Ask the Doctor: CBD 101

CBD Information
BAK 2 Basics

About BAK 2 Basics LLC

BAK 2 Basics, LLC is a collection of very compassionate, highly educated medical professionals looking to provide you a better quality of life by offering natural CBD products for better health. Our team has years of first hand experience working with patients diagnosed with various chronic and severe debilitating medical conditions. We strive to provide the highest quality of CBD Hemp Products. This includes making sure all products are Natural, Lab Tested and free of ANY harmful, unwanted chemicals. We extensively research each and every product we offer to you to ensure it’s highest quality because that is what you deserve.

BAK 2 Basics, LLC believes that education on Hemp and CBD products are very important as they are not all made equally. It is very important to feel comfortable and knowledgeable on a product you may consider before experimenting with it. Our team is happy to answer any questions or concerns you may have regarding any of the products we offer to you, so please do not hesitate to contact us. We are happy to offer natural CBD products for better health.

Meet Dr. Thomas Rocco

Dr Thomas Rocco is currently the Medical Director of a Medical Marijuana Evaluation Center in Warwick RI. The Medical Marijuana Evaluation Center became in 2014 and is still the only licensed facility approved and recognized by the Rhode Island Department of Health for patient evaluation and education for medical marijuana. This current Medical Marijuana Evaluation Center is regulated by and works closely with the Rhode Island Department of Health to properly educate appropriate patients with emphasis on safe and proper medical marijuana use for their chronic illnesses.

Tom Rocco

CBD 101

Benefits of Common Cannabinoids
Benefits of Cannabinoids
Benefits of Common Terpenes
Common Terpenes
Common Terms and Definitions
A cannabinoid is a natural compound found within the cannabis plant that interacts with the human body and its receptors when consumed. Each cannabinoid effects the body differently. There are hundreds of cannabinoids found within the cannabis plant. Some examples of cannabinoids are Cannabidiol (CBD), Tetrahydrocannabinol (THC), Cannabigerol (CBG), and Cannabinol (CBN).

  • Cannabidiol (CBD) is a non-psycho active cannabinoid that has many proven medical benefits. CBD is derived from the seed, stalk, stem and leaves of the plant. CBD is the second most profound cannabinoid found within the plant, second to Tetrahydrocannabinol (THC), CBD has been known to counteract the psycho-active effects from THC.
  • Tetrahydrocannabinol (THC) is the most famous cannabinoid found within the cannabis plant. THC is derived from the flower of the plant. THC has a strong psycho-active effect with many proven medical benefits.

Hemp is derived from the cannabis Sativa plant species. Hemp has a rich nutritional profile as they contain high levels of antioxidants, fatty acids, minerals, and vitamins.

  • Hemp from the stalk has high amounts of CBD and only trace amounts of THC when cultivated from the plant.
  • Hemp that is derived from the seed as oil has only trace amounts of CBD and no THC.

Terpenes are natural essential oils found in the cannabis plant. Terpenes give the flower a distinctive aroma or flavor. There are many terpenes found within the cannabis plant. Please see below for additional information on some of these terpenes.

  • Terpenes and Cannabinoids work together to create optimal benefit.
How To Intake CBD
How Can I Take My CBD?
There are so many ways of in-taking CBD products such as Ingesting, Sublingual, inhalation and/or topically. Your way of taking your CBD will depend on your personal preference and what kind of symptom you’re trying to relieve. Let’s go into some detail on each way!

CDB Intake Guide

Ingestion
Eat or consume. Why would someone want to eat it? If someone were to ingest their CBD, it would create a longer, lasting effect. The reason CBD would last longer is because the CBD oil is digested and processed very slowly. Another reason is that it is very beneficial for someone who has full body pains. This includes but not limited to arthritis, fibromyalgia and neuropathic pains. This is because the body is again, slowly processing so the effects of the CBD will hit every part of the body. This method is a great option for someone who is looking for long-term effects and/or widespread pain relief.

