For another type of dietary supplementation, it should be noted that fish oils have been shown to have some anti-inflammation properties. Moreover, increasing the dietary fish intake and/or fish oil capsules (omega-3 capsules) can sometimes reduce the inflammation of arthritis. Obesity has long been known to be a risk factor for osteoarthritis of the knee. Weight reduction is recommended for patients who are overweight and have early signs of osteoarthritis of the hands, because they are at a risk for also developing osteoarthritis of their knees. Of note, even modest weight reduction can be helpful.
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The preceding tests can be very good at localizing abnormalities in the body; many clinicians consider that some of the tests provide presumptive evidence for the diagnosis of cancer. However, in virtually all patients, the definitive diagnosis of cancer is based on the examination of a tissue sample taken in a procedure called a biopsy from the tissue that may be cancerous, and then analyzed by a pathologist. Some biopsy samples are relatively simple to procure (for example, skin biopsy or intestinal tissue biopsy done with a device called an endoscope equipped with a biopsy attachment). Other biopsies may require as little as a carefully guided needle, or as much as a surgery (for example, brain tissue or lymph node biopsy). In some instances, the surgery to diagnose the cancer may result in a cure if all of the cancerous tissue is removed at the time of biopsy.
Vitamin D deficiency has been linked with rickets, cancer, cardiovascular disease, severe asthma in children and cognitive impairment in older adults. Causes include not ingesting enough of the vitamin over time, having limited exposure to sunlight, having dark skin, and obesity. Symptoms include bone pain and muscle weakness. Treatment for vitamin D deficiency involves obtaining more vitamin D through supplements, diet, or exposure to sunlight.
How is psoriatic arthritis different from osteoarthritis? There are many different types of arthritis. Each one causes a problem in the joints, which can lead to pain or damage. Two distinct types that people often get are psoriatic arthritis and osteoarthritis. Each has its own different causes and symptoms. Learn more about the difference between them here. Read now
As scientists have learned more about the molecular changes that lead to cancer, they have found that certain mutations commonly occur in many types of cancer. Because of this, cancers are sometimes characterized by the types of genetic alterations that are believed to be driving them, not just by where they develop in the body and how the cancer cells look under the microscope.
In autoimmune diseases, such as type 1 diabetes, the immune system mistakenly manufactures antibodies and inflammatory cells that are directed against and cause damage to patients' own body tissues. In persons with type 1 diabetes, the beta cells of the pancreas, which are responsible for insulin production, are attacked by the misdirected immune system. It is believed that the tendency to develop abnormal antibodies in type 1 diabetes is, in part, genetically inherited, though the details are not fully understood.

