Can CBD Help With Chronic Fatigue Syndrome?

  • Chronic fatigue syndrome (CFS) is distinguished by extreme tiredness that does not improve with rest. CFS is considered a long-term condition as it can persist for six months or more.
  • A study has shown that patients with CFS have increased production of cells that promote inflammation(1). Meanwhile, oxidative stress has also been linked as a potential mechanism of chronic fatigue(2).
  • Findings from a study published in the journal Antioxidants have led researchers to believe that cannabidiol (CBD) could inhibit inflammation in the body through multiple pathways(3). The authors also learned that CBD might counteract oxidative stress, which may contribute to CFS.
  • Studies have shown that CBD’s interaction with the endocannabinoid system (ECS) and its receptors is responsible for its therapeutic properties(4). Cannabidiol is said to provide relief for inflammation, pain, and anxiety(5).
  • However, there is a definite lack of evidence regarding CBD’s effectiveness in treating chronic fatigue syndrome. Most studies on cannabidiol were performed on animals, with a limited number of clinical trials done on human subjects.

Best CBD Oils for Chronic Fatigue Syndrome

Editor's Pick

Spruce 750mg Lab Grade CBD Oil

Specifically formulated to be more palatable to CBD users
Spruce 750mg Lab Grade CBD Oil Bottle
  • Overall Clinical Score
    99%
    Editor's Pick
  • Score breakdown
    Value
    Quality
    Strength
    Customer Service
    Lab Testing Transparency
    Effectiveness
  • Summary

    Each bottle of the 750mg CBD oil tincture contains 25mg of CBD per dropper full. The oil is peppermint flavor to mask any unpleasant tastes related to CBD.

    Pro's
    Cons's
    •  Mid-strength
    •  Natural peppermint flavor
    •  Made from 100% organic and natural ingredients
    •  No other flavors
  • Features
    Discount pricing available?20% Off Coupon Code: CBDCLINICALS
    Source
    Source of Hemp
    Kentucky, USA & North Carolina, USA
    FormOil Tincture
    IngredientsOrganic Hemp Seed Oil, Full Spectrum CBD Oil
    Type
    Type of CBD
    Full Spectrum
    Extraction
    Extraction Method
    Moonshine extraction method
    How to take itUnder tongue
    Potency
    Potency - CBD Per Bottle
    750 mg per bottle
    Carrier OilOrganic Hemp Seed Oil
    Concentration
    CBD Concentration Per Serving
    25mg of CBD per dropper full (1ml)
    Drug TestContains 0.3% THC but there is a chance you may test positive for marijuana
    FlavoursPeppermint
    Price Range$89 ($75.65 for subscriptions, 15% discount from regular price)
    $/mg CBD
    Price ($/mg)
    $0.12/mg ($0.10/mg with subscription)
    Shipping
    Shipping/Time to delivery
    2-4 business days (first class USPS)
    Lab Tests
    Lab Testing Transparency
    Third Party Lab Tested post formulation for safety and potency, available on website
    ContaminantsOrganic, Non-GMO, no pesticides, no herbicides, no solvents or chemical fertilizers, No preservatives or sweeteners
    AllergensVegan, Gluten free
    Refund policyWithin 30 days
    Recommended forNew CBD users
    Countries servedUSA only (all 50 states)
Check Latest Prices

Best Organic

NuLeaf Naturals 900mg Full Spectrum Hemp CBD Oil

Perfect for anyone who are looking for CBD products that promote a healthy body and mind.
NuLeaf Naturals 900mg Full Spectrum Hemp CBD Oil
  • Overall Clinical Score
    99%
    Best Organic
  • Score breakdown
    Value
    Quality
    Strength
    Customer Service
    Lab Testing Transparency
    Effectiveness
  • Summary

    Natural remedy for various illnesses. NuLeaf Naturals’ CBD oil is a whole-plant extract containing a full spectrum of naturally occurring synergistic cannabinoids and terpenes.

    Pro's
    Cons's
    •  Pure CBD hemp
    •  All natural
    •  Approximately 300 drops total
    •  No other flavors
  • Features
    Discount pricing available?20% Off Coupon Code: CBDCLINICALS20
    Source
    Source of Hemp
    Colorado, USA
    FormOil Tincture
    IngredientsFull Spectrum Hemp Extract, Organic Virgin Hemp Seed Oil
    Type
    Type of CBD
    Full Spectrum CBD
    Extraction
    Extraction Method
    CO2 Method
    How to take itUnder the tongue for approximately 30 seconds before swallowing
    Potency
    Potency - CBD Per Bottle
    900mg per bottle
    Carrier OilOrganic Hemp Oil
    Concentration
    CBD Concentration Per Serving
    60mg per dropper full (1ml)
    Drug TestContains 0.3% THC but there is a chance you may test positive for marijuana
    FlavoursNatural
    Price Range$99 - $434
    $/mg CBD
    Price ($/mg)
    $0.08 - $0.13
    Shipping
    Shipping/Time to delivery
    2-3 Days via USPS
    Lab Tests
    Lab Testing Transparency
    Third Party Lab Tested post formulation for safety and potency, available on website
    ContaminantsNo additives or preservatives, Non-GMO, NO herbicides, pesticides, or chemical fertilizers
    AllergensNot specified
    Refund policyWithin 30 days
    Recommended forHealth-conscious persons
    Countries servedUSA (all 50 states) and over 40 countries including Australia, Azerbaijan, Beliza, Bosnia & Herzegovina, Brazil, Chile, China, Croatia, Czech Republic, Estonia, France, Hong Kong, Hungary, Ireland, Israel, Japan, Latvia, Lebanon, Lithuania, Macao, Malaysia, Malta, Netherlands, New Zealand, Oman, Paraguay, Poland, Portugal, Saudi Arabia, Serbia, Singapore, South Korea, Sweden, Switzerland, United Arab Emirates, United Kingdom, Uruguay, and many more.
Check Latest Prices

Best Customer Service

Sabaidee Super Good Vibes CBD Oil

4x the strength of a regular cbd oil
Sabaidee Super Good Vibes CBD Oil
  • Overall Clinical Score
    99%
    Best Customer Service
  • Score breakdown
    Value
    Quality
    Strength
    Customer Service
    Lab Testing Transparency
    Effectiveness
  • Summary

    Super Good Vibes CBD Oil provides the purest and highest quality Cannabidiol (CBD) on the market as well as other high quality phytocannabinoids, terpenes, vitamins, omega fatty acids, trace minerals, and other beneficial for your health elements, which all work together to provide benefits.

