The Battle Over CBD Use Among US Military Personnel

    A surprising substance has been stirring quiet controversy within the United States military community this year. The use of cannabidiol (CBD)one of the main active ingredients of cannabis, widely touted for offering a host of potential medical benefits without the “high” of tetrahydrocannabinol (THC)is being contested, as legislators work to overturn a ban on CBD use by active-duty military personnel.

    To give some idea of the scale of this issue, the US military employs around 1.3 million people, while 14 percent of US adults polled say they use CBD products.

    In late July, the House of Representatives passed an amendment to the National Defense Authorization Act (NDAA) that would prevent the Secretary of Defense from issuing a blanket ban on the use of CBD in the military. Should this provision survive the next iteration of the bill and pass the Senate, it would work to countermand a policy enacted by the Department of Defense (DoD) in February, which prohibits the use of any hemp products by active and reserve military members.

    DoD’s February memo directed that criminal provisions for use of hemp products be added to the Uniform Code of Military Justice (UCMJ). It specifically notes that this includes CBD.

    Prior to this, DoD had unofficially forbidden military members from using CBD, following 2018 legislation by the US government that legalized hemp products containing less than 0.3 percent THC.

    The DoD states that these products have the potential to cause a THC-positive result on a urinalysis test.

    The DoD memo opens with the statement that “Substance misuse by Service members is a safety and readiness issue, and the Department must remain vigilant in addressing emerging threats, including those that come from new products and sources.”

    It continues that CBD products are unregulated and unreliable, and therefore have the potential to contain more THC than the consumer might believe. It also states that these products have the potential to cause a THC-positive result on a urinalysis test, and that “since it is not possible to differentiate between THC derived from legal hemp products and illicit marijuana … the use of hemp products could effectively undermine the Department’s ability to identify illicit THC use.”

    There is some truth to the Department’s statement. Besides the prescription pharmaceutical Epidiolex, approved to treat a severe seizure disorder, CBD products are generally not FDA-regulated. In fact, it is illegal to even market them as a supplement, a category that has faced criticism for its already-lax regulatory standards.

    “I get why they say it. With a full spectrum product that says ‘CBD only,’ an active-duty member can go and take a bottle thinking it’s only CBD, and then it has THC,” said Joshua Littrel, an Air Force combat veteran and the founder of Veterans for Cannabis, a company that lobbies for the rights of military members to access cannabis while also selling its own line of CBD products.

    “[But] for the military to say there’s no way to guarantee that no THC is in it, that’s inaccurate,” he told Filter. “We have a CBD-only product developed specifically for active-duty members and those employees in drug testing positions… it’s made from isolate. When you isolate a molecule, the only thing in the molecule is that molecule itself.”

    Littrel also noted a host of health benefits he believes CBD offers, including the reduction of inflammation and anxiety, which could be particularly useful to active-duty military members and veterans. While CBD has only been approved for medical use in the US for certain seizure disorders, people who use and sell the products report health benefits ranging from pain relief to reducing anxiety and depression, treating opioid addiction, and even stopping the spread of cancerous tumors

    While research is still relatively sparse, there are a growing number of studies backing many of these claims. Littrel specifically mentioned research out of Israel that linked CBD with faster recovery from traumatic brain injuries in mice.

    “In the military, the biggest thing is, when you get an injury, it’s getting back in the fight—how quickly can you get back on your feet, get back in the fight, and take retaliation back on the enemy?” said Littrel. “If CBD can help our active-duty members return to service quicker, why in the world do we not allow that?”

    Many experts sound caution, however. “The research [on the health benefits of CBD] is kind of lacking. There’s not a lot of good evidence for different conditions, but that’s not saying it doesn’t do anything,” Ryan Marino, an emergency medicine physician and toxicologist practicing in Ohio, told Filter. “The human body has CBD receptors within the nervous system, so it totally makes sense that it does something. I think high doses is where we will see effects … A few years from now, there will probably be more evidence saying CBD does things for other conditions.”

    “First of all, I don’t know why the military is drug testing people all the time; drug tests are terrible tests to begin with.”

