Category: Blog

Vaping Deaths Fill The News – Here Are The Safe Alternatives

The Centers for Disease Control and Prevention on September 6, 2019 on its website the following important health risk information: CDC, U.S. Food and Drug Administration (FDA), state and local health departments, and other clinical and public health partners are investigating a multistate outbreak of severe pulmonary disease associated with e-cigarette product (devices, liquids, refill […]

The Centers for Disease Control and Prevention on September 6, 2019 on its website the following important health risk information:

  • CDC, U.S. Food and Drug Administration (FDA), state and local health departments, and other clinical and public health partners are investigating a multistate outbreak of severe pulmonary disease associated with e-cigarette product (devices, liquids, refill pods, and/or cartridges) use. This investigation is ongoing and has not identified a cause, but all reported cases have a history of using e-cigarette products.
  • As of September 6, 2019, over 450 possible cases of lung illness associated with the use of e-cigarette products have been reported to CDC from the following 33 states and 1 U.S. territory
  • E-cigarettes are devices that deliver an aerosol to the user by heating a liquid that usually contains nicotine, flavorings, and other chemicals. E-cigarettes can also be used to deliver marijuana or other substances.1

In light of this concerning information, is there a safe alternative to vaping/smoking when it comes to using cannabis-derived products such as CBD?

Yes – The Physician’s Choice CBD has developed a new line of MEDICAL-Mist CBD sprays, using, innovative and patented technology.

Q&A with our Doctors – All You Need to Know About Our CBD Mists

Question: Do the micro-mist sprays require the use of any chemicals or additives that could be harmful, including causing similar respiratory illnesses and death?

Answer: No, there are no dangerous substances used in making our medical mist products and no concerns for damage to lung tissue like with inhaled CBD products. The Physician’s Choice CBD – MEDICAL MISTS  are premium, science-based formulas derived from pure extracts of organically-grown agricultural hemp, combined with our proprietary blends of various vitamins and amino acids.

 

Question: Do the micro-mist sprays absorb well in our bodies?

Answer: Yes. Our patented delivery system provides more effective absorption compared to oral tinctures/drops. This is aided by the extremely small size of the particles and water-solubility (not based in oil) of our product.


Question:
What else makes your MEDICAL MISTS products a more desirable option?

Answer: CBD is an unstable compound, which makes all the steps involved in obtaining high-quality CBD from hemp extremely important. CBD is most rapidly susceptible to degradation when exposed to light, followed by air.2  In fact, the FDA requires labeling on a liquid CBD product approved for use in the management of complex epilepsy to be discarded 12 weeks after opening.

Many CBD products you will find are not packaged in containers limiting light exposure, leading to more rapid degradation of the CBD. The most significant challenge, however, is limiting the oxygen exposure to CBD products including tinctures and many oral sprays

Our medical mists are made using a patented process which preserves the integrity of cannabidiol (CBD) by eliminating its exposure to light and oxygen, in addition to providing reliable consistent dosing with each pump of this patented spray system. Therefore, you can be confident that with each use of the spray, you are getting reliable and consistent dosing of stable CBD as it was intended when it was first made.

Visit www.pccbd.com for more information about our board-certified, physician-developed CBD products, including our new MEDICAL MIST line of products.

(n.d.). Outbreak of Severe Pulmonary Disease Linked with E-cigarette Product Use. Retrieved from https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html

Fairbairn, J. W., Liebmann, J. A., & Rowan, M. G. (1976). The stability of cannabis and its preparations on storage. Journal of Pharmacy and Pharmacology, 28(1), 1–7. doi: 10.1111/j.2042-7158.1976.tb04014.x

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Talk To Your Doctor – CBD and Drug Interactions

Talk To Your Doctor – CBD and Drug Interactions To date, over 100 cannabinoids have been isolated, and there are likely many more to come.  Cannabinoids are found in both the Hemp plant and the Marijuana plant. As we have reviewed in other topics, the hemp plant is naturally full of cannabinoids with only a […]

Talk To Your Doctor – CBD and Drug Interactions

To date, over 100 cannabinoids have been isolated, and there are likely many more to come.  Cannabinoids are found in both the Hemp plant and the Marijuana plant. As we have reviewed in other topics, the hemp plant is naturally full of cannabinoids with only a minor/trace amount of THC (the component of marijuana that makes you feel high).  In addition to the abundance of cannabinoids found in the Hemp plant, full-spectrum CBD products such as The Physician’s Choice-CBD make use of the entire cannabinoid spectrum available from the hemp plant, including terpenoids to make use of the whole plant to obtain maximal clinical potential value.

