Cerebral Palsy affects patients differently but some are turning to medical marijuana to help improve their daily functions and experience some symptom relief. Cerebral palsy is a lifelong condition affecting motor function, muscle tone, and body posture. Can CBD help with the neurological symptoms of cerebral palsy? Here we outline the potential benefits. Medical marijuana has recently become a hot-button issue in America. Many people tout the medical benefits of marijuana and CBD oil with regard to cerebral palsy and/or seizures, but is it right for my child?
Can Medical Marijuana Help Patients with Cerebral Palsy?
For many patients with cerebral palsy, muscle stiffness, chronic pain , and muscle spasticity are just part of their daily life. Cerebral palsy (CP) begins in the womb or at birth and is caused by abnormal brain development that affects the child’s ability to speak and move their muscles, among other possible complications. It is the leading cause of motor disability in children as it causes issues with involuntary movements, motor skills, stuttering, and stiff muscles (16). Thus, the muscles are also affected and it is considered a life-long neurological and developmental disorder. Fortunately, the severe symptoms of CP can potentially be relieved with reduced amounts or without the use of opioids, and instead with cannabis.
Cannabis contains cannabinoids, the most well-known being Δ9-tetrahydrocannabinol (THC) and cannabidiol (CBD ). Cannabinoids work by influencing the endocannabinoid system, which is made up of fat-based neurotransmitters. Cannabis binds to CB1 and CB2 receptors in the body, which influences the levels of endocannabinoids, including anandamide (AEA).
For more information on how the endocannabinoid system works, please see our page on endocannabinoids here .
Treating Cerebral Palsy Patients with Medical Cannabis
Several symptoms of cerebral palsy can be temporarily relieved with the use of cannabis. Research into treating cerebral palsy symptoms is just beginning and has not proven any clear benefits yet, but it is promising based on existing cannabis research for similar symptoms and conditions. Please check out the list below for more information on how cannabis might be able to help your specific symptoms including:
CP is often characterized by spastic, or rigid, muscles. The muscles typically have increased muscle tone that causes arms, legs, hands, and feet to have difficulties functioning, which causes pain and difficulty moving (19).
Please check out our guide on spasticity for more specific information about how cannabis can help treat this symptom of cerebral palsy.
Many CP patients experience a lot of chronic pain due to muscle spasms and muscle tightness. Cannabis can help relieve chronic pain, but for patients who are worried about the psychoactive effects of THC, CBD is a non-intoxicating alternative for pain relief.
Check out our chronic pain page for more information here.
Some cerebral palsy patients can have issues with falling asleep and staying asleep due to spasticity and muscle pain. While taking cannabis specifically for these symptoms can help improve your sleep quality, another option is taking cannabinol (CBN) (20 ).
For more information about relieving sleep issues with cannabis, please check out our guide on insomnia .
Since CP is a neurological disorder that is essentially caused by damage to the brain, seizures are a regular occurrence for some patients. Through the endocannabinoid system, cannabis may decrease the release of neurotransmitters that activate neurons and thereby decrease seizures (18 ). It is extremely important to talk to your doctor before trying to use medical cannabis if you have seizures as cannabis is known to interact with certain anti-epileptic medications.
For more information about treating seizures, check out our page on epilepsy.
Treating Pediatric Patients with Cannabis
Between 35% and 50% of children with CP experience seizures alongside muscle spasticity and chronic pain (12). Since this is a lifelong disorder that begins in infancy, it is important to understand how cannabinoids can help a child. For parents who are concerned about the side effects of THC, it should be ok to use CBD to help relieve these symptoms in their children with a pediatrician’s recommendation. Many parents choose to give their children CBD oil for this reason.
Cannabis was tested in a group of 25 children between 1 and 17-years-old for complex motor disorders, which includes cerebral palsy. Though this study was small and both groups received different combinations of CBD and THC, it had promising results for the pediatric population. Patients in this study experienced improvements in spasticity, aberrant muscle movements, pain severity, and an overall improvement in their quality of life (7).
Considerations to Keep in Mind
It is very important to talk with the doctor who is treating your CP as cannabis treatments may not be right for everyone depending on the complexity of your symptoms. A multimodal approach consisting of physical, speech, and occupational therapists along with appropriate specialist treatment can benefit patients the most.
