Cbd oil for lyme
When I was diagnosed with chronic Lyme disease at 12-years-old, an unexpected emotion of relief coincided with it.
It was an experience that I later learned was far too common among women and girls, where the questioning and disbelief of our symptoms leads to months or years of undiagnosed and misdiagnosed health problems. At the time, my diagnosis offered hope that I would be able to get better. I was suffering from debilitating fatigue, muscle and joint pain, chest pain, headaches, cognitive difficulties, dizziness, trouble sleeping, and other symptoms that doctors struggled to put a name to. But, after trying a range of treatments, including antibiotics, supplements, and homeopathy, I found that sense of relief deteriorating into frustration and hopelessness.
Nine years later, the discovery of medical cannabis would reignite the feeling that maybe I really would be able to get better. If only I had known about it sooner.
My experience navigating doctors and searching for treatment was, unfortunately, not unique. Not only were other girls and women across the world finding themselves bedridden with a range of similar symptoms, but their doctors were telling them their symptoms were “all in their head,” too; that they were really “just depressed” and “should try to get out of the house more.” It was as if medical professionals across the globe were reading from the same script: How to Dismiss Women and Girls Who Are in Pain.
I subsequently learned, however, that this has been going on for centuries.
As early as the 1600s, women were being diagnosed with medically-unexplained “hysteria,” with symptoms ranging from paralysis and hallucinations to insomnia and shortness of breath. Women were advised treatments as outrageous as sexual stimulation and marriage, and by the 1800s it was regarded as a psychological disorder. As Maya Dusenbery explains in her 2018 book Doing Harm, many women were given this diagnosis because their doctors were unable to measure a cause for their symptoms, and even with all of the technological advances and scientific discoveries made over time, this is still happening today.
“The terminology has morphed — from hysteria to ‘somatization,’ and from conversion disorders to ‘medically unexplained symptoms’ — but the idea has remained remarkably unchanged. And the idea that women are especially prone to such psychogenic symptoms has endured too,” writes Dusenbery.
In more recent years, many alarming studies have shown a striking difference in how men and women are treated when it comes to health concerns and doctors visits. Multiple studies have found that men are prescribed painkillers more often than women, and a 1982 study found that women were in pain for a longer period of time than men before being referred to a specialist. A 2001 study in the Journal of Law, Medicine & Ethics concluded that women’s reports of pain are taken less seriously than men, that women are more likely to have their symptoms deemed emotional or psychogenic, and that women are more likely to be assumed to not be in pain if they are more physically attractive.
When it comes to illnesses that are difficult to diagnose, the gender bias can have an even more harmful impact. If you have a widely-recognized and easily-detectable disease, for example, it’s more likely that you will receive a diagnosis, because there is already-established diagnostic criteria in place. But if you have a condition that is not yet well understood and that doctors aren’t as educated on, you are often left with nowhere to turn when doctor after doctor assures you there is nothing physically wrong. In these instances, many women are left with no choice but to take their treatment into their own hands.
That is exactly where I found myself after years of battling Lyme disease. I had exhausted all of my immediate options and ended up sitting in small offices with naturopaths or homeopaths that I was skeptical of, but who guaranteed they would have me symptom-free within a few months. When I read about CBD helping relieve the symptoms of chronic Lyme disease, I was inclined to try it, since smoking marijuana had already helped with my muscle and joint pain.
My nutritionist recommended CBD oil liposomes, which act as carriers that transport CBD efficiently throughout the body. At first, I didn’t feel any effect, but I continued to increase the dose until I felt a difference. Once I found my dose, I couldn’t believe the results. I had the energy to go for walks, get out of the house more, and I didn’t feel my fatigue dramatically increase throughout the day. I was full of motivation and excitement. I felt like I could see everything a little clearer.
It’s unfortunate that many patients have to take treatment into their own hands when they are already dealing with the stress of navigating life with a complex chronic illness. K. Leonard, 44, said she had to push her doctor to even test her for Lyme disease. When she finally tested positive two months after first getting sick, she was put on long-term oral antibiotics that did not seem to help. Leonard was luckily able to see a Lyme literate doctor three years later. “[She] encouraged me to research various treatments. Although she understood the basics of Lyme disease, she also knew that it was under-researched, and that many Lyme patients were finding success with extra-medical or alternative treatments.”
After coming across CBD in her research, Leonard spoke to her neurologist, who encouraged her to give it a try. She then went to a medical marijuana dispensary in Colorado for advice on what to take. “While I couldn’t get a prescription because I wasn’t a Colorado resident, the dispensary staff were very thorough in going over my Lyme disease symptoms and my [treatment] options. I had not previously tried any other form of cannabis,” she says.
