Category: Education

Before undergoing anesthesia for surgery, it is important to have discussions with your healthcare team about what medications and supplements you are taking that may interact with or disrupt any point of perioperative or postoperative care; cannabis is no exception. While limited in scope, there is an understanding that interactions between cannabinoids and anesthetics take place. 

 

Anesthetics and Endocannabinoids

 

Before we get into plant cannabinoids, it may be valuable to understand how anesthetics interact with the endocannabinoids found in our body and brain. Two of those well-known endocannabinoids are anandamide and 2-arachidonoylglycerol (2-AG). A study published in 2003 discovered that a sedating dose of the anesthetic propofol produced a significant increase in the whole-brain content of both anandamide and 2-AG. Researchers have hypothesized that propofol leads to sedation indirectly; as the anesthetic increases anandamide content and then anandamide activates Cannabinoid receptor 1 (CB1) sites. For decades anandamide has been researched for its ability to induce sleep by binding to CB1 receptors. 

 

An additional study published in 2006 suggested that sustained anandamide signaling by propofol contributed to unique associations with the anesthetic such as reduction in postoperative nausea and vomiting. Alternatively, the anesthetic sevoflurane leads to a decrease in anandamide; postoperative nausea and vomiting were witnessed in groups observed with this anesthetic.

 

Cannabis Compounds and Their Interaction with Anesthesia 

 

The interactions between cannabinoids and general anesthetic agents, as well as the impact on patient care have been mostly reported in preclinical studies and are not yet fully understood.

 

Cannabis: THC Considerations

 

One of the major cannabinoids of the cannabis plant, delta-9-tetrahydrocannabinol (THC), is mainly metabolized in the liver through the Cytochrome-P450 (CYP450) complex, as are many anesthesia drugs. Therefore, there is potential for pharmacokinetic drug interactions. 

 

Some research suggests that patients who regularly use cannabis may require larger initial and/or maintenance doses of anesthesia, depending on the type used. 

 

A retrospective study published in 2020 assessed the impact of preoperative cannabis use in patients undergoing open reduction and internal fixation of tibia fractures. Among the cohort of 118 patients, more than 25% reported cannabis use prior to surgery, meaning they self-reported that cannabis products were used in the month prior to surgery. There was no significant difference in total propofol, dexmedetomidine, etomidate, ketamine, desflurane, midazolam, and fentanyl doses administered between those who used cannabis prior to surgery and those who did not. The only anesthetic where a significant difference was observed was sevoflurane, where a significant amount more was administered during surgery to the group of cannabis users. 

 

There is a lack of current literature in providing clinical guidance as well as support for the association between cannabis use and increased anesthetic doses to reach adequate sedation. Postoperatively, there have been reports that cannabis users are more likely to report higher pain scores, poorer sleep, and need more pain relieving medications in the immediate postoperative period than non-users. While more well-designed studies are needed to help providers mitigate potential perioperative risk and manage postoperative pain, anesthesia professionals would benefit from understanding the current perioperative considerations that exist for patients who use cannabis, whether medically or recreationally. 

 

Cannabis: CBD Considerations

 

Just as THC, the other major cannabinoid found in the cannabis plant, Cannabidiol (CBD), is a lipophilic compound metabolized by CYP450 enzymes and has the potential to interact with pharmaceuticals metabolized in this way. 

 

Few studies have taken place with CBD and perioperative care, however one anesthetic, isoflurane, was observed in rodent models in a study published in 2022. Animals were pretreated with various amounts of CBD to understand anesthetic induction time and recovery time. A shorter induction time was realized if they were pretreated with 20 mg kg−1, however it took longer for the anesthetic to kick in at 2 and 10 mg kg−1, leading to the hypothesis that the dose was too low to affect the course of isoflurane anesthesia. At 100 mg kg−1 the induction period was not much different than that of the control group. 

 

When it came to the recovery period, the CBD doses of 100 mg kg−1 and 2 mg kg−1 showed a longer recovery time which researchers believe is a result of the longer induction time compared to the 20 mg kg−1 dose. A longer isoflurane exposure during the induction time is expected to lead to a longer recovery time as isoflurane is a highly lipophilic compound. 

 

While CBD products are less studied in perioperative care, more research is taking place to understand its potential role in postoperative care as patients are often swapping pain medications for CBD.

 

In a study published in February 2024, CBD has been shown to positively affect the pain and satisfaction of patients immediately following arthroscopic rotator cuff repair. Anesthesiologists are currently working on the largest clinical trial of its kind to “determine whether administering CBD before and after surgery can reduce the need for opioids following total knee replacement.”  

 

In 2022, an online survey was distributed to members of the American Orthopaedic Society for Sports Medicine and the Arthroscopy Association of North America to assess baseline knowledge and opinions regarding CBD. Afterwards they received an educational component and then follow-up questions assessing whether the respondents’ opinions had changed after learning more about CBD. After collecting 101 responses, the results showed that “most respondents believed that there is a role for CBD in postoperative pain management (76%), acute pain and inflammation after an injury (62%), and chronic pain (94%). Most respondents admitted that they were not knowledgeable about the mechanism of action (89%) or their state’s laws (66%) concerning CBD. A minority (25%) believed that CBD has psychoactive properties. While most respondents (76%) did not believe that they would be stigmatized if they were to suggest CBD to a patient, only 48% had ever suggested CBD.”

 

Cannabis: Terpene Considerations

 

Select terpenes from the Cannabis sativa plant are found to be efficacious in relieving neuropathic and inflammatory pain in rodent models. They have been shown to consistently lack reward liability, enhance opioid pain relief, and produce an equivalent antinociceptive tolerance to morphine. 

 

Specific terpenes are known for sedative effects and some (like pinene) have vasodilatory effects, and for that reason may need caution when combined with anesthesia to avoid over-sedation and/or heart complications. Those terpenes that are known to have sedative and/or anesthetic effects based in research are:

 

• Linalool 
• Myrcene
• Citral
• Pinene
• Nerolidol
• Caryophyllene 

 

Concluding Thoughts

 

Cannabinoids are fat-soluble and accumulate in the fatty tissue, meaning that elimination may take place several days after consumption. Therefore, it is a currently recommended practice to cease the use of cannabinoids several days if not several weeks before surgery is scheduled. Your best bet is to consult with your healthcare provider well in advance of any planned surgical procedures.