In addition, some patients who have speech issues due to CP may see benefits in their ease of speaking, though there is no scientific evidence of this (12) (14).
Understanding the Different Types of Cerebral Palsy
CP is a group of disorders that affect a person’s ability to move and maintain balance and posture (16). It is caused by abnormal brain development or damage to the developing brain. It is typically diagnosed during childhood or at birth and has lifelong symptoms.
Cerebral palsy can be classified into the following:
Spastic Cerebral Palsy
In Spastic CP, patients have increased muscle tone, making their muscles stiff and movement uncoordinated (16). It is the most common type of CP, affecting 80% of CP patients. The types of this form of CP include (16):
- Spastic diplegia/diparesis – muscle stiffness in this type primarily affects the legs. Patients with this type of CP have a hard time walking because of tight hip and leg muscles that cause the legs to turn inward, pull together, and cross at the knees.
- Spastic hemiplegia/hemiparesis – This type of CP only affects one-half of the body. Usually, the arm is affected more than the leg.
- Spastic quadriplegia/quadriparesis – As the most severe form of CP, it affects the arms, legs, face, and trunk portions of the body. Patients with this type usually cannot talk and also experience intellectual disabilities, seizures, or problems with vision, hearing, or speech.
Dyskinetic Cerebral Palsy
This type of CP includes athetoid, choreoathetoid, and dystonic cerebral palsies. Patients with dyskinetic CP have difficulty controlling the movement in their hands, arms, legs, and feet, resulting in uncontrollable movements that are either slow or rapid and jerky (16). In addition, the muscle tone can change from too tight to too loose throughout the day.
Ataxic Cerebral Palsy
Patients with this type of CP experience problems with balance and coordination leading to unsteadiness when walking, struggling with movements that need a lot of muscle control, or controlling their hands or arms while reaching for an object (16).
Mixed Cerebral Palsy
This type of CP is classified when a patient has a combination of the above categories. The most common type of mixed CP is spastic-dyskinetic cerebral palsy (16).
A Patient’s Perspective
A 2011 study analyzed survey results about what treatment options adults with CP liked to use for pain. 87 patients indicated their areas of pain as well as what pain treatments they tried in the six months preceding this survey (3). 71% of patients reported that their most painful area was their lower back, and 58% also cited hip and leg pain. Five percent of the patients surveyed have either previously used or are currently using cannabis to help with pain. Patients most commonly used physical therapy to help alleviate their pain.
Though only a small percentage of patients admitted to using marijuana, this study further proves that more research is needed in this area, because patients are interested in trying cannabis for their CP symptoms.
Note: Veriheal does not intend to give this as professional medical advice. Do not attempt to self-diagnose or prescribe treatment based on the information provided on this page. Always consult a physician before making any decision on the treatment of a medical condition.
1. Blimkin, L., Libzon, S., Bar-Lev Schleider, L., Saban, N., Levit, L., Zerem, A., . . . Lerman-Sagie, T. (2017). Medical cannabis in children with complex motor disorders. European Journal of Paediatric Neurology, 21 . https://www.researchgate.net/publication/317591999_Medical_cannabis_in_children_with_complex_motor_disorders
2. Fairhurst, C., Kumar, R., Checketts, D., Tayo, B., & Turner, S. (2020). Efficacy and safety of nabiximols cannabinoid medicine for paediatric spasticity in cerebral palsy or traumatic brain injury: A randomized controlled trial. Developmental Medicine & Child Neurology, 62(9), 1031-1039. https://onlinelibrary.wiley.com/doi/10.1111/dmcn.14548
3. Hirsh, A. T., Kratz, A. L., Engel, J. M., & Jensen, M. P. (2011). Survey results of pain treatments in adults with cerebral palsy. American journal of physical medicine & rehabilitation, 90(3), 207–216. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3036542/
4. Hounie, A., & Almeida Vasques, M. (2019). Neurological improvement with medical cannabis in a progressive supranuclear palsy patient: A case report. Medical Cannabis and Cannabinoids, 2 (2), 65-68. https://www.karger.com/Article/FullText/503864
5. Jansheski, G., MD. (2020, March 30). Cerebral Palsy and Medical Marijuana. Retrieved March 06, 2021, from https://www.cerebralpalsyguidance.com/cerebral-palsy/treatment/medical-marijuana/
6. Kumar, R., Chambers, W., & Pertwee, R. (2001). Pharmacological actions and therapeutic uses of cannabis and cannabinoids [PDF]. Anaesthesia. https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2044.2001.02269.x
7. Libzon, S., Schleider, L. B., Saban, N., Levit, L., Tamari, Y., Linder, I., Lerman-Sagie, T., & Blumkin, L. (2018). Medical Cannabis for Pediatric Moderate to Severe Complex Motor Disorders. Journal of child neurology, 33(9), 565–571. https://pubmed.ncbi.nlm.nih.gov/29766748/
8. Mack A, Joy J. Marijuana as Medicine? The Science Beyond the Controversy. Washington (DC): National Academies Press (US); 2000. 7, MARIJUANA AND MUSCLE SPASTICITY. Available from: https://www.ncbi.nlm.nih.gov/books/NBK224382/