Leonard now takes 10mg of CBD oil twice daily. “It completely eliminates the low-to-medium grade nausea I often have early in the day, and helps reduce inflammation-caused pain in my joints, back, and chest,” she says. “I had been taking a lot of painkillers before sleeping at night, but then I began taking the oil before bedtime, and now I don’t need the painkillers as often to sleep comfortably.”
Dr. Marty Ross, who has been working with medical marijuana since the late 1990s and has been treating Lyme disease since 2004, explains that cannabis works by interacting with our body’s natural ‘marijuana system,’ known as the endocannabinoid system. The endocannabinoid system is distributed throughout our body and has ‘receptors’ (molecules that are activated by CBD) in the brain and organ systems, with the two major chemical receptors being CB1 and CB2.
“CB1 receptors are found on many organs, including the brain and the nervous system. They regulate the release of neurotransmitters in the brain,” Dr. Ross says. CB1 receptors are also responsible for psychoactive effects of marijuana, such as euphoria, and impaired memory. “CB1 [helps] regulate the heart and blood vessels, energy, thinking, memory, emotions, pain, muscle control, sensory regulation, the intestinal system, and much more.”
CB2, on the other hand, is primarily anti-inflammatory, and regulates the immune system. “These receptors are found on a variety of white blood cells including B cells that make antibodies, T cells that fight Lyme disease, and on macrophages that fight viruses.” Dr. Ross says that regulating CB2 (which you can do with a cannabinoid receptor antagonist, meaning a drug that prevents CB2 receptors from being activated) can lead to the improvement of Lyme symptoms. This is because T cell receptors have been found to interact with molecules of Lyme disease, causing an activation of T-cells that produces inflammatory molecules, resulting in joint pain. Regulating CB2 can therefore regulate pain by reducing that inflammation.
In his practice, Dr. Ross found that patients’ responses to medical marijuana can vary, but he has seen mainly positive reactions when cannabis was used to treat nausea, tremors, anxiety, depression, and stiff muscles, among other conditions. The best improvements he’s seen, however, have been with pain control, treatment of insomnia, and seizure management. “In these situations, I tend to find products [with] higher THC content work better than those higher in CBD,” he says.
Susan Pogorzelski, 35, added CBD oil to her regimen of oral antibiotics and supplements, which had previously helped her reach remission for Lyme. After relapsing, she hoped CBD oil would help relieve her brain fog — a common symptom of the disease.
“I soon noticed that the physical pain had lessened, my sleep was more restful, and I had improved mental clarity,” she says of her experience. Pogozelski had to try a few different types of oil before finding one that worked for her, which turned out to be from Complete Body Defense, a company run by her friend, Nick Risden, who also has Lyme disease. “It hasn’t let me down,” she says. “I notice a difference in my symptoms when I don’t take it versus when I do.”
There are countless different types of cannabis oils on the market, and I’ve also benefited from hemp tea for relaxation and sleep, hemp massage oils and salves for painful joints, and CBD pre-rolls to help fall asleep and relieve pain. There are many other products worth researching if you’re interested in how CBD or medical marijuana can make a difference in your life.
“It’s unfortunate but true that women really must become their own best advocates for their health,” says Leonard. “We need to do research, talk with specialists in ‘alternative’ therapies, vote for the legalization of cannabis and the funding of cannabis-related medical research, and educate ourselves and our doctors.”
There is currently no treatment for chronic Lyme disease that is proven to work for every patient, but CBD and medical marijuana can offer a significant step in the right direction. And as marijuana legalization increases across the US and globally, hopefully more people will have access to this powerful, life-changing medicine.
"I couldn’t believe the results. I had the energy to go for walks, get out of the house more, and I didn’t feel my fatigue dramatically increase throughout the day. I felt like I could see everything a little clearer."
Can medical marijuana help treat Lyme disease? A doctor’s perspective.
by Daniel A. Kinderlehrer, M.D.
I have a confession to make. I proposed a talk on medical marijuana at ILADS because it would force me to learn everything I could on the topic. I live in Colorado where it seems there is a dispensary on every corner, and many of my patients have been using medical cannabis. But the huge assortment of products is confusing, and I wanted to give specific recommendations to help patients get the most benefit. Here is what I learned.
Marijuana has 483 phytocannabanoids, which are naturally occurring compounds that can affect many body processes such as appetite, mood and sleep. Most people have heard of one of them—THC, or tetrahydrocannabinol—the psychoactive component of marijuana. THC can make you high, giddy, or euphoric, and provide seemingly awesome universal insights that may appear quite trivial the next day.
Some strains of marijuana now available are not your father’s weed—they have a much higher THC content. It’s important to choose the appropriate strain for your needs, and some people may want to avoid THC entirely. However, it has been clearly established that THC is quite beneficial for pain, sleep, nausea, appetite, and PTSD, so there are medically valid reasons for choosing it.
