A rheumatologist is a medical doctor who specializes in the nonsurgical treatment of rheumatic illnesses, especially arthritis. Rheumatologists have special interests in unexplained rash, fever, arthritis, anemia, weakness, weight loss, fatigue, joint or muscle pain, autoimmune disease, and anorexia. They often serve as consultants, acting like medical detectives at the request of other doctors.
Arthritis that is characterized by a misdirected, overactive immune system (such as rheumatoid arthritis or ankylosing spondylitis) frequently requires medications that suppress the immune system. Medications such as methotrexate (Rheumatrex, Trexall) and sulfasalazine (Azulfidine) are examples. Newer medications that target specific areas of immune activation are referred to as biologics (or biological response modifiers). Sometimes combinations of medications are used. All of these medications require diligent, regular dosing and monitoring.
The impact of arthritis on your life largely depends on disease severity. Those with mild disease will face fewer challenges and difficulties than those with severe arthritis. A moderate to severe disease course may greatly impact your ability to perform usual activities of daily living and it may test your emotions as you move farther from what you once considered to be normalcy. You may need help with certain tasks or to change how you use to do things. At some point, you may need mobility aids or to use assistive devices.
Cannabis oil is a concentrated extract obtained by extraction of the dried flowers or leaves of the cannabis plant. It is not actually an oil, but derives its name from its sticky and oily appearance. The purpose of producing cannabis oil is to make cannabinoids and other beneficial components, such as terpenes, available in a highly concentrated form.
Disclaimer: The entire contents of this website are based upon the opinions of Dr. Mercola, unless otherwise noted. Individual articles are based upon the opinions of the respective author, who retains copyright as marked. The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Mercola and his community. Dr. Mercola encourages you to make your own health care decisions based upon your research and in partnership with a qualified health care professional. If you are pregnant, nursing, taking medication, or have a medical condition, consult your health care professional before using products based on this content.
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Chronic pain: The body’s ECS plays a role in alleviating and managing pain, so CBD oil can work as a supplement for individuals with medical conditions that cause chronic pain, such as arthritis and multiple sclerosis. CBD oil also increases levels of adenosine in the brain; adenosine is a neurotransmitter that aids cardiovascular function and eases painful inflammation.
Bone erosion is a central feature of rheumatoid arthritis. Bone continuously undergoes remodeling by actions of bone resorbing osteoclasts and bone forming osteoblasts. One of the main triggers of bone erosion in the joints in rheumatoid arthritis is inflammation of the synovium, caused in part by the production of pro-inflammatory cytokines and receptor activator of nuclear factor kappa B ligand (RANKL), a cell surface protein present in Th17 cells and osteoblasts.[32] Osteoclast activity can be directly induced by osteoblasts through the RANK/RANKL mechanism.[33]
The major eye complication of diabetes is called diabetic retinopathy. Diabetic retinopathy occurs in patients who have had diabetes for at least five years. Diseased small blood vessels in the back of the eye cause the leakage of protein and blood in the retina. Disease in these blood vessels also causes the formation of small aneurysms (microaneurysms), and new but brittle blood vessels (neovascularization). Spontaneous bleeding from the new and brittle blood vessels can lead to retinal scarring and retinal detachment, thus impairing vision.
Maturity onset diabetes of the young (MODY) is a rare autosomal dominant inherited form of diabetes, due to one of several single-gene mutations causing defects in insulin production.[51] It is significantly less common than the three main types. The name of this disease refers to early hypotheses as to its nature. Being due to a defective gene, this disease varies in age at presentation and in severity according to the specific gene defect; thus there are at least 13 subtypes of MODY. People with MODY often can control it without using insulin.