    Pro's
    Cons's
    •  Extra strong
    •  Significant benefits with just a few drops
    •  100% Natural ingredients
    •  No other flavors
  • Features
    Discount pricing available?15% Off Coupon Code: CBDCLINICALS15
    Source
    Source of Hemp
    Colorado, USA
    FormOil Tincture
    IngredientsCannabidiol (CBD), Coconut Medium-chain triglycerides (MCT) Oil, Peppermint oil
    Type
    Type of CBD
    Broad Spectrum
    Extraction
    Extraction Method
    CO2-extraction
    How to take itUsing 1-3 servings per day as needed is a good start to determine how much you need
    Potency
    Potency - CBD Per Bottle
    1000 mg per bottle
    Carrier OilCoconut MCT Oil
    Concentration
    CBD Concentration Per Serving
    33.5 mg per dropper (1ml)
    Drug TestContains 0.3% THC but there is a chance you may test positive for marijuana
    FlavoursPeppermint
    Price RangeSingle Bottle - $119.95, 2-Pack - $109.97 each, 3-Pack - $98.31 each, 6-Pack - $79.99 each
    $/mg CBD
    Price ($/mg)
    Single bottle - $0.010, 2-Pack - $0.011, 3-Pack - $0.009, 6-Pack - $0.007
    Shipping
    Shipping/Time to delivery
    3-5 Business days
    Lab Tests
    Lab Testing Transparency
    Third Party Lab Tested post formulation for safety and potency, available on website
    ContaminantsContaminant-free
    AllergensVegan and Gluten-free
    Refund policyWithin 30 days
    Recommended forPatients who are looking for serious CBD oil support
    Countries servedUSA only (all 50 states)
Check Latest Prices

Best Natural Alternative

cbdMD CBD Oil Tincture Natural 1500mg

Uses USA hemp that is grown on non-GMO farms, and is both vegan and gluten-free
cbdMD CBD Oil Tincture Natural 1500mg
  • Overall Clinical Score
    99%
    Best Natural Alternative
  • Score breakdown
    Value
    Quality
    Strength
    Customer Service
    Lab Testing Transparency
    Effectiveness
  • Summary

    cbdMD’s CBD oil tinctures are made using only CBD sourced from medical hemp and MCT oil as a carrier oil. Tinctures are offered in orange, mint, natural, and berry flavors. Safe for daily use, the oil tinctures are packaged with a built-in rubber dropper to adjust CBD dosage easily. The packaging is made to be easy to transport and discreet to use.

    Pro's
    Cons's
    •  Various delicious flavors to choose from
    •  Has vegan, organic, and gluten-free ingredients
    •  Free shipping for this particular product within USA
    •  World-class customer service team
    •  cbdMD uses MCT as its carrier oil so individuals who are allergic with coconuts should consider other brand options
  • Features
    Discount pricing available?15% Off Coupon Code: cbdMD15
    Source
    Source of Hemp
    Kentucky, USA
    FormOil Tincture
    IngredientsCannabidiol (CBD), MCT Oil, and Flavoring
    Type
    Type of CBD
    Broad Spectrum
    Extraction
    Extraction Method
    CO2 extraction method
    How to take itUnder tongue
    Potency
    Potency - CBD Per Bottle
    1500mg per bottle
    Carrier OilOrganic Coconut MCT Oil
    Concentration
    CBD Concentration Per Serving
    50mg per dropper full (1ml)
    Drug TestContaining less than 0.3% THC, there are still trace amounts
    FlavoursNatural, Berry, Orange and Mint
    Price Range$99.99
    $/mg CBD
    Price ($/mg)
    $0.07
    Shipping
    Shipping/Time to delivery
    2-5 Business days (via Fedex)
    Lab Tests
    Lab Testing Transparency
    Third Party Lab Tested post formulation for safety and potency, available on website
    Contaminants100% organic, non-GMO, and vegan-certified
    AllergensVegan, Gluten free
    Refund policyWithin 30 days
    Recommended forDaily CBD oil users
    Countries servedUSA only (all 50 states)
Check Latest Prices

Why People Are Turning to CBD for Chronic Fatigue Syndrome

Chronic fatigue syndrome (CFS) is a complex illness characterized by extreme fatigue that does not improve with rest. Also known as myalgic encephalomyelitis (ME/CFS), this disorder often comes with feelings of being exhausted despite not being active.

In many cases, CFS appears suddenly and is often accompanied by a flu-like infection or physical trauma, such as surgery or an accident(6). In other instances, chronic fatigue syndrome develops in a person gradually.

CFS is considered as a long-term condition since it can persist for more than six months(7). It is often linked with sleep dysfunction, muscle pain, and cognitive issues, with the potential to worsen with physical or mental activity(8).

There are also indications that inflammation and oxidative stress contribute to chronic fatigue syndrome.

In one study, increased production of proinflammatory cytokines (cells that promote inflammation) has been observed in CFS patients(9). Meanwhile, a study published in the peer-reviewed journal Scientific Reports hints that oxidative stress may be a possible mechanism of chronic fatigue(10).