Cannabis has garnered attention for its numerous health benefits, with people using it for pain relief, anxiety management, and various other medical conditions. However, as its popularity continues to rise, a pertinent question remains: what impact does cannabis have on fertility? In this article, we will explore both the positive and undesirable effects of cannabis on fertility, drawing from current research and medical insights.

 

Cannabis and Female Fertility

 

Cannabis consumption can potentially have both positive and adverse effects on female fertility. This section explores the research findings on how cannabis impacts the menstrual cycle, ovulation, and overall reproductive health.

 

Menstrual Cycle and Ovulation

 

On the positive side, some studies suggest that cannabinoids can help balance hormones and reduce menstrual irregularities. According to a study published in the Journal of Ovarian Research, the endocannabinoid system plays a crucial role in maintaining ovarian function, and cannabinoids may support this system, potentially enhancing fertility.

 

However, other studies have shown that chronic use of THC, the active compound in cannabis, may interfere with the release of gonadotropin-releasing hormone (GnRH), affecting the menstrual cycle. It was also found that THC use in conjunction with tobacco use suppressed the luteinizing hormone (LH), shortening the luteal phase of menstruation. Irregular cycles and anovulation (lack of ovulation) have been observed in women who consume cannabis regularly, which may lead to difficulties in conceiving.

 

Reproductive Health

 

Cannabis might improve reproductive health by reducing inflammation and oxidative stress, creating a healthier reproductive environment essential for successful conception. However, the same properties of THC may disrupt the endocannabinoid system’s balance, negatively impacting ovarian function.

 

For more detailed insights, the article from Contemporary OB/GYN provides an in-depth look at the effects of marijuana on female reproductive health and pregnancy.

 

Cannabis and Male Fertility

 

The impact of cannabis on male fertility is equally complex, with studies showing both potential benefits and drawbacks. This section explores how cannabis affects sperm production, motility, and overall reproductive hormones.

 

Sperm Production and Motility

 

Some research suggests that cannabis may increase sperm count and motility, potentially enhancing fertility. The National Institutes of Health report highlights that moderate cannabis use is associated with improved semen quality in some cases.

 

Conversely, other studies have shown that chronic THC use may negatively influence sperm count, motility and lead to testicular shrinkage. Lower sperm count and reduced motility may decrease the chances of successful fertilization, as highlighted by various research findings.

 

Hormonal Balance

 

Cannabis may support the hypothalamic-pituitary-gonadal axis, helping to maintain a healthy hormonal balance that is critical for reproductive function. This can improve libido and erectile function. However, THC can also disrupt this balance, leading to decreased testosterone levels and reproductive health issues.

 

The article from Denver Urology elaborates on how marijuana use impacts male fertility and reproductive health.

 

Weighing the Pros and Cons

 

While cannabis offers numerous health benefits, its impact on fertility is a nuanced topic with both positive and potentially undesired aspects. More research is needed to fully understand the extent of these effects, but current findings suggest that cannabis can influence both female and male reproductive health in various ways. As with any medication or substance, understand that cannabis is not a one-size-fits-all approach and dosing in moderation is essential. Consult with a healthcare professional to make informed decisions based on your unique situation and, as always, a Realm of Caring care specialist is here to help prepare you for that discussion. 

 

Understanding Resin & Rosin: Origins and Extraction Methods

 

Live resin and live rosin differ primarily in their extraction methods. The strengths of the finished products vary depending on the strain and the quality of the starting material.

 

Live Resin

 

Live resin is produced using solvents like butane in a closed-loop system, making it a solvent-based extract. The process leads to a full-spectrum product that retains terpenes and cannabinoids as well as the original scent of the plant. Live resin is known for its potent aroma and flavor due to the high concentration of terpenes, which are well-preserved through the cryogenic freezing process.

 

Live Rosin

 

Live rosin is a solventless product, created by applying heat and pressure to either fresh or dried cannabis material, preserving the natural terpenes and flavors. Rosin products come in different textures and consistencies referred to as sap, sauce, budder, or shatter.

 

Popularization of Cannabis Edibles

 

The cannabis edibles market is experiencing rapid growth, driven by increasing awareness of the health benefits associated with cannabis and a shift in consumer preference towards discreet consumption methods. Edibles, including gummies, are becoming a favored choice due to their convenience and the variety of products available, catering to different dietary needs and preferences.

 

Why Choose Rosin or Resin Gummies

 

Rosin and resin gummies offer unique benefits not found in other cannabis edibles. These gummies are known for their potent effects and high terpene content, which may enhance the overall sensory experience. Consumers choose these gummies for a more intense and flavorful experience, often preferring them for both recreational enjoyment and medicinal benefits.

 

How to Choose the Right Gummy for You: Evaluate Quality, Potency, and Effects

 

When selecting THC gummies, start with quality product companies and then consider the potency and your dosage. Beginners should opt for lower doses, to safely gauge their tolerance. Most gummies should have evenly distributed ingredients, therefore may be halved or quartered to lessen the first dose. Understanding the onset time and duration of effects is also important, as edibles can take 30 minutes to 2 hours to manifest and may last several hours.

 

How to Choose the Right Gummy for You: Considerations for Flavor and Experience

 

The flavor of the gummies plays a significant role in the overall experience. Look for products that balance taste and effectiveness, using natural flavors while avoiding harmful additives. Exploring different flavors and formulations, such as those combining THC with other cannabinoids like CBD, can enhance the sensory experience and provide additional benefits.

 

How to Choose the Right Gummy for You: Recommendations Based on Preferences

 

For those seeking specific effects or flavor profiles, it’s advisable to choose gummies based on their terpene and cannabinoid content. Products that offer a detailed terpene profile allow for a more tailored experience, catering to preferences for relaxation, creativity, or energy. Always ensure the gummies are lab-tested for potency and purity to guarantee safety and quality. 

