Outpatient surgery within 2 weeks and inpatient surgery within 1 month of the time of scanning (this timeframe may be extended if they are not fully recovered from the surgery);

Elevated baseline transaminase (ALT and AST) levels above 3 times the Upper Limit of Normal (ULN), accompanied by elevations in bilirubin above 2 times the ULN;

Any interventional pain procedures within 6 weeks prior to scanning procedure or at any point during study enrollment;

Surgical intervention or introduction/change in opioid regimen at any point during study enrollment;

Contraindications to fMRI scanning and PET scanning (including presence of a cardiac pacemaker or pacemaker wires, metallic particles in the body, vascular clips in the head or previous neurosurgery, prosthetic heart valves, claustrophobia);

Implanted spinal cord stimulator (SCS) for pain treatment;

Any history of neurological illness or major medical illness, unless clearly resolved without long-term consequences;

Current or past history of major psychiatric illness (PTSD, depression, and anxiety are exclusion criteria only if the conditions were so severe as to require hospitalization in the past year);

Harmful alcohol drinking as indicated by an AUDIT score ≥ 16;

Pregnancy or breast feeding;

History of head trauma requiring hospitalization;

Major cardiac event within the past 10 years;

Regular use of recreational drugs in the past 3 months;

Use of cannabis-containing products, such as products containing THC or over the-counter or dispensary CBD, for 2 weeks prior to starting the study medication and during the 4 weeks of taking the study medication;

Use of immunosuppressive medications, such as prednisone, TNF medications within 2 weeks of the visit;

Current bacterial or viral infection likely affecting the central nervous system;

Epilepsy;

Use of the medications valproate and clobazam, which may increase risk of hepatic AEs;

Safety concerns related to use of any of the following medications will be discussed on an individualized basis with a physician:

• Strong and moderate CYP3A4 inhibitors including boceprevir, cobicistat, conivaptan, danoprevir, elvitegravir, ritonavir, indinavir, itraconazole, ketoconazole, lopinavir, paritaprevir and ombitasvir and/or dasabuvir, posaconazole, saquinavir and telaprevir, tipranavir, clarithromycin, diltiazem, idelalisib, nefazodone, nelfinavir, troleandomycin, voriconazole, aprepitant, cimetidine, ciprofloxacin, clotrimazole, crizotinib, cyclosporine, dronedarone, erythromycin, fluconazole, fluvoxamine, imatinib, tofisopam, disulfiram, and verapamil;
• Strong and moderate inhibitors of CYP2C19 including fluoxetine and ticlopidine;
• Sensitive and moderately sensitive substrates of CYP2C19 including clobazam, lansoprazole, omeprazole, S-mephenytoin, and rabeprazole;
• Sensitive and moderately sensitive substrates of CYP1A2 including alosetron, duloxetine, ramelteon, tasimelteon, theophylline, tizanidine, pirfenidone, and ramosetron;
• Sensitive and moderately sensitive substrates of CYP2B6 including bupropion and efavirenz;
• Sensitive and moderately sensitive substrates of CYP2C8 including repaglinide, montelukast, pioglitazone, and rosiglitazone;
• Sensitive and moderately sensitive substrates of CYP2C9 including tolbutamide, celecoxib, glimepiride, and warfarin;
• Sensitive and moderately sensitive substrates of UGT1A9 including diflunisal, propofol, and fenofibrate;
• Sensitive and moderately sensitive substrates of UGT2B7 including, gemfibrozil, lamotrigine, and morphine;

CNS depressants including all antipsychotics, benzodiazepines (except for alprazolam, clonazepam, and lorazepam, which have low binding affinity to TSPO44-48), and non-benzodiazepine sleep aids that have a known unsafe reaction with CBD;

Use of opioids ≥ 30 mg morphine equivalents on average per month;

Actively suicidal, history of suicide attempt or an aborted attempt within the last 5 years, or engagement in non-suicidal self-injurious behavior within the last year;

Allergy to sesame oil, and any other ingredients of EPIDIOLEX;

Any other contraindications to CBD administration noted by the study physician;

Any significant change in drug use and pain treatment from screening visit;

In the opinion of the investigators, unable to safely participate in this study and/or provide reliable data (e.g., unable to reliably rate pain; unlikely to remain still during the imaging procedures, etc).