The 8 Senses of Autism

The 8 Senses of Autism Autism Awareness Promoting the latest studies on Autism and non-psychoactive h**p Cannabinoid or CBD.

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12/28/2019

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12/28/2019

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About the siz

As rates of chronic disease among children have skyrocketed over the past few decades, pediatricians have increasingly l...
08/31/2019

As rates of chronic disease among children have skyrocketed over the past few decades, pediatricians have increasingly looked for solutions beyond the clinic. Sometimes that means actually prescribing time outside. Special correspondent Cat Wise reports from Oakland on the medical evidence that indicates escaping modern urban life, even temporarily, can yield health dividends.

As rates of chronic disease among children have skyrocketed over the past few decades, pediatricians have increasingly looked for solutions beyond the clinic. Sometimes that means actually prescribing time outside. Special correspondent Cat Wise reports from Oakland on the medical evidence that indi...

https://factsaboutcbd.org/the-autism-problem-and-the-role-of-cbd-2639.html
04/28/2019

https://factsaboutcbd.org/the-autism-problem-and-the-role-of-cbd-2639.html

It is interesting to note that CBD appears, according to a wide range of anecdotal and formal medical research, to have a variety of important effects that can be useful in prevention and treatment where a number of different health conditions are concerned. And, even more interestingly, we often do...

Study: With CBD, 80% of Children With Autism Saw Improvement.Israeli researchers have found more compelling evidence tha...
01/12/2019

Study: With CBD, 80% of Children With Autism Saw Improvement.

Israeli researchers have found more compelling evidence that medical cannabis is an effective therapy for children on the autism spectrum. In this soon-to-be-published study in the journal Neurology, researchers treated autistic children with high concentrations of CBD, a non-intoxicating cannabinoid found in the cannabis plant.

Conditions in 80% of the children improved. Alternatively, the children had not shown improvement with conventional drug therapies.

The Study Up-Close
The study was led by the director of pediatric neurology at Jerusalem’s Shaare Zedek Hospital, Dr. Adi Aran, who treated the 60 children with a high-CBD cannabis oil (20% CBD and 1% THC). The children were treated for at least seven months with the oil.

After the treatment period, parents answered assessment questionnaires to characterize their child’s condition. Questions were asked about behavioral changes, anxiety levels and ability to communicate.

Here’s what they reported:

80% of parents noted a decrease in problematic behaviors, with 62% reporting significant improvements.
Half of the children had improved communication.
40% reported significant decreases in anxiety. (Note: one-third of the study participants began the study with no anxiety.)

Neuroscientist Dr. Thomas Deuel of the Swedish Hospital in Seattle says there is definitely a connection. While scientists do not clearly understand the reasons behind the relationship, they suspect that the different brain development that occurs in autistic children is more likely to create circuits that cause epileptic seizures.

That link has caused many parents to seek out cannabis treatments for their autistic children. Parents certainly have anecdotal evidence of the effectiveness of CBD oils on their autistic children, but mainstream medicine has remained skeptical due to the lack of data. With most conditions treated with cannabis, anecdotal evidence and personal experience far outweigh actual peer-reviewed scientific research.

What’s Next for CBD Research?
In 2015, Harvard University and Boston Children’s Hospital published a baseline review of cannabis and autism studies to date, showing that the research did show promise, but nothing definitive could be said about cannabis’ ability to improve pediatric patients. The Harvard review stated that most research was animal-based and did not yet show translational impacts to human subjects. In fact, the review concluded with the cautionary statement that cannabis treatments should be used as a last resort after all conventional therapies have failed. Indeed, a widespread reluctance exists within the pediatric community to study the effects of cannabis in children, due to the potential of harmful side effects.

Since 2015, only a few small studies have been conducted, with promising results. One of the biggest impacts to spur on future research has been the U.S. Food and Administration (FDA) approval of Epidiolex, a CBD oil-based elixir manufactured by British drug developer GW Pharmaceuticals as a treatment for two rare types of childhood epilepsy. Scientists took notice at the amazing body of evidence that GW Pharmaceuticals presented regarding the effects of the drug.

Now, New York University (NYU) neurologist Dr. Orrin Devinsky, the same scientist who did research on Epidiolex, is now conducting two studies on CBD effects on children aged 5 to 18 with moderate to severe autism. The only other doctor who is currently doing studies like this is Aran.

Since autism and epilepsy go hand in hand, CBD is showing promise for treating both conditions.

Perhaps as doctors begin to see the effects of Epidiolex, and review research like that of Aran’s and Devinsky’s autism studies, many more will begin to delve further into use of medical cannabis.

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Statement on the Status of H**p-Derived CBD Under New Federal Law. Jonathan Miller, General Counsel to the U.S. H**p Rou...
01/12/2019

Statement on the Status of H**p-Derived CBD Under New Federal Law. Jonathan Miller, General Counsel to the U.S. H**p Roundtable, Frost Brown Todd, Lexington, KY

As a consequence of the 2018 Farm Bill, h**p is now permanently removed from the Controlled Substances Act (CSA). It is now deemed an agricultural commodity, no longer able to be classified as a controlled substance, like ma*****na.