 

With the passing of the Farm Bill of 2018, which has provided a legalized standard for hemp, CBD products have exploded to be abundantly prevalent online, in stores, and even at roadside stands throughout the country.  However, does that means CBD is safe for you to use? In general, the answer to that is yes. The World Health Organization published a document in 2017 outlining all of the known risks of CBD, and in comparison to THC, the safety profile of CBD was found to be resoundingly positive.  

 

However, there have been publications that have outlined that many products sold online or in stores are potentially a risk to take due to having more THC in the product than what is allowed by federal regulations. ¹ There were also products people spent their money on, which had no CBD at all. 

However, everyone must understand that there are potential interactions that exist when using CBD and other medications or supplements.  

 

To better understand this, we must understand a key aspect of how our bodies metabolize and make use of medications and other substances we use.

 

Once many substances (medications, drugs – legal or not-legal, vitamins, supplements, etc.) enter the body, there is a process by which those substances are metabolized. This process is facilitated by proteins we have called cytochromes. Cytochromes have numerous roles, yet for this topic being an overview, it is simply put that they are responsible for the metabolism and biotransformation of these various substances. 

 

Certain drugs or medications can make cytochromes work more or less efficiently, thereby having a potential effect on other drugs or medications work in our bodies. 

 

CBD is a potential inhibitor of certain cytochromes; THC has this potential as well.  One example is a study showing inhibitory effects of the cytochrome system related to those using a  blood thinner called warfarin (Coumadin). This in vitro (in the lab) study confirmed this interaction, but there is very little published data on the in vivo (human) interactions and clinical relevance.  

 

For example, a case study of a single patient taking warfarin and CBD was published in 2018.²  There was an association of CBD use and changes in warfarin metabolism, requiring the patient to reduce the warfarin dose over time.  However, this individual was using CBD in a form approved for treating seizures. Doses used to treat seizures are markedly higher, upwards of 1800 mg a day or more, compared to doses individuals commonly use to help with other symptoms such as pain, sleep, and anxiety. For the latter, the daily dose is most commonly less than 100 mg a day.  Therefore, the findings in this study will not always translate to clinical relevance for all individuals.

 

There are other interactions between CBD and other medications which have been identified as well…³

 

These interactions, however, were appreciated when CBD doses were also taken in much higher doses than what is most commonly being used by the public.  Again, it is important to recognize that these interactions do not always mean that CBD is not an option, much like is the case with any medication or supplements someone is considering taking.  Drug-drug interactions, drug-supplement interactions, and supplement-supplement interactions are always going to be a consideration.

 

Cannabis products should be part of your medication and supplement list so that your provider can provide the most thorough recommendations for you in optimizing your health.  Although CBD is widely available and simple for any consumer to take off a shelf and use, physician-guided treatment with CBD is strongly recommended. It is essential for individuals considering CBD as an option to communicate with healthcare providers to understand CBD and these potential interactions.  

 

 

The Physician’s Choice CBD is supported by providers across the country, and its physician providers recommend communication between CBD users and healthcare providers regarding the safe use of CBD or any cannabis products. Shop here

 

 

 

  1. Bonn-Miller, Marcel & Loflin, Mallory & Thomas, Brian & Marcu, Jahan & Hyke, Travis & Vandrey, Ryan. (2017). Labeling the Accuracy of Cannabidiol Extracts Sold Online. JAMA. 318. 1708. 10.1001/jama.2017.11909. 
  2. Grayson, Leslie & Vines, Brannon & Nichol, Kate & P. Szaflarski, Jerzy. (2017). An Interaction between warfarin and cannabidiol, a case report. Epilepsy & Behavior Case Reports. 9. 10.1016/j.ebcr.2017.10.001. 
  3. E. Gaston, Tyler & Bebin, Elizabeth & Cutter, Gary & Liu, Yuliang & P. Szaflarski, Jerzy. (2017). Interactions between cannabidiol and commonly used antiepileptic drugs. Epilepsia. 58. 10.1111/epi.13852.

 

Ask Us About CBD!

There is a lot to learn about this amazing molecule and how it can improve your health!
Feel free to ask us all your CBD-related questions on social media and we will be sure to answer.