 

Conclusion

 

The decision between opting for resin or rosin gummies hinges on individual tastes, experiences sought, and an appreciation for the artisanal versus the intensely flavorful. With a focus on informing and educating clients, the guidance provided here is meant to facilitate a well-informed choice, enhancing the sensory experience of cannabis edibles. As the industry continues to innovate and expand, the importance of staying informed and discerning cannot be overstated. Consumers are encouraged to consider lab reports, THC concentration, and their own tolerance levels as they explore the rich array of cannabis products available, ensuring a selection that truly resonates with their personal cannabis journey.

 

You’re not in this alone

 

Realm of Caring is here to help you find success with your cannabinoid therapy. Cannabis can be overwhelming, but it doesn’t have to be. Contact us today so we can help you on your journey. As always, our one-on-one support is free. 

The saying goes, “it is possible to have too much of a good thing.” Despite how beneficial any one thing is, a large amount of it may often have the opposite or harmful effects. We can apply this to several aspects of our lives from sugar intake to exercise and, yes, even cannabis. Here we will discuss, what happens when you feel you have taken too much, how to handle the situation if it happens, and how to prevent it the next time. Set and setting are important components of cannabis use and, as always, our care team is here on standby to help set you up for success before starting your journey. 

 

What happens when you take too much? 

 

If you feel you have taken too much, first of all – do not panic. Just as with consuming too much caffeine, it may be unpleasant and uncomfortable, but with time it will pass. 

 

It is good to know that cannabis itself will not cause you harm. There is a low density of cannabinoid receptors in the brainstem region and, unlike opioid receptors, there are no cannabinoid receptors in the brainstem areas controlling respiratory function. Therefore, lethal overdoses from cannabis do not occur. However because there are cannabinoid receptors throughout several other parts of the brain and body, if we consume too much we may have unwanted and unpleasant feelings to include:

 

• Increased heart rate
• Decreased blood pressure (which may lead to nausea)
• Muscle relaxation
• Lethargy
• Paranoia
• Anxiety

 

What do I do if I’ve taken too much? 

 

Take a deep breath, get fresh air, and focus on something you enjoy or talking to a close friend to deter any feelings of anxiety. Specific terpenes may also combat the unwanted effects. It is often recommended to drink water with lemon or eat black peppercorns. Limonene, found in lemons, has been studied for its anti-nausea, anti-vomiting, and uplifting properties reported to boost mood and metabolism while decreasing stress and anxiety. Beta-caryophyllene, found in black pepper, is known to be a stress-relieving terpene to help reduce anxiety and promote relaxation. This is why strains high in caryophyllene may have more calming effects versus those that are stimulating. 

 

Another tool for your tool kit is a THC recovery shot, developed by industry veterans at High Not. Their unique terpene blend works to alleviate the intensity of a head high and combat unwanted hangover effects. 

 

Preventing unwanted outcomes or a “cannabis hangover”

 

Starting low and increasing slowly enables one to find their therapeutic dose at the lowest amount possible. Finding your individual threshold can also help to prevent effects that carry over into the following day (a “cannabis hangover”). While you may have a good indication as to where to stop with smoking cannabis, it may become more difficult with edibles given the slow rate at which they will metabolize in the body. This is why Realm of Caring is here to help you find the most success from your cannabis experience – from quality product selection to dosing guidance based on your condition. 

 

We previously spoke with Michael Backes, Cofounder and Chief Product Officer at Perfect and author of Cannabis Pharmacy: The Practical Guide to Medical Marijuana, to better understand prevention of “cannabis hangovers”. 

 

To avoid residual feelings of grogginess the next day, it may be best to pay attention to the terpene content, quality of the product, and how much you are consuming. Backes explains, “Most consumers inhale too rapidly. Reducing the intensity of inhalation also reduces the combustion temperature, which results in a smoother, less harsh experience. I advise taking a gentle inhalation (sipping) rather than hitting hard (ripping).”

 

You’re not in this alone

 

Realm of Caring is here to help you find success with your cannabinoid therapy. Cannabis can be overwhelming, but it doesn’t have to be. Contact us today so we can help you on your journey. As always, our one-on-one support is free. 

 

June is Acne Awareness Month, acne affects millions of people worldwide, impacting not only their physical appearance but also their emotional well-being. With the rise of alternative treatments, cannabis and CBD have gained popularity for their potential benefits in skincare, particularly in managing acne. 

 

Impact of Acne

Acne isn’t just a teenage problem – it affects millions of people of all ages. In the U.S. alone, around 50 million people deal with acne every year. Beyond the physical blemishes, it can hit hard on an emotional level, too. If you’ve ever felt the sting of insecurity because of your skin, you know exactly what we mean. Acne can lower self-esteem, lead to anxiety, and even depression. It’s important to acknowledge these feelings and seek comprehensive treatments that address both the physical and emotional aspects.

 

How Cannabis & CBD Can Help Acne

 

Cannabis, specifically CBD (cannabidiol), has been making waves in the skincare world. CBD is a non-psychoactive compound from the cannabis plant known for its anti-inflammatory and antioxidant properties. It’s becoming a go-to ingredient for managing various skin conditions, including acne.

 

Benefits for Skin Health

 

1. Anti-inflammatory Properties: Inflammation is a big part of what makes acne so tough. CBD helps to soothe the skin, reducing redness and swelling.
2. Oil Production Regulation: Overproduction of sebum (oil) is a major cause of acne. CBD can help balance sebum production, keeping those pores clear and your skin healthier.
3. Antioxidant Benefits: CBD is packed with antioxidants that protect your skin from damage and help prevent acne scars, giving you a smoother complexion.

 

For a deeper dive into how CBD can revolutionize your skincare routine, check out our Enhance Your Skincare Routine with CBD blog.

 

Spotlight on Element Apothec’s Face Serum

 

If you’re looking for a CBD product to add to your routine, Element Apothec’s Belle Visage 500mg Spectrum CBD Botanical Face Serum is a must-try. This serum combines the power of CBD with other natural ingredients to nourish and heal your skin. Here’s what makes it stand out:

 

• 500mg Full-Spectrum CBD: Delivers anti-inflammatory and calming benefits.
• Botanical Extracts: Includes aloe vera and jojoba oil, which are amazing for hydration and skin nourishment.
• Lightweight Formula: Absorbs quickly, perfect for daily use without leaving your skin feeling greasy.