The U.S. Food and Drug Administration (FDA) has not approved any medication to treat chronic fatigue syndrome(11). However, due to the range of its symptoms, many forms of treatment at present could potentially help with CFS.

Doctors may prescribe antidepressants to patients since chronic fatigue syndrome is often linked to depression. Headaches, which are prevalent with CFS, can also be treated with medications, such as aspirin and ibuprofen(12).

Some physicians also recommend lifestyle changes, such as minimizing physical exertion and avoiding triggers for psychological stress. Meanwhile, aerobic physical activity is believed to help improve one’s level of function(13).

Another potential approach that could help alleviate the symptoms of CFS is the consumption of cannabidiol or CBD. CBD is a chemical compound that can be derived from a cannabis strain called hemp. 

Cannabidiol is believed to have numerous therapeutic applications(14).

A study published in the international journal Antioxidants reviewed the primary biological effects of cannabidiol, particularly on its supposed ability to inhibit inflammation(15). The researchers of the study analyzed several preclinical trials of CBD on both human and animal models.

They learned that cannabidiol could calm the inflammatory response in the body through multiple pathways, reducing associated symptoms. By the end of the study, the researchers concluded that CBD exhibits anti-inflammatory effects.

They also reported that CBD might have the ability to counteract oxidative stress(16).

A study published in the journal Frontiers in Immunology claimed that a combination of CBD and THC (tetrahydrocannabinol) is capable of suppressing inflammation of nervous tissue(17). This type of inflammation is said to be linked to cognitive impairment, which has been observed in brain areas of CFS patients(18).

This connection could mean that CBD may be able to contribute to treating neuroinflammation in people with chronic fatigue syndrome.

CBD may also be useful in alleviating mood problems that some CFS patients experience.

In a 2012 study, researchers stated that cannabidiol offers therapeutic potential for psychiatric disorders, such as depression and anxiety(19). They hypothesized that CBD exerts its antidepressant-like effects when interacting with receptors in the brain.

A few studies investigated CBD’s usefulness as a sleep aid. However, the science behind them is still unclear(20).

One study attempted to assess CBD’s effectiveness compared to nitrazepam, a hypnotic medication used for short-term relief of anxiety and insomnia. The insomniac participants, who were given 160 mg of CBD, reportedly slept more than those who received the hypnotic drug(21).

Furthermore, the subjects were also recorded to have notably less dream recall. A high dream recall frequency (DRF) is believed to be associated with sleep disorders(22).

According to the Centers for Disease Control and Prevention, pain is a common symptom in people with CFS. The most prevalent types that are experienced include muscle pain and aches, joint pain without redness or swelling, and headaches(23).

A review in 2018 assessed CBD’s effectiveness in relieving various types of chronic pain, including cancer pain, neuropathic pain, and fibromyalgia. The report analyzed studies that were conducted between the years 1975 and 2018.

The authors of the review stated that CBD has significant analgesic activity. They also mentioned that the chemical compound contributes to regulating the perception of pain(24)

Results suggest that cannabidiol may benefit individuals suffering from various types of pain associated with chronic fatigue syndrome.

However, despite the positive outlook, most of the research studies on CBD were done on animal models.

More human clinical trials are needed to prove that cannabidiol can be beneficial in treating chronic fatigue syndrome.

How CBD Oil Works to Help with Chronic Fatigue Syndrome

To understand how CBD may help with chronic fatigue syndrome, one must first learn how the endocannabinoid system (ECS) operates.

The ECS, a system present in all mammals, is responsible for maintaining various bodily functions. It regulates the physiological functions in an individual by way of its receptors(25).

A 2018 review stated that CBD had shown neuroprotective properties based on how it interacted directly with the ECS and its receptors(26). It also mentioned that CBD might help relieve depression, anxiety, and inflammation.

The CB1 and CB2 structures are the most prominent receptors in the endocannabinoid system, with each having different roles.

The CB1 cannabinoid receptors are believed to influence pain sensation, mood, sleep, appetite, memory processing, and motor regulation(27).

Activating the CB1 receptors has been associated with neuroprotective responses(28) that could potentially benefit people with conditions, like multiple sclerosis and Alzheimer’s disease.

On the other hand, CB2 receptors are present mainly on cells in the immune system of the body. When activated, they cause a response that combats inflammation, potentially reducing pain and damage to tissues(29).

Cannabinoids, which are chemicals naturally produced by the human body, are designed to interact with CB1 and CB2 receptors to maintain balance. 

Scientists learned that phytocannabinoids, which are primarily obtained from plants, like Cannabis sativa, also effectively stimulates these receptors(30).

CBD, one of the numerous phytocannabinoids, is of particular interest to researchers(31) due to its potential anti-inflammatory, analgesic, and anti-anxiety effects.

Researchers believe that CBD also engages with receptors outside of the endocannabinoid system, such as the serotonin 5-HT1A receptor(32). This receptor is said to modulate anxiety and depression, with any imbalance resulting in related mood disorders(33).

Serotonin receptors, like 5-HT1A, have been linked with the therapeutic effects of CBD(34). This connection, together with how CBD interacts with these receptors, could indicate that it may benefit people with depression, a common CFS symptom.

The Pros and Cons of CBD Oil for Chronic Fatigue Syndrome

The Pros

  • CBD may suppress neuroinflammation, which is a type of inflammation that affects the nerve tissue. It is believed to be associated with cognitive impairment as the condition was observed in the brain of CFS patients.
  • Phytocannabinoids, like CBD, interact with receptors in the body to bring about its supposed therapeutic effects. Some of these effects may help people with depression and anxiety. These two conditions are often associated with chronic fatigue syndrome.
  • CBD may possess analgesic activity. This trait could be beneficial to CFS patients, especially since their condition is usually accompanied by various types of body pain.
  • Purchasing and consuming cannabidiol is allowed in most states, such as Colorado, Kansas, and Texas. Users can even obtain CBD products without a prescription in areas where they are legally sold.
  • CBD does not give users a euphoric high compared to THC, which is its psychoactive counterpart.

