Full Extraction Cannabis Oil can be a tool even if you don't want to be high all the time
The goal of a popular Full Extraction Cannabis Oil (FECO) protocol is to consume 60 grams of FECO in 90 days. This preparation was popularized in recent years by Rick Simpson, who seems to have cured his cancer using a thick, tar-like, high THC, cannabis oil preparation in large amounts.
Some people call this kind of oil "RSO" or "Rick Simpson Oil." This oil is made by extracting all the cannabinoids, terpenes, flavonoids and phytochemicals from the plant. While we are grateful to him for spreading the word about the healing possibilities of cannabis oil, and we see that the oil he made was effective for him, Rick Simpson's methods were less than ideal and most regulated full extraction cannabis oil, as well as what is now made at home, is made with a clean, food grade ethanol and/or CO2 extraction process. It is essential when using cannabis medicine to always know and trust that your source uses clean methods and tests for purity and potency.
Another issue with the dogma of this well known protocol is that Rick Simpson didn't test his oil to know exactly how much of which cannabinoids were in his remedy - it wasn't like it is today. RSO is thought to be a high THC oil made from potent plants with little or no CBD. Today, reputable FECO in the US & Canada is tested and the user knows how much of which cannabinoids they are taking. Additionally, some consumers have choices in ratios of cannabinoids and strains. If you do not have access to this plant medicine, be sure to write to your elected representatives and demand access to this highly beneficial, safe and effective herb. Any time that cannabis is on the ballot, it wins.
In dozens of countries, including Canada and the UK, there is a regulated pharmaceutical product that is a 1:1 ratio of botanical CBD and THC called Sativex or Nabiximols. It is approved for MS patients with problematic spasticity, but is technically able to be used off label, like so many other drugs. There are more and more studies and trials using this 1:1 botanical blend of medicine for hard to treat diseases like Alzheimer's and related dementias, Glioblastoma, Parkinson's, RA and more. A 1:1 blend or plant is available in high quality medical cannabis dispensaries. Or one could get a high THC product and a high CBD product and essentially create their own. A high quality hemp CBD product could be used instead of CBD from cannabis, possibly saving some money.
Many of our clients, especially late stage Cancer Fighter clients, come to us asking how to manage the heroic "60 grams in 90 days" FECO journey without being high all the time. There are many ways. It doesn't have to be all THC. Studies are showing that a wide range of cannabinoids are effective at fighting cancer, not only THC. One of the top cannabis and cancer researchers in the world, Dr. David Meiri recently said, "If someone is telling you exactly what cannabinoid kills a specific cancer, they're probably trying to get you to invest in their startup...because nobody knows." There are many ways to take CBD and THC to minimize unwanted effects.
The Famous "Rick Simpson Protocol"
60 grams of concentrated cannabinoids over +/-90 days is a lot, and it should be taken with caution, slowly increasing the dose, ratio and concentration to prevent unwanted effects & to gradually expand one's therapeutic window for THC.
For people who are brand new to cannabis therapy but are asking for guidance with this protocol, we recommend starting with a CBD dominant FECO for day time and a 1:1 at night. After they feel comfortable with high doses of the 1:1 at night, they can move to a THC dominant FECO for bedtime. We believe in the power of this plant and don't want people to be scared away from it over using a little too much at the beginning.
It should be noted that symptom management like nausea control, pain relief, supporting brain health, stimulating appetite, easing anxiety, lifting depression, and improving quality of life can be achieved with much lower doses through various routes of administration. Because so many compounds of this plant are so effective, the user gets to choose what type of experience they wish to have. If they wish to avoid excessive "high" feelings but still get symptom relief, that is entirely possible.
Coach Chela education and research is not intended as a substitute for medical advice. Always consult a skilled cannabis clinician about your medical needs; you may find one at the Society of Cannabis Clinicians website using their Practitioner Finder Tool.
60g in 90 days
Below is *one* sample protocol for increasing the dose of FECO until the often recommended daily dose of "one gram per day" is reached. One gram is estimated to have between 500-1000mg of total cannabinoids, depending on one's source.
If one is brand new to cannabinoid therapy, it is recommended to start with a CBD dominant FECO during the day, and a 1:1 CBD:THC at night; then moving to 1:1 for day time and a THC dominant at night - depending on the type of cancer and what the user's goals are. Start low, go slow and keep track of your journey.
● Week 1: Start with 1/10th of a gram (+/-100mgs total cannabinoids in some FECO; amount will vary according to your FECO) split into 3 doses (every 8 hours)
Take morning, midday, before bed - it's advisable to take your first dose before bed on night one to see how you feel in the AM. Use caution when you get out of bed, be mindful of possible dizziness.
● Week 2-5: Double your dose every 4 days, or as is tolerated, maintaining the 3x per day, or more, schedule.
● Week 5-12: 1 gram per day (split across 3 doses or more) until the entire 60 grams of oil
is consumed
Week 12+: Reduce to a maintenance dose. Individual maintenance doses will vary. Always keep detailed notes on your journey. It will really help.
You may take the FECO on a spoon mixed with a little bit of organic extra virgin olive oil (EVOO) to increase the bioavailability, or try it on a tooth pick under the tongue.
You could mix the FECO with organic EVOO and put it in a tincture for ease of dosing - see the Mixing Tinctures blog post.
We hope this information on simplifying the Rick Simpson Protocol will help provide you with the tools you need to feel better and better.
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