9. MEDICAL MARIJUANA IN CERTAIN NEUROLOGICAL DISORDERS [PDF]. (2014). Minneapolis: American Academy of Neurology.
CBD Oil for Cerebral Palsy: Is It an Effective Treatment for CP Conditions?
Children with cerebral palsy (CP) suffer from poor physical development manifested in problems with motor function, muscle spasticity, and body posture.
While CP has no identified cure, there’s a range of treatments that can tackle the symptoms associated with the condition. Parents of a child with cerebral palsy will look for anything that could alleviate their kid’s discomfort and allow them to function as well as possible.
Recent studies have highlighted CBD oil as a potential treatment option for children with cerebral palsy, especially when treating its physical symptoms and managing associated conditions.
Let’s take a look at what science says about the health benefits of CBD for cerebral palsy.
CBD Oil and Cerebral palsy
Cerebral palsy is a neurological condition that negatively impacts a child’s physical development, including muscle tone, body posture, and movements.
The main trigger of CP is a brain injury or malformation during the neonatal stage.
Symptoms of cerebral palsy include lack of muscle coordination and balance, speech delay, learning difficulties, tremors, involuntary movements, muscle contraction, and spasticity.
These symptoms determine the type of cerebral palsy. For example, axatic cerebral palsy causes muscle coordination and balance; spastic cerebral palsy manifests with spasms; dyskinetic cerebral palsy involves involuntary movements.
The treatments of cerebral palsy range from physiotherapy to botox injections to oral muscle relaxants and surgical procedures.
Muscle relaxants can provide short-term relief, but the benefits are outweighed by potential side effects such as blurred vision, lack of muscle control, or depression. On top of that, people relying on muscle relaxants also have a higher chance of developing dependency and withdrawal symptoms.
CBD has been widely studied in terms of its effects on the brain and nervous system. We know that it can reduce the number and frequency of seizure attacks in epileptic patients and muscle spasticity associated with Multiple Sclerosis .
But does it help with cerebral palsy?
Let’s take a look.
Does CBD Oil Help With Cerebral Palsy?
The endocannabinoid system (ECS) is a complex neurobiological network that maintains homeostasis throughout the human body. Studies have identified cannabinoid receptors — CB1 and CB2 — in virtually every region of the human body. Their highest concentrations are found in the central nervous system, peripheral nervous system, and immune system.
Researchers have found high cannabinoid receptors in the basal ganglia and cerebellum — the areas that control motor function.
Studies showed that CB1 expression is engaged in spasticity and motor function among patients with neurodegenerative conditions .
A study posted in the journal Therapeutic Advances in Neurological Disorders has shown that CB1 receptors in the central nervous system are targets that can trigger antispastic effects. The authors concluded that cannabinoid-based treatments might potentially improve the signaling of these targets to help improve muscle movements like tremors or spasms .
Furthermore, CB2 expression has been found to block inflammatory proteins called cytokines in the central nervous system. Studies explained that inflamed CNS might be the underlying cause of various symptoms linked to cerebral palsy, such as tremors and spasms.
That being said, more clinical studies are needed to confirm these initial findings —and to help us learn how the activation of ECS can help children with cerebral palsy.
What Does CBD Oil Do to Your Brain?
CBD is the modulator of the ECS. In other words, it circulates in the body to ensure the optimal functioning of this system. The ECS produces its own endocannabinoids whenever homeostasis gets compromised; these molecules work to bring back the desired equilibrium and prevent various conditions from developing.