Medterra is a miracle worker for helping me through my recovery process after suffering a compound fracture in my arm followed by a major surgery. This product was my go to over any pain pills provided by my doctors, helping deal with the (insane) pain and ease my sleep cycle without any side effects or grogginess. Cant praise this product enough for allowing me to heal naturally!!
Greetings to you all, i am Falcao Roland,i am broadcasting about how Dr Olori saved my life, i was infected with Genital Herpes for A year, my medical Dr told me that there i no total cure and i began to take pill to sustain my self. One day i went to see my medical doctor and i saw a lady who was extremely happy and i asked to know the reason of her happiness and she told me that she was infected with simplex HERPES disease and a herbal doctor called Dr Olori cured her with herbal medicine, i did not believe so i asked my medical doctor to know if she was truly confirmed Herpes positive before, and my medical doctor told me yes that a miracle just happened so i asked her to give me the details of the Dr so i could ask him if he could also cure mine and she gave me Dr Olori Email: droloriherbalcenter gmail com I contacted him that very evening and i explained my problem to him and he prepared a medicine and send to me, when i received the medicine he told me how to take it for a period of days and i took it exactly as he said and went for a medical test i was surprise to see my test result as herpes negative. I am so happy, my family and friends that rejected me are back, thank you God. I guarantee you that Dr Olori has solution to all kind of problem if you are facing any stress you can contact him via email droloriherbalcenter gmail com or droloriherbalcenter yahoo com, call +2349053311935.
The side effects and risks involved with consuming marijuana-based products aren't clear, either, Bonn-Miller said. It's important to "determine cannabinoids that are useful therapeutically while understanding and using cannabinoids that are associated with less risk," he said. At least with CBD, he said, it doesn't appear to have the potential for addiction. That's different from THC, which has been associated with addiction, he said, and negative side effects, including acute anxiety.
Most human studies of CBD have been done on people who have seizures, and the FDA recently approved the first CBD-based drug, Epidiolex, for rare forms of epilepsy. Clinical trials for other conditions are promising, but tiny. In one Brazilian study published in 2011 of people with generalized social anxiety disorder, for example, taking a 600-mg dose of CBD (higher than a typical dose from a tincture) lessened discomfort more than a placebo, but only a dozen people were given the pill.
Diabetic retinopathy (eye problems). This affects the part of your eye called the retina. It is the part of the eye that is sensitive to light and sends messages to your brain about what you see. Diabetes can damage and weaken the small blood vessels in the retina. When the blood vessels of your retina are damaged, fluid can leak from them and cause swelling in your macula. The macula is the part of the retina that gives you sharp, clear vision. Swelling and fluid can cause blurry vision. This makes it hard for you to see. If retinopathy gets worse, it may lead to blindness. Laser surgery can often be used to treat or slow down retinopathy if found early. People who have diabetes should have an eye exam once a year. See your doctor if you have blurry vision for more than 2 days, sudden loss of vision in 1 or both eyes, black or moving gray spots often called “floaters,” flashing lights, or pain or pressure in your eyes.
Deaths from cancer were 5.8 million in 1990.[171] Deaths have been increasing primarily due to longer lifespans and lifestyle changes in the developing world.[22] The most significant risk factor for developing cancer is age.[172] Although it is possible for cancer to strike at any age, most patients with invasive cancer are over 65.[172] According to cancer researcher Robert A. Weinberg, "If we lived long enough, sooner or later we all would get cancer."[173] Some of the association between aging and cancer is attributed to immunosenescence,[174] errors accumulated in DNA over a lifetime[175] and age-related changes in the endocrine system.[176] Aging's effect on cancer is complicated by factors such as DNA damage and inflammation promoting it and factors such as vascular aging and endocrine changes inhibiting it.[177]
The physician John Hill described tobacco snuff as the cause of nose cancer in 1761.[186] This was followed by the report in 1775 by British surgeon Percivall Pott that chimney sweeps' carcinoma, a cancer of the scrotum, was a common disease among chimney sweeps.[188] With the widespread use of the microscope in the 18th century, it was discovered that the 'cancer poison' spread from the primary tumor through the lymph nodes to other sites ("metastasis"). This view of the disease was first formulated by the English surgeon Campbell De Morgan between 1871 and 1874.[189]
It should be noted that both before and especially after the diagnosis of arthritis, communication with the treating doctor is essential for optimal health. This is important from the standpoint of the doctor, so that he/she can be aware of the vagaries of the patient's symptoms as well as their tolerance of and acceptance of treatments. It is important from the standpoint of patients, so that they can be assured that they have an understanding of the diagnosis and how the condition does and might affect them. It is also crucial for the safe use of medications.
CBD Isolates/Concentrates: Anyone familiar with smoking hash or other cannabis concentrates like wax and BHO will be no stranger to this delivery method. Simply sprinkle some into a vaporizer or water pipe, ignite, inhale, and enjoy! We find that this option is useful for individuals looking to elevate their regular consumption of CBD-rich cannabis flowers or other smokable herbs.
Grown and extracted from the USA, our quality CBD is fully compliant under the Kentucky Department of Agricultural Industrial Hemp Pilot Program. Our CBD products are legal and shipped to all 50 states and internationally. All of our CBD products contain 0% THC, guaranteed. We utilize a whole plant CO2 extraction that allows us to draw the CBD from the plant material and filter out unnatural substances, maximizing pure CBD concentration. Each and every product that leaves the facility is third-party tested to ensure consistency and quality.
Arthritis is a general term for a group of more than 100 diseases. The word "arthritis" means "joint inflammation." Arthritis is inflammation in and around the body’s joints. Some types of arthritis include but are not limited to osteoarthritis, rheumatoid arthritis, psoriatic arthritis and gout. However, arthritis affects people in all age groups, including almost 300,000 children. The goals of treatment are to increase joint mobility and strength and help patients learn to manage pain.