    For the Department of Defense, however, the issue seems to be less about CBD’s potential efficacy or inefficacy, and more about whether or not a member’s use of a CBD product could interfere with the department’s ability to gauge and monitor drug use.

    “First of all, I don’t know why the military is drug testing people all the time; drug tests are terrible tests to begin with,” said Marino.

    Urinalysis testing is particularly controversial. Observed tests—meaning that someone is watching while the sample is produced—can re-traumatize sexual assault survivors or prove impossible for people suffering from paruresis (the inability to urinate in the presence of others). Urine tests are also fairly easy to cheat, and are often unreliable. They also cannot indicate whether or not someone has a substance use disorder, nor can they measure work performance. Nonetheless, drug test results are often misused to gauge both.

    When it comes to testing positive for THC due to a CBD product, toxicologists agree that it is unlikely, but not impossible.

    “It could [cause a THC positive]. In most cases I think it would not, but it could, and you could test positive from taking CBD with that low amount of THC even if you weren’t getting any sort of high or intoxication or THC effect,” said Marino, adding, “It should not mess with a standard urine drug screen.” Other experts commenting for a Vice story agreed that while it was possible THC could accumulate and cause a positive drug test, most standard detection thresholds would prevent this from happening.

    Marino also noted that, to his knowledge, CBD was not able to be absorbed through the skin, making it especially perplexing that topical products are included in the ban.

    In addition to the general DoD ban, several branches of the military have issued their own rules governing the use of CBD products. This includes directives from the Navy that specifically target topical hemp products like shampoo, lotion and lip balm.

    So what happens if a member of the military gets caught with the wrong shampoo? While the consequences of being caught using illicit substances, including marijuana, can vary for military personnel and can include court martial or service discharge, the use of CBD specifically violates Article 92 of the UCMJ, which means disobeying an order. The maximum punishment under Article 92 is dishonorable discharge and two years of confinement.

    Mark Curci served in the National Guard until 2004, when he left at the rank of sergeant. He worked in security and administration, which included paperwork on service member reprimands. “If somebody had been busted for marijuana, I would have been the one to bust them,” he told Filter.

    “If somebody pissed hot or whatever, they would get nonjudicial punishment … and we would have a conversation with their commander as to how to move forward. Something like pot, I don’t think anybody would have gotten kicked out,” Curci recalled, cautioning that the culture and responses could have changed since he left the military.

    Curci now has a healthy relationship with marijuana, noting that since leaving the National Guard, he has experienced “positive effects of CBD for psychiatric issues and anxiety issues.”

    “These people are risking their lives for us and they can’t use hemp shampoo.”

    The new House measure, sponsored by veteran Rep. Tulsi Gabbard (D-HI), would not automatically grant service members the right to use CBD, but it would take away the Secretary of Defense’s power to install the blanket ban.

    “There is great research being done around hemp, resulting in new products coming to market that are proven to help with ailments like insomnia, inflammation, chronic pain, epilepsy, Traumatic Brain Injury, Post-Traumatic Stress and more,” Gabbard is quoted as saying in a July press release.

    “The Department of Defense could … get approved providers,” suggested Littrel as a solution to the issue of the unreliable CBD market. “But they’re not willing to have a conversation. That’s really unfortunate.” He urged those who support the use of CBD to contact their senators and urge them to support Gabbard’s amendment.

    “This [CBD ban] seems very misguided,” added Marino. “If they really have [drug testing and problematic drug use] concerns, they should be working on these concerns instead of preventing military members and US service members from having the shampoo they want or taking a CBD gummy.”

    “It’s kind of crazy,” he said. “These people are risking their lives for us and they can’t use hemp shampoo.”

     


     

    Photograph of US soldiers in Southwest Asia by Master Sgt. Scott T. Sturkol via Wikimedia Commons/Public Domain

    • Elizabeth Brico

      Elizabeth is a journalist from the Pacific Northwest. Her work has appeared in publications including Vox, Tonic/Vice, TalkPoverty, HealthyPlace and The Establishment. She has an MFA in Writing and Poetics from Naropa University. She also writes about trauma, addiction and recovery on her blog, Betty’s Battleground.

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