The Cons

  • Most of the studies on cannabidiol were performed on animals, with only a limited number of clinical trials made on human subjects.
  • There is a general lack of data to determine whether CBD is useful or not in treating conditions other than those approved by the FDA. At the time of writing, Epidiolex, a medication prescribed for epilepsy, is the only CBD product approved by the FDA (35).
  • Researchers in a 2017 review analyzed the safety and side effects of CBD. They stated that although the chemical compound has a favorable safety profile, it may interact with other drugs and lead to adverse reactions(36).
  • CBD products, especially those sold online, are particularly prone to inaccurate labeling. People who purchase CBD online risk obtaining the chemical compound in quantities that are either more or less than what they expect or need(37).

How CBD Oil Compares to Alternative Treatments for Chronic Fatigue Syndrome

There are several other potential treatments for chronic fatigue syndrome. These treatments include the consumption of Siberian ginseng, magnesium, and food rich in omega-3 fatty acids.

A randomized controlled trial in 2004 was carried out to evaluate Siberian ginseng’s effectiveness in patients with chronic fatigue. The researchers of the study found that fatigue among subjects was considerably reduced after one month(38).

Likewise, 86 subjects with less severe conditions, reported a significant reduction of fatigue after two months of Siberian ginseng treatment.

Additionally, patients with CFS are believed to have low red blood cell magnesium. Magnesium treatment is known to help improve the well-being of CFS patients.  

A study in 1991 assessed the efficacy of magnesium to see if it can help people with chronic fatigue syndrome(39).

Fifteen individuals with CFS were given intramuscular magnesium sulfate every week for six weeks. Those who were treated with magnesium claimed that they had higher energy levels, experienced less pain, and were in a better emotional state.

Furthermore, red cell magnesium was said to have returned to normal levels for those who took the treatment(40). The findings from this clinical trial suggest that magnesium may have a role in alleviating chronic fatigue syndrome.

Another potential alternative treatment for CFS is the consumption of food rich in omega-3 fatty acids. Omega-3 is believed to reduce the production of cell signaling molecules that are responsible for inflammation in chronic fatigue syndrome(41).

Several studies have also reported that omega-3 fatty acids could potentially reduce fatigue. These findings have led researchers to consider omega-3 rich diets as a viable approach to help patients cope with chronic fatigue syndrome(42).

Meanwhile, CBD has been shown to possess properties that may help deal with CFS.

A review published in the journal Current Neuropharmacology assessed the potential role of CBD as a wake-inducing agent. The authors analyzed several studies with significant findings on the said pharmacological property.

Although the trials were performed on rodents, the researchers hypothesized that CBD enhances a part of the hypothalamus, which they believe is responsible for modulating alertness(43). This information led them to conclude that CBD may benefit people with extreme sleepiness, which is a common sign of chronic fatigue syndrome.

There are also products in the form of topicals and sprays that combine cannabidiol and magnesium. These items are said to help relax the muscles while providing relief for pain and inflammation.   

Finally, there are CBD supplements infused with omega-3 that are advertised to help people alleviate stress and get deep, restorative rest. These products are usually sold as tinctures, capsules, and softgels for oral intake.

Instead of using fish oils, some of these supplements contain omega-3 obtained from algae. There is widespread interest in microalgae for large-scale production of omega-3 fatty acids due to its sustainability(44).

How to Choose the Right CBD for Chronic Fatigue Syndrome

Manufacturers produce three types of CBD oil products for public consumption. These variants are known as full-spectrum, broad-spectrum, and isolates.

The most well-known of the three is the full-spectrum variety. This type of CBD has all of the naturally-occurring chemical compounds in the Cannabis sativa plant.

Full-spectrum CBD contains THC, flavonoids, terpenes, and other minerals, like fatty acids. The ideal full-spectrum CBD product is rich in cannabidiol, with small amounts of the other compounds and THC.  

The synergy called “the entourage effect” is said to be present when consuming full-spectrum CBD. This kind of effect is believed to bring out the full potential of phytocannabinoids, with some claiming that the compounds work better when consumed together.

A study published in the British Journal of Pharmacology supports the concept that cannabinoids synergize with each other. The results of this synergy may be beneficial for treating several medical conditions(45).

Broad-spectrum CBD also possesses the same compounds from cannabis plants, except for THC. This CBD variant undergoes a complex extraction process that explicitly eliminates tetrahydrocannabinol from the final output.

THC is a psychoactive compound that can be found in high concentrations in medical marijuana plants.

The most common extraction technique is the supercritical CO2, which is believed to be a safe and clean method for creating organic, solvent-free extracts(46)

The CBD extract then undergoes a chemical process called chromatography, which removes THC from the rest of the mixture.

With this process, manufacturers are able to create THC-free CBD products that still contain all of the chemical compounds found in cannabis.

However, some companies take this step further by separating all of the chemicals and leaving behind only pure CBD. The final output is known as CBD isolate, which is available in crystalline or powdered form.

CBD as an isolate is the purest state of cannabidiol that is extracted from industrial hemp. It is ideal for people who only want to have CBD.

Broad-spectrum CBD is preferred by some individuals who would like to benefit from various cannabinoids but do not wish to consume THC. This type of CBD may be beneficial for people that do not want to test positive for THC during drug tests.

Finally, full-spectrum CBD is appealing for those looking to benefit from the synergistic effect of combining all cannabis chemical compounds.

Whichever type of CBD product one chooses, it is vital that buyers purchase only the best quality available to maximize the benefits of CBD.

