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CBD

CBD

A Patient's Guide to Medicinal Cannabis — Healing without the High
by Leonard Leinow 2017 352 pages
4.16
100+ ratings
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Key Takeaways

1. CBD offers powerful medicinal benefits without psychoactive effects

CBD has been called the feminine aspect of cannabis and THC has been called the masculine. While THC works directly on the endocannabinoid receptors, CBD is indirectly balancing this system by allowing the body's own neurochemicals to be longer-acting.

Non-intoxicating medicine. CBD (cannabidiol) is a compound in cannabis that offers many of the plant's therapeutic effects without causing a "high." Unlike THC, CBD does not directly activate cannabinoid receptors in the brain. Instead, it works indirectly by enhancing the body's own endocannabinoid system.

Wide-ranging benefits. Research shows CBD may help with:

  • Pain and inflammation
  • Anxiety and depression
  • Epilepsy and seizures
  • Nausea and vomiting
  • Neurodegenerative disorders
  • Sleep issues

CBD's non-psychoactive nature makes it appealing for medical use, especially for those who want to avoid impairment. It can be used on its own or combined with THC for enhanced effects.

2. The endocannabinoid system regulates crucial bodily functions

The endocannabinoid system is newly discovered and is an extremely important system to our survival. It maintains and restores balance in multiple ways throughout the body, which affects varied issues regarding health and disease.

Body-wide regulatory network. The endocannabinoid system (ECS) is a complex cell-signaling system found throughout the body. It plays a crucial role in maintaining homeostasis by regulating:

  • Mood
  • Sleep
  • Appetite
  • Memory
  • Pain sensation
  • Immune function
  • Inflammation

The ECS consists of endocannabinoids (cannabinoids produced naturally in the body), receptors, and enzymes. Plant cannabinoids like THC and CBD interact with this system, which explains their wide-ranging effects.

Deficiency theory. Some researchers propose that many health issues may be caused by endocannabinoid deficiency. Supplementing with plant cannabinoids could potentially address this deficiency and restore balance.

3. CBD and THC work synergistically for enhanced therapeutic effects

The sum of all the components, working together, is greater than the parts—the synergistic entourage effect mentioned previously.

Entourage effect. While CBD and THC are the most well-known cannabis compounds, the plant contains hundreds of other cannabinoids and terpenes. These compounds work together synergistically, enhancing each other's effects. This is known as the entourage effect.

Balanced approach. For many conditions, a combination of CBD and THC is more effective than either compound alone. CBD can also mitigate some of THC's unwanted side effects. Common ratios include:

  • 1:1 CBD:THC - Balanced effects
  • 4:1 CBD:THC - Reduced psychoactivity
  • 20:1 CBD:THC - Minimal psychoactivity

Whole plant medicine. Full-spectrum cannabis extracts that preserve the plant's natural compound profile are often more effective than isolated cannabinoids. However, CBD isolates can still be very beneficial for certain applications.

4. Cannabis has potential to treat a wide range of health conditions

Researchers have demonstrated regression of a number of different cancer types.

Versatile medicine. Cannabis shows promise in treating an impressive array of conditions, including:

  • Chronic pain
  • Epilepsy
  • Multiple sclerosis
  • PTSD
  • Alzheimer's disease
  • Cancer (palliative care and potentially anti-tumor effects)
  • Inflammatory bowel diseases
  • Psychiatric disorders

Neuroprotective properties. Cannabinoids like CBD demonstrate neuroprotective effects, potentially slowing or halting the progression of neurodegenerative diseases.

Cancer research. While more studies are needed, early research suggests cannabinoids may have anti-tumor properties and could enhance the effects of conventional cancer treatments.

5. Proper dosing and delivery methods are crucial for effectiveness

Dosage is everything.

Personalized approach. Cannabis dosing is highly individualized. Factors affecting optimal dose include:

  • Body weight
  • Metabolism
  • Condition being treated
  • Tolerance
  • Delivery method

Start low, go slow. It's recommended to start with a low dose and gradually increase until desired effects are achieved. This minimizes side effects and allows for personalization.

Delivery methods:

  • Oral (edibles, capsules, oils)
  • Sublingual (tinctures, sprays)
  • Inhalation (vaporizing, smoking)
  • Topical (creams, balms)
  • Transdermal (patches)

Each method has different onset times, durations, and bioavailability. Choose based on the condition and desired effects.

