Leaf411’s New Scheduling System FAQs
How to schedule your consultation with a cannabis-trained nurse
Leaf411 is excited to announce that we are now offering scheduled appointments for our callers! We are making this change to match our resources to demand, ensuring we’re available at a weekday time that works for you.
We know that you have questions which is why we’re sharing the FAQs below to help you get started with our new system.
FAQs
1. Where do I go to set up an appointment?
From the Leaf411 homepage, click on the “Let’s Talk!” button, which will take you to the Leaf411 client portal hosted on the vcita scheduling app.
2. How do I schedule an appointment? Should I choose the 30-minute or 15-minute option?
After you click on the “Let’s Talk” button on Leaf411’s homepage, you’ll be redirected to our scheduling page hosted on the vcita website.
Select the Leaf411 30-minute nurse guidance call if it is your first time contacting us through this online appointment service. Even if you’ve previously called the hotline, you will want to select the 30-minute option for your first scheduled appointment.
This 30-minute guidance call allows the nurse to cover one ailment or concern. For example, if you are seeking guidance on using cannabis for insomnia and also for migraines, those are two different issues that may require different products and approaches. Therefore, we would ask for you to schedule two separate appointments–one appointment to discuss cannabis and insomnia, and a different appointment to cover cannabis and migraine pain.
The 15 minute follow-up call is ideal for any remaining questions you have about your primary issue after the initial consultation. The shorter time takes into account the nurse already having your history with your previous 30 minute guidance call so it should allow enough time.
On the scheduling website, a calendar will pop up with available dates and times. Pick the time slot that works best for you and then complete your contact information and you’re good to go! The Leaf nurse will call you at the number you provide on the day and time you selected.
3. My availability has changed after scheduling an appointment. What should I do?
We ask that you provide at least 48 business hours’ notice if you need to change or cancel your appointment. You can cancel the appointment through the confirmation email you receive or by calling the Leaf411 office at 844-LEAF411 (844-532-3411).
4. Is my information safe with vcita?
You can trust that our new scheduling system provided by vcita will keep your information secure. The HIPAA-compliant site will allow you to pick a day and time when our nurses are available for a phone appointment, and even gives you an option to select your preferred nurse if more than one nurse is available at your preferred time. You’ll also have the ability to send and receive documents or messages to our team via the client portal, and will receive reminders about upcoming appointments.
5. What if I have a quick question, can I still call the hotline instead of making an appointment?
We are moving all of our services to the online appointment system. Even a quick question often has additional concerns—for example, an inquiry about a particular product might be followed up by questions about how it will interact with other medications or supplements.
If you are unsure about whether your question warrants an appointment or have other questions about scheduling, please call and leave a message at 844-LEAF411 (844-532-3411). A nurse will return your call within 24-48 business hours.
6. Does the nurse call me or do I call them at the appointed time? Is this a video call?
The Leaf nurse will call you at the number you provided at the date/time you selected when signing up for an appointment. The appointments are conducted only by phone, not by video at this time.
7. What happens during the call?
Generally, you can expect the following steps during your call:
- Background information: We gather demographic data at the time of scheduling your appointment to ensure our services match caller needs. This information also helps us determine what cannabis and CBD hemp options exist based on laws in your home state. We may gather some of this information up-front or as part of the conversation, depending on the caller’s and nurse’s needs.
- Triage: Our Leaf nurses ask a series of questions to understand your main healthcare need and goals for using hemp CBD or marijuana, including whether you’re completely new to the plant or an experienced user. We’ll also ask questions about your activities of daily living to make sure that our education is tailored to your day-to-day realities.
- Reviewing your history of marijuana and hemp use: When considering marijuana or hemp CBD as a therapeutic tool, it’s important to factor in where you’re coming from. Are you an experienced current user, or was the last time you consumed over 20 years ago? Have your past experiences been positive or negative? It’s okay if you have hesitations or concerns based on past experiences! Our Leaf nurses are non-judgmental and provide balanced information based on your goals and preferences.
Offering education and guidance: Once we have a clear sense of your health needs and goals, we provide evidence-based education and guidance that empowers you and can save you time and money when it comes to finding the best cannabis options for pain, insomnia, or other needs. Our Leaf nurses also understand that most callers want relief without impairment so that they can go about their daily lives. Depending on your previous experience, we may start with Cannabis 101 education on your endocannabinoid system, followed by general guidance on product types and routes of administration. For example, our Leaf nurses may suggest starting with a ratio product that contains specific amounts of THC and CBD. Our Leaf nurses also take into account any physical limitations that you may have to recommend easy-to-use product formats, like gummies that can easily be divided into smaller doses.
8. What will not be provided during the nurse guidance call?
It’s important to understand what types of information we can and cannot provide based on our professional scope of practice. Our Leaf411 nurses work within their scope and standard of practice. Registered nurses (RNs) provide guidance and education; however, they do not practice medicine and are not legally allowed to give specific dosages to take at a specific time of day for a specific length of time.
If you have multiple health concerns that are beyond what our nursing guidance can provide, we will suggest a consultation with a cannabis-trained advanced practice nurse (Nurse Practitioner) or a cannabis-trained physician who can take you into their private practice as a patient. We have wonderful resources for trained cannabis clinicians listed under our Resources tab on our website.
Unfortunately consultations with private practice cannabis clinicians are not covered by insurance carriers yet, so please check pricing in advance and assume that it will be an out-of-pocket expense for you.
9. What happens after my call?
Our Leaf nurses understand that as you begin trying different products and learn more about cannabis, additional questions may come up. We take notes as part of our nursing practice which will be uploaded to your online account following the call. That makes it easy for us if you have follow-up questions so that we can pull up those past notes and pick up right where we left off. You can also schedule your follow-up consultation with the same Leaf nurse you previously talked to.
Schedule your Leaf411 cannabis consultation today!
With our recent transition to a schedule-based system, our goal is to make trustworthy guidance on cannabis use more accessible and convenient for you. We look forward to hearing from you! Visit our homepage to get started scheduling your nurse consultation, or call us at 844-532-3411 if you have questions about the new scheduling system.
The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.
Leaf411’s 2021 Holiday Gift Guide
To help you out with your holiday shopping, we asked our Leaf411 business members to share their products they’re most excited about this holiday season. If you’re looking for gift ideas for hemp CBD or cannabis lovers, these products would be a great place to start!
You’ll find hemp CBD products listed first, followed by cannabis products available in select Colorado dispensaries. Product details were provided by the manufacturers or retailers.
Be sure to read all the way through! You won’t want to miss Nové Luxury Edibles’ exquisite cannabis-infused chocolate bar or Seed & Smith’s holiday gift sets specially priced for all kinds of budgets, and more!
The best hemp CBD gifts for friends and family
Hemp CBD makes the perfect gift for friends and family who live too far away to visit in person, since hemp products are federally legal and can be mail-ordered and shipped. Of course, hemp CBD is also a great option for local family members, friends and neighbors who are interested in health, wellness and relaxation during the busy holiday season!
Elixinol Calm Stress Support Capsules and Everyday Rapid Reset Liposome
Elixinol Calm Stress Support Capsules pair Ashwagandha – a natural root known for its calming effect – with CBD to help relieve occasional stress. Perfect for just about anyone who could use a little help combatting daily stress during the holiday season!
Looking to boost your non-alcoholic holiday beverage? Elixinol Everyday Rapid Reset Liposome
tincture leverages liposome technology for efficient CBD absorption. Liposomes are microscopic bubbles that carry CBD, making it easy and efficient for your body to absorb. They give your body more CBD per serving that might otherwise be lost in the digestive process. The product tastes delicious too, as it is naturally flavored with orange & lemon extracts. Click here to learn more about Elixinol’s current promotions and products.
WelCel CBD Sleep Creme
Support a restful night’s sleep with WelCel’s CBD Sleep Creme featuring 3,000mg CBD Isolate per bottle. This groundbreaking product doesn’t contain drugs or hormones, only the power of CBD and natural botanicals. Welcel Sleep Creme effectively relaxes your mind and body so your body can do exactly what it is designed to do at night – SLEEP!