 

     

 

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10 Reasons Why CBD is Not a Fad

  10 Reasons Why CBD is Not a Fad 1. ANTI-INFLAMMATORY EFFECT Its anti-inflammatory effects are proven, Bruni et al. and her research team have compiled an excellent recent review of the large volume of data that is now present regarding cannabidiol, its anti-inflammatory effect, and mechanism of action. ¹ We have seen excellent results, […]

 

10 Reasons Why CBD is Not a Fad

1. ANTI-INFLAMMATORY EFFECT

Its anti-inflammatory effects are proven, Bruni et al. and her research team have compiled an excellent recent review of the large volume of data that is now present regarding cannabidiol, its anti-inflammatory effect, and mechanism of action. ¹ We have seen excellent results, attributed, in part, to its anti-inflammatory effect in our pain management clinic over the last year.

 

2. CBD AND PHYSIOLOGY INHERENT IN OUR BODY

 

Cannabidiol (CBD) affects the Endocannabidiol System; this is a biologic system that is endogenous to all our bodies and has profound and wide-ranging effects on our nervous system.  This system, discovered in the 1980s has given us a window to the wide-ranging effects of the CB1 and CG2 receptors and the effects of cannabidiol as it modulates this system. Simply put, this is a chemical compound and its effect on multiple receptors in an endogenous biologic system in every one of our bodies — pure Science, not a fad.

3. LACK OF ABUSE

It does not have dependency or addiction issues.  All too often, many of the medicines that we, as physicians, prescribe, the behavioral consequences are profound and unfortunately, unpalatable for patients and healthcare providers.  CBD, recently studied and evaluated by the World Health Organization, has shown very reassuring lack of abuse profile:

“As noted above, CBD does not produce the effects that are typically seen with cannabinoids such as THC. It also failed to produce significant effects in a human study of abuse potential.”²

4. LOW SIDE EFFECT PROFILE

Separate from its reassuring behavioral profile (in terms of lack of abuse potential), CBD use has demonstrated a very favorable low side effect profile.  As we know form many of the medications that we prescribe for pain, side effects can include constipation (opioids), renal failure and gastrointestinal bleeding (NSAIDs), slurred speech and cognitive delay (neuropathic agents)

3. Ruth Gallily1, et al., Overcoming the Bell‐Shaped Dose‐Response of Cannabidiol by Using Cannabis Extract Enriched in Cannabidiol. Pharmacology & Pharmacy, 2015, 6, 75‐85

5.NATURAL PART OF THE HEMP PLANT

CBD is natural. There have been efforts to create synthetic CBD products, including isolating only certain subparts CBD for use for certain conditions. The success of using isolate forms of CBD was refuted in a 2015 study from the Lautenberg Center for General Tumor Immunology in Jerusalem. ³ In this study, researchers were able to prove that full spectrum CBD is capable of offering greater levels of relief compared to isolate forms of CBD.

The pharmaceutical industry has supported the development of synthetic cannabinoids for use in healthcare. This limits the ability to exploit the desirable entourage effect that comes from all the parts of the cannabis plant, which leads to more promising effects with CBD use.

 

6. PROMISING BENEFIT IN MANY HEALTHCARE ARENAS

CBD has emerging benefits outside of pain and inflammation (neurological conditions, endocrine conditions, etc.).  There are active research and clinical benefits and even FDA approval regarding CBD and many different clinical aspects.  CBD has long been shown to benefit refractory epilepsy populations and been recently approved by the FDA in a specific pediatric epilepsy population.  In the neurodegenerative field, Dr. Peres et al. recently authored an article on CBD and promising results with movement disorders  In addition to a litany of articles in the neurodegenerative field, the endocrinology field has been looking at CBD as a means for helping blood glucose regulation with Dr. Jandoon et al. recently authoring an article in Diabetes Care Journal. ⁴ These are a few examples of CBD and its benefits, just starting to be explored in a variety of different medical fields.

 

7. TECHNOLOGY HELPING EASE OF EXTRACTION

CBD can be successfully extracted from the Hemp plant, virtually eliminating the concern for cognitive effects found when using THC found in higher levels in the marijuana plant.  We see that the vast majority of our patients seek CBD, in part, due to its lack of cognitive issues (aka the high associated with THC). The hemp industry has vastly increased the safety and efficiency of CBD extraction.  We advise all people interested in CBD to make sure their particular CBD company is transparent with third-party testing (showing THC percentages less than 0.3%).

