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848 565 Ananda Professional

From the Bluegrass State to the White House: the Road Trip to Hemp Legalization

It’s been a blissful day for our company, and the entire hemp industry. For the first time since we began farming hemp in Kentucky in 2014, we can confidently say hemp is permanently, undoubtedly, 100% LEGAL and HERE TO STAY! And, as we know, for the pharmacy this clarity is vital.

Per the 2018 Farm Bill, which was just signed by President Trump, industrial hemp, and all its derivatives (including cannabinoids like CBD!) are completely exempt from the Controlled Substances Act (CSA) and can be grown by farmers and sold in all 50 states.

It has been a long journey since we set out on this path over five years ago, but we always knew the vision would become a reality. We had confidence in the process, policy makers, lobbyists, and grassroot organizations who have worked tirelessly for this cause. Most importantly, we’ve always known that by contributing to the development of hemp, we could help create jobs and farming incomes while providing innovative solutions that address emerging health and resource sustainability issues.

In light of the legalization of hemp, we wanted to take a moment to share the story behind the fight, to honor the individuals and organizations who championed this victory that will provide opportunity to people around the world.

An End to Hemp Prohibition

In early 2013, a group of Kentuckians decided it was time to end Hemp Prohibition. The Bluegrass State has a proven track record for favorable growing conditions for hemp, and there was no legitimate reason why our farmers shouldn’t be allowed to grow the crop, capitalize on this growing market and provide access to valuable resources to consumers.

And with that, advocates such as Jonathan Miller, Brian Furnish, Ananda’s Director of Global Production, and then Ag Commissioner James Comer set out to legalize hemp production in Kentucky and lobby Capitol Hill to secure a provisional pilot program.

On January 30, 2014, President Barrack Obama signed the 2014 Farm Bill, and corresponding Section 7606, which reinvigorated the hemp movement, forever.

Ecofibre Kentucky vs. the DEA

Simultaneously, Ananda Professional’s parent company, Ecofibre Kentucky, received the first commercial license to legally grow hemp on an old tobacco farm in the rolling hills of Northcentral Kentucky. With a vision and a handshake, we committed to growing Ecofibre Ltd.’s Australian seed genetics on the Furnish family farm.

To our surprise, the DEA seized the first seed shipment. Luckily, the Kentucky Department of Ag filed a complaint against the DEA and in a quick, sweeping victory, the seeds were released, and our project received the green light to proceed.

Soon after, Senator Rand Paul also backed the insertion of crucial language into the 2015-16 Omnibus Spending Bill which made commercialization of domestically-grown hemp possible. This is an often-overlooked piece of the puzzle within this five-year journey and we’re extremely grateful for Senator Paul’s commitment to the industry.

From Seed to Sale: Collaboration over Competition

However, legal challenges and uncertainties were still postulated by federal agencies, state authorities, and naysayers. It became clear the industry needed a joint, single lobbying effort to cement the mission.
In 2017, our company and a handful of other hemp leaders co-founded the U.S. Hemp Roundtable, a coalition representing every link of the product chain, from seed to sale, to help secure passage of bi-partisan legislation. Within a year, membership has grown significantly to 60 companies that all aligned to fight the good fight. Together.

Now, through the efforts of the Roundtable and other crucial lobbying and grassroots organizations and, most importantly, vast public support, Senator Mitch McConnell has championed and secured permanent hemp legalization knowing it will increase jobs and income to farmers, not only in his home state, but all over the country.

Planting the Seed for a Brighter Future

The power of hemp and its byproducts cannot be denied – the plant will now be the cornerstone of the green revolution, which is already making waves in the healthcare and sustainability industries in our own backyard and around the world.

It is time to plant the seeds. To open our minds and bodies to alternative therapies. To regenerate our soils and eliminate our addiction to chemical pesticides and synthetic fertilizers. To unite as communities and curb hunger, clothe and heal the world, and boost the economy with the powerful and limitless capabilities of industrial hemp.

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This Plant Product Is Growing Prolific Profits at Independent Pharmacies

Have you heard of independent pharmacy’s latest cash cow? Or more appropriately, cash crop?

Cannabidiol (CBD), a non-psychoactive compound of cannabis, is growing profits at a prolific pace among retailers across the country. The natural product purports a bevy of therapeutic benefits without the requirement of a prescription or the risk of addiction. And consumers are all in.