When developing this product, WelCel founder Dr. Lisa Gardner started with an amazing antioxidant creme that has both natural and organic ingredients, without harmful chemicals or hype. She then sourced the highest quality ingredients and essential oils like Organic Aloe Leaf Juice, Vitamin E, Organic Rosemary Leaf Extract, Vitamin C, Organic White Willow Bark Extract, and Organic Lavender. Next, she infused this amazing creme with 3,000mg of powerful pure CBD! WelCel CBD Sleep Creme makes the perfect stocking stuffer or gift for your loved ones this holiday season. Order at Thrive Apothecary via this link.
Myriam’s Hemp Gift Bundle
For the friend who loves exploring new products: Myriam’s Hemp offers a wide range of hemp topicals and tinctures featuring CBN, CBG, and even CBDA (a cannabinoid that Leaf411 recently covered in our blog). Even better, Myriam’s Hemp offers options to customize with terpene boosts and your favorite flavor. Diana Peña, Myriam’s Hemp co-founder, suggests putting together a gift bundle with their bestselling CBN and CBG tinctures, together with their CBD balm topical cream. Keep an eye on Myriam’s Hemp website for holiday deals.
RESTART CBD CBN Sublingual Oil
Relaxation is at the front of RESTART CBD co-founder Shayda Torabi’s mind as holiday parties gear up. She recommends RESTART’s CBD CBN Sublingual Oil 1200mg as a great gift for busy people, explaining that CBD:CBN Oil is typically used for calming nighttime relief that standard CBD extracts can’t fully solve. Depending on how you respond, it might help you chill out after a long day, loosen up for a social situation or get some solid rest. CBN alone could bring relief, or it might benefit your routine as an addition to CBD so that you get the entourage effects of multiple cannabinoids working together. CBN Oil can also be added to THC therapies to elevate its effects. Find RESTART CBD’s full product lineup, including CBD flower and vapes, at this link.
Calm Better Days Holiday Box
Want to give your friend the gift of product support along with a collection of great hemp products? Calm Better Days has you covered. Not only do they sell over 20 well-known CBD brands, many of them woman-owned, but they also provide free consultations where consumers can learn the basics of CBD and complete a personal assessment to discover which products are best for their specific health situation. This holiday season, Calm Better Days is also offering the Women of Wellness Holiday Box featuring the best CBD products by woman founders in cannabis. The curated set includes different CBD products for the best self care experience, from bath bombs, tea, oral spray, intimacy oil, facial oil and more. Click here to learn more.
Hemplily Menopause Complex Tincture
Maintaining good mind/body balance is more important than ever, especially for women with menopause symptoms. The new Hemplily Menopause Complex tincture with full-spectrum hemp extract (FSHE) plus Ashwagandha and Reishi Mushroom is great for helping to manage mood swings, hot flashes, night sweats and more. Hemplily also offers Everyday CBD tinctures, topicals and gummies that will appeal to health-minded friends of all ages. Visit Hemplily at this link for the latest deals and product information.
Ology Essentials Full Spectrum CBD Muscle Gel
Looking for that perfect warming product to soothe and nourish your body? Ology Essentials has formulated a product specifically for you – the hemp CBD Muscle Gel is a beautifully synergic product with 300 mg of full spectrum hemp CBD, capsicum, menthol, hyaluronic acid, and a powerhouse of essential oils. Click here to find product information and holiday deals.
CAASI Water-Soluble Drops and Scalp & Skin Soother
CAASI’s flagship Water-Soluble Hemp CBD Beverage Drops are perfect for the athletes, cooks, bartenders, home hosts or anyone that wants to relax. These drops are available with either broad-spectrum CBD or CBD isolate, providing a convenient option for adding CBD to food or beverages.
Looking for a topical gift? CAASI Scalp & Skin Soother is perfect for anyone looking for new options to help with scalp psoriasis or eczema, conditions which are often aggravated by dry winter air.
CBD Garage – Foria Wellness Intimacy CBD Quickie Kit
Intimacy plays a big role in wellness, and this year CBD Garage has you covered with a special Foria Wellness Intimacy CBD Quickie Kit. Whether you’re already a Foria fan or new to CBD in the bedroom, this bundle includes all the bestsellers from their Intimacy collection, in deluxe mini sizes: Awaken Arousal Oil, Sex Oil and Intimacy Suppositories. With an unwavering commitment to clean ingredients, organic and regenerative farming, and responsible packaging, Foria is on a mission to support lifelong sexual wellness and pleasure.
CBD Garage carries hemp products, nutritional supplements and adaptogens made by over 20 different high-quality brands, many of them Colorado-based. Check out CBD Garage’s full catalog at this link.
Cannabis options for celebration, relaxation and wellness
Cannabis can make a great gift for yourself or for friends who you know enjoy the plant’s many benefits. Of course we recommend sticking with legally-manufactured products that have undergone testing and are compliant with state laws. Remember as well to always start low and go slow when trying new products so that you don’t become too high. After all, the goal is to enjoy and savor the product!
Nové Luxury Edibles Sea Salt Caramel Chocolates
New from the creators of incredibles, Nové Sea Salt Caramel Chocolates are the perfect infused edible for everyday luxury. There’s no need for wrapping paper with their sophisticated and sleek packaging, which happens to be environmentally friendly. Recyclable, biodegradable, and made with 33% post-consumer materials, the eco-conscious would appreciate this elevated gift, as would the foodie! Crafted with a sprinkle of fleur de sel, 38% single-origin cacao sourced from Venezuela, and filled with decadent caramel, this flavor is sure to impress both the canna-curious and the cannabis connoisseur. Available to adult use consumers, packages contain ten 10mg THC pieces. Please remember to consume responsibly, waiting at least two hours before eating more than a single serving.
Nové is luxury without the luxury price tag, averaging $20 retail. Find Sea Salt Caramel as well as other Nové chocolates and gummies at exclusive Colorado retailers including Medicine Man, Euflora, and Rocky Road Aurora. Check Nové’s online store locator for more information.
Ripple Gummies
Putting together a cannabis-infused gummies gift basket? You’ll want to be sure to include Ripple Gummies! Ripple Gummies combine everyone’s favorite edible with a high that’s clinically proven to be 2 times faster than the leading gummy. Available in delicious, all-natural flavors and a wide range of doses, there’s a Ripple Gummy for every high. Learn more and find retailers at this link.
Seed & Smith Holiday Vape Bundle
Give the Gift of Happy with Seed & Smith! Starting December 6, you’ll find holiday bundles at multiple price points exclusively at Seed & Smith retail locations: 5070 Oakland St, Denver CO 80239, and 1413 Hecla Way, Louisville CO 80027. Our Holiday Vape Bundle includes two Live Dart Pods, a Limited Edition Holiday Dart battery, two Live 1gram carts and a Seed & Smith 510 battery for a special low price that you won’t want to miss! Visit Seed & Smith’s website to learn more.
Give the gift of knowledge by supporting Leaf411
If you’ve spent much time talking to others about cannabis and hemp, you know that the old stigmas and myths are going strong. Even experienced cannabis users may have questions as new product types roll out, and everyone is looking for reliable sources of information they can trust. That’s where Leaf411 plays a vital role–but we need your support!
As you plan your holiday giving, please consider giving the gift of cannabis guidance by contributing to our Leaf411 GoFundMe campaign at this link. By joining the movement, you’re providing access to cannabis education from cannabis-trained RNs with the goal of supporting safe consumption and effective use of plant-based medicine.
Interested in supporting Leaf411 as a business member? Visit our Business Membership page to learn the benefits of supporting Leaf411.
The Leaf411 cannabis nurse hotline provides education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.
How to use THCV to support weight loss goals
The non-intoxicating THCV cannabinoid helps with appetite control and focus
Medically reviewed by Katherine Golden, RN, and Eloise Theisen, NP
Written by Denise Rustning
THC or CBD are probably the first things that jump to mind when you hear about cannabinoids. However, THC and CBD are only two out of over 100 unique cannabinoids that have been found in cannabis and hemp, although many exist at very low levels and have not been studied. THCV, a cannabinoid that Healthline dubbed “Diet Weed” is one of the lesser-known cannabinoids that is rapidly moving into the spotlight.
THCV (tetrahydrocannabivarin) recently popped up on our radar with the launch of Wana Fit THCV gummies as a non-intoxicating option to help reset eating habits. Wana is one of Leaf411’s supporting members and is an industry leader when it comes to integrating cutting-edge science and technology into cannabis and hemp product development.