Here are the following tips to help ensure that one selects only the safest and most reliable CBD products today:

  1. Look for the certificate of analysis (COA) or the laboratory report of the CBD product selected. This document is especially important since it indicates that the item has undergone thorough testing and contains precisely the specifications listed on its label.
  2. Read up on product and shop reviews if buying from an online store. If purchasing from a physical dispensary, check if it has proper authorization to sell CBD.
  3. Only buy organic CBD derived from hemp. The hemp plant is the most reliable source of quality cannabidiol.
  4. Ensure that the legalities involving CBD are followed in the state where it is planned to be bought and used.
  5. Consult a medical professional, preferably someone experienced in medical cannabis, before deciding to use CBD for the symptoms of CFS.

Additional Tips to Get the Best CBD Oil Products

  • Be wary of CBD brands that claim to have CBD obtained from the seeds and stalks of hemp plants. Cannabidiol is not present in hemp seeds, while there are only trace amounts of CBD in hemp stalks.
  • Avoid purchasing CBD vape cartridges that contain thinning agents, like propylene glycol and polyethylene glycol, since these could be harmful when inhaled.
  • Do not buy CBD edibles and gummies that are of low-quality. Some providers sell CBD snacks that are made of artificial and sub-standard ingredients.
  • Do not hesitate to contact CBD brands directly for any inquiries or concerns. Try another CBD provider if there is no response from the brand’s customer service.

CBD Dosage for Chronic Fatigue Syndrome

Since the FDA has not approved cannabidiol for treating chronic fatigue syndrome, there are no guidelines on its correct dosage.

Some people believe there are several factors to consider in determining the proper dose for each person. One’s body weight and the amount of CBD in each product are the most commonly cited.

Authors of a 2016 study said that they do not have a foundation to recommend the right dosage based on their studies. However, they hypothesized that consuming a low dose of 12 mg to 25 mg of CBD once each day appears to provide relief for anxiety and sleep disorders(47).

It is clear that further large scale studies are needed for experts to come up with CBD dosing that is safe and effective for the general population.

Although CBD is considered generally safe for human consumption, it is still possible for users to experience side effects.

According to a 2017 clinical review of CBD, the most commonly reported adverse reactions, based on several studies, include tiredness, diarrhea, and appetite loss(48).

How to Take CBD Oil for Chronic Fatigue Syndrome

The most convenient and direct way of taking CBD is to consume CBD oil capsules and edibles. CBD products in the form of gummies, brownies, and tablets are ideal for CBD beginners.

Consuming CBD oil by way of tinctures or drops might be a practical option for users looking for maximum dosage control and immediate results.

CBD tinctures can be applied directly under the tongue (sublingual) using a dropper to allow the oil to be absorbed into the bloodstream. Some individuals prefer this type of application as they believe it to be an efficient approach to consuming cannabidiol.

A study published in 2010 supports this concept, stating that peak blood levels of most substances applied sublingually are achieved in 10 to15 minutes. The study also mentioned that sublingual application is generally much quicker compared to ingesting the same substances orally(49).

Individuals that do not find the pure CBD hemp extract taste desirable may opt for CBD gummies instead. These products are usually available in many flavors, including pineapple, grape, watermelon, and raspberry.

Each piece of gummy comes at a fixed dosing level, which makes it a great way to provide CBD, even to children.

It is possible to mix CBD oil with food and drinks. Keep in mind, however, that oil and water do not mix.

Researchers in a 2018 study mentioned that taking CBD after eating is highly advised to allow for optimal absorption of the compound. The authors believe that, due to it being highly lipophilic (the state of being soluble in fats or lipids), CBD may dissolve in the fat content of food easily(50).

Consuming milk, for instance, might be necessary for CBD oil to bind and dissolve completely.

There are also CBD topicals that people may use in massage therapies for relaxation and its perceived benefits for anxiety disorders and sleep disturbances

Many brands are presently selling CBD products in the form of creams, balms, lotions, and salves.

When browsing topical CBD products, search for keywords on the labels indicating that it used nanotechnology or encapsulation of CBD.  

These terms mean that the CBD solution can go through the dermal layers of the skin, rather than stay on its surface only.

Vaping CBD is also becoming a popular method of consuming CBD. Inhaling CBD vapors is a quick way to get CBD into the body since it enters the bloodstream immediately through the lungs.

However, vaping is not suitable for every person, especially those suffering from lung disorders. Some ingredients used in CBD vapes are harmful when inhaled(51).

Thus, people who wish to use CBD vaping products for the first time should proceed with caution. It is best to consult a doctor experienced in cannabis products before trying out CBD.

Can CBD Cause Tiredness?

Although several studies indicate that using cannabidiol may benefit people with CFS, there are some concerns as to whether the compound may cause weariness or not.

According to Mayo Clinic, the use of CBD carries with it the risk of experiencing side effects, such as tiredness and fatigue(52).

Their statement is in parallel with the results of a 2017 study on the use of Epidiolex in 261 patients with severe epilepsy. After three months of CBD use, 10% of the subjects reported experiencing tiredness and exhaustion(53).

The authors of the study, however, concluded that CBD’s side effects appear to be generally mild and infrequent. Their conclusion was based on the available trials that were performed during that time.

How Is Chronic Fatigue Syndrome Diagnosed?

Chronic fatigue syndrome is a challenging condition to diagnose due to how its symptoms appear similar to many other disorders.

According to a study published in 2018, around 1.7 to 3.38 million people in the United States are diagnosed with CFS(54).

Currently, no single test can diagnose chronic fatigue syndrome. Doctors make a diagnosis only after excluding all other disorders. Also, the symptoms should have continued in the last six months.