 

This serum is a fantastic addition to any skincare routine, especially if you’re dealing with acne. Use code ROCSAVE for 15% off.

 

Spotlight on Nuume’s Facial Serum

 

Another incredible product to consider is NuuMe’s Facial Serum. This serum is specially formulated to harness the benefits of CBD for your skin. Here’s what makes NuuMe’s Facial Serum a standout:

 

• High-Quality CBD: Infused with premium CBD to help reduce inflammation and promote clearer skin.
• Natural Ingredients: Combines CBD with other natural botanicals like Rosehip & Prickly Pear to nourish and rejuvenate your skin.
• Suitable for All Skin Types: Designed to be gentle on the skin, making it perfect for those with sensitive or acne-prone skin.

 

NuuMe’s Facial Serum can help balance your skin’s oil production, reduce redness, and give your skin a healthy glow. Use code ROC25 for 25% off of your first purchase. 

 

Acne Beyond the Face

 

When we think of acne, we often picture pimples on the face. However, acne can appear on other parts of the body as well, such as the back, chest, and even the buttocks. Body acne can be just as frustrating and painful as facial acne, and it requires the same level of care and attention. Many factors contribute to body acne, including sweat, tight clothing, and hormonal changes. It’s essential to address body acne with targeted treatments that soothe the skin and reduce inflammation.

 

Spotlight on Eossi Beauty’s Brightening Body Oil

 

For those struggling with body acne, Eossi Beauty’s Athena Brightening Body Oil is a fantastic option. This body oil is formulated to not only brighten the skin but also help reduce the appearance of acne on the body. Here’s what makes it special:

 

• CBD Infusion: Contains CBD to help calm inflammation and promote clearer skin.
• Brightening Ingredients: Includes natural ingredients like jojoba oil and vitamin C to brighten and nourish the skin.
• Hydrating Formula: Keeps the skin moisturized without feeling greasy, making it perfect for daily use.

 

Eossi Beauty’s Brightening Body Oil is designed to help you achieve smooth, radiant skin, even in areas prone to acne. Use code CARING for 30% off of your purchase!

 

Remember, if you struggle with acne, you’re not alone. Acne affects so many of us, and it’s okay to feel frustrated and seek out solutions. Acne Awareness Month is a great time to explore new treatments and consider the benefits of cannabis skincare products. If you haven’t given CBD a try yet, it might just be the natural solution you’ve been looking for. Embrace this month as a chance to find what works best for you and your skin.

Rick Simpson Oil (RSO) is a potent full-spectrum cannabis extract, rich in delta-9-tetrahydrocannabinol (THC). It is most widely known through anecdotal success stories with cancer patients as it was famously developed by Rick Simpson to treat his diagnosed basal cell carcinoma in 2003.

 

Today it has grown in popularity for potential therapeutic benefits to include: chronic pain management, cancer-related symptoms, and insomnia. As interest in alternative therapies grows for cancer and chronic conditions, scientifically understanding its potential uses in modern medicine increases in importance. This article will look into the history and uses of RSO, while considering its legality, safety, and use guidance.

 

Who is Rick Simpson? 

 

Rick Simpson experienced a workplace accident as a Canadian engineer in 1997. His role in removing asbestos from a poorly ventilated hospital boiler room led to a series of health issues, including tinnitus and dizziness. Despite its illegal status, Simpson turned to medicinal cannabis use when traditional medications failed to provide symptomatic relief. In 2003, Simpson was diagnosed with basal cell carcinoma, a form of skin cancer. A study published in The Journal of the National Cancer Institute in 1975 finding that THC kills cancer cells in mice encouraged him to develop a cannabis oil. He extracted oil from homegrown plants and applied it to his skin. His anecdotal reports show the cancerous growth on his arm went away in less than a week. 

 

RSO vs FECO vs FSO: What’s the Difference?

 

RSO may be extracted from any cannabis strain, although indica-dominant strains and those with high levels of THC are preferred. It is produced at high temperatures, using typically alcohol in the solvent extraction method. The end result is a highly potent oil with a molasses-like consistency. RSO differs from full-extract cannabis oil (FECO) in how it is extracted. The traditional method for FECO is using lower temperatures and ethanol or CO2 as a solvent. 

 

Both RSO and full-spectrum oil (FSO) are relatively similar. However, FSO may have a fuller profile of the plant, while RSO may focus more on the THC content; therefore, different cultivars may be utilized for each. 

 

RSO, FECO, and FSO are not commercial brands but rather cannabis extracts. Simpson was very transparent about his journey with RSO and detailed how he produced and used it on his website.

 

Benefits and Dosing of RSO

 

RSO may offer various potential health benefits, particularly noted for its use in managing symptoms related to serious medical conditions. It is intended for oral or topical application but may also be made into capsules, suppositories, or edibles, making it a versatile option for those exploring alternative treatments for conditions like chronic pain, insomnia, and various symptoms related to cancer. 

 

Dosing RSO is specific to the individual and should be based on one’s health condition(s), current medications, and additional physiological and psychological characteristics. 

 

Here, we explore RSO’s therapeutic applications and benefits based on user experiences and preliminary research findings.

 

1. Cancer Treatment Support
   • RSO is primarily recognized for its potential to assist in cancer treatment. While not a cure, it is used to potentially alleviate symptoms and side effects of cancer treatments, such as nausea and vomiting from chemotherapy.
   • Some studies suggest that THC, a key component of RSO, may help in reducing the growth and spread of cancer cells.
2. Pain Management
   • The high THC content in RSO can be effective in pain relief by interacting with CB1 receptors in the brain and nerve cells.
   • It may also reduce inflammation and enhance endorphin release, providing natural pain relief.
3. Improvement in Sleep and Appetite
   • RSO has been noted to aid in improving sleep quality and appetite, which is notable for patients undergoing intense treatments like chemotherapy.
4. Neurological Benefits
   • Beyond cancer, RSO is used for managing conditions such as epilepsy, multiple sclerosis, and chronic pain, showcasing its versatility.
   • Anecdotal evidence highlights its potential in reducing symptoms of neurological disorders.
5. Mental Health Benefits
   • Conditions like depression and anxiety may also be managed with the use of RSO, thanks to the anxiolytic effects, which act on serotonin receptors.