Furthermore, by redefining h**p to include its “extracts, cannabinoids and derivatives,” Congress explicitly removed popular h**p products – such as h**p-derived CBD -- from the purview of the CSA. Accordingly, the Drug Enforcement Administration (DEA) no longer has any claim to interfere with the interstate commerce of h**p products, so as long as the THC level is at or below 0.3%. This should give comfort to federally regulated institutions – pharmacies, banks, merchant services, credit card companies, e-commerce sites and advertising platforms -- to conduct commerce with the h**p and h**p CBD industry.

State and Tribal governments may impose separate restrictions or requirements on h**p growth and the sale of h**p products – however, they cannot interfere with the interstate transport of h**p or h**p products.

The FDA’s position on CBD is unsettled and unsupported by law.

While the DEA is now officially out of the h**p regulation business, the U.S. Food and Drug Administration (FDA) retains its authority to regulate ingestible and topical products, including those that contain h**p and h**p extracts such as CBD. Much public attention has focused on a non-binding Q&A posted on the FDA web site starting about three years ago[1] -- reiterated in a December 20, 2018 statement by the FDA Commissioner[2]-- which suggests that CBD products cannot be marketed as foods or dietary supplements.

This position, however, is unsettled and rests on questionable legal grounds. More importantly, the agency’s current position is nota final determination and should not be interpreted as the law.

As background, the Food, Drug & Cosmetics Act, as amended by the Dietary Supplement Health and Education Act of 1994 (DSHEA),[3]defines a “dietary supplement” as a product intended to supplement the diet that contains one or more of the following: (a) a vitamin; (b) a mineral; (c) an herb or other botanical; (d) an amino acid; (e) a dietary substance for use by man to supplement the diet by increasing the total dietary intake; or (f) a concentrate, metabolite, constituent, extract, or combination of any ingredient described in clause (a) through (e).[4]

Thus, the law permits a wide range of dietary ingredients in dietary supplements, including CBDwhich is an extract of a botanical (Cannabis sativa L.plant). CBD also falls under clause (e) as it is a dietary substance for use by man to supplement the diet by increasing the total dietary intake.

The FDA has taken the position – via Warning Letters sent to h**p-CBD companies,[5]as well as the FDA Q&A posting – that because a product containing CBD was approved as a drug and substantial clinical trials studying CBD as a new drug were made public prior to the marketing of any food or dietary supplements containing CBD, dietary supplements or food are therefore precluded from containing this ingredient ( referred to as the “IND Preclusion”).[6]

However, we firmly disagree that the referenced clinical trials are in fact “substantial,” as the trials were extremely limited in scope, and funding and the publication of these trials were limited. The FDA also seems to misinterpret the IND Preclusion in that it believes the preclusion date is simply the date in which it authorized CBD as an IND, without giving deference to the remaining portion of the statute, which requires that substantial clinical investigation be commenced and that such substantial clinical investigation be made public. In addition, the FDA Q&A document does not have the effect of law but instead reflects FDA’s opinion, which the agency suggests may change as evidenced from the FDA’s own request for further input on the topic.

Rather, we believe that h**p-CBD products were marketed as dietary supplements and/or foods prior to any substantial drug investigations being undertaken, or made public, and that based on the definition of “dietary supplement” under DSHEA, CBD is in fact a permissible dietary ingredient. Moreover, Warning Letters and agency Q&A documentsare by no means final agency determinations.

It is of significant import that, to date, the FDA has not prohibited the sale of h**p-derived CBD products or ordered a product recall. Further, the primary motivation for the Warning Letters issued in 2015, 2016, and 2017 concerned the improper use of disease-remediation claims by supplement/food companies. No Warning Letter has been issued to a company that merely sold legitimate h**p-derived CBD products without making inappropriate disease-remediation claims.

Scientists, even FDA’s own, have concluded that CBD is safe as an ingestible product.

Current scientific research confirms that h**p-derived CBD is safe in food, supplements, and beverages and has provided general health and wellness benefits to millions of Americans. Because h**p contains only a negligible amount of tetrahydrocannabinol (THC), the psychoactive component of cannabis, h**p-derived CBD products are non-psychoactive and do not cause a “high” in users. Further, h**p-derived CBD does not have the potential for abuse or addiction, and there is no potential for diversion.

Food and supplements that contain h**p-derived CBD are subject to a comprehensive regulatory framework that addresses both the safety and quality of these products. In fact, the current Good Manufacturing Practices for food and supplements (21 CFR Part 117 and Part 111, respectively) are equally if not more robust than the regulations governing the manufacture and production of cannabis products in most states.