"Total joint replacement" is a surgical procedure whereby a destroyed joint is replaced with artificial materials. For example, the small joints of the hand can be replaced with plastic material. Large joints, such as the hips or knees, are replaced with metals. Total hip and total knee replacements are now commonplace. These can bring dramatic pain relief and improved function.
A report from the American Academy of Pediatrics (AAP) published in the journal Pediatrics cautions pregnant women and nursing mothers to avoid marijuana use due to possible adverse developmental effects to their baby. In a study reviewed for the report, short-term exposure to CBD was found to increase the permeability of the placental barrier, potentially placing the fetus at risk from certain substances.
Medications can be used to prevent cancer in a few circumstances.[110] In the general population, NSAIDs reduce the risk of colorectal cancer; however, due to cardiovascular and gastrointestinal side effects, they cause overall harm when used for prevention.[111] Aspirin has been found to reduce the risk of death from cancer by about 7%.[112] COX-2 inhibitors may decrease the rate of polyp formation in people with familial adenomatous polyposis; however, it is associated with the same adverse effects as NSAIDs.[113] Daily use of tamoxifen or raloxifene reduce the risk of breast cancer in high-risk women.[114] The benefit versus harm for 5-alpha-reductase inhibitor such as finasteride is not clear.[115]

The tuberculosis skin test is based on the fact that infection with M. tuberculosis produces a delayed-type hypersensitivity skin reaction to certain components of the bacterium. The standard recommended tuberculin test is administered by injecting 0.1mL of 5 TU (tuberculin units) PPD into the top layers of skin of the forearm. "Reading" the skin test means detecting a raised, thickened local area of skin reaction, referred to as induration. The area of induration (palpable, raised, hardened area) around the site of injection is the reaction to tuberculin.

In Canada, hash oil – defined as a chemically concentrated extract having up to 90% THC potency – was approved for commerce in October 2018.[19] In the United States, regulations specifically for hash oil have not been issued as of 2019, but hemp seed oil – along with hulled hemp seeds and hemp seed protein – were approved as generally recognized as safe (GRAS) in December 2018, indicating that "these products can be legally marketed in human foods for these uses without food additive approval, provided they comply with all other requirements and do not make disease treatment claims".[20]
Fasting blood sugar test. This test is usually done in the morning, after an 8-hour fast (not eating or drinking anything except water for 8 hours before the test). The blood test involves inserting a small needle into a vein in your arm to withdraw blood. That blood will be sent to a lab for testing. If your blood sugar level is 126 milligrams per deciliter (mg/dL) or higher, your doctor will probably want to repeat the test. A blood sugar level of 126 milligrams per deciliter (mg/dL) or higher on 2 occasions indicates diabetes. Test results from 100 mg per dL to 125 mg per dL suggest
Exposure to certain viral infections (mumps and Coxsackie viruses) or other environmental toxins may serve to trigger abnormal antibody responses that cause damage to the pancreas cells where insulin is made. Some of the antibodies seen in type 1 diabetes include anti-islet cell antibodies, anti-insulin antibodies and anti-glutamic decarboxylase antibodies. These antibodies can be detected in the majority of patients, and may help determine which individuals are at risk for developing type 1 diabetes.
With autoimmune and inflammatory types of arthritis, early diagnosis and aggressive treatment is critical. Slowing disease activity can help minimize or even prevent permanent joint damage. Remission is the goal and may be achieved through the use of one or more medications known as disease-modifying antirheumatic drugs (DMARDs). The goal of treatment is to reduce pain, improve function, and prevent further joint damage.
Cross-sectional studies have found a direct correlation between more severe PTSD symptomatology and increased motivation to use cannabis for coping purposes, especially among patients with difficulties in emotional regulation or stress tolerance. When using cannabis treatment, military veterans with PTSD reported reduced anxiety and insomnia and improved coping ability. (5)

CBD (Cannabidiol) is a potent, non-psychoactive cannabinoid found in hemp oil. It is typically extracted from industrial hemp plants that are naturally high in CBD and other phytochemicals. It is the most prevalent of over 80 different cannabinoids found in natural hemp. It is commonly used for its therapeutic properties. Cannabidiol is responsible for a wide-range of positive health benefits through its interaction with the body's own endocannabinoid system.


By harnessing the innate powers of the body's immune system, immunotherapy treatments have the potential to achieve complete, long-lasting remissions and cures for all types of cancer. Immunotherapy is already saving lives, and while responses vary from patient to patient, with further research, we can bring more effective treatments to more cancer patients.