Sublingual
Intake under the tongue. What someone would do is to put a couple of droplets under their tongue (or how much they need), have it rest for 1 – 2 minutes and then ingest. Why would someone do that? The reason is to gain long lasting effects with a quicker response time. While the CBD is under the tongue, it is being absorbed directly into the capillaries. Usually any CBD ingested must pass the liver first to be metabolized, but when taking the CBD sublingually it will bypass that process until the CBD reaches the gastrointestinal tract. Tinctures are common products that are taken sublingually. Many are made with an alcohol base, but many other bases such as coconut oil and glycerol are utilized as an alternative.

Topical
Apply directly onto a part of the body. Why would someone want to use this method? This is primarily used for relieving localized pains such as joint, muscle and skin pain. Products that can be applied this way would be considered lotions, salves, balms and transdermal patches. CBD lotions, salves and balms are a great option for someone who has chronic pain located in the wrists, knees, hands, feet, elbows and/or other joints where the transdermal patch would not fit, stick or stay properly. The CBD transdermal patches are available for someone who would like to maintain a stable amount of CBD in their system. The patch slowly and constantly delivers CBD to the area which will sustain long-lasting relief.

Inhalation
Inhale/breathe and/or smoke. CBD can be inhaled through vaping CBD oil or combusting the CBD flower with a smoking apparatus. Why would someone want to inhale the CBD? The most common reason why someone would inhale the CBD is to obtain the quickest effect from their CBD. This is because CBD is being absorbed directly into the bloodstream via the alveoli in our lungs. When this happens, the CBD is quickly pushed through the bloodstream to the brain and the body. Using the whole plant or vaporizing the oil significantly reduces the carcinogen intake due to it not combusting. The method is an option for someone who would rather vape than smoke while also achieving the same effectiveness. That being said, there is still not enough research on vaping to see the long-term effects of it. Just like smoking, vaping has also been shown to irritate the lungs and may have some unknown health risks associated with it.

Full Spectrum Versus Isolate CBD
Know the Difference Between a CBD Product that is Full Spectrum or Isolate.
Full Spectrum CBD products extract all the Cannabinoids and Terpenes from the source material. This is often seen to produce more effective CBD products useful for a broad array of purposes. There is 0.3% or less of THC and it will not make you feel “high”, but it might show up in a drug test.

Isolate CBD products contain Cannabidiol only, meaning no or trace amounts of other Cannabinoids or Terpenes are present. CBD Isolate products with a purity rating of 99.9% or higher are recommended for those who may be subject to drug tests or those who have a sensitivity to THC.

With full spectrum CBD products as compared to isolates, there is an “entourage effect” from the full spectrum products. This refers to the improve effectiveness of CBD from the addition of other cannabis plant compounds of terpenes and small amounts of THC (< 0.3%), rather than just by itself in a CBD isolate. For the large majority of average users a high-quality full-spectrum CBD oil will be more effective and efficient option than CBD isolate products. Full Spectrum CBD vs Isolate

Symptoms & CBD Recommendations
CBD has been known to improve many different symptoms. Here is a list of the most common symptoms and what method of intake may relieve them best.

Pain
For all over pain symptoms, Oils, Capsules and Edibles tend to work best for relief. Oils have a fast onset of relief while Capsules and Edibles have a long lasting effect. For localized pain symptoms, Topical Creams, Salves and Patches tend to work best for relief. All of which have a fast onset of relief and long lasting results.

Anxiety/PTSD
For Anxiety symptoms Oils and Hard Candy Edibles tend to work best for relief. Oils are fast acting and relieve Anxiety symptoms within seconds or minutes. Edibles usually have a delayed effect because of the breakdown process, However, when consumed in a Hard Candy or Lozenge form the CBD is absorbed through the gums quickly, giving a quick onset of relief, also tends to have a longer lasting effect. Capsules could also be beneficial if taken regularly.