A crucial part of chronic fatigue syndrome diagnosis is the ruling out of other possible causes of the condition. Some illnesses that have similar symptoms of CFS include:

  • Lyme disease
  • Mononucleosis
  • Multiple sclerosis
  • Hypothyroidism
  • Lupus
  • Fibromyalgia
  • Clinical depression
  • Sleep disorders
  • Severe obesity

The side effects of consuming excess alcohol and using certain drugs, like antihistamines, may also mimic the symptoms of CFS.

Since the signs of chronic fatigue syndrome share similarities with that of other conditions, it is essential to avoid self-diagnosis. Talk to a doctor concerning CFS symptoms. Medical professionals can work with patients to obtain relief.

Exercise and Chronic Fatigue Syndrome

Individuals with CFS react differently to physical activity. To some, exercise may be a problem since their symptoms can worsen with physical exertion.

Whether or not a person with CFS should exercise seems to be debatable.

Although aerobic exercise may be beneficial for certain illnesses, some CFS patients cannot tolerate regular exercise routines due to post-exertional malaise. Individuals may have to learn how to pace themselves first.

Patients must seek advice from their healthcare provider to develop a personalized weekly routine based on their condition and capabilities.

People with CFS should never be forced into pushing past their limits, as this may cause a long-term relapse. It is essential to start any activity plan slowly, as some patients may only be able to do stretches for a few minutes.

For others, CFS symptoms may improve as time passes. Achieving better control over one’s body is a slow and gradual process for those with chronic fatigue syndrome.

Conclusion

Chronic fatigue syndrome, also known as CFS, is a disorder characterized by extreme tiredness that does not go away even with rest. CFS may occur suddenly, as in most cases, or it can slowly develop in an individual.

CFS is a long-term condition that is often associated with sleep dysfunction, muscle pain, and cognitive issues. Since it has numerous symptoms, many forms of treatment are available that could potentially help with chronic fatigue syndrome.

Some people recommend lifestyle changes and avoiding psychological stress triggers. Other individuals prefer aerobic physical activity to improve the body’s level of function. 

Studies show that CBD may help alleviate the symptoms of CFS due to its therapeutic effects.

According to studies, cannabidiol has properties that may inhibit inflammation, alleviate pain, help with sleep, and improve one’s overall mood. 

Researchers hypothesize that compounds, like CBD, express their potential health benefits by interacting with receptors in the endocannabinoid system (ECS).

The ECS is a system found in all mammals that is responsible for regulating essential functions of the body. The primary receptors used by the endocannabinoid system are the CB1 and CB2 receptors.

The CB1 receptors are said to influence a person’s pain sensation, sleep, mood, appetite, memory processing, and motor regulation. Meanwhile, CB2 receptors are primarily present on cells in the immune system and are believed to carry out the immunomodulatory functions of the ECS.

Researchers also believe that cannabidiol engages with receptors outside of the ECS. Serotonin receptors, like 5-HT1A, have been implicated in the therapeutic effects of CBD, particularly in regulating anxiety and depression.

Despite CBD’s potential, most studies on this cannabinoid have been performed on animals. There is a distinct lack of clinical trials conducted on human subjects, preventing researchers from concluding whether or not cannabidiol may benefit CFS patients.

As with any medication, individuals interested in giving CBD a try should consult with a doctor to avoid complications. It is best to seek advice from a physician experienced in cannabis use.