This year, the CBD market reached $500 million, according to Statistica. An optimistic estimate by the Brightfield Group a cannabis industry analyst, places the market at $22 billion by 2022—presuming legalization of hemp from a pending farm bill.

A more conservative estimate predicts the market to reach nearly $2 billion, still an enormous number considering it was just over $100 million in 2014.

Right now the market is populated by shops of every sort—head shops, nutrition stores, local grocers, dispensaries, farmers’ markets, online stores. None of those retailers carry the clout of a Doctor of Pharmacy. Pharmacies are perfectly positioned to dominate sales of this novel natural product that comes with so many question marks.

“Pharmacies have a distinct advantage over other retail or online sites selling CBD,” said Danny Bannister, co-owner of Natural Native, a supplier of CBD products. “People have learned to trust in their pharmacist. They expect him or her to have vetted and researched the products they carry and recommend.”

This is true for Jesica Mills, who’s been selling CBD at her community pharmacy for just over a year. “People want to get it from a pharmacy and from a pharmacist,” said Mills, PharmD, MBA, RPh, CNHP, owner of Owensboro Family Pharmacy in Kentucky. “Because everyone takes some sort of prescription medicine, they want to know what the side effects are going to be, how to take it, how to dose it.”

Even more, independents have the CBD pharmacy market cornered for the time being. National chains are unlikely to take the plunge until the legality is crystal clear at the federal and state level and they’re able to sell the products nationally.

Current CBD revenue reports from independent pharmacies are off the charts, even for those who’ve just begun selling the products. Mike Bellesine, owner of TrueCare Pharmacy in El Dorado, Kansas, collected $10,000 in six days selling the plant product. He anticipates $10K-$15K per month at a minimum. Mills’s pharmacy makes $15K per month in sales. Natural Native and Ananda Professional, two major CBD suppliers, have had clients earn up to $30K in a single month.

“The most compelling reason for getting on board with CBD comes from pharmacy owners who have been in the business a long time,” said Chuck Schneider, chief revenue officer of Ananda Professional. “These owners state they have never seen a better front-end profit generator for independent pharmacies than CBD.”

These products come with a 40–50 percent margin on average, all cash. And unlike the cents-to-dollars profit your pharmacy makes on most OTC products like acetaminophen, CBD brings hefty profit with products ranging from $50 to $300, Bellesine said.

More than that, many of the patients purchasing CBD are high-needs patients managing chronic conditions such as cancer and autoimmune disease. Offering CBD can attract those patients to your pharmacy, potentially earning their prescriptions as well.

After a marketing push in the first few weeks of selling CBD, Bellesine earned around 70 prescription transfers in a matter of days. And he’s been rolling out the products slowly to ensure he’s doing it right.

“PHARMACIES HAVE A DISTINCT ADVANTAGE OVER OTHER RETAIL OR ONLINE SITES SELLING CBD. PEOPLE HAVE LEARNED TO TRUST IN THEIR PHARMACIST.”

Although CBD draws in high-needs patients, the people buying CBD come from every corner and with every condition, even from those you’d least expect. “There are people who have Medicaid, who have issues with one or two dollars on their copays, and they will spend 70 dollars on CBD oil without blinking an eye,” Mills said.

More and more, patients are looking to get away from traditional medication and get into natural remedies like CBD. “There’s such an increase of people wanting natural products over prescriptions now,” said Mills, who also has a doctorate in natural medicine. “We’re able to counsel on natural products, and that’s attracted quite a few new natural-minded patients. It’s opened the door for a whole different set of clients to come in, and leads to more fulfillment as a pharmacist.”

Bellesine, who’s owned TrueCare Pharmacy for 36 years, has never seen more promise from a product. “If your state allows it, I recommend getting this product on your shelf,” he said. “It is a high-dollar, high-margin product and it really works.”

Schneider believes independent pharmacies could easily and drastically boost profits even if they want to move slowly. “With so many people that it can apply to, there’s no reason why they shouldn’t easily be able to start a patient a day on CBD,” he said. “If they start a patient a day, that pharmacy will improve their profitability by $60,000 per year.”

What is CBD?

CBD is a natural constituent of the cannabis plant, typically hemp. CBD sold commercially can’t contain more than .03 percent THC (tetrahydrocannabinol), the chemical responsible for the psychoactive effects induced by marijuana. Manufacturers distill CBD into an isolate or as the primary active ingredient among other cannabinoids. It’s formulated into several variations including oil, ointments, balms, water, edibles, and more.