Seizures
For Seizures symptoms Oils work best for relief. Oils are absorbed very quickly when taken via the Sublingual route under the tongue, causing a quick response in relief of symptoms.

Migraines
For Migraine symptoms Oils tend to work best because of the quick response time. Edibles and Capsules could also be an option for more long term relief or to use to help prevent symptoms from occurring.

Muscle Spasms/Tremors
For Muscle Spasms and Tremor symptoms, Oils, Edibles and Capsules tend to work best. Oils are fast acting while Edibles and Capsules have a longer lasting symptom relief. Creams could also be applied to muscle spasms with some symptom relief.

Joint/Muscle Pain
For localized Joint or Muscle pain, Creams/Salves and Patches tend to work best. Both of which have a quick onset of symptom relief and is absorbed through the skin directly into problem area. For all over Joint/Muscle pain, Oils and Edibles tend to work better giving you all over symptom relief offering a fast acting and long term relief option.

Insomnia
For sleep ailments, Oils and Edibles tend to work best. Oils offer a fast onset while Edibles last longer and can help you to remain asleep for a longer duration of time.

Fibromyalgia and Arthritis
For localized Fibromyalgia or Arthritis Creams/Salves tend to work best. Creams/ Salves have a quick onset of symptom relief and is absorbed through the skin directly into problem area. For all over pain, Oils and Edibles tend to work better giving you all over symptom relief offering a fast acting and long term relief option.

CBD Side Effects

Studies have explored CBD and its potential for side effects. There needs to be more literature on this topic especially to determine long-term safety and possible interactions with other medications. However, the limited data does show that even chronic use and high doses are generally well tolerated by people.

In fact, a study from Cannabis and Cannabinoid Research in 2017 concluded that the comparison of adverse reactions of pharmaceutical drugs to CBD medications used for the treatment of similar medical conditions showed a better side effect profile for CBD. This could improve patient compliance and adherence to treatment.

An Update on Safety and Side Effects of Cannabidiol: A Review of Clinical Data and Relevant Animal Studies 2017

While there haven’t been reports of serious adverse side effects from CBD, these are a few potential side effects to be aware of with its use:

  • Diarrhea
  • Nausea
  • Tiredness
  • Fatigue
  • Changes in appetite
  • Changes in weight
  • Dry mouth
  • Low blood pressure

Most patients tolerate CBD well with out any side effect.

Also, it should be noted that potential side effects can vary according to different parameters, including some that are beyond the patient control. Side effects can vary due to the CBD dosing, age, fat consumption, and factors that will affect the absorption of CBD.

In addition, two international health organizations supported its safe use in 2018. The World Health Organization (WHO) has stated that “CBD exhibits no effects of abuse or dependence potential and no evidence of health related problems associated with it.” The World Anti-Doping Agency (WADA) removed CBD from its list of prohibited substances.

World Health Organization Cannabidiol (CBD) Critical Review Review 2018

CBD Oil

CBD Dose FAQ

CBD Pain Dose by Weight

Recommended CBD Dose for Pain

The important factors to account for when deciding the correct dosage for pain symptoms are the concentration of CBD, the weight of the individual, the individual’s body chemistry and the severity of the condition being treated.

  1. Estimate Your Dosage Based on Your Body Weight – A chart explaining starting dose as it pertains to weight and severity of symptoms is shown.
  2. Start Small and Increase Gradually – It is important to first determine your initial dosage based on your weight. Gauge how your body reacted to that amount of CBD. Increase gradually while continuing to monitor your body’s reactions until you find the perfect dosage that works for your situation.
  3. May Need to Take Consistently Everyday – It may need up to 30 days to build up into your system for proper effect and dosage.

Consult Your Physician – If your physician is not comfortable discussing CBD dose, please do not hesitate to call the educated BAK 2 Basics staff at 401-678-6420 or contact BAK 2 Basics LLC at https://bak2basicsllc.com/contact-us/

CBD Dose Calculator per Weight/Ailment

How much CBD does one need to use for different medical settings?