Indeed, the World Health Organization (WHO)Expert Committee on Drug Dependence recommended in August 2018 that “preparations considered to be pure CBD should not be scheduled within the International Drug Control Conventions.” Some key findings from the WHO:
“There are no case reports of abuse or dependence relating to the use of pure CBD.”
“No public health problems have been associated with CBD use.”
“CBD has been found to be generally well tolerated with a good safety profile.”
“There is no evidence that CBD is liable to similar abuse and similar ill-effects as substances…such as cannabis or THC.”[7]
Perhaps more significantly, a May 2018 memorandum from FDA Assistant Secretary Brett Giroir concludes that “CBD and its salts…could be removed from control under the CSA.” After a thorough scientific review and analysis, the FDA opined:
“There is little indication that CBD has abuse potential or presents a significant risk to the public health.”
“No evidence for a classic drug withdrawal syndrome for CBD, and no evidence that CBD causes physical or psychic dependence.”
“CBD does not appear to have abuse potential under the CSA.”
“There is no signal for the development of substance use disorder in individuals consuming CBD-containing products.”
“It is unlikely that CBD would act as an immediate precursor to THC for abuse purposes.”[8]
The FDA foresees a path toward full recognition of h**p-derived CBD as a dietary supplement and food additive.

Shortly after the Farm Bill signing, a letter was released by FDA Commissioner Scott Gottlieb that restated FDA’s current position, opining that it’s a violation of federal law to introduce CBD ingredients “into the food supply or market them as dietary supplements.”[9] While that portion of the statement provoked a few breathless media reports, it was old news.

The real news provided by the Gottlieb letter was that it also contained, for the very first time, a clear new path toward FDA’s permanent and formal acceptance of h**p-derived CBD as a food additive or nutritional supplement. For the very first time, the FDA is seriously considering using its authority to issue a regulation that will specifically allow h**p-derived ingredients in foods and supplements:

[P]athways remain available for the FDA to consider whether there are circumstances in which certain cannabis-derived compounds might be permitted in a food or dietary supplement. Although such products are generally prohibited to be introduced in interstate commerce, the FDA has authority to issue a regulation allowing the use of a pharmaceutical ingredient in a food or dietary supplement. We are taking new steps to evaluate whether we should pursue such a process.

This is unprecedented; the FDA has never used this authority for any ingredient determined to only be permissible in pharmaceutical drugs per the IND Preclusion. As it makes this decision, the FDA is reaching out to the industry and the public:

Given the substantial public interest in this topic and the clear interest of Congress in fostering the development of appropriate h**p products, we intend to hold a public meeting in the near future for stakeholders to share their experiences and challenges with these products, including information and views related to the safety of such products. We’ll use this meeting to gather additional input relevant to the lawful pathways by which products containing cannabis or cannabis-derived compounds can be marketed, and how we can make these legal pathways more predictable and efficient. We’ll also solicit input relevant to our regulatory strategy related to existing products, while we continue to evaluate and take action against products that are being unlawfully marketed and create risks for consumers. At the same time, we recognize the potential opportunities that cannabis or cannabis-derived compounds could offer and acknowledge the significant interest in these possibilities. We’re committed to pursuing an efficient regulatory framework for allowing product developers that meet the requirements under our authorities to lawfully market these types of products.

We can assure that the Roundtable will be in the room where it happens. With the partnership of other industry organizations such as the American Herbal Products Association and the H**p Industries Association, the pursuit of this approval path will be one of our top priorities for 2019.

There was also more good news from the FDA on December 20. That same day, FDA issued a statement opining that the “agency has no questions” about the conclusion that hulled h**p seed, h**p seed protein powder and h**p seed oil are generally recognized as safe (GRAS) under their intended conditions of use.[10] While the GRAS evaluation was made at the request of a specific company, Fresh H**p Foods, “the GRAS conclusions can apply to ingredients from other companies, if they are manufactured in a way that is consistent with the notices and they meet the listed specifications. Some of the intended uses for these ingredients include adding them as source of protein, carbohydrates, oil, and other nutrients to beverages (juices, smoothies, protein drinks, plant-based alternatives to dairy products), soups, dips, spreads, sauces, dressings, plant-based alternatives to meat products, desserts, baked goods, cereals, snacks and nutrition bars.”

===

There is still work to be done. But incautious media reports that broadly suggest that h**p-derived CBD is now federally illegal must be rejected. With the backing of consensus scientific research, and the evolving viewpoints of the FDA, the clear and permanent recognition of the legality of h**p-derived CBD as a food and dietary supplement ingredient is within our sites.

Sincerely,
Jonathan Miller, General Counsel to the U.S. H**p Roundtable, Frost Brown Todd, Lexington, KY

Rend Al-Mondhiry, FDA Counsel to the U.S. H**p Roundtable, Amin Talati Upadhye, Washington, DC

Sign up as a H**p Supporter to support legislation that would permanently remove h**p from the Controlled Substances Act.

01/07/2019

From humming to drumming to Tibetan singing bowls – recent research suggests that the influences of certain rhythms, sounds and vibrations can help us resist and recover from a wide variety of ailments.

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