 

Legal Status and Accessibility

 

Available legally in regions where cannabis is permitted for medical or recreational use, RSO can be found at licensed dispensaries. In the United States, cannabis remains illegal under federal law.

 

Conversely, in Canada, RSO is legally accessible with a valid prescription for medical purposes. European countries show diverse regulations; for instance, in the Netherlands, cannabis oil can be purchased in coffee shops, albeit with regulated THC levels.

 

The Need for Caution

​​

• Extremely Potent: RSO is extremely potent due to its high concentration of THC. This potency can lead to significant psychoactive effects, which may not be suitable for all users.
• Lack of Comprehensive Research: Despite the anecdotal evidence, there is a lack of comprehensive scientific research confirming the efficacy and safety of RSO use for various conditions, especially cancer.
• Legal and Regulatory Concerns: The legality of RSO varies by region, given its high THC content. Users must be aware of their local laws to avoid legal complications.
• Possible Side Effects: Due to its potency, RSO can lead to side effects such as dizziness, dry mouth, impaired memory, and in some cases, psychological distress.
• Quality and Consistency Issues: The unregulated nature of RSO production can lead to variability in quality and potency, posing risks to users.

 

Contact us

 

For further inquiries or personalized guidance regarding the use of RSO, please feel free to reach out to our team of dedicated professionals. Our care specialists are available to provide you with free, detailed information and support tailored to your specific needs. You can contact us through the following channels:

 

1. Email Support: Send us your queries to info@realmofcaring.org 
2. Phone Consultation: Call us at (719) 347-5400 option 1 to speak to someone. Our specialists are available from 8am to 5 pm MT, Monday through Thursday.

 

Our team is here to ensure that you receive the most accurate and up-to-date information regarding the safe and effective use of RSO.

Whether you’re a seasoned chef or an aspiring home cook, incorporating CBD into your culinary repertoire allows you to elevate your dishes to a new level. Not only does CBD add a unique flavor profile, but it also offers potential health benefits, such as reducing stress and promoting relaxation.

 

Understanding CBD and its benefits

 

CBD, short for cannabidiol, is a compound found in the cannabis plant. Unlike its counterpart delta-9-tetrahydrocannabinol (THC), CBD does not have intoxicating effects, meaning it won’t cause you to feel high. Instead, CBD offers a range of potential health benefits, making it a popular addition to various wellness products, including culinary creations.

 

Research suggests that CBD may help alleviate symptoms related to anxiety, depression, chronic pain, and inflammation. Additionally, CBD has antioxidant properties that can support overall well-being. You can harness these potential benefits by incorporating CBD into your cooking while enjoying delicious meals.

 

It is important to note that while CBD is generally well-tolerated, it may interact with certain medications. If you are considering incorporating CBD into your diet, it is recommended to consult with a healthcare professional. 

 

The legality of CBD-infused foods

 

The legality of CBD varies depending on your location. In some countries and states, CBD is legal for both medical and recreational use, allowing for the creation and sale of CBD-infused products, including edibles. However, in other areas, CBD may only be legal for medical use, allow only specific CBD products, or be completely prohibited.

 

Before experimenting with CBD-infused foods, familiarize yourself with the laws and regulations in your area. Ensure your CBD products are sourced from reputable manufacturers and comply with local legal requirements. This way, you can enjoy your CBD-infused culinary creations with peace of mind.

 

Health benefits of CBD-infused foods

 

CBD-infused foods offer a unique way to incorporate the potential health benefits of CBD into your daily routine. In addition to the general benefits of CBD, such as stress management and anti-inflammatory potential, CBD-infused foods can provide a range of other advantages.

 

For example, CBD has been linked to powerful antioxidant properties which may improve kidney function, modulate the immune system, and provide neurological protection. 

 

Furthermore, CBD-infused foods can be a great alternative for those who prefer not to smoke or vape CBD. By consuming CBD in the form of culinary creations, you can enjoy the benefits of CBD while indulging in delicious meals, snacks, and beverages.

 

Tips for using CBD in cooking:

 

When incorporating CBD into your culinary creations, remember a few key tips for optimal results.

 

Firstly, choosing high-quality CBD products specifically designed for cooking is important. Look for CBD oils or tinctures tested for purity and potency. This ensures you use a safe and reliable product in your recipes. Realm of Caring has created a guide to help you source a quality product. 

 

When measuring CBD oil or tincture for your recipes, start with a low dosage and gradually increase if needed. CBD affects individuals differently, so your therapeutic range may be different from someone else’s. Remember that a little goes a long way, and adding more CBD is always easier than removing it from a dish.

 

Additionally, it is recommended to incorporate CBD into recipes that contain some form of fat. CBD is fat-soluble, meaning it binds to fats and is better absorbed by the body when consumed. This is why many CBD-infused recipes include ingredients like coconut oil, butter, or full-fat dairy products.

 

Lastly, it’s important to avoid exposing CBD to high heat for an extended period. CBD and THC begin to show degradation effects with decreased quantities at 320°F (160°C). To preserve the beneficial properties of CBD, it’s best to add it to your dishes after they have been removed from an oven or stove, or use it in recipes that don’t require high temperatures.

 

By following these tips, you can ensure a successful and enjoyable CBD-infused culinary experience that maximizes the potential benefits of CBD.

 

CBD-infused recipe ideas for breakfast

 

Start your day off on a delicious and healthy note with CBD-infused breakfast recipes that will leave you feeling energized and ready to tackle the day.

 

CBD-Infused Detox Smoothie

Ingredients:

1 cup fresh or frozen mangos 

½ cup frozen spinach 

½ cup fresh or frozen pineapple chunks

1 banana 

Handful mixed cashews and almonds 

About 15-20 mg of CBD oil 

2 cups filtered water

Optional: 1 tbsp of hulled hemp seeds for added protein and omega 3 fatty acids

Optional: Top with shaved coconut for added vitamins C and E

 

Instructions:

Blend until smooth and enjoy!