For their Wana Fit THCV gummies, Wana partnered with ECS Brands to source proprietary organic THCV and utilized Azuca TiME nano-encapsulation technology, creating a gummie with faster onset and increased bioavailability of THCV and other cannabinoids when compared to traditional edibles. You can read more about Wana’s product development process at this link.
What is THCV?
THCV only has one additional letter—the letter “V”—when compared to the more well-known THC. However, when it comes to potential effects, there’s a world of difference between these two cannabinoids which are molecularly different.
In fact, THCV affects your body’s endocannabinoid system differently than other cannabinoids. Mike Hennesy, Vice President of Innovation at Wana, offers an easy-to-understand explanation using the example of a car’s gear shift as an analogy for the CB1 receptors found throughout your endocannabinoid system.
(Need a refresher on the endocannabinoid system? Check out our 101 blog here.)
“Some cannabinoids put the CB1 receptor in neutral, while others put it in second gear or high gear or even put it in reverse gear,” Mike says. “That’s why you can find very different effects depending on the product or flower strain you’re using.”
Mike continues, “Using THC is like putting the car in “drive” with a range of effects including the intoxicating ‘high,’ while CBD is like putting the car in ‘neutral,’ or downshifting the car to a lower gear if someone is also using THC at the same time. THCV has an even different effect, like putting a car in ‘reverse’ with effects that are nearly opposite what the user would get with THC.”
Will THCV make you high? What are THCV’s effects?
Because THCV works differently on CB1 receptors, it does not create the intoxicating high that you would get from the more well-known THC. You can see a breakdown of the differences between THC and THCV in the table below.
(Research sources: https://jcannabisresearch.biomedcentral.com/articles/10.1186/s42238-020-0016-7 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5576603/ )
Will THCV help you lose weight? Here’s what the research says
We are guessing that many of you are interested in THCV’s potential to help with weight loss goals. What does the research say on this front?
ECS Brands, which Wana sources its THCV from, recently ran a 90-day, randomized double-blind, placebo-controlled human clinical study on their proprietary Nitro-V THCV with support from the National Institutes of Health (NIH). Participants did not make any other changes to their diet or exercise.
Among those participants who were assigned to the daily THCV group:
- 100% experienced weight loss, with participants losing up to 22 pounds over the 90-day study
- 61% reported a reduction in hunger
- 40% reported fewer food cravings
- 52% reported a reduction in anxiety
- Average body mass index (BMI) dropped by 3 points
In contrast, among the study’s placebo group (the participants who did not take THCV), only 36% lost any weight, and average BMI remained unchanged.
Wana Fit THCV gummies use the same Nitro-V THCV extract that was used in the ECS Brands study, but with the additional technology of Azuca TiME nano-encapsulation, meaning that bioavailability is improved.
Interested in adding THCV to your routine? Here’s what you need to know.
Your success in using THCV will hinge on setting realistic expectations and building an overall routine that supports your goals, whether that’s healthier eating habits or reducing stress.
Remember that THCV is a tool, not a magic wand. You still have to put in the work, but THCV can make it easier to overcome challenges and setbacks. If you’ve been trying to lose weight you’ve likely learned that a mix of strategies that includes mindful eating, exercise and adequate sleep is the best approach. Sustaining those good habits can be tough, though, especially in the face of cravings, holiday treats and less daylight hours for getting outdoor exercise. That’s when a cannabinoid like THCV can be useful as a tool for reinforcing your wellness goals.
In other words, THCV won’t cancel out the calories in that pint of Ben & Jerry’s ice cream, but it may make it easier for you to stick with one serving as an after-dinner treat instead of polishing off the pint while watching a movie.
A special caution for consumers who face workplace drug testing
While Wana Fit THCV gummies won’t cause intoxication, they do contain very small amounts of THC (0.1mg per serving). This THC is converted into the THC-COOH metabolite and stored in body fat, where it accumulates over time. It doesn’t get you high, but it could trigger a positive workplace drug test result. Click here for more information on workplace drug testing, THC and CBD, and call our special Wana hotline number at 844-WanaFit (844-926-2348) if you have questions about how Wana gummies may impact workplace drug testing.
How to use Wana Fit THCV gummies
At Leaf411, we are very excited to see Wana Fit THCV gummies become available to consumers, given the company’s reputation for bringing high-quality, all natural, trustworthy products to market.
We thought we’d answer some basic questions here.
Q: When starting with Wana Fit THCV gummies, what’s a good starting dose?
A: We suggest starting with either a half-gummie or one gummie, and then adjusting your dose based on your tolerance. On this front, it can be helpful to use a journal to record how the product is affecting you. Some consumers have found that half of a gummie is a good dose while others have found two gummies to be most effective for focus and energy.
Q: Should I take the gummie at the same time each day?
A: Wana Fit THCV gummies should be taken in the morning to help with focus and energy. Take the daily gummie with food to help increase bioavailability (absorption).
Q: How long will it take before I notice a difference from taking THCV?
A: Most consumers report an immediate effect with regard to focus on and energy
Q: If it doesn’t seem like a single gummie is working, what’s the maximum dose I can take?
A: We suggest that you may increase your daily intake to two gummies a day if you are not experiencing any changes taking one gummie a day. Remember that journaling the effects of the product will help dial in your dose better to achieve maximum benefit.
Of course we encourage you to call the FREE Leaf411 WanaFit hotline at 844-WanaFit (844-926-2348) if you have specific questions about how to use THCV, or have other questions about potential medication interactions or even something as simple as how to read the product label.
How will THCV impact your ongoing cannabis or hemp regimen?
If you’re adding Wana Fit THCV to your ongoing cannabis or hemp CBD regimen, we suggest reviewing the products you’re using to know how many total milligrams per day of each cannabinoid you are consuming in case your clinical team asks. For the record, each Wana Fit THCV gummie provides 10mg of CBD, 0.1mg of THC and 0.5mg of THCV, so be sure to add that to your journal.
Also, if you already use cannabis, you may be wondering if THCV will impact the familiar high you get from THC-dominant products like cannabis flower. Indeed, we talked earlier about how THCV acts very differently on your endocannabinoid’s CB1 receptors than THC.
Does that mean that THCV can actually cancel out intoxication, for example when you over-consume and feel too high? Unfortunately, research is very limited in this area. One small study reported that THCV seemed to dampen the effects of THC based on participant reports; however, at this point it is not possible to make general conclusions from that one study.
Leaf411 can help you with your questions about THCV
Leaf411 can help you with your questions about THCVOur Leaf nurses have completed extensive education on the THCV cannabinoid as well as Wana Fit THCV gummies and are ready to answer your questions about this new non-intoxicating option for improved focus and appetite control. In fact, Wana has even partnered with Leaf411 to launch a special toll-free hotline number, 1-844-WanaFit (1-844-926-2348) that’s being shared with consumers who are new to Wana and the world of wellness-driven cannabis. Leaf411 nurses are also providing in-person consultations during special pop-up events at dispensaries in the Denver area. Keep an eye on Wana Brands or Leaf411 social media for dates and times.
Access to trustworthy information is especially important as Denver begins allowing cannabis delivery, which means that consumers may not be able to ask budtenders product-related questions like before. And of course budtenders are not qualified to answer medical questions about using Wana Fit THCV gummies or other products–but our Leaf411 nurses are fully up-to-date on the research and qualified to answer your questions!
Call the FREE Leaf411 hotline at 844-LEAF411 (844-532-3411) or chat with us from our home page during hotline hours, Monday-Friday from 8:00 a.m. to 7:00 p.m. MDT.
For more information on Wana Brands’ Optimals product line, visit https://www.wanabrands.com/optimals/
The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.
Exploring the Benefits of CBDA in Hemp Products
Exploring the Benefits of CBDA in Hemp Products
Leaf411 member Myriam’s Hemp shares insights on CBDA and the importance of hemp consumer education
Medically reviewed by Katherine Golden, RN, and Eloise Theisen, NP
Written by Denise Rustning
We recently talked with Myriam’s Hemp Co-Founder and CEO Diana Peña about the company’s wide range of hemp products. The brand offers hemp topicals as well as tinctures featuring CBD, CBG, CBN and CBDA, as well as an Enhanced CBD Full Extract Cannabis Oil (FECO) packed with hemp plant compounds. Myriam’s Hemp also creates custom blends for customers with unique terpene profiles.
Diana Peña, Co-Founder and CEO of Myriam’s Hemp
When we asked Diana which of the cannabinoids she felt was most underrated, she was quick to respond.