  1. Komaroff AL. Inflammation correlates with symptoms in chronic fatigue syndrome. Proc Natl Acad Sci U S A. 2017;114(34):8914-8916. doi:10.1073/pnas.1712475114
  2. Lee JS, Kim HG, Lee DS, Son CG. Oxidative Stress is a Convincing Contributor to Idiopathic Chronic Fatigue. Sci Rep. 2018;8(1):12890. Published 2018 Aug 27. doi:10.1038/s41598-018-31270-3
  3. Atalay S, Jarocka-Karpowicz I, Skrzydlewska E. Antioxidative and Anti-Inflammatory Properties of Cannabidiol. Antioxidants (Basel). 2019;9(1):21. Published 2019 Dec 25. doi:10.3390/antiox9010021
  4. Maroon J, Bost J. Review of the neurological benefits of phytocannabinoids. Surg Neurol Int. 2018;9:91. Published 2018 Apr 26. doi:10.4103/sni.sni_45_18
  5. Morales P, Hurst DP, Reggio PH. Molecular Targets of the Phytocannabinoids: A Complex Picture. Prog Chem Org Nat Prod. 2017;103:103-131. doi:10.1007/978-3-319-45541-9_4
  6. Harvard Health Publishing (2018, October). Chronic Fatigue Syndrome. Retrieved from: https://www.health.harvard.edu/a_to_z/chronic-fatigue-syndrome-a-to-z.
  7. Castro-Marrero J, Sáez-Francàs N, Santillo D, Alegre J. Treatment and management of chronic fatigue syndrome/myalgic encephalomyelitis: all roads lead to Rome. Br J Pharmacol. 2017;174(5):345-369. doi:10.1111/bph.13702
  8. Castro-Marrero J. et al. op. cit.
  9. Komaroff AL. op. cit.
  10. Lee JS. et al. op. cit.
  11. Castro-Marrero J. et al. op. cit.
  12. Ibid.
  13. Harvard Health Publishing. op. cit.
  14. Crippa JA, Guimarães FS, Campos AC, Zuardi AW. Translational Investigation of the Therapeutic Potential of Cannabidiol (CBD): Toward a New Age. Front Immunol. 2018;9:2009. Published 2018 Sep 21. doi:10.3389/fimmu.2018.02009
  15. Atalay S. et al. op. cit.
  16. Ibid.
  17. Al-Ghezi ZZ, Miranda K, Nagarkatti M, Nagarkatti PS. Combination of Cannabinoids, Δ9- Tetrahydrocannabinol and Cannabidiol, Ameliorates Experimental Multiple Sclerosis by Suppressing Neuroinflammation Through Regulation of miRNA-Mediated Signaling Pathways. Front Immunol. 2019;10:1921. Published 2019 Aug 21. doi:10.3389/fimmu.2019.01921
  18. Nakatomi Y, Mizuno K, Ishii A, et al. Neuroinflammation in Patients with Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: An ¹¹C-(R)-PK11195 PET Study. J Nucl Med. 2014;55(6):945-950. doi:10.2967/jnumed.113.131045
  19. Campos AC, Moreira FA, Gomes FV, Del Bel EA, Guimarães FS. Multiple mechanisms involved in the large-spectrum therapeutic potential of cannabidiol in psychiatric disorders. Philos Trans R Soc Lond B Biol Sci. 2012;367(1607):3364-3378. doi:10.1098/rstb.2011.0389
  20. Babson KA, Sottile J, Morabito D. Cannabis, Cannabinoids, and Sleep: a Review of the Literature. Curr Psychiatry Rep. 2017;19(4):23. doi:10.1007/s11920-017-0775-9; Kuhathasan N, Dufort A, MacKillop J, Gottschalk R, Minuzzi L, Frey BN. The use of cannabinoids for sleep: A critical review on clinical trials. Exp Clin Psychopharmacol. 2019;27(4):383-401. doi:10.1037/pha0000285
  21. Carlini EA, Cunha JM. Hypnotic and antiepileptic effects of cannabidiol. J Clin Pharmacol. 1981;21(S1):417S-427S. doi:10.1002/j.1552-4604.1981.tb02622.x
  22. Schredl M, Bozzer A, Morlock M. Traumerinnerung und Schlafstörungen [Dream recall and sleep disorders]. Psychother Psychosom Med Psychol. 1997;47(3-4):108-116.
  23. Centers for Disease Control and Prevention. Symptoms of ME/CFS. Retrieved from: https://www.cdc.gov/me-cfs/symptoms-diagnosis/symptoms.html.
  24. Vuckovic S, Srebro D, Vujovic K, Vucetic C, Prostran M. Cannabinoids and Pain: New Insights From Old Molecules. Frontiers in Pharmacology. https://doi.org/10.3389/fphar.2018.01259
  25. Stampanoni Bassi M, Gilio L, Maffei P, et al. Exploiting the Multifaceted Effects of Cannabinoids on Mood to Boost Their Therapeutic Use Against Anxiety and Depression. Front Mol Neurosci. 2018;11:424. Published 2018 Nov 20. doi:10.3389/fnmol.2018.00424
  26. Maroon J, Bost J. op. cit.
  27. Education Collaboration Hope (2017, April 18). A Look at the Endocannabinoid System’s CB1 and CB2 Receptors. Retrieved from: https://echoconnection.org/look-endocannabinoid-systems-cb1-cb2-receptors/.; Scotter EL, Goodfellow CE, Graham ES, Dragunow M, Glass M. Neuroprotective potential of CB1 receptor agonists in an in vitro model of Huntington’s disease. Br J Pharmacol. 2010;160(3):747-761. doi:10.1111/j.1476-5381.2010.00773.x
  28. Chiarlone A, Bellocchio L, Blázquez C, Resel E, Soria-Gómez E, Cannich A, Ferrero J, Sagredo O, Benito C, Romero J, Sánchez-Prieto J, Lutz B, Fernández-Ruiz J, Galve-Roperh I, Guzmán M. Neuroprotection by CB1 cannabinoid receptors. Proceedings of the National Academy of Sciences Jun 2014, 111 (22) 8257-8262; DOI: 10.1073/pnas.1400988111
  29. Education Collaboration Hope. op. cit.
  30. Morales P. et al. op. cit.
  31. Ibid.
  32. Ibid.
  33. Garcia-Garcia AL, Newman-Tancredi A, Leonardo ED. 5-HT(1A) [corrected] receptors in mood and anxiety: recent insights into autoreceptor versus heteroreceptor function [published correction appears in Psychopharmacology (Berl). 2014 Feb;231(4):637]. Psychopharmacology (Berl). 2014;231(4):623-636. doi:10.1007/s00213-013-3389-x
  34. Morales P. et al. op. cit.
  35. U.S. Food and Drug Administration (2020, March 5). What You Need to Know (And What We’re Working to Find Out) About Products Containing Cannabis or Cannabis-derived Compounds, Including CBD. Retrieved from: https://www.fda.gov/consumers/consumer-updates/what-you-need-know-and-what-were-working-find-out-about-products-containing-cannabis-or-cannabis.
  36. Iffland K, Grotenhermen F. An Update on Safety and Side Effects of Cannabidiol: A Review of Clinical Data and Relevant Animal Studies. Cannabis Cannabinoid Res. 2017;2(1):139-154. Published 2017 Jun 1. doi:10.1089/can.2016.0034
  37. Bonn-Miller MO, Loflin MJE, Thomas BF, Marcu JP, Hyke T, Vandrey R. Labeling Accuracy of Cannabidiol Extracts Sold Online. JAMA. 2017;318(17):1708-1709. doi:10.1001/jama.2017.11909
  38. Hartz AJ, Bentler S, Noyes R, et al. Randomized controlled trial of Siberian ginseng for chronic fatigue. Psychol Med. 2004;34(1):51-61. doi:10.1017/s0033291703008791
  39. Cox IM, Campbell MJ, Dowson D. Red blood cell magnesium and chronic fatigue syndrome. Lancet. 1991;337(8744):757-760. doi:10.1016/0140-6736(91)91371-z
  40. Ibid.
  41. Tamizi far B, Tamizi B. Treatment of chronic fatigue syndrome by dietary supplementation with omega-3 fatty acids–a good idea?. Med Hypotheses. 2002;58(3):249-250. doi:10.1054/mehy.2001.1507
  42. Haß U, Herpich C, Norman K. Anti-Inflammatory Diets and Fatigue. Nutrients. 2019;11(10):2315. Published 2019 Sep 30. doi:10.3390/nu11102315
  43. Murillo-Rodríguez E, Sarro-Ramírez A, Sánchez D, et al. Potential effects of cannabidiol as a wake-promoting agent. Curr Neuropharmacol. 2014;12(3):269-272. doi:10.2174/1570159X11666131204235805
  44. Adarme-Vega TC, Lim DK, Timmins M, Vernen F, Li Y, Schenk PM. Microalgal biofactories: a promising approach towards sustainable omega-3 fatty acid production. Microb Cell Fact. 2012;11:96. Published 2012 Jul 25. doi:10.1186/1475-2859-11-96
  45. Russo EB. Taming THC: potential cannabis synergy and phytocannabinoid-terpenoid entourage effects. Br J Pharmacol. 2011;163(7):1344-1364. doi:10.1111/j.1476-5381.2011.01238.x
  46. Jozwiak A, Brzozowski R, Bujnowski Z, Chojnacki T, Swiezewska E. Application of supercritical CO2 for extraction of polyisoprenoid alcohols and their esters from plant tissues. J Lipid Res. 2013;54(7):2023-2028. doi:10.1194/jlr.D038794
  47. Shannon S, Opila-Lehman J. Effectiveness of Cannabidiol Oil for Pediatric Anxiety and Insomnia as Part of Posttraumatic Stress Disorder: A Case Report. Perm J. 2016;20(4):16-005. doi:10.7812/TPP/16-005
  48. Iffland K, Grotenhermen F. op. cit.
  49. International Journal of Pharmacy and Pharmaceutical Sciences (2011). Sublingual Mucosa As a Route for Systemic Drug Delivery. Retrieved from: https://innovareacademics.in/journal/ijpps/Vol3Suppl2/1092.pdf.
  50. Millar SA, Stone NL, Yates AS, O’Sullivan SE. A Systematic Review on the Pharmacokinetics of Cannabidiol in Humans. Front Pharmacol. 2018;9:1365. Published 2018 Nov 26. doi:10.3389/fphar.2018.01365
  51. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems; Eaton DL, Kwan LY, Stratton K, editors. Public Health Consequences of E-Cigarettes. Washington (DC): National Academies Press (US); 2018 Jan 23. 5, Toxicology of E-Cigarette Constituents. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507184/
  52. Mayo Clinic. What are the benefits of CBD – and is it safe to use? Retrieved from: https://www.mayoclinic.org/healthy-lifestyle/consumer-health/expert-answers/is-cbd-safe-and-effective/faq-20446700.
  53. Iffland K. Grotenhermen F. op. cit.
  54. Valdez AR, Hancock EE, Adebayo S, et al. Estimating Prevalence, Demographics, and Costs of ME/CFS Using Large Scale Medical Claims Data and Machine Learning. Front Pediatr. 2019;6:412. Published 2019 Jan 8. doi:10.3389/fped.2018.00412
CBD Clinicals is reader-supported. When you buy through links on our site, we may earn an affiliate commission. Learn more