 

CBD-Infused Avocado Toast

Ingredients:

1 slice of whole-grain bread

1 ripe avocado, mashed

Pinch of sea salt and black pepper

1 dropper of CBD oil (averaging 15-20 mg in concentration per dropper)

Optional toppings: sliced tomatoes, smoked salmon, poached egg

 

Instructions:

Toast the whole-grain bread to your desired level of crispness.

Spread the mashed avocado on top of the toast.

Sprinkle with a pinch of sea salt, black pepper, and CBD oil drops.

Add optional toppings such as sliced tomatoes, smoked salmon, or a poached egg for added flavor and protein.

 

CBD-Infused Overnight Oats

Ingredients:

1/2 cup rolled oats

1/2 cup milk (dairy or plant-based)

2 tablespoons Greek yogurt

1 dropper of CBD oil (averaging 15-20 mg in concentration per dropper)

Optional toppings: fresh fruits, nuts, CBD-infused maple syrup

 

Instructions:

Combine the rolled oats, milk, Greek yogurt, and CBD oil in a jar and stir well.

Cover the jar and refrigerate overnight.

In the morning, top with fresh fruits, nuts, and/or a drizzle of CBD-infused maple syrup for a nutritious and satisfying breakfast.

 

CBD-infused recipe ideas for lunch and dinner

 

Elevate your lunch and dinner game with CBD-infused delicious and nourishing recipes. Here are a few ideas to get you started:

 

CBD-Infused Quinoa Salad:

Ingredients:

1 cup quinoa

Diced cucumbers

Cherry tomatoes

Red onions

Crumbled feta cheese

Fresh herbs (parsley, mint)

Olive oil

Lemon juice

Minced garlic

1 dropper of CBD oil (averaging 15-20 mg in concentration per dropper)

 

Instructions:

Cook quinoa according to package instructions and let it cool.

Toss the cooked quinoa with diced cucumbers, cherry tomatoes, red onions, crumbled feta cheese, and fresh herbs.

Drizzle with a dressing made from olive oil, lemon juice, minced garlic, and a few drops of CBD oil.

 

CBD-Infused Stir-Fry

Ingredients:

CBD-infused sesame oil

Assorted vegetables (bell peppers, broccoli, carrots, snap peas)

Protein of choice (tofu, chicken, shrimp, etc.)

Soy sauce

Ginger

Garlic

1 dropper of CBD oil (averaging 15-20 mg in concentration per dropper)

 

Instructions:

Heat a tablespoon of sesame oil in a wok or large skillet.

Add assorted vegetables and stir-fry until crisp-tender.

Incorporate the cooked protein and a sauce made from soy sauce, ginger, and garlic

Remove from heat and drizzle CBD oil then toss through 

 

 

Baked Salmon with CBD-infused lemon juice

Ingredients:

1 salmon filet

2 tsp olive oil

½ medium lemon + squeeze of lemon 

½ tsp minced garlic

Fresh dill

Salt and pepper to taste 

1 dropper of CBD oil (averaging 15-20 mg in concentration per dropper)

 

Instructions:

Preheat the oven to 375°F (190°C)

Mix together olive oil, lemon juice, minced garlic, and fresh dill 

Place a salmon filet on a baking sheet, season with salt and pepper to your liking, then spoon mixture on top and rub into salmon, ensuring there are no dry spots

Bake for 15-20 minutes or until the salmon is cooked and flakes easily with a fork.

Drizzle with CBD oil and a squeeze of lemon before serving

 

CBD-Infused Desserts

 

These CBD-infused dessert and snack recipes offer a guilt-free way to satisfy your cravings while incorporating the potential benefits of CBD. Feel free to adjust the CBD dosage to suit your preferences, and enjoy these treats in moderation.

 

CBD-Infused Chocolate Truffles

Ingredients:

8 oz dark chocolate, chopped

1 dropper of CBD oil (averaging 15-20 mg in concentration per dropper)

Pinch of sea salt

Optional additions: chopped nuts, dried fruits, shredded coconut

 

Instructions:

Melt the dark chocolate in a heatproof bowl set over a pot of simmering water.

Once cooled, thoroughly stir in CBD oil, a pinch of sea salt, and any desired additions like chopped nuts, dried fruits, or shredded coconut.

Spoon the mixture into small molds or roll into bite-sized balls and refrigerate until firm.

 

CBD-Infused Energy Balls

Ingredients:

1 cup pitted dates

1/2 cup almond butter

1 cup rolled oats

1 dropper of CBD oil (averaging 15-20 mg in concentration per dropper)

Optional add-ins: chia seeds, cocoa powder, shredded coconut

 

Instructions:

Blend the pitted dates, almond butter, rolled oats, and a few drops of CBD oil in a food processor.

Add optional add-ins like chia seeds, cocoa powder, or shredded coconut. Process until the mixture comes together.

Roll the mixture into bite-sized balls and refrigerate for at least 30 minutes before enjoying.

 

Bonus dessert: RoC’s Peanut Butter Chocolate Hemp Bars

 

CBD-Infused Beverages

 

These CBD-infused beverage recipes offer a delightful way to unwind and enjoy the potential relaxation benefits of CBD. Feel free to experiment with different flavors, combinations, and CBD dosages to create your perfect beverage. Cheers to a flavorful and relaxing experience!

 

CBD Tea

Ingredients:

Your favorite herbal tea

½  dropper of CBD oil (averaging 15-20 mg in concentration per dropper)

Optional: Honey or sweetener

 

Instructions:

Brew your favorite herbal tea and pour it into a cup.

Once cool enough to sip, add CBD oil drops and stir well.

Sweeten with honey if desired.

 

Mojito Mocktail with CBD-Mint Simple Syrup

Ingredients:

½ cup granulated sugar

½ cup water

2 mint sprigs + 1 mint sprig for garnish

2 limes + 1 cut lime round for garnish

½  dropper of CBD oil (averaging 15-20 mg in concentration per dropper)

Lemon-lime sparkling water 

Ice

 

Instructions:

Make your simple syrup by heating sugar, water and 2 mint sprigs in saucepan over medium heat, stirring until sugar dissolves. Simmer until the mint is aromatic. 

Allow simple syrup to cool then add CBD oil. Refrigerate until ready to make your mocktail. 

Fill a shaker of ice with the juice of 2 limes and ¼ cup CBD-mint simple syrup. Shake well.