Diet. Your diet should include lots of complex carbohydrates (such as whole grains), fruits, and vegetables. It’s important to eat at least 3 meals per day and never skip a meal. Eat at about the same time every day. This helps keep your insulin or medicine and sugar levels steady. Avoid empty calories, such as foods high in sugar and fat, or alcohol.
Moreover, a patient survey conducted by Project CBD, declared that “…cannabis appears to be an effective pain management tool with few negative side effects.” The study went on to say that a “…significant decrease in opiate usage among elderly patients while taking medical cannabis [was observed during trial].” In short, it has been portrayed clearly numerous times through valid and well-publicized clinical studies that cannabis is a practical option in terms of efficient pain management.
There may be a sensation of grating or grinding in the affected joint (crepitation). This is caused by damaged cartilage surfaces rubbing against one another. If arthritis is due to damaged ligaments, the support structures of the joint may be unstable or "loose." In advanced cases, the joint may appear larger than normal (hypertrophic). This is usually due to a combination of bone changes, loss of cartilage, and joint swelling.

People with diabetes can benefit from education about the disease and treatment, good nutrition to achieve a normal body weight, and exercise, with the goal of keeping both short-term and long-term blood glucose levels within acceptable bounds. In addition, given the associated higher risks of cardiovascular disease, lifestyle modifications are recommended to control blood pressure.[80][81]

Gouty arthritis develops as the result of uric acid buildup in the bloodstream. The uric acid forms crystals which cause acute inflammation in a joint. The big toe, ankle, knee, and elbow are the most common joints affected. A gout attack can be acutely painful. The inflamed joint becomes red and very sensitive to touch. Gout attacks are most often treated with medicine rather than surgery. Long term, many patients develop soft tissue masses (tophi) over the affected joints.
Cancer personality can be quite complicated, but deep inside they are home-loving and conservative people. A Cancer woman is vulnerable, emotional, and not likely to quickly fall in love. Once her trust is earned, she will be passionate and loyal. In order to seduce her, one has to be proactive and make the first move, respecting her need to be treated like a lady. She is not the right choice for someone in search for a one-night stand, and needs more from her partner than just casual encounters. Romantic and ready to love, this woman needs a romantic partner who believes in love, while also in tune with her unspoken feelings.
Triglycerides are a common form of fat that we digest. Triglycerides are the main ingredient in animal fats and vegetable oils. Elevated levels of triglycerides are a risk factor for heart disease, heart attack, stroke, fatty liver disease, and pancreatitis. Elevated levels of triglycerides are also associated with diseases like diabetes, kidney disease, and medications (for example, diuretics, birth control pills, and beta blockers). Dietary changes, and medication if necessary can help lower triglyceride blood levels.

Lack of patience or even love will manifest through mood swings later in life, and even selfishness, self-pity or manipulation. They are quick to help others, just as they are quick to avoid conflict, and rarely benefit from close combat of any kind, always choosing to hit someone stronger, bigger, or more powerful than they imagined. When at peace with their life choices, Cancer representatives will be happy and content to be surrounded by a loving family and harmony in their home.