There are more than 100 cannabinoids in cannabis. CBD and THC are the most prevalent. All the cannabinoids are said to contribute health benefits. Using them all together, referred to as “full spectrum,” creates what’s called an entourage effect, compounding the therapeutic effectiveness.

CBD doesn’t come with the same risks as its sibling cannabinoid THC. According to the World Health Organization, “In humans, CBD exhibits no effects indicative of any abuse or dependence potential. To date, there is no evidence of recreational use of CBD or any public health-related problems associated with the use of pure CBD.”

Health benefits of CBD

The science behind CBD’s therapeutic benefits revolves around the endocannabinoid system. This system in humans regulates all sorts of homeostatic activities, said Dr. Alex Capano, DNP, CRNP, FNP-BC, medical director for Ananda Professional and faculty at The Lambert Center for the Study of Medicinal Cannabis and Hemp at Thomas Jefferson University.

The system contains receptors for cannabinoids throughout the body, including the brain, digestive system, and lymphatic system. Our bodies already naturally produce two cannabinoids, but “we can harness the potential of the endocannabinoid system through these plant-derived cannabinoids,” Capano said.

The reason CBD’s therapeutic properties remain controversial is a lack of conclusive clinical evidence. CBD is still in its early stages of study, although research is increasing rapidly. Many of the common health claims come from animal or preclinical studies, some of which have shown CBD’s promise to reduce pain and inflammation.

The strongest evidence, according to a comprehensive review of cannabinoid studies from the National Academies of Sciences, Engineering, and Medicine, shows that cannabinoids can be effective in improving two conditions: patient-reported multiple sclerosis spasticity symptoms and short-term sleep outcomes in individuals with sleep disturbance associated with obstructive sleep apnea syndrome, fibromyalgia, chronic pain, and multiple sclerosis.

The demand for CBD is driven mainly by anecdotal evidence. But the word-of-mouth success stories are plentiful. “Although I was skeptical at first about its benefits and possibly the psychological perception of our patients relating us to hemp sales, we kept hearing story after story of how our patients are able to reduce their pain meds, how much better they are sleeping, and how much less stress and anxiety they are feeling,” Bellesine said. “When you have patients on fixed income coming back and sometimes paying over $100 per bottle for CBD, you know it’s working.”

In a survey from the Brightfield Group and HelloMD, a digital healthcare platform for the cannabis industry, 82 percent of users claimed CBD was a “very effective” treatment. In another survey by Consumer Reports, 90 percent of people who took CBD claimed it helped treat their medical condition.

Many patients are even tapering off prescription and OTC pain medicine once they start taking CBD. In the HelloMD survey, nearly half of the CBD users said they had stopped using traditional medications after starting on CBD. One of Bellesine’s patients with crushing lumbar discs was able to cut his Percocet dose in half. One of Mills’s patients was able to switch from Oxycontin 30mg daily to Oxycodone 5mg daily. Another had been taking Clonazepam 2mg four times a day and has completely discontinued the medication.

“I’ve realized that pharmacists are dispensing pills to people that really don’t want to take any of them,” Mills said. “Every single person that I’ve talked to doesn’t want to take any pills. Patients are wanting to stop taking their narcotic medicines like Xanax and Percocet, actively looking for something healthier for them.”

Legality of CBD

If the Hemp Farming Act of 2018 becomes law, hemp-derived CBD will effectively be legal federally. The bill removes hemp from the controlled substances list and legalizes cultivation of the crop nationally. Hemp products would be considered agricultural commodities, and regulatory authority would fall to the USDA and state departments of agriculture.

Until then, the 2014 Farm Bill, per section 7606, allows hemp with less than .03 percent THC to be legally grown and sold under specific circumstances in certain states that allow it. The crop must be grown or cultivated for purposes of research conducted under a state-approved agricultural pilot program or other agricultural or academic research. The state agencies or universities in these programs can license third parties to grow hemp and sell products derived from it, which is how suppliers like Ananda and Natural Native can legally manufacture CBD and sell it to your pharmacy.

In addition, a 2016 law explicitly prohibits enforcement agencies, most notably the DEA, from using federal funds to “prohibit the transportation, processing, sale, or use of industrial hemp” that is grown in accordance with the 2014 Farm Bill.

Lastly, a court ruling between the DEA and Hemp Industries Association determined that imported, non-psychoactive hemp does not fall under the purview of the Controlled Substances Act.