Strain over ice in cocktail glass, fill to the top with sparkling water and garnish with lime round and mint sprig 

 

Conclusion: Embrace the culinary adventure with CBD-infused delights

 

Incorporating CBD into your culinary creations opens up a world of possibilities for an elevated dining experience. From breakfast to dinner, dessert to beverages, CBD-infused dishes offer a unique way to indulge in delicious meals while potentially reaping the benefits of this natural compound.

 

Remember to choose high-quality CBD products, familiarize yourself with the legality of CBD-infused foods in your area, and follow dosage recommendations. Reach out to the Realm of Caring Care Team for free guidance and support on choosing a product and more. 

 

Embark on a culinary adventure and discover the endless possibilities of CBD-infused delights. Tantalize your taste buds, promote relaxation, and unlock a world of wellness and gastronomic delight with CBD-infused recipes that will leave you craving more.

 

Memorial Day weekend marks the unofficial start of summer—a perfect time to relax and enjoy the great outdoors. For cannabis enthusiasts looking to enhance their holiday experience, integrating cannabis into your weekend plans can add a peaceful and enjoyable element to your festivities. Whether you’re planning to get outside, a quiet picnic or traveling, cannabis can be your companion for relaxation and enjoyment.

 

Embracing Nature: Outdoor Adventures with Cannabis

 

Getting outdoors is a rejuvenating way to spend your holiday weekend. Whether you’re hiking, beachcombing, or simply lounging in a local park, incorporating cannabis can enhance the sensory experiences of nature’s beauty. For outdoor activities, consider strains like Sour Diesel and Jack Herer. Sour Diesel is known for its energizing and uplifting effects, making it perfect for daytime activities that require extra stamina and a positive mood. Jack Herer, with its clear-headed and creative high, is ideal for those wanting to appreciate the intricate details of their natural surroundings.

 

Picnic Perfection: Enjoying Cannabis-Infused Snacks and Tea

 

A picnic with cannabis-infused snacks is a delightful way to enjoy the holiday. Here’s a simple recipe for cannabis-infused tea that can accompany any meal:

 

Cannabis-Infused Tea Recipe

 

Ingredients:

• 1 teaspoon of cannabis tincture
• 1 bag of herbal tea (chamomile or mint works well)
• Honey or sugar to taste
• Boiling water

 

Directions:

• Steep the herbal tea bag in hot water for 3-5 minutes.
• Remove the tea bag and add the cannabis tincture.
• Stir in honey or sugar to your liking.
• Enjoy your tea with a selection of light snacks.

 

Remember to start with a low dose of tincture, especially if you are new to cannabis edibles.

 

Navigating Legality: Travel Tips for Cannabis Users

 

Understanding the legal landscape is crucial when traveling with cannabis. If you plan to board a flight this Memorial Day, remember that cannabis is still federally illegal in the United States, which includes airspace. Therefore, carrying cannabis across state lines or on a plane can lead to legal issues. Always check the local laws of your destination and consider consuming your cannabis before you travel.

 

Overall, cannabis is well-known for its relaxing effects, which can help you unwind and be fully present in your leisure activities. As Memorial Day weekend is the beginning of summer, it’s a perfect time to treat yourself to some rest and relaxation. Choosing the right strain can help alleviate stress and enhance your enjoyment of both social gatherings and quiet moments.

Mental Health Awareness

 

Millions of Americans are living with mental health conditions, deeply impacting day-to-day living. Treatment options may vary from person to person just as mental illnesses may look different from person to person. Many resources exist to assist in one’s path to healing and to improve our overall well-being, however in the medical community, there is a growing need to improve knowledge on potential drug dependencies to those who suffer from mental health conditions and find alternatives with improved efficacy and safety. 

 

Decades of anecdotal data has led researchers to better understand how the cannabis plant may improve one’s quality of life. In recent years growing evidence suggests the endocannabinoid system (ECS) plays an essential role in the pathophysiology of mental illnesses. Here we will discuss what research is available to support the potential benefits of cannabinoids from the cannabis plant, namely cannabidiol (CBD), delta-9-tetrahydrocannabinol (THC), and cannabigerol (CBG), for the following mental health conditions:

 

• Generalized Anxiety Disorder
• Substance Abuse Disorder
• Depression
• PTSD
• Eating Disorder

 

Generalized Anxiety Disorder

 

Anxiety disorders are among the most common reasons for seeking cannabis-based therapy options. Despite available, effective pharmaceutical options for the treatment of Generalized Anxiety Disorder (GAD), many patients end up having treatment-resistant anxiety due to side effects and tolerance to medications. Therefore there is a need to seek alternative options for those who are not responding or benefiting from the available pharmacotherapies. In 2022 a case series using data collected from the UK Medical Cannabis Registry was published, focusing on those in the registry with GAD. Findings showed statistically significant improvements, suggesting cannabis therapies may lead to improved health-related quality of life. 

 

Those living with GAD understand that the anxiety is uncontrollable, often they wake up with ongoing general worrying. This is often referred to as the non-medical term of “Morning Anxiety” and relates to the cortisol awakening response (CAR). 

 

Cortisol is known as our “stress hormone” and increases in the second half of the night and then steadily into morning. The night awakening is suggested to not coincide with actual experiences, where CAR is speculated to serve a specific function of preparing individuals for the upcoming demands of the day. Research has stated that “it is likely that individuals with an excessive number of duties and tasks already engage in the process of coping with these duties as soon as they wake up in the morning”. For healthy individuals, this may be useful for thinking about how to manage their day. However, one with an underlying anxiety disorder may find it to be paralyzing. 

 

While research on CBD and cortisol is its infancy, there have been several clinical trials and one partially controlled trial looking at CBD for stress. All showed that CBD was effective in significantly reducing the stress response and comparable to pharmaceuticals where included. 

 

Substance Use Disorder

 

Research into the effects of CBD on addictive drug memory processing is still in its infancy, however there is a growing body of literature looking into the effects of CBD on the regulation of the reinforcing, motivation, and withdrawal-related effects of various drugs of abuse such as alcohol, opioids, nicotine, and psychostimulants. The known safety profile of CBD and its lack of reinforcing effects have increased the number of studies suggesting CBD as a potential therapeutic intervention for substance abuse disorders (SUD). 