Featured Posts


Spruce CBD Review

Spruce is a family-owned business based out of Raleigh, North Carolina. The company was founded in 2018 in the belief that modern medicine is broken and that there is a need for alternatives to dangerous pharmaceuticals. Spruce’s lab-grade CBD oil is 100% natural and tested by a third-party lab in...

Read more

Best CBD Oil for High Blood Pressure (Hypertension)

Why People Are Taking CBD for High Blood Pressure? According to the Centers for Disease Control and Prevention (CDC), high blood pressure can harden the arteries, which decreases the flow of blood and oxygen to the heart, leading to heart disease(5). In a 2015 study conducted by researchers from the...

Read more

NuLeaf Naturals Review

Based in Colorado, USA, and founded in 2014, NuLeaf Naturals is one of America’s top pioneering hemp companies. NuLeaf Naturals wellness products are derived from specially bred therapeutic hemp (Cannabis Sativa) plants grown on licensed farms in Colorado. Their hemp CBD plants are 100% organic whole-plant extracts and grown with...

Read more

Best CBD for Neuropathy (Nerve Pain)

As medical cannabis products have become more popular, people are turning to them to treat everything from anxiety to depression to chronic pain. Individuals who are suffering from neuropathy may show interest in trying CBD oil. What Is CBD? CBD comes from a plant that is part of the Cannabaceae...

Read more

SabaiDee Review + Discount Coupon Code for 2020

SabaiDee CBD products are tested both in-house and by independent laboratories to verify the quality of every batch. Their products all come with SabaiDee’s Happiness Guarantee. 

Read more

Top 4 Best CBD Oil for Dogs With Cancer (2020)

Why Some People are Using CBD for Dogs with Cancer? An article posted by the American Kennel Club (AKC) says that there is no conclusive scientific data on using cannabidiol (CBD) to treat dogs specifically. However, there is anecdotal evidence from dog owners suggesting that CBD can help with neuropathic...

Read more

CBD Oil for Kids with Anxiety

Why People are Turning to CBD for Children with Anxiety? CBD has become a popular OTC treatment that parents give their children, says Doris Trauner, M.D., professor of neurosciences and pediatrics at the University of California San Diego School of Medicine and a physician at San Diego’s Rady Children’s Hospital....

Read more

CBD Oil for Candida

Why People are Turning to CBD for Candida? Candidiasis or thrush is a medical condition caused by Candida albicans, a yeast-like fungus. This type of fungus spreads over within the mouth and throat, and it usually infects men and women alike. Certain cannabinoids, like CBD, have been shown as a...

Read more