Endocannabinoids interact with the cannabinoid receptors engaged in controlling motor function, muscle tone, and posture.
While CBD doesn’t directly mimic the effects of endocannabinoids (like THC does), it indirectly enhances endocannabinoid signaling in the ECS; it also changes the activity of specific enzymes and hormones responsible for the breakdown of endocannabinoids .
When you take CBD oil, cannabidiol slows down the metabolism of your natural endocannabinoids while signaling increased production through several receptor-independent mechanisms.
For example, CBD acts on serotonin and GABA receptors, which play an important role in regulating your nerve cells. It can also mitigate pain signals by binding itself to TRPV-1 vanilloid receptors engaged in pain transmission to the brain.
CBD for Cerebral Palsy Muscle Spasms
To date, only one study has investigated the direct effects of CBD on cerebral palsy symptoms.
The Wolfson Medical Center conducted a clinical trial involving the use of CBD and THC (with ratios 20:1 and 6:1) on children with cerebral palsy. The research team found that the CBD treatment significantly reduced spasticity, sleep difficulties, dystonia, and pain among their patients .
Other studies on CBD’s efficacy in treating muscle spasticity seem to support the above findings.
For example, a 2018 study from Neurological Disorders mentioned that a combination of CBD and THC reduced spasticity in human subjects. The authors attributed their results to CBD’s anti-inflammatory, neuroprotective, and muscle-relaxant properties .
Cerebral palsy has often been studied with multiple sclerosis due to similarities in muscle spasms and stiffness exhibited by patients suffering from these conditions. Researchers agree that both diseases lead to upper neuron motor dysfunction.
Finally, a study posted by Frontiers in Neurology has concluded that CBD treatments improved mobility and reduced spasticity among patients with multiple sclerosis. Interestingly, CBD also significantly reduced the use of prescription medicines .
CBD vs. Cerebral Palsy-Associated Conditions
Cerebral palsy is often accompanied by other conditions that could benefit from the use of CBD.
Studies mention that up to 56% of children with CP experience sleep deprivation caused by the child’s pain and problems with mobility.
Due to lower physical activity levels, adults with CP are also likely to suffer from anxiety and depression , rheumatoid arthritis , and cardiovascular disorders .
Recently, researchers have shown that children with CP have a higher risk of developing epilepsy. This may be caused by spastic tetraplegia, a form of cerebral palsy that may cause seizures.
One study has found that CBD reduces depression in human subjects. On top of that, research indicates that CBD is a potential therapeutic agent for patients with hypertension and rheumatoid arthritis or osteoarthritis.
A study published in The Permanente Journal also demonstrated CBD’s efficacy in easing anxiety and improving sleep quality among humans. The authors reported that 79.2% of adults participating in this study had reduced anxiety, while 66.7% had better sleep scores .
CBD Dosage for Cerebral Palsy
More studies are needed to establish the right CBD dosage guidelines for cerebral palsy. However, physicians recommend that first-time CBD users start with a low amount for any health condition and gradually increase their dose until they experienced the desired effects without any adverse reactions.
For the general Dosage Guidelines, head over to our in-depth post.
A study published by the British Journal of Clinical Pharmacology gathered thousands of clinical CBD dosing data on various diseases .
The authors summarized that the effective dose might range from 1 to 50 milligrams per kilogram daily.
In a study from Pharmacology and Pharmacology , CBD was found to produce a bell-shaped dose-response when administered in pure form (without other cannabinoids and terpenes). The research team observed that sometimes, a small dose might be enough to produce significant results, while higher doses may turn out counter-productive .
A study from Frontiers of Pharmacology confirmed the above findings. The authors observed that a 300 mg dose of CBD was enough to reduce anxiety scores, while a 600 mg produced less pronounced effects .
CBD oil is generally safe and well-tolerated — even in doses as high as 1,500 mg daily. That being said, you may experience a few mild reactions when you overdo it, including dry mouth, dizziness, irritation, appetite fluctuation, and diarrhea.
Consult your doctor before buying CBD oil for cerebral palsy for professional guidance and tips on using CBD to avoid negative interactions with other medications and supplements.
How to Take CBD Oil for Cerebral Palsy
The best and the most straightforward way to take CBD oil for cerebral palsy is through sublingual use (under the tongue).