 

8. THE ENDOCANNABINOID SYSTEM IS SCIENCE

Although not well or poorly understood for many years until more recently, this system is important enough that it is now being taught in medical schools, researched at the most prestigious of academic centers, and one of the most exciting topics of medical research and development seen in decades.

9. THE PATIENTS ARE REAL

We are practicing physicians who have treated thousands of patients. Over the last decade and a half, we have seen many different medications come and go.  Some provide excellent relief, and some cause terrible side effects. As physicians, we feel that a broad armamentarium of treatments is important when dealing with complex patients and complex medical issues.  We have embraced CBD as a treatment for our patients as we have seen tremendous benefits and minimal side effects, often limiting the need for many other traditional medications that have a far worse side effect profile.  In summation, our patients have been using CBD, and we are seeing them getting real results.

10. THE FUTURE IS BRIGHT FOR CBD

Many different aspects of the medical field are taking notice in regards to the endocannabinoid system, CBD specifically, and potential benefit.  Recently a very interesting scholarly article was published in regards to CBD in the substance abuse field.⁵  We have seen from other healthcare providers and patients alike a push for a more natural approach to their medical maladies.  We feel only the best outcomes from healthcare come when all options are available, and we feel that CBD will have a place in the healthcare spectrum in a variety of medical specialties.

 

1. Molecules. 2018 Oct; 23(10): 2478
2. Martin-Santos, R., et al., Acute effects of a single, oral dose of d9- tetrahydrocannabinol (THC) and cannabidiol (CBD) administration in healthy volunteers. Curr Pharm Des, 2012. 18 (32): p. 4966-79.
3. Front Pharmacol. 2018; 9: 482
4. Diabetes Care 2016 Oct; 39(10): 1777-1786
5. Front Psychiatry. 2019; 10: 63

 

 

Ask Us About CBD!

There is a lot to learn about this amazing molecule and how it can improve your health!
Feel free to ask us all your CBD-related questions on social media and we will be sure to answer.

 

     

 

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Not Sleeping? Here Is How You Fix That

Not Sleeping? Here Is How You Fix That First Of All, Let’s Start With Why You Shouldn’t Skip Out On Sleep… Sleep disturbance is one of the most profound and far-reaching medical issues we deal with as physicians.  Poor sleep can affect many aspects of our life: work productivity, quality of life, daytime sleepiness, and […]

Not Sleeping? Here Is How You Fix That

How To Sleep

First Of All, Let’s Start With Why You Shouldn’t Skip Out On Sleep…

Sleep disturbance is one of the most profound and far-reaching medical issues we deal with as physicians.  Poor sleep can affect many aspects of our life: work productivity, quality of life, daytime sleepiness, and mood.

From a medical perspective, the is significant data to support the hypothesis that lack of sleep negatively impacts many medical issues for patients including migraines, susceptibility to infections, depression and anxiety and athletic performance.

Separately, and equally importantly, proper sleep helps regulate our body’s ability to address, mediate, and deal with pain. A recent study looked at this and noted the strong correlation between the lack of proper sleep and increased pain complaints.  This is extremely important for those that suffer from chronic pain issues.  Mitigating various aspects that contribute to our ability to deal with pain perceptions is a critical aspect to address.

75(3):401-407. doi:10.1001/jamainternmed.2014.7663

 

Problems with Traditional Medicines

As practicing physicians who specialize in the treatment of pain, we can attest to the fact that complaints of lack of sleep are pervasive in the chronic pain community. Studies have shown that up to 10% of the adult community with persistent insomnia.

Complicating matters, serious concerns have been raised in the medical community over the last decade regarding the traditional medications used for insomnia.  Recently a detailed list and stronger push for more prominent warning labels on medications regarding severe side effects including fatal outcomes were noted. These medications include sedative-hypnotics and benzodiazepines.

Read USA Today News Story: Sleeping Pills Needs New Warning Labels


Lastly, there have been recent concerns raised with the over the counter sleep medicines that contain diphenhydramine (Benadryl) and their association with dementia

Given the robust side effect profile of many of the prescribed and over the counter sleep agents used for sleep/insomnia, it’s reasonable to ask, what can one take to aid with sleep disruption or inability to get to sleep?

