Choosing CBD products isn’t as simple as picking something off the dispensary shelf and then walking out the door. Consumers should be aware that a handful of hemp products on the market pay lip service to governmental regulations by labeling themselves as hemp, despite containing cannabinoids and terpenoids. Some CBD products are completely devoid of cannabinoids including CBD, despite package labeling. The FDA purchased a number of CBD products online in 2015 and 2016 to test them for the presence of CBD and other cannabinoids. They found that the amount of CBD these products claimed on their labels was markedly inaccurate; some didn’t even contain CBD.
One area where CBD is clearly helpful: the treatment of seizures associated with one form of epilepsy. A 2017 New England Journal of Medicine study found ingesting oral CBD dramatically cut down most patients’ seizure frequency—a finding that prompted the FDA to support the approval of one CBD drug for use in the treatment of some epilepsy patients.
According to the United States Department of Health and Human Services, there were 455,000 emergency room visits associated with cannabis use in 2011. These statistics include visits in which the patient was treated for a condition induced by or related to recent cannabis use. The drug use must be "implicated" in the emergency department visit, but does not need to be the direct cause of the visit. Most of the illicit drug emergency room visits involved multiple drugs.[76] In 129,000 cases, cannabis was the only implicated drug.[77][78]
For a fiber crop, hemp is cut in the early flowering stage or while pollen is being shed, well before seeds are set. Tall European cultivars (greater than 2 m) have mostly been grown in Canada to date, and most of these are photoperiodically adapted to mature late in the season (often too late). Small crops have been harvested with sickle-bar mowers and hay swathers, but plugging of equipment is a constant problem. Hemp fibers tend to wrap around combine belts, bearings, indeed any moving part, and have resulted in large costs of combine repairs (estimated at $10.00/ha). Slower operation of conventional combines has been recommended (0.6–2 ha/hour). Large crops may require European specialized equipment, but experience in North America with crops grown mainly for fiber is limited. The Dutch company HempFlax has developed or adapted several kinds of specialized harvesting equipment (Fig. 44, 45).

Because hemp-derived CBD currently lacks labeling and purity standards that are required of cannabis products sold at legal dispensaries, it exists in a regulatory limbo that laws don’t yet address. In the meantime, the Los Angeles County Department of Public Health has announced that starting in July, putting CBD in food products will cost businesses points on their health inspections.
Hemp does best on a loose, well-aerated loam soil with high fertility and abundant organic matter. Well-drained clay soils can be used, but poorly-drained clay soils are very inappropriate because of their susceptibility to compaction, which is not tolerated. Young plants are sensitive to wet or flooded soils, so that hemp must have porous, friable, well-drained soils. Sandy soils will grow good hemp, provided that adequate irrigation and fertilization are provided, but doing so generally makes production uneconomical. Seedbed preparation requires considerable effort. Fall plowing is recommended, followed by careful preparation of a seedbed in the spring. The seedbed should be fine, level, and firm. Seed is best planted at 2–3 cm (twice as deep will be tolerated). Although the seedlings will germinate and survive at temperatures just above freezing, soil temperatures of 8°–10°C are preferable. Generally hemp should be planted after danger of hard freezes, and slightly before the planting date of maize. Good soil moisture is necessary for seed germination, and plenty of rainfall is needed for good growth, especially during the first 6 weeks. Seeding rate is specific to each variety, and this information should be sought from the supplier. Fiber strains are typically sown at a minimum rate of 250 seeds per m2 (approximately 45 kg/ha), and up to three times this density is sometimes recommended. In western Europe, seeding rates range from 60–70 kg/ha for fiber cultivars. Recommendations for seeding rates for grain production vary widely, from 10–45 kg/ha. Densities for seed production for tall, European, dual-purpose cultivars are less than for short oilseed cultivars. Low plant densities, as commonly found in growing tall European cultivars for seed, may not suppress weed growth adequately, and under these circumstances resort to herbicides may pose a problem for those wishing to grow hempseed organically. Hemp requires about the same fertility as a high-yielding crop of wheat. Industrial hemp grows well in areas that corn produces high yields. Growing hemp may require addition of up to 110 kg/ha of nitrogen, and 40–90 kg/ha of potash. Hemp particularly requires good nitrogen fertilization, more so for seed production than fiber. Adding nitrogen when it is not necessary is deleterious to fiber production, so that knowledge of the fertility of soils being used is very important. Organic matter is preferably over 3.5%, phosphorus should be medium to high (>40 ppm), potassium should be medium to high (>250 ppm), sulfur good (>5,000 ppm), and calcium not in excess (<6,000 ppm).

In 1925, a compromise was made at an international conference in The Hague about the International Opium Convention that banned exportation of "Indian hemp" to countries that had prohibited its use, and requiring importing countries to issue certificates approving the importation and stating that the shipment was required "exclusively for medical or scientific purposes". It also required parties to "exercise an effective control of such a nature as to prevent the illicit international traffic in Indian hemp and especially in the resin".[211][212] In the United States in 1937, the Marihuana Tax Act was passed,[213] and prohibited the production of hemp in addition to cannabis.