“People are paying more attention to the different cannabinoids found in hemp and how they deliver different results. However, the product that we’ve always carried at Myriam’s Hemp and that I still think to this day that doesn’t get enough attention is CBDA,” said Myriam.
We’re guessing that many of you have never heard of CBDA (it’s different than CBD!) and thought it would make a great topic for today’s blog post after talking with Diana. We’ll also share tips for finding hemp products that truly deliver the CBDA and other cannabinoids they claim to contain.
Hemp is more than just CBD: Understanding hemp’s beneficial compounds
Usually when people discuss hemp, they’re talking about CBD (cannabidiol), but in fact, the hemp plant contains hundreds of plant compounds including other minor cannabinoids, terpenes, flavonoids and essential fatty acids (a good fat!).
Understanding different cannabinoids can make all the difference when it comes to finding the best hemp product for your needs, whether you’re seeking relief or boosting overall wellness. In fact, you might have even tried a few of the minor cannabinoids—for example, CBN (cannabinol) or CBG (cannabigerol), though chances are that you’ve not heard as much about CBDA.
CBDA: The precursor to the more well-known CBD
CBD itself is no slouch, with many people finding that CBD is a powerful tool when it comes to health concerns.
But did you know that CBD doesn’t start out as CBD in hemp/cannabis plants? In fact, the compound starts out as CBDA (cannabidiolic acid) which is found in fresh raw hemp and cannabis.
When CBDA is exposed to heat over 110 degrees Celsius (230 degrees Fahrenheit), it converts to CBD. The scientific term for this process is “decarboxylation.” Typically, decarboxylation occurs either during the extraction process or when someone smokes, vapes or cooks with the hemp flower, heating it up to over 110 degrees Celsius.
However, some hemp extraction techniques don’t involve heat. When these extraction techniques are used, CBDA may remain in the hemp product.
Is CBDA better than CBD?
CBDA works differently in your body than CBD. How? CBDA has a different mechanism of action. Instead of binding directly to CB1 or CB2 receptors found in the body’s endocannabinoid system, CBDA acts on COX-2 receptors which play a role in inflammation as well as 5-HT receptors which produce serotonin.
CBDA’s different mechanisms of action means that it provides different and wide ranging results which are currently being researched to better understand its potential. CBDA may also be far more potent than CBD when it comes to managing nausea and vomiting based on research that Dr. Ethan Russo shared in a review published last year.
While most research shows that THC is best for nausea, someone could start with CBDA if they are adverse to THC, or if they live in an area where cannabis is not legal. Our Leaf411 nurses suggest CBDA is best for anticipatory nausea.
CBDA may help in other ways as well. At Myriam’s Hemp, Diana hears from customers who say that CBDA works well to help with multiple concerns.
“Some people have various ailments—they’re not just dealing with anxiety, but have anxiety, inflammation, pain and mood swings all happening at the same time. Those are the customers we hear from who tell us that CBDA has been especially helpful for them.”
CBDA is thought to be more water-soluble than CBD and in turn is more bioavailable, meaning that CBDA can be more effective at lower doses compared to CBD. This might address how it may be “better” or more effective than CBD. The lower doses can help people avoid side effects that may come with higher doses of CBD and it can be more cost effective.
At Leaf411 we suggest there may be a potential to use CBDA as a first line treatment option due to the lower doses needed for possible symptom relief. There is less research on CBDA metabolism so we always suggest approaching it with caution. If THC is a barrier to a new cannabis user, CBDA could be an option as well due to easier access and again lower doses which could mean less side effects and drug-to-drug interactions.
How to make sure you’re getting high quality CBDA
Hemp products containing beneficial amounts of CBDA can be challenging to find. Obviously, when you shop for a CBDA product, you’ll want to make sure that it contains the cannabinoids being advertised.
How do you do that?
Look for companies that regularly test their hemp products via an independent third party laboratory. Test results will be provided as a product Certificate of Analysis (COA) showing the different percentages and amounts (usually milligrams per gram or “mg/g”) of cannabinoids in the tincture, edible, topical or other product. For example, the first page of Myriam’s Hemp COA for their CBDA tincture batch #2138 is shown below listing cannabinoids found in their tincture.
Screenshot of the top portion of Myriam’s Hemp CBDA Certificate of Analysis. The COA also shows results for terpenes and potential contaminants, and is available on the product page.
Some manufacturers like Myriam’s Hemp go beyond the basic tests to also include lab results for potential contaminants like solvents, heavy metals and molds. This voluntary extra level of testing helps ensure product purity for consumers.
When it comes to Myriam’s Hemp full spectrum CBD tincture, the brand even includes lab results showing the amount of beneficial terpenes in the oil.
Beyond independently lab-testing every lot, Myriam’s Hemp has built a long-term relationship with an Oregon organic hemp grower to ensure consistency and reliability in the plants that are grown for the brand. This attention to detail really sets Myriam’s Hemp apart from other hemp brands that may get their raw materials from the cheapest source, with little regard for product consistency.
Exploring Myriam’s Hemp’s full range of products, including the new Sunshine Orange flavor
In addition to CBDA, Myriam’s Hemp also offers tinctures featuring CBG, CBN or CBD and Enhanced CBD Full Extract Cannabis Oil (FECO), along with CBD balms and pet CBD.
Tinctures are available in unflavored olive oil, natural vanilla flavor or the new natural Sunrise Orange flavor. When ordering a tincture, you also have an option to add a terpene boost designed to promote specific effects, including calm, focus, energy or immunity.
The company can also formulate custom blends with unique cannabinoid and terpene profiles personalized to individual needs. For more information about how to customize your product, click on this link.
A personal connection to the healing power of hemp and cannabis
Talking about CBDA, COAs and product quality can leave you feeling a bit overwhelmed. At Leaf411, we understand! All of our Leaf411 staff have been there before, not sure where to start with investigating the therapeutic potential of hemp.
In fact, Diana shares a similar story as our own co-founder, Katherine Golden, RN, when it comes to a family member’s health concern that brought Diana to the hemp space.
In 2013, Diana’s mother Myriam was diagnosed with an inoperable brain tumor which launched the family on an exhaustive search for alternatives to manage Myriam’s pain and improve her quality of life while facing a terminal condition. The family’s journey ultimately led to the creation of Myriam’s Hemp with a focus on providing consistent product quality and transparency to other patients and consumers who were also seeking plant-based alternatives.
From their own experience seeking out plant-based alternatives for an ill family member, the Myriam’s Hemp team knows that education is incredibly important when it comes to targeting specific cannabinoids to health goals.
Example of CBD journaling taken from Myriam Hemp’s Facebook page.
How much CBDA, CBG, CBN, or CBD should you take?
While Diana is comfortable talking about the unique features of each of their hemp products, when it comes to dosing, she is thankful to have Leaf411 as a resource to share with consumers.
“We provide a lot of education on our website and provide general information about starting low and going slow with hemp products,” said Diana. “However when it comes to individual questions about dosing, we refer consumers to the Leaf411 nurses who have the education and research to lead the consumer in the right direction.”
Some consumers reach out to Myriam’s Hemp wanting a thorough medical consultation, but Diana notes the cost may be prohibitive to many people.
“We have some really great doctors we can send people to, but to be honest with you, some of them are very expensive, up to between $600 and hour and $750 an hour. A lot of people can’t afford that,” Diana says. “Leaf411 helps fill the gap by providing free clinical guidance to patients who might otherwise be left to try and figure out everything on their own.”
Myriam’s Hemp supports Leaf411 as a business member to ensure the public has access to clinically-sound guidance at no cost, as one of many ways the company supports consumers.
In fact, Diana points to the brand’s customer support as another element that really makes Myriam’s Hemp stand apart from the competition.
“We get feedback from customers saying that other companies do not provide the same level of help and information that we provide,” Diana says. “I’m always happy to hear that type of feedback, because we have worked hard to make sure our own staff is really knowledgeable and able to help.”
Myriam’s Hemp also offers a Compassion Program for veterans, seniors, and people who may struggle with the cost of plant medicine, based on the belief that “good health should never be out of reach.”