You can use a few drops of CBD oil or tinctures beneath the tongue and hold it there for up to 60 seconds. This way, CBD will absorb through a set of tiny capillaries in your mouth, reducing the amount of time it needs to kick in — and improving its bioavailability.
Then you swallow the rest.
CBD is also available in oral forms, such as gummies or softgel capsules and pills . Both products deliver CBD to your system through the gastrointestinal tract. Since the CBD needs to be metabolized by the liver first, oral products have delayed onset and lower bioavailability. On the other hand, the effects last longer because CBD is released gradually into the bloodstream.
You can also try CBD vapes, which offer the fastest and most effective way to experience the benefits of CBD. Vaporized CBD absorbs into your system through the lung tissue, so the effects are almost instantaneous. That being said, vaping isn’t appropriate for children, so if you’re looking for a CBD product to help with CP symptoms in your child, we recommend going with oils or gummies.
CBD vs. Other Natural Treatments for Cerebral Palsy
There are several alternative remedies for cerebral palsy that you can use instead of or combined with CBD.
Echinacea is one such remedy. Some of its medicinal claims include improved cardiovascular health, neural connections, and reduced spasticity. However, echinacea’s therapeutic value remains in the anecdotal sphere until clinical studies investigate it.
B12 vitamins and supplements containing omega-3 have been recognized to improve cognition in people with neurological disorders. A 2017 study mentioned B12 and omega-3 supplements as a means of early intervention to prevent neurodegenerative disorders .
CT scans conducted after supplementation demonstrated that children with hypertonia (muscle stiffness), brain atrophy, and delayed milestones, and speech showed improved neuroimaging results.
Another natural remedy for cerebral palsy is ginger. It has been studied for its potential to enhance cognitive functioning. One study found that ginger root extracts effectively enhanced attention and cognitive processing among human participants.
While CBD may not improve children’s learning capabilities, it has been acknowledged for its positive effects on the nervous system. According to a British Journal of Clinical Pharmacology study, CBD can reduce hypoxia-ischemia (brain damage) and improve brain function in animal subjects.
Last but not least, CBD acts as a muscle relaxant that might be useful in easing hypertonia.
How to Choose CBD Oil for Cerebral Palsy
Full-spectrum CBD oil is the recommended choice for individuals with cerebral palsy.
Full-spectrum CBD oil contains CBD alongside other major cannabinoids, such as CBD, CBG, CBN, and traces of THC. It also comes with terpenes, which are aromatic molecules modulating the effects of cannabinoids.
Together, these compounds create a synergy known as the entourage effect.
In a review from Frontiers in Plant Science , the authors found that the entourage effect increased the activity of cannabinoid receptors. They also explained how CBD, combined with other phytochemicals, displayed superior efficacy compared to isolated molecules.
Another study supported the entourage effect through a controlled trial on patients with chronic pain. The research team found that while increasing THC levels failed to reduce pain scores significantly, THC and CBD treatments showed better results.
If you are concerned about the trace amounts of THC in your CBD oil, you may opt for a broad-spectrum extract. It doesn’t contain any THC but still offers the other valuable compounds from hemp.
There are also CBD isolates, which are just that — pure CBD. They don’t have any odor and flavor; they also carry the highest dose of CBD per serving. That being said, CBD isolate is devoid of the entourage effect, which may negatively affect its efficacy in treating cerebral palsy.
Wrapping It Up: Can CBD Oil Help with Cerebral Palsy?
Cerebral palsy is a lifelong disease. While it has no cure, some treatments can reduce its symptoms, contributing to the improved quality of life.
Studies suggest that CBD can significantly reduce the symptoms of cerebral palsy, such as muscle spasms, pain, sleep difficulties, abrupt movements, and anxiety.
In clinical trials, CBD use was associated with a decreased intake of muscle relaxants and anticonvulsants.
Moreover, research has demonstrated that CBD might be useful in treating many side conditions associated with cerebral palsy, such as arthritis, depression, and hypertension.
You can use CBD oil to control the physical symptoms, but health experts also recommend taking it for improved mental health due to its anxiolytic and sleep-promoting properties.
Just keep in mind that CBD is just one of the many tools to improve your quality of life. Participating in physical therapy, rehabilitation, and speech therapy is always a good idea to include in your regimen.
