental barrier, potentially placing the fetus at risk from certain substances.
However, like we just mentioned CBD oil for pain management that has been sourced from industrial hemp grown under the farm bill is in fact legal to buy and sell. The best CBD oil brands that we cover here on this site, claim to extract their concentrates from U.S.-based industrial hemp supplies, which if true, are 100% legal since they contain negligible amounts of THC.
All this talk about THC lands us nicely in the whole “Full Spectrum vs. Pure Isolate” debate. Once you begin shopping for CBD products, you’ll notice a lot of jargon that gets thrown around without much explanation. Now that we’ve introduced THC into the conversation, we can talk about the difference between, and relative benefits of, Full Spectrum CBD and CBD Isolate (and the lesser-known contender: Broad Spectrum).
As more and more states legalize the use of marijuana, a product known as CBD oil has surged in popularity. A chemical compound found in the cannabis plant, CBD, or cannabidiol, is non-intoxicating and does not cause the noticeable euphoric effects associated with tetrahydrocannabinol (or THC, another marijuana compound). Products marketed as CBD oil may contain THC.
Transparency: Fab’s website features third-party lab results for most products. They only have a lab test for one of their tinctures though (which shows results for cannabinoid potency, as well as contaminants like pesticides). Customer service pointed out that the same CBD oil is used for all their products, but since potencies do vary, we appreciate companies that show potency testing for all products.
CBD is a compound found in the hemp plant, also known as Cannabis Sativa L. CBD products that are available on the market, such as Green Roads products, are made from industrial hemp. The main difference between hemp and industrial hemp is that the latter has Non-Detectable THC. THC, or tetrahydrocannabinol, is a psychotropic chemical found in cannabis. The CBD products available to all customers in the U.S. contain very small amounts of THC.
What most people don't realize is the person charged with Possession of a Penalty Group 2 substance is charged with the entire weight of the substance, including "adulterants or dilutants."  In other words, a small eye dropper bottle of CBD oil with half an ounce of liquid could contain a second-degree felony amount of drugs. That means the person is facing 2 to 20 years in prison and up to a $10,000.
Since 2014, NuLeaf Naturals – our Editor’s Pick – has been committed to creating high-quality CBD oil products. As one of the oldest and most reviewed companies in the industry, NuLeaf Naturals has established themselves as a trustworthy CBD manufacturer. All of their products are tested by third party labs and their cannabinoid profile is impressive. They offer a unique range of concentrations for their organic CBD products ranging from 240mg to 4,850mg.
In order to determine which companies were included on this best cbd oil list and how they were ranked, each prominent provider on the market (Note: we pulled our list of brands from other established and credible CBD rankings like: this one and this one.) was allocated six individual Rank Scores based on their performance in the following metrics:
Dispensaries: In states where marijuana is legal for recreational use, dispensaries are a common sight. They are much rarer in states with more restrictions. In states that permit the use of medical marijuana, hemp-based CBD oils do not normally require a prescription but marijuana-based oils do. Like brick-and-mortar locations, dispensaries offer more customer service. However, as noted, this may not be an option depending on the buyer’s state of residence. Also, CBD oil prices tend to be significantly higher at dispensaries.
So. According to the Controlled Substance Act definition itself, certain parts of the cannabis plant are clearly illegal, while others fall into a grayer area. One of these – for the most part – is CBD extracted from the “legal” parts of the cannabis plant, and non-marijuana industrial hemp plants, which, as defined by Section 7606 of the Farm Bill are cannabis plants with less than 0.3 percent THC.