“Taken together, the Ninth Circuit’s order in Hemps Industries Ass’n v. Drug Enforcement Administration and the Farm Bill and Omnibus Law appropriations riders constitute an expansive, permissive federal regime for industrial hemp,” wrote two attorneys from the office of Frost Brown Todd in a legal analysis. “These authorities legitimize industrial hemp and derivative products and immobilize federal agencies that might otherwise pursue enforcement.”

Although CBD has been allowed federally under specific circumstances, each state has the right to allow or disallow it. The analysis from Frost Brown Todd did not find explicit prohibitions in any state nor explicit permissions in most states.

Even if CBD can legally be sold in your state, it can’t come with any health claims, no matter how minor.

At TrueCare Pharmacy, Bellesine said he’s very careful not to promise patients anything. Instead, he simply offers testimony from his patients who’ve experienced benefits. “When I talk to people, I say, ‘This is just what other people are telling us. They are coming back and telling us the same things.’”

The bottom line for your pharmacy: Purchase only from suppliers who’ve obtained CBD from hemp cultivated in accordance to the 2014 Farm Bill; make sure your state allows it; and don’t make any health claims.

Purchasing CBD products

With little-to-no regulation, CBD products are easily susceptible to fraud. Without proper vetting, your pharmacy could end up with products that don’t contain CBD at all, contain less CBD than claimed, contain too much THC, or contain contaminants, among other risks.

“So much of this is really the wild west,” Schneider said. “You can buy a product, and seven out of ten times what’s in the bottle doesn’t match what’s on the label.”

2017 study published in JAMA found that 69 percent of CBD products purchased online were mislabeled, containing more or less ingredients than claimed. Twenty percent had THC levels high enough to potentially result in intoxication or impairment. Over the last three years, the FDA has sent more than 40 warning lettersto CBD sellers who’ve falsified the content in their products.

Bannister and Schneider both said to make sure your supplier can provide a certificate of analysis for each batch of products to verify its purity and its THC level. Bannister suggested going a step further by tracing the products to the original farm. Schneider emphasized the importance of seeing the supplier’s license with the state agriculture department or university operating under a pilot program.

Another important factor to consider is the amount of resources and education the supplier can provide. “Everything starts with education,” Schneider said. “Most pharmacists never studied the endocannabinoid system and are not familiar with how CBD works in the body. A reputable company will provide training for the pharmacy owner and staff.”

Some suppliers offer an initial training session on the endocannabinoid system and the fundamentals of CBD. That’s how Mills gained the majority of her knowledge initially, mostly from Ananda Professional. “When you’re first getting started, a lot of your information will come from the company you’re buying from,” Mills said.

CBD education

CBD is a novel product with little clinical evidence, lots of anecdotal proclamations, stigma associated with marijuana, and confusing legality that make many consumers hesitant. The majority of CBD users learn about it from friends, family, and the internet.

Your pharmacy may be patients’ only reputable source on CBD information, and you’re likely their most reputable source. The best way to know how to counsel patients on CBD is to learn the science for yourself, said Mills. “Take a look at the reason why it works, because once you understand why it works then you understand why it works for so many different things.”

Some sellers and suppliers claim that because CBD is a natural product, it won’t interact with any other drugs. Pharmacist Bellesine knows better. “It does have a lot of interactions,” he said. “Just as you would with any drug, you want to learn CBD’s interactions and be able to counsel patients on the product. That’s where the pharmacy really shines because we understand the drugs, we understand the possible side effects, we understand how they’re taken out of the body. The head shop down the street doesn’t have a clue.”

Bellesine began by researching the only FDA-approved drug containing CBD, Epidiolex. That provided some insight on possible interactions, as well as the possible side effects. “If you’re going to be a good pharmacist, you better understand your drugs or nutraceuticals that you’re going to be dispensing,” he said.

“PHARMACY OWNERS STATE THEY HAVE NEVER SEEN A BETTER FRONT-END PROFIT GENERATOR FOR INDEPENDENT PHARMACIES THAN CBD.”

Deciding dosing is tricky because CBD isn’t a well-researched or tested product. “We don’t have evidence where we can give you definite dosing guidelines for specific conditions,” said Dr. Capano. “But we do know the safety profile of these CBD hemp oils is fantastic. “

Most suppliers will provide dosing recommendations. Capano suggests starting with 10mg–15mg and titrating up slowly every three days until finding the right dose for the patient.

