Professional surfers and athletes are hopping on the CBD bandwagon. But is it effective? Photo: Instagram/Koa Smith
Editorâs Note: This feature is part of  The Inertiaâs Health and Wellness Spotlight, an initiative that explores emerging trends in nutrition, diet, and fitness in surf and outdoor culture. Weâll be releasing a feature each day this week with your health in mind, so check back here daily. Unequivocally, excellent health enables more time to fully enjoy the ocean and outdoors. This initiative is powered by our friends at Vivobarefoot.  Check out The Inertiaâs 2019 Health and Wellness Product Guide here.
Over a year ago, Mason Ho jumped in the commentary booth with âThe Other Guysâ â a Red Bull simulcast during the 2018 Volcom Pipe Pro â for a conversation that can only be described as frenetic. In typical Mason fashion, banter jumped from the Mohawk he sported earlier in the year to talk of his enthusiastic hand gestures during interviews he has little control over. But, mixed in the word soup was a flashing mention of a recovery product â a form of organic advertising the likes of which the brand behind the product could have only dreamt of.
Speaking about Noa Deaneâs possible withdrawal from the event due to injury, Mason explained, âI gave him some Elixicure the other day. Itâs this new CBD magic oil that fixes everything in the world.â
Granted, Mason Ho is no stranger to superlatives. His comments, though, hinted at a broader health trend that heralds the virtues of CBD as a cure-all for a variety of ailments. Itâs swept up many a professional surfer and outdoor athlete (not to mention mainstream athletes like the NFLâs Derrick Morgan). But, the question remains: is CBD legit?
Cannabidiol (aka CBD) is widely available in consumer products that profess to have a number of health benefits: from relaxation to muscle recovery, chronic pain treatment to gut health. And many athletes looking for holistic remedies for aches and pains from the immense stress they put on their bodies are turning to CBD and away from dangerous pain meds and other pharmaceuticals.
According to researchers, the power of CBD and cannabinoids is promising, but clinical studies have yet to catch up to CBDâs current uses. Not to mention Federal Drug Administration regulations bar CBD companies from making specific claims about using products to treat ailments, and companies are wishy-washy on specific dosage. The lack of oversight has also created an issue where in one study a little over one-third of CBD products were accurately labeled, making it difficult for consumers to know which brands to trust.
Photo: Demi Pradolin/Unsplash
What Is CBD?
To understand the purported health effects of CBD, itâs important first to understand what CBD is. Cannabidiol is one of over 100 identified cannabinoids found in cannabis plants. Unlike Tetrahydrocannabinol (THC), the primary psychoactive compound in weed that gets you high, CBD is non-psychoactive.
The compound first rose to prominence in 2013 when Colorado pot growers, the Stanley Brothers, developed a strain of cannabis high in CBD and low in THC. It gained national attention when Matt and Paige Figi were searching for a treatment for their daughter Charlotteâs myoclonic epilepsy of infancy (SMEI), and the cannabis strain, later called Charlotteâs Web, was the only treatment offering Charlotte relief. That laid the foundation for research and clinical trials. In June of 2018, the FDA approved its first CBD drug ever, Epidiolex, for the treatment of rare forms of epilepsy.
âThis might have implications for sleep, pain, mood, and diet type issues.â
In the past six years, CBD has become a full-blown holistic health trend and can be found in a variety of products from tinctures to rubs to beer to ice cream.
According to Jenny Wilkerson, an associate professor of pharmacodynamics at the University of Florida, CBD binds to interact with serotonin receptors as well as a few other types of receptors in the brain, just not the cannabinoid receptors that get you high.
âThis might have implications for sleep, pain, mood, and diet type issues,â she told me. âBut, thatâs where we really need to have the science to really indicate those things.â
Wilkerson argues that one of the challenges for consumers and researchers alike is that because CBD is a natural compound itâs very difficult to isolate. As such, most hemp-derived CBD or marijuana-derived CBD probably has other cannabinoids present, making it difficult to get a clear picture of the effects of CBD on treating different ailments.
How Athletes Are Using It
Remember Mason Hoâs Elixicure plug? Well, Mason jumped ship earlier this year and is now on the roster for NanoCraft CBD. But, head to Elixicureâs website and youâll find a carousel of endorsements including one from Masonâs sis, Coco, who says she likes the lavender blend for muscle soreness and relaxing. Brett Simpson is an official ambassador, too.
Eli Olson rounds out Nanocraftâs surf team. Kassia Meador reps Ojai Energetics, Billy Kemper is an ambassador for EcoSciences, and Koa Smith rides for MedTerra.
But how did these surfers first get introduced to CBD, and what are they using it for?
For both Meador and Kemper, they first learned about CBD while searching for holistic treatment alternatives for their parents â Kemperâs mother sadly passed away from throat cancer last March, and Meadorâs mom has multiple sclerosis.
âI was looking into alternative supportive natural supplements for [my mom] to take that would help curb the MS symptoms,â Meador explained in an email. The effects were convincing, and now she regularly uses different products from Ojai Energeticsâ lineup.