What you need to know about chemotherapy Chemotherapy is a widespread and effective way of treating cancerous tissues in the body. Chemotherapy destroys cancer cells, but its side effects can be debilitating and hard to manage. Find out here all about chemotherapy and how it works and whether the positive results balance out with the negatives ones. Read now
12 September 2018 – The International Agency for Research on Cancer (IARC) today released the latest estimates on the global burden of cancer. The GLOBOCAN 2018 database, accessible online as part of the IARC Global Cancer Observatory, provides estimates of incidence and mortality in 185 countries for 36 types of cancer and for all cancer sites combined. An analysis of these results, published today in CA: A Cancer Journal for Clinicians, highlights the large geographical diversity in cancer occurrence and the variations in the magnitude and profile of the disease between and within world regions.
Bromelain, extracted from plants in the bromeliaceae family (such as pineapple), contains anti-inflammatory enzymes that have the proven ability to suppress the inflammation and pain of rheumatoid arthritis and osteoarthritis, sports injuries, and other joint inflammatory conditions. Bromelain also helps to break down fibrin, thereby minimizing local swelling. The usual dosage is 400mg, one to three times per day (a lower dosage can be used as part of a combination anti-inflammatory formulation). Bromelain should not be used with prescription blood thinners.
Symptoms of arthritis include pain and limited function of joints. Joint inflammation from arthritis is characterized by joint stiffness, swelling, redness, pain, and warmth. Tenderness of the inflamed joint can be present with or without pain. When large joints are involved, such as the knee, there can be loss of cartilage with limitation of motion from the joint damage. When arthritis affects the small joints in fingers, there can be bone growth and loss of hand grip and grip strength of the hand.

But be forewarned about CBD product companies that claim they get their CBD from hemp seeds. While hemp seeds are an excellent source of protein-rich, omega 3 fatty acids, the seeds themselves don’t contain CBD, THC or any other cannabinoids. Trace amounts of cannabinoids may be present in oil pressed from hemp seeds if the seed covering, the bract (where resin can cling), isn’t thoroughly rinsed and removed prior to the extraction process.


It’s also important to note for parents that concerning cannabis oil vape stories are arising, including kids vaping cannabis oils with concentrated THC levels. According to The California Department of Public Health, researchers do not fully understand how using cannabis oils and waxes with vapes affects health. What is known is that vaporized cannabis can contain a lot more THC, the cannabis ingredient that can cause psychoactive effects including paranoia and anxiety. (17)
In addition, other specialists may be involved depending upon where the cancer is located. For example, ob-gyn specialists may be involved with uterine cancer while an immunologist maybe involved in treatment of cancers that occur in the immune system. Your primary care physician and main oncologist will help you to determine what specialists are best to be members of your treatment team.
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The cannabinoids found in both CBD and THC oil mimic the endocannabinoids that our bodies naturally produce. Endocannabinoids are compounds that regulate vital functions such as internal stability, homeostasis, pain regulation, and immune system functioning. Whether they’re produced by the body or obtained from the cannabis plant, cannabinoids facilitate communication on a cellular level between cells to trigger various bodily processes. Therefore, a deficiency of cannabinoids can result in a system thrown out of balance, manifesting in unwanted symptoms and other health complications.
Insulin is a hormone that is produced by specialized cells (beta cells) of the pancreas. (The pancreas is a deep-seated organ in the abdomen located behind the stomach.) In addition to helping glucose enter the cells, insulin is also important in tightly regulating the level of glucose in the blood. After a meal, the blood glucose level rises. In response to the increased glucose level, the pancreas normally releases more insulin into the bloodstream to help glucose enter the cells and lower blood glucose levels after a meal. When the blood glucose levels are lowered, the insulin release from the pancreas is turned down. It is important to note that even in the fasting state there is a low steady release of insulin than fluctuates a bit and helps to maintain a steady blood sugar level during fasting. In normal individuals, such a regulatory system helps to keep blood glucose levels in a tightly controlled range. As outlined above, in patients with diabetes, the insulin is either absent, relatively insufficient for the body's needs, or not used properly by the body. All of these factors cause elevated levels of blood glucose (hyperglycemia).
It is important to note that the federal government still considers cannabis a dangerous drug and that the illegal distribution and sale of marijuana is a serious crime. Under the Controlled Substances Act (CSA), marijuana is still considered a Schedule 1 drug. Cultivation and distribution of marijuana are felonies; possession for personal use is a misdemeanor; possession of “paraphernalia” is also illegal. Cultivating 100 plants or more carries a mandatory minimum sentence of five years according to federal statutes.
Some studies, but not all, have suggested that the food supplements glucosamine and chondroitin can relieve symptoms of pain and stiffness for some people with osteoarthritis. These supplements are available in pharmacies and health-food stores without a prescription, although there is no certainty about the purity of the products or the dose of the active ingredients because they are not monitored by the FDA. The U.S. National Institutes of Health (NIH) is studying glucosamine and chondroitin in the treatment of osteoarthritis. Their initial research demonstrated only a minor benefit in relieving pain for those with the most severe osteoarthritis. Further studies, it is hoped, will clarify many issues regarding dosing, safety, and effectiveness of these products for osteoarthritis. Patients taking blood-thinners should be careful taking chondroitin as it can increase the blood-thinning effect and cause excessive bleeding. Fish oil supplements have been shown to have some anti-inflammation properties, and increasing the dietary fish intake and/or taking fish oil capsules (omega-3 capsules) can sometimes reduce the inflammation of arthritis.