Most of the non-THC phytocannabanoids fall into the category of cannabidiols, or CBDs. CBDs were once considered to be physiologically inactive unless paired with THC, but it turns out that is not the case. There is compelling scientific research documenting its independent activity, and now there is extensive clinical experience as well.
Did you know that we make our own CBDs? All vertebrates going back 600 million years on the evolutionary tree have an endocannabanoid system, which modulates immune and nervous system function. CBDs are potent anti-inflammatory agents, they regulate neurotransmitters, and they may enhance immune competence. CBDs decrease neuroinflammation and are neuroprotective. They can significantly reduce pain and anxiety.
Marijuana is not the only product that supplies CBDs. Hemp, a variety of cannabis that is used to make rope, fabric and paper, contains CBDs. Hemp has less than 0.3% THC, and is not psychoactive.
There are two strains of cannabis: indica and sativa. Indica is great for pain but is sedating, so it is best used in nighttime. Sativa is activating, can increase energy, and is better suited for daytime use. The difference between indica and sativa is another ingredient, terpenes. Terpenes modify the activity of CBD and THC. There are also a number of hybrid strains now available that essentially cross categories.
If your problem is pain, consider taking CBDs in the form of hemp oil in the daytime. My patients have had excellent responses to a liposomal sublingual extract (taken under the tongue), and it is activating, not sedating. In the evening, you can take a marijuana extract with equal parts THC and CBD, since these together will have additive pain-relieving effects. There are a number of delivery systems available, including smoking, vaping, edibles and sublingual extracts. I recommend the extracts since the onset is reasonably quick, usually in about 30 minutes, and the dose can be easily titrated by adjusting the number of drops under the tongue.
Both hemp-derived CBD and marijuana are available as balms that can be applied topically to relieve pain. Whether taken systemically or applied locally, these products can help many patients significantly decrease their need for pain medication. In fact, states that have legalized medical marijuana have experienced a 25% decrease in opiate overdose deaths. That’s right. This scourge, which took 42,000 lives in 2016 (66,000 including all drug overdose deaths), was significantly reduced by the availability of marijuana.
For sleep, take a THC-dominant indica strain. THC is not only sedating, it increases the time spent in the deeper stages of sleep, so sleep is more restorative. If your problem is difficulty falling asleep, use a short-acting vehicle like vaping, which kicks in within 15 minutes. Vaping is high-tech smoking without the ill effects of the smoke. Alternatively, use a sublingual extract, which has an onset within 30 minutes. Both of these will hang around for up to an hour.
If your problem is staying asleep, then take an edible. It takes 60-90 minutes to get into the circulation, and hangs around for an average of 3-4 hours. I don’t recommend cookies or candy, as they usually have a lot of junk in them—you can take pure THC tablets. The average dose is 10mg, but start with 2.5mg to see how well you tolerate it.
If you have problems with both sleep initiation and maintenance, you can take sublingual extract or vape to fall asleep, and a THC tablet to stay asleep. The table below includes some considerations for choosing among the available options.
While THC is only available in states that have legalized medical marijuana, CBD from hemp oil is available everywhere—although the attorney general in Nebraska seems to be confused about that. You can buy it on the Internet, travel across state lines, and I have even taken it out of the country when I traveled to Israel to visit my daughter.
CBD can lessen anxiety, without any of the psychoactive giddiness of THC. CBD is anti-inflammatory—it not only decreases pain, it can improve energy, cognitive function and general well being. When I started selling it in my office, it went flying off the shelf. The full effects of CBD from hemp oil do not kick in for two to three weeks.
While properly administered marijuana has been extremely effective in helping people with PTSD, in some people it will make anxiety worse. Similarly, THC can help depression in some people, but in others can make depression worse, particularly if it is abused by chronic users. If you develop tolerance to the benefits of cannabis because of chronic use, it is important to take a drug holiday. Pregnant women should not take marijuana.
The legal status of marijuana is dicey. It is unjustifiably classified as a Class I controlled substance by the Food and Drug Administration, in the same category as heroin, and the Obama administration declined to enforce federal laws regarding marijuana in states where it was legalized and properly regulated. The current administration is trying to change that, but I predict it will be like trying to put toothpaste back in the tube.
The analgesic, anti-inflammatory and neuroprotective properties of cannabis make it extremely valuable as an adjunct to the treatment of tick-borne diseases. There is a lot of research available on the medical uses of cannabis. A couple of good resources are listed below.
Kowal MA et al. Review on clinical studies with cannabis and cannabinoids 2010-2014. Cannabinoids 2016;11(special issue):1-18
Dr. Daniel Kinderlehrer specializes in the treatment of tick-borne disease in Denver, Colorado. He has found that properly administered medical marijuana and CBD from hemp oil have been extremely beneficial for many of his patients.
A Colorado Lyme doctor reports that properly administered medical marijuana and CBD from hemp oil have been extremely beneficial for many of his patients.