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Nina created CFAH.org following the birth of her second child. She was a science and math teacher for 6 years prior to becoming a parent — teaching in schools in White Plains, New York and later in Paterson, New Jersey.
Can Marijuana Help Kids with Cerebral Palsy?
Medical marijuana has recently become a hot-button issue in America. Many people tout the medical benefits of marijuana and CBD oil with regard to cerebral palsy and/or seizures, but is it right for my child?
While there are medications, surgeries, and therapies aimed at helping individuals with cerebral palsy gain more control over their muscles, they may still face challenges with regard to seizures, mood, and more.
Some recent studies are now extolling the benefits of treating cerebral palsy with marijuana or cannabidiol (CBD) oil, a non-psychoactive constituent of marijuana.
Marijuana was once seen as a recreational drug thought to have no medical benefits, but several recent studies on the plant have challenged this perception.
While there is still much controversy regarding whether or not the potential medical benefits outweigh any potential health risks, many families are desperate for any relief — especially when it comes to a child suffering from frequent seizures.
Although many states have recently legalized medical marijuana, it is still illegal to possess the plant (or any derivative) in several states. Even in states which do allow medicinal use, it’s only allowed with a doctor’s recommendation, and is still technically illegal to posses under federal law.
Marijuana is thought to have two main active compounds with medicinal properties: THC and CBD. Tetrahydrocannabinol (THC) is the psychoactive compound most-commonly associated with “getting high,” while cannabidiol (CBD) is a non-psychoactive compound generally associated with downregulation and anti-anxiety.
Because THC can impair cognitive function, it is generally not recommended for use on children except in rare circumstances. On the other hand, children with cerebral palsy may benefit from CBD oil in a number of ways.
While many families have an understandable fear of potential legal consequences, in many cases, their number one concern is the health and well-being of their child. If you have questions or are considering this treatment option, speak to your child’s doctor.
CBD and Cerebral Palsy Symptoms
CBD Used to Combat Seizures
Between 35-50 percent of children with cerebral palsy develop seizure disorders. Recent studies have shown that CBD oil can dramatically reduce the number of seizures in some patients due to its anti-epileptic properties, and there have been several anecdotal reports from families who have had success with this form of treatment.
Treating Spasticity with CBD
CBD is a phytochemical that is found in higher quantities in some cannabis strains. That being said, it can be isolated and expressed in oil, which can be found in almost all marijuana dispensaries across the country. CBD is known as a muscle relaxant, mood enhancer, gamma-aminobutyric acid (GABA) booster, and is thought to increases levels of chemicals that inhibit the over-expression of nerve impulses in the brain and body. CBD may therefore be useful for individuals with spastic cerebral palsy who may have a problem with stiff muscles and spastic movements.
CBD for Chronic Pain Relief
CBD oil can also be helpful in individuals with cerebral palsy who may be suffering from chronic muscle and joint pain due to not being able to fully extend their limbs. CBD oil has been shown to have pain-relieving properties by boosting levels of serotonin, which is a chemical responsible for the perception of pain and tempering down of inflammation.
CBD oil may also address issues such as insomnia or sleep disturbances (due to promoting the release of melatonin), mood or depression, difficulty with speech, and even constipation.
As with any type of medical treatment, you should always speak to your child’s doctor about the potential risks and benefits. Marijuana may show promise, but it is not always recommended unless other treatment options are ineffective or insufficient — especially when it comes to young children.
Hi, I live in Ireland, and I have triplets, 12 years old, and one of my daughters have a mild cerebral palsy, with spasticity in her legs. Now, she is in puberty and she is complaining about the pain in her legs, joints, knees, and she is walking worse, I believe her body is trying to streech because the puberty , I would like to know how the CBD can help her? CBD oil is available in Ireland, but I dont know whats the best for her: oil, cream, tablets?? Can you guide me please? I really need to help her! Also she is having panic attack and anxiety episodes.
Thansk a milion
Claudia, a dear friend of mine has been helping people with several conditions including Cerebral palsy. Please check him on instagram – ladstalkhealth , his name is James and he is truly an angel
Hi I have a 15year old son whiit cp would Marijuana help my son
Hi. I live in Tennessee and have cerebal palsy. How can I get medical marijuana?
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