 

A literature review published in 2021 included several findings that would suggest that CBD reduced the consumption, motivation or relapse of alcohol, opioids, and psychostimulants, as well as the withdrawal-related signs of morphine and cocaine.

 

Depression

 

Endocannabinoids and CB1 receptors are widely distributed in the brain areas that are often related to mood disorders and their expression is regulated by antidepressants. Enhancement of endocannabinoid activity at various receptor sites appears to exert antidepressant-like effects. The 5-HT1A receptor is a serotonin receptor that is located in presynaptic and postsynaptic regions. Activating these receptors have been involved in the mechanism of action of anti-anxiety, antidepressant, and antipsychotic medications. 

 

Data indicate that repeated administration of CBD may produce an effect that is consistent with results from studies testing traditional antidepressant medications. These are known to be clinically relevant findings as CBD is known to benefit while exhibiting few side effects, supporting the initiation of clinical trials testing the efficacy of CBD-based compounds for the treatment of mood disorders. 

 

The serotonergic mechanism of CBD is distinct from commonly used antidepressant medications in that it does not appear to produce symptoms of withdrawal. CBD has also been shown to synergize with other serotonergic medications. Data suggests that CBD could facilitate the antidepressant effect induced by these antidepressant drugs, therefore allowing selective serotonin reuptake inhibitors (SSRIs) to be administered at lower doses, resulting in fewer side effects. 

 

In a recently published observational study, it was found that medicinal cannabis use was associated with lower self-reported depression. Initiation of medicinal cannabis during the follow-up period was associated with significantly decreased anxiety and depressive symptoms, an effect that was not observed in Controls who had not initiated cannabis use. 

 

A qualitative analysis published in 2022 paid close attention to the notable quality of life improvements attributed to medicinal cannabis use. The two overarching categories were “enhanced well-being” and “improved daily functioning”. Enhanced well-being includes feelings such as regaining a sense of hope, enjoying family life, and laughing more often. A woman from the study with Lyme Disease was quoted saying, “People such as myself are able to become productive and valued members of society again when we can have the quality of life improved so simply.” 

 

PTSD

 

Medications recommended for the treatment of PTSD are currently either SSRIs or serotonin-norepinephrine reuptake inhibitors (SNRIs), which do not specifically target the memory process. This could be why the pharmacological treatment of PTSD has shown to be difficult, with the potential for considerable side effects. However, interventions that directly affect our ECS have shown promise as they can affect both emotional and cognitive aspects. Recent studies have pointed towards the ways in which cannabinoid therapy may help alleviate associated symptoms of PTSD such as anxiety, nightmares, increased alertness, panic attacks, depression, and overwhelming emotions. 

 

There have been two observations of importance that have led researchers to further explore cannabinoid therapy as a PTSD treatment option. First, patients with PTSD were found to be more likely to consume cannabis as a form of self-medication in an attempt to reduce their symptoms of anxiety and disrupted sleep. Secondly, patients with PTSD were shown through research to have increased levels of cannabinoid receptors while decreased peripheral levels of the endogenous cannabinoid, Anandamide (AEA). This means that those suffering with PTSD may be experiencing an AEA deficiency. 

 

Due to the modulating effect of CBD on the ECS, and considering the many body processes that the ECS regulates, CBD has seen increased research for potential value in several conditions. Research has stated that the “ECS can provide more efficient and better tolerated alternatives to the standard treatments for PTSD”. The potential of cannabinoid therapy has been repeatedly demonstrated in animal models of traumatic event exposure as well as anecdotally in humans. CBD, in particular, is promising as it has been researched for its effectiveness among generalized anxiety disorders, depression, and traumatic memories while proving to be well tolerated by humans, both in overall safety and possible side effects.

 

Eating Disorder

 

There is a lack of effective treatment for eating disorders, such as Anorexia nervosa (AN), bulimia, and binge-eating disorder (BED) however there is extensive evidence that suggests the ECS plays an essential role in our emotional response to eating. 

 

Both THC and CBG have been looked at for their potential to serve as an appetite stimulant. User anecdotes also suggest that cannabis use will promote appetite. Studies have shown that caloric intake increases among cannabis users when compared with non-users. This leads to the popular belief that cannabis use leads to unintentional weight gain, however many human epidemiological studies show the opposite. As far as appetite is concerned, when provided care and guidance in your approach to dosing, cannabinoids may actually help to promote a healthy weight. 

 

Recent evidence suggests that exaggerated anxiety and diminished reward or motivation to eat are key roles in triggering AN symptoms. The University of California, San Diego is looking at CBD for its potential to reduce anxiety, and to investigate benefits for adults living with AN. Their study to understand CBD’s role in regulating meal time anxiety is currently active. 

 

The importance of a dose-outcome relationship

 

Cannabis is not a one-size fits all approach, and more cannabis does not typically correlate to increased benefit. One-on-one support, taking it slow, and being consistent with your therapy are all key components to finding success. Mental health conditions are incredibly complex and more than one therapy may be necessary to alleviate symptoms. If you seek resources for how to talk to your doctor or data-driven answers to your questions about cannabinoid therapy and symptoms of mental health conditions, the Realm of Caring Care Team is here to assist. 

 

At Realm of Caring, we are not medical professionals nor clinically trained to advise one through their mental illness. However, we care. We are here to help you find resources. We are also here to support you if you are utilizing cannabinoid therapy to bring symptomatic relief, whether that relief is needed psychologically or physically. Those of us who suffer are well aware, mental health illnesses go far beyond affecting mood, physical symptoms may also be witnessed. 

 

Reach the care team by calling (719) 347-5400, emailing info@realmofcaring.org, or by scheduling an appointment.

 

Additional Resources:

 

• Help for Mental Illnesses
• Looking after you Mental Health
• Find a Therapist who specializes in anxiety, depression, OCD, PTSD, and related disorders.
• A step-by-step guide to finding a mental health professional who you feel comfortable working with
• Fitness 4Mind4Body: Diet and Nutrition
• The Exercise Effect
• A Comprehensive List of Digital Resources for Mental Health
• NAMI 2024 Mental Health Awareness Month Toolkit