Macias pointed out that there are medical conditions that respond only to CBD with varying levels of THC, while other conditions do not require the use of THC to achieve medicinal effects.
“Full-spectrum hemp can provide an entourage effect. The medicinal benefits of a hemp-derived entourage effect will depend on the medical condition, stage of the condition, patient physiology, and the dose response,” she explained. “I do believe, however, that CBD-rich marijuana extracts offer greater therapeutic value than full-spectrum hemp CBD, as it pertains to specific medical conditions.”
“I treat patients with both hemp and marijuana CBD products and I couldn’t say one is more effective than the other. I can concur that most of my patients find that having THC, even the 0.3% found in hemp-derived CBD products, more effective than products with 0% THC,” Damas said.
Which to choose? Experts weigh in
Experimenting with both hemp-derived and marijuana-derived CBD with varying levels of THC and CBD may be the key to finding the right product for your needs. Ideally, choose an organic product of a low concentration, and incrementally increase your intake or product concentration until you find a level that works for you.
There are two classifications for the cannabis plant that produces CBD: hemp and marijuana.
Patients taking CBD-rich cannabis extracts also experienced fewer side effects. “It’s a complicated system that is not yet entirely understood, but the current evidence suggests there is definitely an entourage effect when cannabinoids are combined either with other cannabinoids or with terpenes,” Riggle added.
One of the study’s authors, Fabricio Pamplona, Ph.D, observed, “It’s not necessarily always present in every clinical indication, but we observed that the patients reported lower doses with full-spectrum CBD than with pure/isolated CBD.”
But first, a little CBD 101…
And though there’s a lot of promise with CBD preparations of all kinds, Hill says there’s still a lot of research to be done.
What are tinctures specifically?
Tinctures, though, remain somewhat shrouded in mystery, in part because of their old-school apothecary-style packaging, but more likely because of how they’re taken: a few drops at a time, under the tongue.
An herbal tincture is made by using a mixture of alcohol and water to extract compounds from a plant—in this case, the cannabis plant.
At a plant level, the two chemicals operate as opposites, with CBD acting as a buffer of sorts to the effects of THC. “It’s sort of a ying and yang. THC is responsible for the high and CBD doesn’t do that,” Hill explains.