Let our expert Leaf411 nurses help with your hemp questions
Our Leaf411 hotline nurses are knowledgeable about the wide range of hemp products available today, and are ready to answer your questions about the best options for your health and wellness needs, whether that’s CBD, CBDA, CBG, CBN or other cannabinoids. Our nurses also help with dosing, identifying potential medicine interactions and troubleshooting when a hemp product isn’t providing the anticipated effects. Best of all, our service is FREE to callers, built on the belief that cannabis education should be accessible to all. Call 844-LEAF411 (844-532-3411) or chat us from our home page during hotline hours, Monday-Friday from 8:00 a.m. to 7:00 p.m. MDT.
Also, if you share our belief that knowledge is power when it comes to plant-based medicine and want to support our mission, we encourage you to visit our fundraising campaign at: https://www.classy.org/campaign/leaf411/c350217
The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.
Finding Low-THC Cannabis Strains
Low-THC cannabis can be a powerful option for relaxation and relief
Medically reviewed by Katherine Golden, RN
Written by Denise Rustning
Many mature cannabis consumers wax poetic about the old days when they could smoke an entire joint for relaxation without ending up too high.
Yet as states legalize cannabis, cultivators have prioritized breeding high-THC strains that can quickly intoxicate a user with just a few puffs. Not everyone is looking for the intense “high” that these high-THC strains often deliver, though.
Additionally, low-THC cannabis flower strains allow users to consume more of the other beneficial plant compounds, including terpenes and plant flavonoids, without going overboard on THC. While some patients do need high-THC products, we’ve found that many people achieve maximum relief with minimum intoxication when using lower-THC products, based on the caller feedback we receive at Leaf411.
How do you find low-THC strains in a marketplace that prioritizes high-THC flower? We were thrilled to see our Leaf411 business member Where’s Weed tackle this question on their blog, including recommended low-THC strains along with a search feature to find these strains near you.
Click here to read the Where’s Weed’s article, 5 Low THC Strains You Should Try.
To know exactly what you are purchasing, always ask the budtender about the product’s test results showing the cannabinoid potency. Why is that?
Even though a specific strain’s name (like Blue Dream) may be the same from one dispensary to another, the plant’s genetic structure along with the environment in which it is grown defines its final form. A plant with similar genetic makeup, when grown in a different environment (for example, in a different region or under different greenhouse conditions) will bring out a different trait from the plant’s genetic code resulting in a unique color, shape, smell and resin production.
Remember, too, that our cannabis-trained nurses can help with any questions you have about cannabis potency or use. Call the FREE Leaf411 hotline at 844-LEAF411 (844-532-3411) or chat with us from our home page during hotline hours, Monday-Friday from 8:00 a.m. to 7:00 p.m. MDT.
The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.
An Insider’s View on Washington D.C.’s Best Medical Cannabis Dispensary
Medically reviewed by Katherine Golden, RN, and Eloise Theisen, NP
Written by Denise Rustning
We recently caught up with Stephanie Kahn, BSN, for her perspective as a cannabis nurse and Takoma Wellness Center medical dispensary co-founder. Stephanie shared her insights from leading Washington, D.C.’s longest running legal medical dispensary and what she wished every new cannabis patient knew before visiting a dispensary.
(Note: This blog post was edited on 9/9/21 to more accurately reflect Washington, D.C., cannabis regulations.)
Step into Leaf411 member Takoma Wellness Center medical cannabis dispensary in Washington, D.C., and the first thing you’ll notice is the hamsa, a hand-shaped design that is believed to offer protection and good fortune, that traces back to ancient Mesopotamia.
The hamsa symbol is fitting, given that it shares a long history that runs parallel with cannabis. The cannabis plant can also be tracked back thousands of years ago when it was used medicinally, including in Mesopotamia. The hamsa symbol also holds an important place in the Jewish culture shared by founders Stephanie Kahn, BSN, Rabbi Jeffrey Kahn and their son Joshua Kahn.
With a background in healthcare and the spiritual community, the Kahns already had extensive experience helping patients before entering the cannabis industry. One cannot help but think of Takoma Wellness Center’s extensive hamsa collection as a symbol of their caring and hope for the patients who visit the store.
Navigating Washington, D.C.’s unique cannabis landscape
Takoma Wellness Center holds a unique spot as the oldest and longest running legal medical dispensary in Washington, D.C. While cannabis remains illegal at the federal level, the plant is legally sold for medical use in the nation’s capital, and possession of small amounts for personal use has been decriminalized.
District residents also support adult use (recreational) cannabis; however, Washington, D.C., is unique in that it’s not a state but a district that is ultimately governed by the US Congress. So far, Congress has blocked the district’s efforts to create a legal adult use cannabis marketplace.
District of Columbia dispensary Takoma Wellness Center accepts out-of-state MMJ cards
Cannabis cannot cross state lines, but marijuana medical cards can in a few states as well as in Washington, D.C. Medical dispensaries in the district accept valid medical cards from any state with a legal medical cannabis program, when that person is visiting the district and buying medicine in-person. (Dispensaries are not allowed to deliver or ship product across state lines due to ongoing federal prohibition that regulates all interstate commerce.)
For Takoma Wellness Center which is located only a few blocks from the Maryland state line and approximately 10 miles from Virginia, this means that over 50% of their customers come from outside the district, mostly from neighboring states. As nearby state marketplaces evolve, however, the mix of patients continues to change.
“We used to get a lot of patients from New Jersey and Pennsylvania, but as their own state programs have improved, there’s less need for their residents to travel to find cannabis medicine that works for their needs,” Stephanie says.
Of course, the capital is also a popular place for people from around the country to visit. For patients who are unable to bring their cannabis medicine with them when traveling, finding a trustworthy local source like Takoma Wellness Center can be a godsend.
Building a medical dispensary around the needs of cannabis patients
Takoma Wellness Center was built around not only providing a wide range of products but also exceptional service to patients, with patient consultants (similar to budtenders) who spend time educating visitors on different options. That commitment has remained even during pandemic challenges.
“Prior to the pandemic, we would spend a lot of time with our patients. That all changed last year with restrictions and the need for social distancing,” Stephanie says.
“A lot of the changes were positive. We were allowed to implement online ordering, curbside service and delivery. The downside, though, was that we were not able to spend the same amount of time in store consulting with patients.”
In response, Takoma Wellness Center developed virtual consults and protocols for patients to check in outside, reducing the time most people needed to spend inside the store. Stephanie says that their relationship with Leaf411 has also helped, with Leaf hotline nurses who are able to guide patients on the phone while looking over Takoma Wellness Center’s extensive online menu.
What are the top reasons patients turn to medical cannabis?
Takoma Wellness Center serves patients who are seeking alternatives for a wide range of conditions.
“Pain and anxiety top the list, when it comes to the information that patients share with us. We have patients visiting us who have autoimmune diseases, multiple sclerosis (MS), Lyme disease, Ehlers-Danlos syndrome, fibromyalgia, cancer pain and chemo side effects, who are seeking relief,” Stephanie says.
“We also have a couple of pain doctors in the area who are suggesting cannabis as an alternative to opioids for some of their patients. In my mind, this is a very positive development,” Stephanie says, though she also acknowledges that many other pain clinics continue testing patients for THC, with positive THC tests disqualifying them from continuing with prescription-based pain medications.
Advice for both new and experienced cannabis patients
Stephanie has spent years helping patients understand the ever-changing cannabis landscape, with Takoma Wellness Center’s product selection informed both by Stephanie’s cannabis nursing background and years of experience hearing from patients on what has worked best. She’s also seen common missteps that new patients make on their first dispensary visit and has some general advice to share.
“A lot of cannabis naïve patients come in wanting to try edibles first. However, we really encourage them to first try tinctures instead. It’s much easier to adjust your dose with tinctures, which is especially important if you’re starting low and going slow,” Stephanie says.
She also sees both new and experienced cannabis users missing out on the full potential of plant medicine when they only focus on finding the highest-THC products.
“Whether the patient has been buying on the street for 30 years or they’re new to cannabis, we often see them looking for the highest THC product when a ratio product containing a balance of THC and CBD might actually provide better relief,” Stephanie says. “Obviously we’re not going to force education on them, but we do encourage patients to explore different product types and often have discounts to make it easier to try new things.”
When trying new products, Stephanie suggests that patients resist the urge to “stock up,” since cannabis products cannot be returned to the store.
“We’ve had customers who are brand new to cannabis who want to buy a half-ounce of cannabis flower or an extra-strength tincture because they believe it will be better than regular strength. While we’re not going to deny them that purchase, we do try to educate them and explain what the problems they might encounter,” Stephanie says.