The most prodigious source of cannabidiol are high-resin CBD-rich cannabis plants that tip the scales at 20 percent CBD by dry weight and around one percent THC. Unfortunately, under the current legal regime that’s too much THC to qualify as hemp, even though anyone who smoked the resinous flower tops wouldn’t get high because CBD is not intoxicating like THC. It can, however, do a person a world of good if they are struggling with pain or anxiety or depression.
Although both oils are generally safe for use, the main difference between hemp oil and marijuana oil comes down to the THC content, which contributes to their different side effects. Marijuana’s THC content naturally contributes to more potential side effects related to memory, learning, and general cognition, which invariably means you shouldn’t be doing anything important, operating heavy machinery, or driving after taking marijuana oil. By comparison, hemp oil has far fewer side effects. Most side effects are related to hemp oil’s high polyunsaturated fat content, which may contribute to heart disease and digestive problems, but only if you are ignoring serving recommendations.

^ Jump up to: a b c Kushi LH, Byers T, Doyle C, Bandera EV, McCullough M, McTiernan A, Gansler T, Andrews KS, Thun MJ (2006). "American Cancer Society Guidelines on Nutrition and Physical Activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity". Ca. 56 (5): 254–81, quiz 313–14. doi:10.3322/canjclin.56.5.254. PMID 17005596.


Enteropathic arthritis – a form of chronic, inflammatory arthritis associated with inflammatory bowel disease (IBD), the two best-known types being ulcerative colitis and Crohn's disease. About one in five people with Crohn's or ulcerative colitis will develop enteropathic arthritis. The most common areas affected by inflammation are the peripheral (limb) joints and the spine.
Hash oil is consumed usually by smoking, ingestion, or vaporization.[10] Smoking or vaporizing hash oil is known colloquially as "dabbing",[10] from the English verb to daub (Dutch dabben, French dauber), "to smear with something adhesive".[14] Dabbing devices include special kinds of water pipes ("oil rigs"), and vaporizers similar in design to electronic cigarettes.[10] Oil rigs include a glass water pipe and a hollow tube (called a "nail"), with an indentation on the side which is sometimes covered with a dome.[10] The pipe is often heated with a blowtorch rather than a cigarette lighter.[10]

A doctor who specializes in the treatment of cancer is called an oncologist. He or she may be a surgeon, a specialist in radiation therapy, or a medical oncologist. The first uses surgery to treat the cancer; the second, radiation therapy; the third, chemotherapy and related treatments. Each may consult with the others to develop a treatment plan for the particular patient.
The legality of smoked cannabis and oils differs by state, with some allowing only one or the other. Likewise, some states only approved the plant for use in a limited capacity, such as for children with epileptic disorders. It continues to be classified as a Schedule I drug, making it illegal under federal stipulations. When produced from industrial hemp products, cannabis oil may be legal, but when created from a crop of medical marijuana, its status reverts back to illegal unless the state has provisions for it.
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