1 Am Fam Physician. 1999 Jun 1;59(11):3029-3038

2 JAMA Intern Med. 2015;1PCCBD Blog:

 

Why You Should Consider CBD For Sleep

With the recent proliferation of data regarding CBD, and how CBD aids in sleep34, our company researched and developed optimal combinations of CBD, utilizing the well-researched natural sleep aid (melatonin) and vitamin D supplementation (also key for regulating sleep patterns).  Our primary goal was to address sleep disruption with safer and more natural options.

CBD for sleep

 

We have seen far too many patients suffer from drug-drug interactions, over-sedation, hallucinations, dependency, and addiction as it relates to various sleep medications over the years.

With our CBD Sleep blend, we have seen excellent success with better sleep patterns.  Separately we have had patients successfully reduce and eliminate the traditional and more concerning sleep medications from a side effect profile as well.

Given the multitude of severe medical and behavioral aspects of our traditional medications, we feel that the CBD Sleep blend can help a large portion of people who suffer from an inability to achieve sleep or disruptive sleep patterns.

3Babson, K.A., Sottile, J. & Morabito, D. Curr Psychiatry Rep (2017) 19: 23. https://doi.org/10.1007/s11920-017-0775-9

 

4PLoS One. 2016 Mar 31;11(3):e0152473. doi: 10.1371/journal.pone.0152473. eCollection 2016.

 

 

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3 Ways To Treat Pain And Inflammation

3 Ways To Treat Pain And Inflammation Pain is the number one reason people seek medical treatment.  It affects our short term (acute pain) and sometimes long term (chronic pain). It negatively affects workplace productivity, our social interactions, and the ability to exercise and be active in life.   From a medical perspective, pain can […]

3 Ways To Treat Pain And Inflammation

PCCBD Pain Bottle

Pain is the number one reason people seek medical treatment.  It affects our short term (acute pain) and sometimes long term (chronic pain). It negatively affects workplace productivity, our social interactions, and the ability to exercise and be active in life.  

From a medical perspective, pain can be divided into various subcategories, neuropathic pain (for example diabetic neuropathy or sciatica), visceral pain (gallbladder pain, bowel distension) and nociceptive pain, which includes inflammatory pain (arthritis of joints/spine, trauma pain, or ankle sprain)

Inflammation is a needed and necessary part of the acute healing process.  After an initial insult to the body, inflammation can persist longer than needed, causing more harm than good.  From a chronic perspective, inflammation in an unfortunate by-product of continued degenerative joints/tissue and is one of the sources for persistent pain.

From a therapeutic perspective, there are generally 3 types of groups that treat inflammation via anti-inflammatory activity.

 

 

 

 

 

1. Corticosteroids

Corticosteroids are a subclass of steroids that are recognized as having the most potent anti-inflammatory activity.  These types of steroids include Prednisone as an oral medication that some people who have severe rheumatologic or arthritic diseases may need.  These are also the same type of medication that we inject for spinal inflammation such as facet or epidural steroid injections. Occasional use typically is without significant side effects, however, long-term use is associated with reduced adrenal function, diabetes, insomnia, swelling, mood changes, and blood pressure changes to mention a few.

 

2. Non-Steroidal Anti-inflammatory medications (NSAID’s)

These medications have a long history of anti-inflammatory activity.  They are available both over the counter (Ibuprofen and Naprosyn) and prescribed (diclofenac, meloxicam, celecoxib).  They all work generally by inhibition of cyclooxygenase (COX-1 and COX-2) enzymes. Side effects for the NSAID’s include gastrointestinal (ranging from gastritis to bleeding ulcers), renal (decreased kidney function to acute renal failure), cardiovascular (increased blood pressure, increased thrombotic events, congestive heart failure), and neurologic (increased risk of stroke) to name a few.  It is estimated that there are 16,500 NSAID related deaths per year.1  In addition to the side effects listed, there are many patients that cannot take NSAIDS because it can be a potent anticoagulant (blood thinner).  For people with a history of recent or recurring stroke, heart attack, prosthetic heart valve or other medical condition requiring an anticoagulant medication such as Lovenox, Warfarin, Xarelto, Eliquis, Pradaxa, adding NSAIDS can thin the blood out too much.