6. CBD shows promise in treating pain, anxiety, epilepsy and more

For the relief of certain kinds of pain, I believe, there is no more useful medicine than Cannabis within our reach.

Pain management. CBD and other cannabinoids interact with pain pathways in the body, offering potential relief for both acute and chronic pain conditions. Unlike opioids, cannabis carries a low risk of addiction and overdose.

Anxiety and mood disorders. CBD demonstrates anxiolytic (anti-anxiety) and antidepressant-like effects in both animal and human studies. It may help with generalized anxiety, social anxiety, PTSD, and OCD.

Epilepsy breakthrough. CBD has shown remarkable efficacy in treating certain forms of epilepsy, leading to FDA approval of a CBD-based drug for rare seizure disorders.

Emerging applications:

  • Autoimmune disorders
  • Neurodegenerative diseases
  • Sleep disorders
  • Skin conditions

7. Cannabis may help combat the opioid epidemic

CBD has been called the anti-gateway drug, as it is shown to treat symptoms of withdrawal from other kinds of drug abuse.

Opioid alternative. Cannabis offers a potentially safer alternative to opioids for pain management. States with medical cannabis laws have seen significant drops in opioid prescriptions and overdose deaths.

Addiction treatment. CBD may help reduce cravings and withdrawal symptoms associated with drug addiction. It shows promise in treating:

  • Opioid addiction
  • Alcohol use disorder
  • Tobacco addiction

Harm reduction. While not a cure-all, cannabis could play a role in harm reduction strategies by offering a less dangerous option for those struggling with addiction.

8. Legal and political landscape for cannabis is rapidly evolving

As this book goes to press, the Trump administration has control of the U.S. White House and the federal government. Because his, as well as the legislative branch's position on cannabis is unclear, we are in a time of real uncertainty about the legal future of medical cannabis.

Shifting attitudes. Public opinion and policy surrounding cannabis are changing rapidly. As of 2021, 36 U.S. states have legalized medical cannabis, with 15 allowing adult recreational use.

Federal obstacles. Cannabis remains illegal at the federal level, classified as a Schedule I controlled substance. This creates challenges for research, banking, and interstate commerce.

Global trends. Many countries are reevaluating cannabis laws, with some moving towards legalization or decriminalization. However, international drug treaties complicate widespread reform.

9. More research is needed to fully understand cannabis therapeutics

The words of these scientists convey the significance of the endocannabinoid system, first identified by Raphael Mechoulam in the mid-1990s and possibly one of the most important recent discoveries about the endogenous chemical transmitters involved in maintaining health.

Promising but limited. While cannabis shows great therapeutic potential, high-quality clinical research is still limited due to legal restrictions and funding challenges.

Key research areas:

  • Long-term effects of cannabis use
  • Optimal dosing and delivery methods
  • Interactions with other medications
  • Potential applications for specific diseases

Standardization needed. As the cannabis industry grows, there's a need for standardized products and dosing guidelines to ensure consistency and safety in medical applications.

Shifting paradigm. The discovery of the endocannabinoid system is reshaping our understanding of human physiology and disease. Continued research into this system could lead to major breakthroughs in medicine and health.

Last updated:

Review Summary

4.16 out of 5
Average of 100+ ratings from Goodreads and Amazon.

CBD: A Patient's Guide to Medicinal Cannabis is highly praised for its comprehensive and accessible information on CBD and medicinal cannabis. Readers appreciate its thorough coverage of topics including dosage, medical applications, and scientific research. The book is considered an excellent resource for both beginners and those with some knowledge of cannabis. Many reviewers found it helpful for understanding CBD's potential benefits for various health conditions. The inclusion of patient stories, legal information, and quality control tips adds value. Overall, it's recommended as an essential guide for anyone interested in exploring CBD for health and wellness.

Your rating:

About the Author

Leonard Leinow is an expert in the field of medicinal cannabis and CBD. As the founder of Synergy Wellness, a not-for-profit medical cannabis collective in California, he has extensive experience working with patients and developing cannabis-based treatments. Leinow has been cultivating and studying cannabis for over 30 years, making him a respected authority on the subject. His co-author, Juliana Birnbaum, is an author and educator with a background in cultural anthropology. Together, they bring a wealth of knowledge and practical experience to their writing, providing readers with a well-rounded and informative perspective on the therapeutic potential of CBD and cannabis.

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