Stephanie as well as Takoma Wellness Center staff also suggest that patients start low and go slow, understanding that everyone’s endocannabinoid system is different.
“The dose that works best for your friend may either be not enough or way too much for you. The best way to find your ideal dose is to start low and go slow, building up to the dose that works for you,” Stephanie says.
Looking for the best local, family-owned D.C. dispensary with deep ties to the area?
Today’s patients and consumers have more options than ever when it comes to shopping for cannabis medicine. Many are eager to support local businesses that are making a difference and building a sustainable, equitable cannabis industry.
Takoma Wellness Center’s ties to the community run deep. Both of Stephanie’s parents grew up in Washington, D.C. within blocks of the medical dispensary’s current location. It was her parents’ experience using cannabis on doctors’ recommendations that inspired the Kahns to open a medical dispensary. As Stephanie says, “The story of medical cannabis in our city is personal to us—it’s also our family story.” (Read more about their story here.)
Stephanie is humble when it comes to ways the dispensary reinvests in the community. When asked, she shares that Takoma Wellness Center hires from the community, offering full health benefits, paid time off and above minimum wage pay. The dispensary has also participated in National Expungement Week and supports various community groups and programs.
Takoma Wellness Center has earned Washington City Paper’s Best of D.C. Best Dispensary award for five consecutive years thanks to its commitment to patients and the community, as well as its vast product selection.
Also, as a Leaf411 business member, Takoma Wellness Center also helps ensure that cannabis education is freely available to all patients, regardless of where they live.
Katherine Golden, Leaf411 founder and CEO/ED says, “Based on the calls we receive from Takoma Wellness Center customers, we can tell that their staff really care about helping patients only purchase what they need, saving them money and reducing buyers remorse by providing resources like Leaf411.”
Check our fully-vetted Leaf member directory for the best cannabis stores and brands
Thousands of cannabis brands compete for your attention and dollars. How do you sort through all the options to find incredible businesses like Takoma Wellness Center? We suggest starting with our Leaf Member Directory located under our Resources tab on our home page, to find cannabis and hemp CBD companies located throughout the United States. We carefully review all our supporting members and are confident in referring members of the public, our callers, friends and family members to these businesses.
Remember that the non-profit Leaf411 is a resource available at no cost to you, the public. Whether you would like help understanding an online dispensary menu, or have questions about product dosing or potential interactions with other medications, our cannabis-trained nurses can help. Call the Leaf411 hotline at 844-LEAF411 (844-532-3411) or chat us from our home page during hotline hours, Monday-Friday from 8:00 a.m. to 7:00 p.m. MDT.
The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.
CBD and Workplace Drug Testing
Can hemp CBD make you fail a drug test? It depends.
Medically reviewed by Katherine Golden, RN, and Eloise Theisen, NP
Written by Denise Rustning
Our Leaf nurses recently heard from several upset callers who unknowingly tested positive for THC on workplace drug tests, despite limiting their use to hemp CBD products. How did this happen? What can you do to reduce your risk of failing a drug test as a result of legal CBD use?
Natural hemp contains trace amounts of THC
Hemp is actually a form of cannabis that has been cultivated for specific characteristics, including high levels of cannabidiol (CBD) as well as very low levels of Delta-9 tetrahydrocannabinol (THC). Federal law requires legal hemp plants to test at under 0.3% THC on a dry weight basis. This hemp plant matter is then used to make the CBD tinctures, gummies, creams and other products that many of us rely upon for wellness and relief.
How much THC are you really getting in your hemp CBD?
The product you are taking may meet the legal limit for a hemp CBD product because it registers at 0.3% dry weight of THC. But after processing and packaging, the amount of THC per milliliter may exceed that amount.
Our Leaf nurses have seen many products on the hemp CBD market that are over 1-2 milligrams of THC per milliliter (1 milliliter is typically one dropper full).
Unfortunately many consumers may start off consuming 1-2 droppers full of full-spectrum hemp instead of a lower dose due to limited education when they purchased the product. As a result, they may unknowingly test positive on a drug screen because they are actually consuming 1-2 milligrams of THC on a regular basis.
Wouldn’t a consumer feel it if they were ingesting a couple of milligrams of THC? Sometimes yes and that’s why we have callers complaining that a CBD hemp product made them “high.” Not everyone will feel this type of effect, though, due to the low dose and fact that CBD impacts how THC is absorbed when both are taken together.
How to read a hemp CBD Certificate of Analysis (COA)
You may be wondering about the hemp products in your own cabinet, wondering where you can find information on the amount of THC in your full-spectrum CBD. The best place to look is the product’s Certificate of Analysis (COA) showing lab results from third-party testing.
- The amount of THC (milligrams per gram or “mg/g”) number is typically the last row on the right hand side (see example below).
- This number, mg/g, is approximately the same as milligrams per milliliter–in other words, the amount of THC that you will get per each milliliter (mL) dropperful. (Visit this article to learn more about volume conversion between different cannabis products.)
- Looking at the example COA below, you would expect to get about 0.4 mg of THC in each dropperful of the hemp tincture that was tested.
Screenshot from a third-party testing lab Certificate of Analysis (COA) for Elixinol’s Everyday Daily Balance Full-Spectrum CBD Tincture, showing CBD content as well as trace amounts of Delta-9 THC and other minor cannabinoids.
Understanding how much THC is really in your hemp is one part of the puzzle when it comes to potential drug testing. Another clue can be found in how those small amounts of THC are stored in your body, building up over time, when assessing whether your hemp use puts you at risk of failing a workplace drug test.
Leaf411 understands how complicated understanding medical formulations can be and that’s where our hotline nurses can help! If you have your COA in hand, our nurses will do the math for you and figure out the amount of THC you are taking with each dose. Call 844-LEAF411 (844-532-3411) or chat us from our home page during hotline hours, Monday-Friday from 8:00 a.m. to 7:00 p.m. MDT for help in understanding COAs and hemp CBD dosing, at no cost to you.
Understanding how THC is stored in the body
Many people prefer full-spectrum hemp CBD, finding it provides better quality symptom management for them than broad-spectrum or CBD isolate products.
With full-spectrum CBD, different plant compounds including minor cannabinoids and small amounts of Delta-9 THC are believed to work together to create an entourage effect. In other words, all the plant compounds working together have a stronger effect than any one compound would have by itself.
THC levels in full-spectrum hemp CBD products are low. However, they can pose potential risks when it comes to workplace drug testing.
Why is that?
When you ingest full-spectrum hemp either orally or through inhalation (smoking or vaping), the trace amounts of Delta-9 THC breaks down into non-active metabolites (THC-COOH) that stay in your system for days or even weeks. While these non-active metabolites don’t make you “high,” they are the markers of cannabis use that urine drug tests look for as evidence of previous cannabis use.
These THC-COOH metabolites accumulate or build up in your system over time, stored in fat cells until they are more slowly excreted, showing up in urine and saliva.
As we just mentioned, this buildup of THC-COOH does not cause intoxication or any other side effects, and is not a problem for most people–unless they are subject to drug testing.
In fact, the American Cannabis Nurses Association (ACNA) has come out against urine-based workplace drug testing due to the fact these tests are unreliable and do not accurately measure on-the-job impairment, with positive test results negatively impacting nurses and other workers who use hemp CBD and cannabis responsibly and legally while off the clock. Click on this link to download the full ACNA resolution regarding workplace drug testing of nurses for cannabis.
Do small amounts of THC from full-spectrum hemp build up to a detectable level?
Unfortunately, research is sparse on how small amounts of THC-COOH metabolites accumulate in full-spectrum hemp CBD users.
In regular cannabis users consuming higher-THC products, we know that these THC-COOH metabolites can stick around for up to a month following discontinuation of daily marijuana use, based on research.
We can also assume that even though the amount of THC in full-spectrum hemp is very small, it will accumulate in daily hemp users the same way that larger amounts accumulate in marijuana users, stored in fat cells with levels of THC-COOH increasing over time.
This is one plausible explanation for recent calls our hotline has received from daily hemp users who failed workplace drug tests based on the levels of the THC-COOH metabolite in their urine, even though they were using an average daily dose of full-spectrum CBD. We’ll discuss what amounts of THC-COOH the drug tests look for further down in this blog post.