 

3. Cannabidiol (CBD)

CBD has been looked at only recently as the presence of the endocannabinoid system (ECS) has only recently been discovered (1980’s) and research is ongoing and continuing to discover wide-ranging effects of the ECS system, its receptors CB-1 and CB-2, and how CBD affects the receptors to provide beneficial therapeutic action.  The most prominent data regarding CBD and its ability to provide pain relief is through its anti-inflammatory activity ²,³  Mechanism of action relates to the arachacitidonic acid pathway ⁴ and direct targeting of a3 glycine receptors.⁵ One of the equally impressive features of CBD is its lack of severe side effects.  We have seen side effects in our clinic with The Physicians Choice CBD to include mild gastritis, headache and agitation, all less then 1% giving it the most favorable side effect profile of the subgroups. As Board Certified Pain Specialists, Dr. Kubitz and I treat inflammatory pain every day.  There is no easy or one answer to every pain-related condition. Many of our decisions regarding therapeutic options center upon the particular risk and benefit ratio for each and every medication. There are instances that we feel each and every subgroup listed above is the best option for a particular patient.  Our feeling, however, is that CBD has an ever-increasing niche in the treatment of pain from inflammation given its clinical benefit and low side effect profile. We would urge healthcare providers and the general public to consider CBD as a realistic option in their decision making regarding safe and effective treatment for inflammatory pain.

 

1 Am J Manag Care. 2013;19(16 suppl):S267-S272
₂ Future Med Chem. 2009 Oct; 1(7): 1333–1349.
³ Journal of Pharmacology and Experimental Therapeutics June 2018,  365 (3) 652-663;
⁴ Prostaglandins and Medicine Volume 4, Issue 6, June 1980, Pages 409-417
⁵ J Exp Med. 2012 Jun 4;209(6):1121-34. doi: 10.1084/jem.20120242. Epub 2012 May 14.

 

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CBD: Are You Getting What You Paid For?

CBD: Are You Getting What You Paid For? A publication in the highly regarded Journal JAMA (Journal of the American Medical Association) in 2017 evaluated many CBD products for the reliability of CBD concentrations relative to the labeling of the products.   Eighty-four products were purchased from 31 online companies, then sent to an outside […]

CBD: Are You Getting What You Paid For?

Female scientist in a hemp field checking plants and flowers

A publication in the highly regarded Journal JAMA (Journal of the American Medical Association) in 2017 evaluated many CBD products for the reliability of CBD concentrations relative to the labeling of the products.  

Eighty-four products were purchased from 31 online companies, then sent to an outside lab for purity testing. The findings demonstrated that in the CBD products purchased online and tested, 26% (1 out of every 4) contained less CBD than labeled, which could negate any potential clinical response. Even more concerning was that although the concentration of unlabeled cannabinoids was generally low, THC was detected in many products that could be sufficient to produce intoxication or impairment, especially among children and the elderly.  This over labeling of CBD products in this study is similar in magnitude to levels that triggered warning letters to 14 businesses in 2015-2016 from the US Food and Drug Administration.

Leading up to and since the passage of the 2018 Farm Bill, there has been an explosion of CBD products being placed in front of consumers. With all of these products available, there is growing confusion about what products are best for consumers to consider trying. Without formal FDA guidance and regulation, CBD products are not routinely evaluated for purity and quality.

The Farm Bill legalized Hemp, which is a different plant than Marijuana. This allows for hemp cultivation broadly, as well as the transfer of hemp-derived products across state lines for commercial or other purposes.

As consumers, it’s vitally important that you trust and understand what you are taking when you purchase medications, vitamins and supplements.  With the creation of The Physician’s Choice-CBD, the goal was to provide consumers with a trustworthy product. Our CBD is grown in the United States and extracted using CO2 extraction (no chemicals). All CBD utilized in The Physician’s Choice  CBD is laboratory tested for purity, gluten-free, vegan, non-GMO and no BPA in our containers or products.

Furthermore, when looking at costs for CBD products, the range is broad, as are the types of CBD products.  Routes of administration are different, dosages variable, and CBD products can be full-spectrum (preferred and recommended) or isolates of specific subtypes of CBD.  Additionally, there is the lingering concern that the product you are a paying for does not have what it says on the label in it. This can lead to ineffectiveness or even unwanted side effects or risks, as is the case when it comes to higher levels of THC than what is allowable to be in the products.

With The Physician’s Choice CBD products you can trust that you are getting the product you are paying for with unique supplement-CBD combinations to tailor to your needs.

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