TreatWell 20:1 Tincture

 Photo: Marcia Gagliardi. © mymilligram. Styling: Christian Jusinski/ Roju Surface Works . Props:  Jay Jeffers/The Store .

Photo: Marcia Gagliardi. © mymilligram. Styling: Christian Jusinski/Roju Surface Works. Props: Jay Jeffers/The Store.


An ideal way to explore cannabis is via tinctures and through different ratios of CBD (which is non-psychoactive) and THC (psychoactive) together and see how that feels. And you’re in good hands: TreatWell Health's original founder, Alison Ettel, has never gotten high (nor does she want to), but is 100 percent invested in promoting and sharing the medical benefits of cannabis—it helped her recover from a coma from meningitis five years ago, when she was not expected to survive (or at a minimum was going to suffer a lifetime of seizures and brain damage). Fortunately, none of those things happened, and cannabis helped her cognitive function recover. She was deeply inspired to learn more about the plant’s many medicinal properties, and how it could help others. Alison has an MBA and is an avid researcher, and she even took biochemistry and botany classes to understand the plant better. 


She wasn’t happy with the inconsistency of products available and wanted to raise the overall quality level, so she went to Humboldt County to source and meet the best cannabis growers and extractors. After convincing the locals she wasn’t a narc (this Southern lady didn’t quite blend in), she was eventually able to find a partner whose ethics and quality standards matched what she was looking for (he additionally had years of growing experience and deep knowledge about medical applications of the plant). 


And now, TreatWell is the number one–selling tincture in California. The company is known for their CBD-rich tinctures made from whole-plant extract in various potencies, as well as other effective tinctures with cannabinoids like THCA (I'll mention more in the future!) . Only top-shelf, sun-grown flowers are used in their proprietary extraction process—no shake, trim, or low-quality flower. Their commitment to quality across the board helps maintain a wide spectrum of cannabinoids and terpenes, making their products highly effective.


Trying the 20:1 tincture

I’m featuring the 20:1 tincture, which means there are 20 parts CBD to one part THC (i.e. very little to no psychoactivity). You really shouldn’t notice any psychoactive effects, but a little bit of THC present is beneficial for boosting the efficacy of the CBD. 


In time, as you get more comfortable, you can try other ratios, like 3:1 or 1:1. Different ratios have different effects and potential benefits, especially for more serious ailments or chronic issues. If there’s something specific you’re trying to alleviate, it’s good to try a product consistently for at least a week, ideally longer. You may not notice anything for a while, and then suddenly, on day ten, something may shift. 


Go ahead, put a drop or two on your tongue and taste it. (You can do it in front of a mirror to be sure you just release a couple drops.) It has a very mild and pleasant taste (unlike many other tinctures I have tried), but if you end up wanting to put it into a beverage or food, you can do that too. You may feel effects in 15–30 minutes, and they can last from 2–6 hours (it depends upon your metabolism).


One dropper of the 20:1 equals 9.5mg CBD + .5mg THC, so maybe start with a quarter dropper (10 drops, about 2.4mg of CBD) sublingually and go from there. Hold it under your tongue for a few seconds and then you can swallow. The next day, try it again. Maybe have a little more. See how it feels. The goal is to eventually dial in your MED (minimum effective dose).


TreatWell tinctures contain MCT (medium chain triglyceride oil)—which is made from coconuts. MCT has some nutritional benefits, plus it's easily absorbed by the body. In this tincture, the MCT oil is blended with the extract to create an even and consistent tincture—no need to shake it for a consistent dose of cannabinoids. Do note some people may have a sensitivity to MCT, which can lead to an upset stomach, so you may need to try another kind of oil (like olive oil), while most people won't have any issues at all. Remember, you have your own chemistry and need to find what works and feels best for you.


It can take time to build up the effects of daily CBD use and treatment, even a month, so be patient. If you’re looking to explore use for general homeostasis or chronic issues, consider trying a small dose (1/4 dropper) three times a day, before meals, and titrate from there. See how you react to CBD at bedtime: some folks can be activated by it, so it may be better for daytime (a 1:1 ratio would work best if you want something at bedtime).


TreatWell says, “We have found that [the 20:1] targets the neurological disorders and conditions very well. For example: epilepsy, Parkinson’s, cerebral palsy, anxiety, depression, mild arthritis, mild inflammatory conditions, and mild muscle cramps.” Other ratios and TreatWell tinctures target different things.


How I like to use the 20:1 TreatWell Tincture

I occasionally suffer from migraines and severe headaches, so I’ll take a half-dropper under my tongue as soon as I feel any head pain and dose as needed throughout the day. I usually feel a little relief in about 20 minutes. It has also helped with body soreness (it’s great after a workout or too much exertion, like a day of skiing), the occasional pinched nerve/back pain/kink in the neck, hangovers, and menstrual cramps. This tincture also provides me some calm and relaxation in moments of stress or anxiety, without making me too sleepy—I’ll take a quarter dropper if I’m feeling stressy and go from there. 


Have you had too much THC? Don’t forget, you can use this 20:1 tincture to chill things out. If you ever feel like you’re too high (which is the number one thing I want you to avoid experiencing, but it can happen), you can take some CBD and it can help lessen the euphoric effects of THC. (Another trick is to smell or eat black pepper. Yup, there’s a wonderful reason to keep black pepper salami in your fridge.)


Visit (they have a great FAQ) and for more resources and info.




Disclaimer: The statements made regarding these products have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease. Please consult your healthcare professional about potential interactions or other possible complications before using any product.