Also, it is important to note that workplace drug tests look for evidence of Delta-9 THC, not other cannabinoids like CBD, CBN, or even hemp-derived Delta-8 THC which is created through a chemical process. (Learn more about Delta-8 here https://leaf411.org/answering-your-delta-8-questions/.)
Hemp CBD product quality matters
When investigating why hemp users may fail workplace drug tests, another potential issue comes up as well—product quality.
The hemp CBD product market is largely unregulated for now, putting the onus on the consumer to research product quality and trustworthiness.
The most powerful tool available to a consumer is the product Certificate of Analysis (COA) from a third-party laboratory (i.e. the product is not tested by the company itself); however, lab testing and COAs are completely voluntary for hemp manufacturers, and hemp lab testing technology lacks precision when it comes to very small amounts of cannabinoids when compared to drug testing technology. (To learn more about COAs, what they show and how to read them, we suggest checking out the article and video at this link.)
You can usually find product COAs on the manufacturer’s website, checking them out before you purchase a product.
We took a quick look at some of our Leaf411 hemp CBD members’ sites, and found that links to the COAs may be found either on the top menu or on the bottom of the main website, as well as on product pages themselves. You can also directly contact a manufacturer to request the COA for a particular product. If they don’t offer COAs, it might be best to keep looking for a different brand that does.
Product COAs provide a good start. If you’re buying from an established high-quality brand, you can be more confident that the COA can be trusted. Unfortunately some shady brands have been known to make fake COAs for their products.
Keep in mind, though, that a lack of standards across different third-party labs as well as the natural variability in plant-based products can result in cannabinoid levels that fluctuate between product lots or even individual product items, meaning that even honest companies face challenges in accurately reflecting the amount of THC in their products.
The U.S. Food and Drug Administration (FDA) recently tested 147 hemp CBD products on the market, with some surprising findings:
- Over half (108) of the products did not contain the amount of CBD listed on the label. Of those, 18% contained significantly less CBD than advertised, and 37% contained significantly more CBD than advertised.
- Nearly half the products contained THC levels above the limit of quantitation (LOQ), which is 3.1 mg per serving.
(Read the FDA summary in pdf format here.)
In other words, even reputable companies face challenges in accurately reporting precise test results, and less savory CBD companies often take advantage of the lack of standardized testing to sell products that don’t come near their product label claims.
What are your workplace drug testing policies?
We’ve talked a lot about the CBD and THC cannabinoids in full-spectrum hemp, and how THC-COOH metabolites are stored in the body. Now, let’s turn to the urinalysis drug testing process, a topic we’ve written about before, but geared more toward marijuana users.
Most workplace drug tests, as well as the federal Department of Transportation (DOT), use a 50ng/ml limit for presence of THC-COOH metabolites. Hit that number or any higher, and you will fail the test.
In fact, drug testing laboratories are even able to test urine for lower levels of THC-COOH metabolites, at either a “sensitive” level of 20ng/ml, or an “extra-sensitive” level of 15ng/ml.
Is it possible for regular, responsible full-spectrum hemp use to put someone over the 50ng/ml limit? Based on recent calls to our hotline, we believe so.
Leaf411’s guidance for hemp CBD users who are subject to drug testing
- Be proactive. Take a look at your daily hemp CBD regimen, including all tinctures, gummies, beverages and other products you use to get an approximate idea of how much THC you might be ingesting or inhaling on a daily basis. As we mentioned before, though THC amounts are small, they can build up over time.
- When looking at the hemp CBD products you use (including those that claim to be THC-free), check if the manufacturers provide their COA lab results online on their website. COAs provide an extra level of assurance that the company is committed to transparency and high quality standards, though it’s not an absolute guarantee due to variations in lab testing techniques.
- Find out your workplace’s drug testing policies, as well as what sensitivity they test at. If you have a pending test scheduled at a lab, you can contact the lab directly to confirm what level they will be using. As we mentioned before, 50 ng/mL is the most common level employers use.
- Consider doing your own home drug testing with plenty of time before you face any potential workplace drug tests. We suggest utest which offers marijuana drug tests at different sensitivity levels, including 15 ng/mL, 20 ng/mL, and the standard 50 ng/mL, so that you can prepare based on what you know about your workplace’s testing policies.
- If you find that your current hemp CBD use triggers a positive THC drug test result, you may want to consider either taking a break from hemp CBD altogether, or switching to broad-spectrum or isolate products which should be THC-free. Of course, you’d want to repeat your home test in a few weeks to ensure your levels of the THC-COOH metabolite have gone down.
- For nurses and other healthcare workers: Consider sharing the ACNA position statement on workplace drug testing with your organization (click this link to download). Alternatives exist to more accurately test on-the-job impairment.
Keep in mind that our Leaf411 hotline nurses can help guide you in this process, at no cost to you. Call 844-LEAF411 (844-532-3411) or chat us from our home page during hotline hours, Monday-Friday from 8:00 a.m. to 7:00 p.m. MDT.
The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.
Cultivars, Clones and Kief: Your Guide to Common Cannabis Flower Terms
Written by Whittney Wacker, BSN, RN
The world of cannabis has changed with legalization, and that includes the terminology used to describe cannabis flower (buds). Whether you’re brand new to cannabis or returning after a long hiatus, today’s terminology and flower options can be intimidating.
At Leaf411, we can help! Today, we’ll explain common terms you’re likely to hear when shopping for cannabis. These terms reflect the life cycle of dispensary-grown cannabis plant flower products.
Lightshade’s Green Crack cannabis strain being grown.
Cultivar: Another word for cannabis strain
The term “cultivar” refers to any species of plant (not limited to just cannabis) that has been produced in cultivation by selective breeding of two parents with specific and desired profiles, not a wild type/species. Plants like tomatoes are often referred to as different “varieties” instead of “cultivars” but they mean the same thing.
Likewise, in cannabis, the word “strain” is often used in place of “cultivar.” While there are a lot of strong opinions in the industry about whether we should push to use the scientifically correct term “cultivar,” the reality is that most dispensaries use the term “strain” for the flower products they sell. Don’t get too hung up on this—both sides are talking about the same thing!
Different cultivars are crossbred to develop specific cannabinoid and terpene profiles for their desired effects, with their names reflecting their lineage. This is where we get some of the fun, crazy, and creative names of cannabis strains today, like the ones shown below:
Seed & Smith Purple Trainwreck (Trainwreck x Mendocino Purps)
Seed & Smith Malibu Sunrise (Malibu Pure Kush x I95)
Lightshade Primus OG (303 Kush x Arcata x Trainwreck)
Lightshade Green Crack (lineage is less certain, but likely Skunk x an Afghani landrace).
We can look at the cultivar DJ Short Blueberry to see how new cultivars are developed. DJ Short Blueberry reflects the namesake of its creator, the legendary Oregon cannabis breeder DJ Short. The Blueberry cultivar’s parents are Afghani and Thai cultivars that were crossbred to create the Blueberry genetic that is known for its fruity aroma and euphoric, relaxing high. DJ Short went through multiple filial (f1, f2, etc.) generations to arrive at the world-renown genetics of the Blueberry F5.
Shopping for cannabis at Takoma Wellness medical dispensary in Washington, D.C.
Cannabis flower products
Now let’s take a look at the flower options you’ll likely find at your closest dispensary.
Flower is raw plant material/bud that can be smoked in joints, blunts, bongs or pipes. Heat converts (decarboxylates) the primary cannabinoid from THCA (which is not intoxicating) to THC which provides many therapeutic benefits as well as the sensation of being “high” at certain doses.
Flower is typically sold either by the gram or in 1/8 ounce (3.5 gram) amounts. Each legal state sets its own limit for how much cannabis flower consumers and patients can buy in a day. You can find an updated list of laws by state at this link.
When people talk about cannabis, flower is usually what first comes to mind, along with smoking the buds in bongs, pipes or rolled joints.
Some cannabis manufacturers like our business members Lightshade and Seed & Smith use flower to make their pre-rolled joints or “pre-rolls.” Other manufacturers may instead use shake or trim, which we’ll discuss further down.
Bonkers top shelf flower displayed at Nature’s Gift Shop medical and recreational dispensary in Pueblo West, Colorado, sold in grams, eighths, quarters, half-ounces or ounces. Bonkers is a fruity strain with calm, happy effects.
Flower from Maryland’s Herbiculture medical dispensary packed into bong bowl.
