We Had a Successful AMA on Reddit Covering CBD. AMA

21 points by TruPo_Science ↗ HN
Hi Hacker News,

We had a great AMA on Reddit covering CBD. Our dev team uses hackers news and recommended we chat with you all, so let's start a conversation. Check out more info on our Reddit post: https://www.reddit.com/r/IAmA/comments/ecupsk/less_than_30_of_cbd_products_are_accurately/

Some people know a lot about CBD and other related compounds, but there are many people who still have basic questions. I am Austin Flohrschutz. AMA about CBD.

My education: BS in Behavioral Neuroscience and MS in Neuroscience. In undergraduate, I worked in a medicinal chemistry lab. In graduate school, I worked in a neuropharmacology lab focused on pain, opioids, addiction, and cannabinoids. My current organization formed a board of some pre-eminent cannabinoid researchers who sit on our Science Advisory Board that I collaborate with, including:

Todd Vanderah, PhD in Pharmacology is Head of Pharmacology at the University of Arizona. His research interests include mechanisms of cancer pain, neuronal integration in pain pathways, cannabinoid & opioid receptor pharmacology, as well as the discovery of novel targets for new medications.

Adam Friedman, MD, FAAD is Professor and Interim Chair of Dermatology at The George Washington University School of Medicine. He is currently investigating novel nanotechnologies that allow for the delivery of a variety of medicinally relevant molecules, such as cannabinoids.

Dr. Hope Jones is Chief Scientific Officer of Emergent Cannabis Sciences and CEO and founder of Adivina Crop Science -- offering state of the art cannabis tissue culture and micropropagation services. Dr. Jones' previously worked as a Staff Scientist for NASA’s Life Sciences and Biosystems Engineering Program.

23 comments

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How effective is CBD for Sleep related issues? I have heard that it helps with sleep is this study backed?
It may be helpful for sleep (https://www.ncbi.nlm.nih.gov/pubmed/28349316)(https://www.nc.... However, it is not a sedative, like Ambian, so it won't make you tired during the day. The main way we think CBD is helping people sleep is either by reducing their chronic pain or by reducing their anxiety. Pain can keep people awake and so can an overactive and anxious mind.
I see CBD Gummies everywhere, do they work?
As with a lot of drugs, it depends. What do you want it to work for? CBD could potentially help with pain, anxiety, and more, but correct dosing can be an issue and we think that CBD works better with other cannabinoids than by itself. So a CBD isolate based gummy might not be as effective as a full-spectrum gummy.
What do you see as the biggest challenges in the CBD Industry at the moment?
I think the biggest challenges arise from a lack of oversight. A 2017 study published in JAMA suggests only about 30% of CBD products are labeled correctly. The failing products either had inaccurate CBD concentrations or contained things they shouldn't, like THC in a THC-free products or mycotoxins from poor quality control.

The FDA has said they are trying to fast track regulations for hemp and CBD, but it has been much too slow for the industry. Once there are clear (and hopefully sane) rules and regulations, I think you will see a drop off in the number of companies and a rise in the quality of products. We also need to work on getting the price down for consumers.

Is CBD legal?
The passing of the 2018 Farm bill effectively legalized hemp-based products defined as Cannabis containing less than 0.3% THC, which includes CBD products.

There is a little gray area on some fronts though. Certain states (Nebraska, Idaho, and South Dakota) still can go by their own state laws and no comply with the bill. But rules are constantly changing.

We are also waiting on the FDA to make a final statement regarding how we can use CBD. They may say you cannot put CBD in ingestible products (e.g. CBD gummies), but we don't know when they will actually have a statement or how they will rule on CBD regulations in ingestable products.

An anecdote: TSA searched my bag in late 2019 (for reasons unrelated to CBD or cannabis - the Xray just looked weird). I had some full-spectrum CBD products and TSA couldn't care less.

Is CBD effective as a nootropic?
I have not seen any evidence to suggest CBD as a nootropic in healthy individuals. It may help with anxiety and stress, which can impede your cognitive performance, but at this time I do not believe CBD is boosting a fully healthy person's cognitive function. But I think a lot of people have to deal with stress and anxiety at work, so CBD could help to boost performance here.

I think it would be interesting to see studies in people like professional gamers. Stress can be good for performance, but too much can be detrimental. Is being super amped up on your favorite energy drink good for your K/D ratio or would being calmer with CBD actually be better?

Are there studies on CBD relieving the symptoms of multiple sclerosis (MS)?
There is a drug approved in other countries than the US called Sativex. This drug is essentially just a 1:1 ratio of CBD to THC, which is prescribed for MS to help with spasticity and pain. There are some clinical trials using CBD for MS, but it seems CBD will probably help more when combined with other cannabinoids.

CBD/MS clinical trials: https://clinicaltrials.gov/ct2/results?cond=&term=cannabidio...

Sativex: https://www.gwpharm.com/healthcare-professionals/sativex#

What are some of the barriers to reducing the costs of CBD products?
Many states are just now having the ability to actually grow hemp, so I think that having a more mature farming community and better plant genetics is one step. Essentially just the ability to make more CBD easier with more experienced farmers.

I think another barrier is just the overall hype behind CBD. Everyone at least wants to try it This allows companies to jack up the price arbitrarily, because, "why not? people will still buy it." And even if legitimate companies did want to have cheaper prices, being too cheap can actually look bad form a market standpoint ("Oh this products is so cheap it must be bad or poor quality"). This along with the huge number of CBD companies has really ballooned the retail price for everyone.

I think as supply and demand start changing, we will hopefully see more reasonable prices for consumers.

Can CBD products sold in state-licensed medical marijuana dispensaries be trusted to be accurately labelled?
It really depends on the dispensary and state. If they have actual third-party testing data from an accredited lab, then it is most likely legitimate. But many dispensaries don't have to check the CBD products for label accuracy. They also do not have to worry about high THC levels, so you could be getting much higher THC than you wanted.
Is it effective as a "rescue" treatment for stress? I've been looking for a healthy way to unwind after work that's not psycho-active, if that makes sense?
Potentially. CBD is being looked at for stress and is thought to even be beneficial for public speaking for those who are phobic (https://www.ncbi.nlm.nih.gov/pubmed/28553229). If you are looking for the quickest action, then smoking or vaping will be the way to go. If you are trying to avoid inhalation, taking a tincture sublingually will probably be the next quickest method.
I’d like to try my full spectrum tincture for my 40 lb, 7 year old dog. How do I determine how much to give her?
There have been little studies with animals, but there is one study out of Cornell looking at CBD for osteoarthritic dogs (https://www.frontiersin.org/articles/10.3389/fvets.2018.0016...). Here they found 2 mg/kg twice a day seemed to work well.

40 lbs are about 18 kg. So 2 mg per kilogram would be 36 mg twice a day. You may also start at lower amounts and work your way up and you might see a difference lower than 36mg twice a day.

THC can be harmful to pets at high concentrations, but a full-spectrum CBD oil should not have a high enough amount to cause any issues.

What are your thoughts on different techniques used to increase oral bioavailability of cbd in formulations?
Thanks so much for sharing the info on your AMA session. Big fan of TruPotency; been following you guys since inception. Hope to be a part of your awesome team soon!