Lastly, your pharmacy should inform every patient about CBD’s effect on drug tests. This has been a significant issue for Mills in the year she’s been offering CBD. Even though legal CBD products contain no more than .03 percent THC, that can be enough to show up on a drug test, Mills said.

“Identifying those people and asking if they’re drug tested was one of the things we had to learn the hard way. We had a few people who were not able to get a job because of the CBD oil,” Mills said. “We always tell people, if you can’t risk it, THC-free is the way to go.”

However, Capano said even THC-free products won’t always put patients in the clear. “They can cause a false positive with the most commonly used immunoassay tests, because they have low specificity and can confuse CBD for THC,” she said. “A hair or serum test will confirm a true negative in these cases, but a false positive is certainly possible.”

Forecasting the future 

We’re in the budding stages of the CBD rush. With so many variables lurking legally and scientifically, no one can predict how long the market will stay this hot. If the 2018 Farm Bill is passed, there will likely be an influx of suppliers, driving prices, and therefore profits, down. Once national pharmacies and retailers get involved, competition will be steep.

In addition, new scientific research could contradict many of the current claims and consumers may begin to abandon CBD altogether. On the other hand, studies could corroborate the therapeutic benefits or discover even more. The market could continue to cruise and even expand.

Either way, pharmacies should always keep their advantage over other retailers. “We have the edge of being the experts in drugs,” Bellesine said. “Knowledge along with your good pharmacist reputation will draw patients to you.”

For the moment, the bandwagon is barreling forward. Will your pharmacy hop on? “The time is perfect for independent pharmacies to get involved with CBD and do so before the chain pharmacies and mass merchandisers,” Schneider said. “There is no better retail location for patients to turn to than an independent pharmacy.”

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Senator Rand Paul Visits Ananda’s Farm to Discuss the Future of Hemp

Senator Rand Paul (R-KY) with Eric Wang, CEO of Ananda Hemp, touring Ananda’s manufacturing facility in Cynthiana, Kentucky.

Since entering the political scene in 2010, Senator Rand Paul (R-KY) has been at the forefront of the initiative to legalize hemp. Today, Paul affirmed his support of the hemp industry and Kentucky farmers during his visit to Ananda’s manufacturing facility in Cynthiana, Kentucky.

It’s rare that you lose a crop and maybe gain a crop. Many of us remember the big days of having tobacco here. It’s kind of dwindled and dwindled and probably will continue to dwindle, and it’s neat to think that we could get hemp to replace tobacco as a product.

In 2013, Paul supported a bill to legalize industrial hemp in the United States. In 2014, he and Senate Majority Leader Mitch McConnell announced new hemp projects in their home state of Kentucky. The pair teamed up again in 2015 to introduce the Industrial Hemp Farming Act.

The Farm Bill is going to make this permanent and really say that from now on hemp is going to be an industry in our country and won’t be overregulated by the government.

In addition to recognizing the economic benefits for farmers, Paul has a deep understanding of the research supporting hemp’s potential medical benefits and what it could mean for patients.

We’d like to thank Senator Paul for not only leading but continuing to advance this initiative. Because of his commitment, our country will be able to take advantage of jobs and opportunities that can only be realized by the growth of industrial hemp.

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DEA Plans to Quintuple Amount of Cannabis Grown for Research

The U.S. Department of Justice and the U.S. Drug Enforcement Administration (DEA) have proposed to significantly increase the amount of cannabis that can legally grow in the U.S. for research purposes and reduce the number of opioids that are manufactured in the nation in 2019.

The 2019 Aggregate Production Quota for Schedule I and II Controlled Substances was signed by the Acting Administrator on August 14 and revealed that the DEA is proposing a production quota of 2,450,000 grams of marijuana for 2019. The figure represents a fivefold increase from the amount of marijuana authorized to be produced by the DEA throughout this year — 443,680 grams.

press release also published this month has emphasized that proposing a reduction in the manufacturing quotes for opioids is one way to attempt to lower the availability of substances that are associated with diversion, illicit trades, and addiction.

DEA officials stated that it is crucial to make sure that the U.S. continues to produce enough opioids for legitimate scientific and medical research as well as industrial needs while also protecting American citizens and promoting safe practices among pharmaceutical companies and manufacturers. The announcement highlighted that the agency is aiming to lower the production of the most common opioids classified as Schedule II, such as oxycodone, morphine, and fentanyl.