"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.
My problem with herpes has caused me many traumas, especially in my sex life. I was so afraid of infecting my Boyfriend, suffered the embarrassment of visiting dermatologists queries hundreds of times. Unfortunately, they did not find a definitive solution to my problem.The solution came from the least expected place By reading in a specialized forum on the subject, mentioned a method for eliminating herpes. Many people had tried, with excellent and quick results.I had nothing to lose so I decided to use this method to eliminate my herpes. spent Two weeks using this method and my herpes completely disappeared. I recommend this method to all people who want to eliminate the herpes from your body forever, contact.
Success stories like Oliver’s are everywhere, but there’s not a lot of data to back up those results. That’s because CBD comes from cannabis and, like nearly all other parts of the plant, is categorized by the Drug Enforcement Agency (DEA) as a Schedule 1 drug—the most restrictive classification. (Others on that list: heroin, Ecstasy, and peyote.) This classification, which cannabis advocates have tried for years to change, keeps cannabis-derived products, including CBD, from being properly studied in the U.S.
It is my contention that rheumatoid arthritis is either caused by a potassium deficiency or is greatly enabled by one (Potassium in the etiology of rheumatoid arthritis and heart infarction. 1974 Journal of Applied Nutrition. 26; p40. ) (Potassium deficiency as a cause of rheumatoid arthritis. 2000 Townsend Letter for Doctors and Patients. 208; 74-76. ) ( http://charles_w.tripod.com/arthritis.html ). Dr. Reza Rastmanesh has performed a clinical trial that establishes this (Rastmanesh R. 2008 A pilot study of potassium supplementation in treatment of hypokalemic patients with rheumatoid arthritis: A randomized, double-blinded placebo controlled trial. The Journal of Pain. 9, issue 8; 722-731. ).
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.
My mother has dementia/Alzheimers along with a broken knee that they will not repair do to her mental status. She is currently in a nursing home. I firmly believe her mental situation began with the over use of hydrocodone for over 30 years and was acerbated by the trauma of breaking and disconnecting her knee cap. Since weaning her off of her meds (still in progress) we have regained much of her consciousness. I want to try CBD to help in her recovery or to help slow down the disease. I cannot find a dosage recommendation plus the nursing home/doctor does not recommend it. I would need to give it to her when I am there visiting (about 3 - 4 times per week). Is there a recommended dosage for dementia/Alzheimers?
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.
Targeted therapy is a form of chemotherapy that targets specific molecular differences between cancer and normal cells. The first targeted therapies blocked the estrogen receptor molecule, inhibiting the growth of breast cancer. Another common example is the class of Bcr-Abl inhibitors, which are used to treat chronic myelogenous leukemia (CML).[4] Currently, targeted therapies exist for many of the most common cancer types, including bladder cancer, breast cancer, colorectal cancer, kidney cancer, leukemia, liver cancer, lung cancer, lymphoma, pancreatic cancer, prostate cancer, skin cancer, and thyroid cancer as well as other cancer types.[145]

If possible, it’s better to obtain CBD oil products from licensed dispensaries in states that have legalized cannabis for therapeutic or personal use. These states are likely to have stricter safety standards for CBD oil products than states or countries that refuse to regulate the booming CBD industry. Read the ingredients carefully before purchasing a CBD oil product, and look for evidence of laboratory tests and verification of CBD concentrations when buying a CBD remedy or supplement.