Seed & Smith pre-rolls are made with full cannabis flower, not shake, and use all-natural rolling papers.
Lightshade pre-rolls are made with full-flower cannabis, not shake, and are available in three different sizes catered to different consumer needs.
Flower can also be used in dry herb vaporizers such as the iconic desktop Storz & Bickel Volcano, the Storz & Bickel MIGHTY, the Pax2 or Pax3 or the Arizer ArGo. These dry herb vaporizers heat the flower enough to convert THCA to THC and also release many of the flower’s terpenes without burning them. Because vaping doesn’t actually combust the flower, some people find it offers a smoother inhale than joints, pipes or bongs.
Flower’s versatility extends to using it to make tinctures, cannabutter and edibles, a topic we’ll cover in a different blog post.
Buying flower is more expensive than popcorn buds or shake (discussed below); however, flower is cheaper than other products like edibles and is flexible in how it can be used.
Popcorn buds available at Nature’s Gift Shop medical and recreational dispensary in Pueblo West, Colorado.
Popcorn buds are smaller buds that come from the part of the plant that did not get the same light exposure as the topleaf of the plants. These buds are typically deemed “B grade” as they are not aesthetically pleasing to the eye as “top shelf” buds and are therefore lower in cost. There’s no medicinal difference in popcorn buds, although in some cases the concentration of trichomes (where many terpenes are found) may be reduced due to breakage. Popcorn buds may be sold in larger quantities of 1/2 ounce to 1 ounce.
Shake/Trim-leftovers/scissor clippings are created when the cannabis buds are harvested, made up of bits and pieces that fall off or are cut off the main bud, as well as an occasional stem or seed. Shake also includes the “crumbs”—little bits of bud—leftover in dispensary jars. Shake is often the lowest-cost raw flower product offered by a dispensary, selling for up to 80% cheaper than full bud.
Shake is used by some cannabis brands to make pre-rolled joints. It can be an affordable ingredient option for making homemade cannabis edibles. Manufacturers also utilize shake for making hash or other concentrates.
A few dispensaries like Lightshade and Nature’s Gift Shop in Colorado as well as Takoma Wellness in Washington, D.C., sell their trim by the cultivar/strain; however, most do not. That means when you buy shake or trim at most dispensaries, you will likely get a random mix of all the strains they sell (some older, some new). That is the unfortunate part if you are looking for specifics for your medicine because you don’t know the exact potency of the THC, CBD and terpene profiles you are buying.
Two different strain-specific shake/trim options at Nature’s Gift Shop medical and recreational dispensary in Pueblo West, Colorado.
Herb grinder designed for cannabis flower. Kief is shown in the compartment on the right side, after passing through the screen in the multi-chambered flower grinder.
Kief is not to be confused with shake, though it also comes off of buds. Kief is a powder-textured substance made up of resinous trichomes from the cannabis plant that have fallen off the flower bud after it has been harvested and cured, and often contains high amounts of terpenes and cannabinoids.
Kief is sometimes added to prerolls or sprinkled on top of home-rolled joints or bowls to add potency. It can also be added to cannabutter or made into hash or press rosin using pressure and heat.
Adding kief to your cannabis flower routine? Keep in mind that kief packs a potent punch, and that you’ll want to use less product for the same effect.
You bought cannabis flower—now what?
Let’s get back to the basics—cannabis flower. You’ll need to prepare your cannabis flower, grinding it before rolling it into a joint or packing it into a bowl or a herb vape.
How do you grind cannabis flower? Most people use a handheld herb grinder designed to grind or break up raw flower buds into a smaller, more manageable size for placement into pipe, bong, joint, or flower vaporizer.
Check out this link for a video of our Leaf nurse Natalie Murdock, BSN, RN, demonstrating how to use a flower grinder.
Some herb grinders have multiple compartments separated by screens. Ground flower is captured in one compartment. Then another compartment, separated by a screen, catches kief.
Only grind as much flower as you plan to use in a session, so that your remaining supply stays fresh longer.
How to store cannabis flower
The dispensary grower and the cannabis plant have worked hard to produce those potent, healing flowers. By taking a few simple steps, you can ensure that your cannabis doesn’t turn into dry, crumbly bud that has a harsh smoke and no aroma.
Dispensaries often sell raw flower product in dark-colored, childproof plastic containers. These may not be the best storage to preserve your flower and the terpenes contained within as plastic may be porous and allow for air exchange.
Also keep in mind that when cannabis is exposed to light, air and heat, then degradation of the cannabis flower can occur. In extreme cases, for example if you leave your flower in a hot car, decarboxylation may occur (THCA converting to active THC).
What is the best way to store cannabis flower? A glass jar that is amber colored with a tight fitting lid may be the best way to preserve the fresh aroma (terpenes) and potency of the raw flower. You can also use a clear glass jar to store cannabis flower, but be sure to keep it in a dark spot away from direct sunlight.
If preserving the terpenes and quality of the bud is important to you, it may be advantageous to look for a humidity packet that helps keep the flower at optimal humidity while it is in storage. Boveda packets are just one brand of desiccant that can be placed in a jar to aid in the preservation. They can be found at this link.
Using clones to grow your own cannabis
Dispensaries that are vertically integrated (grow their own product) may sell clones of their cultivars if local and state regulations allow the practice. A clone is a marijuana plant clipping that is planted and grown, creating an exact genetic replica of the mother. Buying a clone is much like buying a plant start at a nursery. You know exactly what you’re getting.
Growing your own plants from clones may be ideal if you want to grow your medicine at home, and it can be very cost effective. In fact, last year’s pandemic-related lockdowns sparked new interest in gardening and other self-sufficient practices, including growing your own cannabis.
If you decide to go this route, you’ll first want to fully research city and state regulations that outline how many plants you can own, as well as where they can be grown on your property. For example, Denver, Colorado, requires that home grows be located indoors in a locked area. Details like that are good to know before you invest in a pricy outdoor raised bed for your clones!
Why not use cannabis seeds to grow? Put simply, your odds of success are much higher with clones. When it comes to seeds, there are a lot of ins-and-outs, including finding the best phenotype of that specific cultivar and ensuring the plants you sprout are female and not male. Male plants produce pollen but not flowers, and that pollen can wreak havoc on any female plants you’ve been carefully cultivating, with the pollinated female plants shifting their energy to creating seeds, not bigger buds.
Cannabis clones ensure you know what you’re getting when growing your own.
Shopping at A Therapeutic Alternative cannabis dispensary in Sacramento, CA.
We can help with your cannabis shopping questions!
All calls to our free Leaf411 hotline are answered by cannabis-trained fully-licensed RNs who are familiar with the wide range of products on dispensary shelves today. If you’re looking for a flower strain or product to help manage a specific health concern, a quick call to our hotline may help save you money and time.Our RNs will help point you in the right direction based on your specific concerns.
Even in areas without legal cannabis, we can suggest hemp CBD products that may help you achieve health and wellness goals.
Our fully-licensed Leaf RNs are ready to help answer your questions at no cost to you. Call the Leaf411 hotline at 844-LEAF411 (844-532-3411) or chat us from our home page during hotline hours, Monday-Friday from 8:00 a.m. to 7:00 p.m. MDT.
The Leaf411 cannabis nurse hotline provides free, anonymous education and directional support to the general public about the safe use of legal cannabis. We partner with select business members who meet our rigorous standards to extend our education and outreach efforts.
Looking for Alternatives for Chronic Pain?
Medically reviewed by Katherine Golden, RN, and Eloise Theisen, NP
Written by Denise Rustning
If you’ve ever dealt with chronic pain, you know that relief can be elusive. Popping an aspirin rarely resolves the issue. However, many long-term prescription medications used to manage chronic pain are problematic, with concerning side effects.
Have you ever thought about giving cannabis a try when dealing with chronic pain? If so, you’re not alone.
Keep reading to learn how increased knowledge about plant-based medicine, along with expanding availability of fully-tested legal products, is making it easier than ever to find a hemp CBD or a higher THC product that can provide targeted relief that fits your lifestyle.
Also, consider watching a replay of our July 2021 Leaf Learning Series event, Exploring Cannabis for Chronic Pain, on the Leaf411 YouTube channel at this link. You’ll instantly access Dr. Dustin Sulak’s discussion on how both cannabinoids and opioids work to reduce pain, along with insights on how cannabis serves as a safe alternative for chronic pain for many people.