Given its low potential for misuse and diversion, a number of neurobiologists and scientists have expressed that cannabidiol (CBD) is likely the cannabis component with the most potential for therapeutic use in pain management.

Delta-9-tetrahydrocannabinol (THC) is the prominent psychoactive component of marijuana while CBD is a non-psychoactive and non-intoxicating cannabinoid found in cannabis that has been popularly known for its sedatives and analgesic properties.

Recent research has revealed that CBD has potential in assisting individuals who struggle with different types of addiction. For instance, a randomized, double-blind study — published in May in the peer-reviewed journal Addiction and led by the Clinical Psychopharmacology Unit at the University College London — found that CBD promoted abstinence among dependent cigarette smokers.

Preclinical studies have shown that CBD may be able to reduce opioid cravings and withdrawal symptoms among those who have an opioid use disorder.

“What is interesting is that the studies that looked at opioid reduction, have also had secondary outcomes where people are using less tobacco and alcohol as well,” said Dr. Alex Capano, a nurse practitioner with degrees in neuroscience and a doctoral degree (DNP) and the medical director for United Life Science, which operates Ecofibre Industries, Ananda Professional and Ananda Hemp, which has been a pioneer in the U.S. hemp industry.

In one of these studies, published last year in the Journal of Psychopharmacology, more than 1,500 New England residents were surveyed and results showed that more than 75 percent of them used fewer opioids as well as medications to treat anxiety, migraines, and insomnia after starting treatment with medical cannabis. Medical cannabis was also found to be associated with a decreased use of alcohol and antidepressants.

“CBD is not only pretty well-established as an effective pain reliever but it’s also safe to use as an adjunct with opioids,” Capano said. “It doesn’t increase respiratory depression risk and there are also studies that show that it can actually reduce cravings and withdrawal symptoms. It does not work on the reward receptors of the brain the same way so there is no risk of dependence or addiction. So, it’s not substituting one substance abuse for another.”

Animal laboratory studies have also found that CBD exposure was linked to a reduction in opioid-seeking behavior and current human data is consistent with results from the animal models, according to researchers from the Departments of Psychiatry, Neuroscience and Pharmacology and Systems Therapeutics at Icahn School of Medicine at Mount Sinai.

Additionally, a 2017 clinical review supported by the National Institute on Drug Abuse (NIDA) called for an increase in the use cannabis pharmacotherapy for pain management, highlighting evidence that such increase has been associated with a decrease in the use of opioids to treat pain.

Although the recent findings may have prompted the DEA to propose the increase in marijuana cultivation, the agency has not yet announced any drug scheduling changes for the substance or its components. Thus, marijuana (cannabis) should remain classified as a Schedule I drug — along with heroin, methaqualone, peyote, LSD, and ecstasy.

“We are really handcuffed when it comes to getting quality, well-designed studies because of the Schedule I regulation,” Capano said. “It often takes years for studies with placebo to be approved and the research is really lagging behind in the U.S.”

Only one laboratory in the country is currently authorized by NIDA to grow cannabis for research. But the recently-announced increase in manufacturing might be an indication that more facilities will be allowed to conduct research and testing with cannabis.

Capano explained that there are a lot of misconceptions when it comes to the products that are categorized as ‘full spectrum,’ or products that contain unmodified cannabinoids and compounds extracted from cannabis plants that have been found to be more effective when used together than when separated into purified molecules.

“Full-spectrum products include omega-3, omega-6, CBD but also other compounds that work synergistically to provide a much more potent effect at a lower dose than you would get with just CBD,” she said. “Isolated CBD is not as effective at the same dose but also has a higher frequency of side effects. We’ve evolved with nature to get the benefits of these whole foods so isolate molecules have their purpose but are not as therapeutic.”

The misconceptions are usually associated with the fact that full-spectrum products tend to contain THC.

“We need more studies,” Capano said. “I think there’s not enough evidence to tell whether or not these very low, microdose levels of THC are high enough to induce addictive behavior. But there are also full-spectrum products without THC to eliminate any potential risk, even though I personally don’t think it’s there.”

The FDA is not proposing any updates in the quantities of THC produced in the country in 2019 and intends to clear the same exact amount of THC (4,460 grams) as it cleared for 2018.

“I think education is really important,” Capano concluded. “There’s a huge knowledge gap at the public level and in the medical and healthcare community.”