CBD Dose Calculator guides patients to the appropriate starting dose as it pertains to the weight of the patient and to different health issues.

This CBD Dosage Estimation Calculator is built on Independent CBD dosage surveys including data from published research and reports, user experience, studies, blogs and forums.

CBD Dosage Calculator

Additional CBD FAQs

What is CBD?
CBD is a natural component of the cannabis and hemp plants, including stem, stalk and flower. CBD stands for Cannabidiol – the non-psychoactive portion of the plant. It has significant medical benefits, but does not make people feel “high”.

Will CBD make me feel “high”?
NO. CBD products that contain .3% THC ( the federal legal limit) or less will not get you “high”.

Are all CBD products made equally?
NO. It is important to research each product as they are NOT all created equally. Many factors should be considered when choosing a CBD product. Here are some things to look for; How big is the package? How much CBD is offered within the entire package? (then do the math for the breakdown), Is it a full spectrum or Isolate product? Does the CBD originate from a licensed Agricultural Hemp Farm? All of these things truly matter and can make a big difference in weather it is a pure quality and legal product.

Is CBD Legal?
CBD is Federally legal, but each state has its individual laws. Therefore, not all 50 states are consistent with Federal Law. At last check, 48 states have some kind of legislation and laws pertaining to CBD and sales. Legal CBD originates from a licensed Agricultural Hemp Farm.

Where does CBD come from?
CBD comes from the stem, stalk and flower of the cannabis plant, often known as hemp. CBD is the second most abundant compound in hemp, typically representing up to 40% of its extracts.

What are the health benefits of CBD?
CBD helps with chronic pain, seizures, migraines, inflammation, muscle spasms and anxiety. It is the leading ingredient in tinctures used for epilepsy.

How does CBD work?
This depends on how you consume the CBD. For instance, if you take it sublingually (under the tongue) in a tincture, the mucus membranes in the mouth can absorb the compounds. This allows the CBD to completely bypass the digestive system and liver metabolism, so the compounds can avoid being broken down by enzymes and reach the bloodstream more quickly.

If you take CBD in an edible form (cookie, chocolate, gummy, etc.), it is absorbed by the digestive system and the liver metabolizes the CBD molecules before passing on what remains to the bloodstream.

Another way is through inhalation. The compounds are absorbed through the lungs and quickly transfers into the bloodstream. When CBD is applied topically (on the skin), it is absorbed through the skin’s surface and doesn’t reach the bloodstream.

What is Full Spectrum CBD?
Full Spectrum CBD products extract all the Cannabinoids and Terpenes from the source material. This is often seen to produce more effective CBD products useful for a broad array of purposes. There is .3% or less of THC and it will not make you feel “high”, but it might show up in a drug test.

What is CBD Isolate?
Isolate CBD products contain Cannabidiol only, meaning no or trace amounts of other Cannabinoids or Terpenes are present. CBD Isolate products with a purity rating of 99.9% or higher are recommended for those who may be subject to drug tests or those who have a sensitivity to THC.

Find more information on CBD Full Spectrum vs CBD Isolate in our article here: Full Spectrum Versus Isolate CBD

Could I fail a drug test?
YES. If enough full spectrum CBD product is consumed, you could potentially fail a drug test. Even though you do NOT experience any “high”, full spectrum products do include .3% THC and therefore it could register on a drug test. When the THC levels are tested, you would fall under the .3% federally legal threshold.

What is the 2018 Farm Bill?
On December 20, 2018, President Trump signed the Farm Bill into law. This separates Hemp and CBD from Marijuana (which is a controlled substance). Hemp will now be placed under the supervision of the Department of Agriculture and be an agricultural commodity. With the Farm Bill, hemp farmers are going to be able to participate in USDA programs for certifications such as “organic”. The DEA no longer have any claim to interfere with the interstate commerce of hemp products. It also defines hemp as all parts of the plant less than .3% THC including derivatives, extracts and cannabinoids.