I work with senior citizens every day, helping them cover the out of pocket gaps brought on by government medicare. It is extremely important to me that my clients stay healthy and therefore, happy! Many of them suffer from arthritis. If there is a way for me to help them, then I will do my best to find out what it is! Thanks again for sharing. You have an excellent blog.
Medterra is the only CBD brand I order from. I was a little skeptical about CBD at first but tried it on the advice of my doctor. I suffer from chronic pain and the only thing that helps the pain is this oil. It really helps with my back pain and I use the tincture and the new Cooling Cream. And the best part is that there are no side effects I dont feel drowsy or unfocused and it doesnt interact with other medications. And Medterra is a fantastic company. One time the shipping of my oil was delayed for some reason and they sent it using express shipping without an added cost Their service is great.
In fact, the U.S. Food and Drug Administration (FDA) approved Epidiolex (a drug made with a purified form of CBD oil) in June 2018 for the treatment of seizures associated with two rare and severe forms of epilepsy in patients 2 years of age and older. These two epilepsy forms are known as Lennox-Gastaut syndrome and Dravet syndrome. Epidiolex is the first FDA-approved drug that contains a purified drug substance derived from marijuana.
Screening tests and studies for cancer are meant to help detect a cancer at an early stage when the cancer is more likely to be potentially cured with treatment. Such screening studies are breast exams, testicular exams, colon-rectal exams (colonoscopy), mammography, certain blood tests, prostate exams, urine tests and others. People who have any suspicion that they may have cancer should discuss their concerns with their doctor as soon as possible. Screening recommendations have been the subject of numerous conflicting reports in recent years. Screening may not be cost effective for many groups of patients or lead to unnecessary further invasive tests, but individual patients' unique circumstances should always be considered by doctors in making recommendations about ordering or not ordering screening tests.
Treatment may help prolong the lives of some people with metastatic cancer. In general, though, the primary goal of treatments for metastatic cancer is to control the growth of the cancer or to relieve symptoms caused by it. Metastatic tumors can cause severe damage to how the body functions, and most people who die of cancer die of metastatic disease.  

The three most common childhood cancers are leukemia (34%), brain tumors (23%) and lymphomas (12%).[180] In the United States cancer affects about 1 in 285 children.[181] Rates of childhood cancer increased by 0.6% per year between 1975 and 2002 in the United States[182] and by 1.1% per year between 1978 and 1997 in Europe.[180] Death from childhood cancer decreased by half between 1975 and 2010 in the United States.[181]
I'm here to testify about what doctorlucky did for me. I have been suffering from (GENITAL HERPES VIRUS) disease for the past 3 years and had constant pain and inching, especially in my private part. During the first year, I had faith in God that i would be cured someday.This disease started circulating all over my body and I have been taking treatment from my doctor, few weeks ago I came across a testimony of rose anderson on the internet testifying about a Man called doctorlucky on how he cured her from 7 years HSV 2. And she also gave the email address of this man, advise anybody to contact him for help on any kind of diseases that he would be of help, so I emailed him telling him about my (HSV 2) he told me not to worry that I was going to be cured!! Well, I never doubted him I have faith he can cure me too,doctorlucky prepared and sent me Healing Oil, Soap, roots and herbs which I took. In the first one week, I started experiencing changes all over me, after four weeks of using his Roots/ Herbs, Oil and Soap, I was totally cured. no more inching , pain on me anymore as doctorlucky assured me. After some time I went to my doctor to do another test behold the result came out negative. So friends my advise is if you have such disease or know anyone who suffers from it or any other disease like HPV, HBV, HIV, ALS, HBP, CANCER etc. you can contact doctorlucky for help via email} or call or whatsapp him on +393510598611 Thanks once again doctorlucky for making me a happy woman again.
Hi Diane, how did you go on with the CBD oil please. If it worked how long before you saw any results. I'm scared of flaring everything. Nerve damage across buttocks from a surgeon who found the nerve stuck to the bulge during a laminectomy operation and prised it off. I haven't sat for 5 years and getting worse. A muscle in my buttock is now throbbing constantly and causing pain to the muscle above. I've only started taking it today but the muscle pain is still as painful. Does it take a while for it to work. Only started on low dose to see what happens. Thank you Lyn
^ Klein C, Karanges E, Spiro A, Wong A, Spencer J, Huynh T, Gunasekaran N, Karl T, Long LE, Huang XF, Liu K, Arnold JC, McGregor IS (November 2011). "Cannabidiol potentiates Δ⁹-tetrahydrocannabinol (THC) behavioural effects and alters THC pharmacokinetics during acute and chronic treatment in adolescent rats". Psychopharmacology. 218 (2): 443–457. doi:10.1007/s00213-011-2342-0. PMID 21667074.

Methyl Sulfonyl Methane (MSM) has a metabolite that is found naturally in the human body, and is commonly found in green vegetables, garlic, onions, fruits, grains, algae, and milk. It is an important source of sulfur, required for the synthesis of cartilage.  Animal studies suggest MSM decreases inflammatory joint disease, but human studies have not been done. Usual dose is 1000 to 3000 mg three times a day. There may be side effects of nausea, diarrhea, and headaches.


