What started out as a buzz in beauty and wellness circles has become an all-out craze over Cannabis. Why is CBD so hot right now? What does it do? Does it get you high? Is it legal and of course, is it safe? I’ve been testing some really good products in this space lately and I’m looking forward to sharing what I’m learning about it with you.

The Skinny on CBD

To start, there are 80 different compounds that have been extracted from the Cannabis plant. These compounds are called cannabinoids. Interestingly, our bodies have an endocannabinoid system and we even make our own cannabis-type chemical called anandamide!

Two of the most well known cannabinoids are THC, which can get you high, and CBD (which is short for cannabidiol), which does not. In other words, CBD doesn’t lead to feelings of euphoria. Some people say that CBD doesn’t have psychoactive effects, but I beg to differ.  Psychoactive drugs, by definition, can alter your mood.  When I’ve ingested CBD, I definitely notice a change in my mood. I feel more relaxed and at ease.  My patients who struggle with anxiety feel less anxious and more calm.  So, while I don’t think CBD can get you high, I do think it is technically a psychoactive compound.  Caffeine is considered to be psychoactive, so don’t let that term scare you!

When you ingest or absorb CBD, it naturally elevates your own internal cannabinoids/anandamide. And CBD and anandamide receptors are found in numerous parts of our bodies. CBD has gotten a ton of attention lately based on some recent studies are showing that it might have health benefits.

In terms of legality, CBD comes from the cannabis sativa plant. If the plant has less than 0.3% THC content, it’s considered hemp. If it’s got more THC, it’s considered cannabis, not hemp. This makes a difference in terms of whether its legal and in which state.

CBD and Your Skin

If you ingest CBD in a supplement or under your tongue, it enters the bloodstream and can interact with receptors throughout the body.  But if you rub it on the skin, it acts more locally and is less likely to have systemic effects

In particular, CBD appears to have anti-inflammatory properties, and many skin conditions are linked to inflammation, so it’s not a surprise this ingredient is popping up in tinctures, oils and serums. As we know from The Beauty of Dirty Skin, inflammation is the common thread that underlies seemingly unrelated skin issues including acne, rosacea, eczema, psoriasis and even premature aging.

The other potential upside of topical CBD is its potential to act as an analgesic to reduce pain in the skin.  Preliminary studies also suggest cannabis might help with itchy skin, wound healing and even skin cancer.

There are no large clinical trials in humans showing that these compounds are either safe or effective in humans. But, there are a few promising animal and laboratory studies that show potential for topical use that might benefit certain skin conditions.

There are some studies suggesting that topical cannabinoids might help dial down inflammation seen in eczema, skin allergies and psoriasis. Topical application to the skin of mice demonstrated that these molecules were able to not only calm inflammation, but also slow down production of molecules that we know make the skin feel itchy, like histamine. Some studies also show that they can help repair the skin barrier, helping the skin trap moisture while keeping foreign or harmful substances from penetrating into the skin.

Looking Forward:

I believe CBD holds promise for:

  • Acne: studies show that it can dial down redness, inflammation AND helps with sebum production/oil control
  • Itchy and inflamed skin: studies show that it can help to prevent the release of molecules linked with itch (like histamine), could be useful for eczema, bug bites or wounds starting to heal which often itch.
  • Skin cancer: studies show might be able to slow that rapid, uncontrolled, dysregulated cellular division that leads to skin tumors and skin cancers
  • Painful skin (shingles or a sunburn): preliminary studies suggest might even dial down the sensation of pain in the skin.
  • Anxiety: Anxiety is such a skin health saboteur (https://drwhitneybowe.com/stressing-24-7-is-b-b-bad-to-the-biome/) so I have my eye on the available information on CBD and stress!

My Current Thoughts:

For now, here are some of the recommendations I feel comfortable making to my patients. I would feel comfortable using CBD oil as a massage oil on INTACT, HEALTHY skin. I would totally rub it onto your soles before a night in heels! However, I am NOT ready to rub this onto skin that is inflamed. Even though it holds promise for conditions like eczema, rosacea, sunburns and wound healing, we know that ingredients are much more likely to penetrate into inflamed skin. These conditions are all characterized by inflamed skin, and an unhealthy barrier. I like to call this “leaky skin” and leaky skin is vulnerable skin. So, until I see some compelling clinical trials, I would NOT rub it on anything but healthy skin (for example, if your skin is red, itching, burning, stinging or painful- hold off for now).

Brands I am Loving:

Lord Jones 

Plant Juice Oils (founders are personal friends of mine!)

Dr. Whitney

 

 

As a dermatologist, I see the emotional and physical scars of acne in my office every day. This skin disease can be devastating in terms of self-esteem and confidence – its impact is very real. I have focused on acne for this very reason for many years in my practice and during my residency. Actually, as a dermatology resident, I studied the relationships between acne and emotions and published several papers on the topic.

However, there is now hope for recognition of this reality and a change due to a new study in the British Journal of Dermatology. Researchers from Canada used a very large United Kingdom database which tracked visits to primary care doctors. Remarkably, the sample size of acne patients involved 134,427 men and women (compared to 1.7 million controls without an acne diagnosis)!

After an initial diagnosis of acne, the researchers looked for a subsequent diagnosis of major depressive disorder over the next 15 years. There was an increased risk of major depressive disorder within the first 5 years after an acne diagnosis, especially in the first year – 63% higher in patients with acne. The key word here is disorder; that is, levels of depression serious enough to interfere with daily functioning. Major depressive disorder is its own bona fide risk factor for many other diseases and is, of course, potentially life-threatening.

This study joins several other recent studies which have looked at acne patients over time — in 2016, researchers from New Zealand found that acne patients (in a study spanning 23 years) had a 45% increase in anxiety disorder risk. My acne patients are also much more likely to struggle with either anxiety or depression, as demonstrated in these studies.

Clearly, skin disorders are NOT just skin deep. In fact, the skin and the brain are intimately connected, and as dermatologists, we need to evaluate each patient in an integrative, comprehensive way if we truly want to determine the best course of treatment. I have been taking a comprehensive approach to my patients for years, asking about their stress levels, sleep patterns and coping mechanisms in addition to examining their skin, and this study only provides even more evidence supporting this approach. I want to bring this discussion to the forefront. It’s a reality that many people live with every single day and cannot and should not be ignored.

@DrWhitneyBowe

Hearing stories from these two incredibly brave women might just change your life. We all go through painful exper… https://t.co/MdO2xshwpC

@DrWhitneyBowe

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