Pure Hemp Botanicals’ mission statement is “compassion in action” – and it’s a pledge that it aims to adhere to not only through the use of organic hemp and cruelty-free ingredients, but also through its employment practices. The company’s “PHD Gives Back” initiative demonstrates a commitment to kindness, too, as 1 percent of proceeds from the sale of its products are donated to non-profit Mercy For Animals. Pure Hemp Botanicals’ range of CBD-containing goods is also varied, taking in as it does concentrates, vape oils and flavored mints and teas. And regular CBD oil users can, furthermore, take advantage of the company’s handy subscription system for tinctures, capsules and softgels – a scheme that’s not only convenient but which, thanks to the discounts available, offers a less costly way to get a CBD hit.
In addition, neither CBD oil nor hemp oil carries psychoactive properties, as neither is commonly derived from the marijuana plant, and therefore is extremely low in THC. (THC is the psychoactive compound found in nearly all marijuana strains). While CBD oil is commonly viewed as a health supplement for the management of symptoms brought on by severe illnesses and disorders, hemp seed oil is commonly viewed as a food additive and an excellent source of Omega-3 and Omega-6. Therefore, hemp oil is a strong and eco-friendly alternative to fish oil, a common supplement associated with heart health. Hemp oil has also been repeatedly praised by consumers for carrying relaxing effects due to Omega-3 and Omega-6 content, and has been cited for assisting in pain management as well.
It’s safe to say that Charlotte’s Web is probably the most recognized CBD brand out there — and it’s not all hype. This company pioneered the CBD industry and made it their mission to de-stigmatize CBD by setting the bar high for transparency. They produce and oversee their organic CBD products from seed to sale, standing behind them with a solid return policy. 
All this talk about THC lands us nicely in the whole “Full Spectrum vs. Pure Isolate” debate. Once you begin shopping for CBD products, you’ll notice a lot of jargon that gets thrown around without much explanation. Now that we’ve introduced THC into the conversation, we can talk about the difference between, and relative benefits of, Full Spectrum CBD and CBD Isolate (and the lesser-known contender: Broad Spectrum).
NuLeaf Naturals CBD oil tinctures are all full spectrum; it is 100% organic and never made with herbicides, pesticides, or chemical fertilizers. The brand offers a full spectrum pet CBD oil tincture, as well. NuLeaf Naturals offers free shipping to all 50 states; the brand’s products are also sold in more than 1,000 retail locations across the country.
CBD American Shaman’s extensive array of products ought to satisfy even the pickiest customer, ranging as it does from flavored tinctures to CBD-infused under-eye serum – and even, for horse lovers, an “equine ointment.” Furthermore, its inventive, water-soluble hemp oil supplement means that users can get their daily dose of CBD just by quenching their thirst. They’re all ways through which CBD American Shaman, as the website states, aims to “[bring] wellness to the world.” The company has a philanthropic streak, too, with a pledge that it frequently gives to non-profit organizations, while its “Compassionate Care” scheme cuts the prices of its goods for those with long-term health conditions. Plus, the company asserts that it uses only organic, non-genetically modified hemp in the making of its CBD oil products, with no insecticides used in the growing process.
CBD may be best known for its relaxing, calming effects. CBD reduces autonomic arousal, having the inverse effect of THC on the body. CBD’s anti-anxiety effect is why many in the cannabis community talk about how CBD relieves paranoia, although that is not scientifically proven yet. CBD is also known for its anti-nausea and pain relieving effects. It really depends on why your body’s specific needs and the quantity in which you take CBD.
Hemp Master 1000mg hemp seed oil is highly reviewed on amazon and sought after by consumers for both its high hemp seed concentrate and its ability to assist in stress management. Many consumers have experienced great assistance with sleep, as well as relieved joint stiffness. A multitude of consumers cite excellent assistance in stress management, stating there’s a noticeable sense of calmness following use. Some reviewers, however, have said it has little to no effect on pain, and were disappointed at the fact that the product is not a full spectrum hemp oil (which would contain CBD). Though there are dozens of reviewers who state a favorable effect on pain, some state no changes were experienced. Some 1-3 star reviews state that the mint flavor isn’t as enjoyable as they hoped.
Children: A prescription cannabidiol product (Epidiolex) is POSSIBLY SAFE when taken by mouth daily. The most common dose used is 10 mg/kg daily. Higher doses of 15-20 mg/kg daily may be used in some children, but these higher doses are more likely to cause side effects. This product is approved for use in certain children 2 years of age and older, but has been used in children as young as 1 year of age. 

If your intention is to help treat chronic pain, then you may want to start out with a lower dose, and then proceed from there. If you notice effective results, you can downsize the dose, or likewise you can always up the dose until positive results are achieved. The key is to only increase your dosage in small increments so that you are able to pinpoint exactly how much CBD oil it takes to treat your condition. Be advised, though, that you should not exceed the recommended daily doses that are listed on the bottle and you should consult with a physician.

Statement from FDA Commissioner Scot Gottlieb, M.D., on signing of the Agriculture Improvement Act and the agency's regulation of products containing cannabis and cannabis-derived compounds. U.S. Food and Drug Administration Web site. Available at: https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-signing-agriculture-improvement-act-and-agencys. (Accessed May 7, 2019).
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