The pain of diabetic nerve damage may respond to traditional treatments with certain medications such as gabapentin (Neurontin), phenytoin (Dilantin), and carbamazepine (Tegretol) that are traditionally used in the treatment of seizure disorders. Amitriptyline (Elavil, Endep) and desipramine (Norpraminine) are medications that are traditionally used for depression. While many of these medications are not indicated specifically for the treatment of diabetes related nerve pain, they are used by physicians commonly.


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.
^ Alberts B, Johnson A, Lewis J, et al. (2002). "The Preventable Causes of Cancer". Molecular biology of the cell (4th ed.). New York: Garland Science. ISBN 978-0-8153-4072-0. Archived from the original on 2 January 2016. A certain irreducible background incidence of cancer is to be expected regardless of circumstances: mutations can never be absolutely avoided, because they are an inescapable consequence of fundamental limitations on the accuracy of DNA replication, as discussed in Chapter 5. If a human could live long enough, it is inevitable that at least one of his or her cells would eventually accumulate a set of mutations sufficient for cancer to develop.
The reason so many people are interested in cannabis products that don’t make them high, proponents say, is that CBD helps with everything from pain and nausea to rheumatoid arthritis, cancer, Crohn’s disease, and dementia. CBD is anti-inflammatory, anti-anxiety, antibacterial, immunosuppressive, and more, says Joseph Cohen, D.O., a cannabis doctor in Boulder, CO.
CBD oil is derived from cannabis plants that have high levels of cannabidiol (CBD) while having low levels of THC. At PureKana, our CBD oils always have less than 0.2% THC. These extracts can then be used in paste form, or mixed with other oils such as hemp seed oil, to lower the viscosity of the extract. The cannabidiol (CBD) content of CBD oil varies tremendously, since the manufacturers use a varying assortment of cannabis plants and preparation techniques. We produce CBD oil with a high concentration of CBD and containing 0.02% THC.

Cannabidiol has been found to act as an antagonist of GPR55, a G protein-coupled receptor and putative cannabinoid receptor that is expressed in the caudate nucleus and putamen in the brain.[30] It has also been found to act as an inverse agonist of GPR3, GPR6, and GPR12.[12] Although currently classified as orphan receptors, these receptors are most closely related phylogenetically to the cannabinoid receptors.[12] In addition to orphan receptors, CBD has been shown to act as a serotonin 5-HT1A receptor partial agonist,[31] and this action may be involved in its antidepressant,[32][33] anxiolytic,[33][34] and neuroprotective effects.[35][36] It is an allosteric modulator of the μ- and δ-opioid receptors as well.[37] The pharmacological effects of CBD have additionally been attributed to PPARγ agonism and intracellular calcium release.[7]
In fact, the U.S. Food and Drug Administration (FDA) approved Epidiolex (a drug made with a purified form of CBD oil) in June 2018 for the treatment of seizures associated with two rare and severe forms of epilepsy in patients 2 years of age and older. These two epilepsy forms are known as Lennox-Gastaut syndrome and Dravet syndrome. Epidiolex is the first FDA-approved drug that contains a purified drug substance derived from marijuana.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

• Is there a batch number? You know how you check your raw chicken or bagged lettuce every time there's a recall to make sure the one you bought isn't going to make you sick? You should be able to do that with CBD products too. "This is a huge indicator as to whether they are following good manufacturing practices," says Beatty. "There should be a way to identify this product in case it was improperly made so the company can carry out a recall."
But that’s exactly what happened. According to current federal law, cannabis is considered hemp - not marijuana - as long as no part of the plant (including the leaves and flowers) exceeds a THC concentration of “more than 0.3 percent on a dry weight basis.” Any plant that tops 0.3 percent THC is considered marijuana and is therefore federally illegal to grow, according to Uncle Sam.
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