âThey have an elixir I take every night. Their spots cream I use when I have an injury or sore muscle, and I love their coconut oil both in my coffee/tea in the morning and in the bathtub with some Epsom salt,â she said. In the years since sheâs incorporated CBD products into her life, Kassia told us sheâs had positive results with recovery, sleep, and focus.
âThe elixir helps me sleep, combat jet lag if I have it, helps my body recover from training and surfing, and is also good in helping neurological function and in stripping the plaque from my brain as Iâve had many severe concussions in recent years,â she said.
Kemper, Mason and Coco Ho, and Smith all echo the benefits of CBD. âCBD has made short acute little injuries almost non-existent!! Keeps me feeling young and ready!â explained Mason for Nanocraft CBDâs blog.
And it isnât just surfing thatâs jumped on the CBD bandwagon. Competitive climber Lisa Chulich endorses CBD products for the anti-inflammatory benefits, heart health, insomnia treatment, and for reducing anxiety and depression.
âAs a climber, I use [CBD] salve on my finger joints/tendons after brutal days climbing and finger training to reduce some of the stress there without sending anti-inflammatory signals to my entire body,â writes Chulich for her blog.
Mason Ho is one of CBDâs more vocal advocates in professional surfing. Photo: WSL
Legality and Professional Sports Enforcement
Until very recently one of the primary concerns among athletes interested in CBD has been legality, at least in the United States. But late last year, Congress passed the Agriculture Improvement Act of 2018Â that removed hemp from the Controlled Substances Act, decriminalizing hemp-derived CBD products.
According to the FDA, though, it is unlawful to market hemp-derived CBD products as therapeutic or dietary supplements before the FDA has been able to validate such claims.
âYeah we can use CBD stuff, but have to make sure there is no THC in it.â
Also, marijuana-derived CBD remains federally illegal, but last September saw further progress as the Drug Enforcement Agency moved CBD from its Schedule I list of controlled substances to Schedule V. So if youâre a recreational marijuana-derived CBD enthusiast, its legality may depend on the state in which you reside.
For sports leagues, many (including the World Surf League) allow for CBD use per the guidance of the World Anti-Doping Agency.
Conner Coffin explained as much to us in June of last year. âYeah we can use CBD stuff, but have to make sure there is no THC in it,â he said. âThey (the WSL) told us at a meeting somewhere along the way.â
Point being: government regulations and governing bodies of professional sports continue to become more lenient on CBD.
The Science
In one of the most comprehensive studies to date on the health impacts of cannabis and cannabinoids, researchers from the National Academies of Sciences, Engineering, and Medicine concluded that certain cannabinoids are effective in the treatment of chronic pain in adults, especially those with multiple sclerosis-related symptoms or chemotherapy-induced nausea and vomiting.
According to Wilkerson, though, in spite of anecdotal evidence indicating the positive effects of CBD products for treating injuries and for muscle recovery, the science doesnât quite support the claims many athletes are making. At least not yet.
âTo my knowledge, thatâs not very well studied,â she told me. âItâs great if it works anecdotally, but thatâs just not what the science can currently back up.â
But that doesnât mean researchers arenât looking into it. âMore than likely by this time next year there will be several publications about that,â said Wilkerson.
While objective, scientific claims around CBDâs efficacy beyond those involving chronic pain and a handful of symptoms might be premature, itâs certainly possible theyâre coming. One of the most promising areas of research for CBD at present is its potential as a sleep aid and for drug addiction intervention.
âCBD does pre-clinically seem to have relevance for better sleep⌠and help with drug addiction-related issues,â said Wilkerson.
 Do Your Research
One of the key problems for consumers is that because CBD products are marketed as supplements and not medication, manufacturers are prohibited by the FDA to specifically address what CBD can and should be used for.
And again, beyond those restrictions, the industry itself lacks oversight. A 2017 study found that of the products researchers tested, only 31 percent accurately reflected their contents, and THC was detected in over 20 percent of the contents.
That poses problems for consumer confidence and brands seeking to operate transparently in the market.
âUnfortunately thatâs one of the realities of producing a product thatâs unregulated,â Mike Coleman, VP of Dixie Botanicals, told The Inertia. âThere are CBD suppliers out there who are just trying to make a buck.â
Itâs also important to be leary of regulations that vary by state. Hemp-derived CBD is now federally legal, but marijuana-derived CBD is more complicated. Idaho, South Dakota, and Nebraska, for instance, all outlaw any and all marijuana-derived products.
For Wilkerson, her advice to consumers is to do your research.
âJust be smart,â she said. âIf youâre looking for something to help your muscles and youâre willing to spend 30 or 40 dollars on some cream, you might want to know what youâre actually getting.â
Editorâs Note: This feature is part of  The Inertiaâs Health and Wellness Spotlight, an initiative that explores emerging trends in nutrition, diet, and fitness in surf and outdoor culture powered by our friends at Vivobarefoot. Weâll be releasing a feature each day this week with your health in mind, so check back here daily.