A plant brew combining a mind-altering compound with substances from a vine that let it work when swallowed. The most notable signal is possible rapid easing of hard-to-treat depression after a single supervised session, plus reported well-being gains. The evidence is early and uneven; the risks are real and partly serious, and lawful access is limited. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Blood Pressure | <120/80 mmHg | Acute use raises BP; screens cardiovascular risk |
| Resting Heart Rate | 50–70 bpm | Acute use raises heart rate; flags arrhythmia risk |
| ALT / AST (liver enzymes) | ALT <25 U/L (men), <20 U/L (women) | β-carbolines are hepatically processed; screens liver health |
| Comprehensive Metabolic Panel | Within standard limits | Assesses electrolytes/kidney status given vomiting and diarrhea risk |
| Medication/Serotonergic Review | None active | Confirms washout of SSRIs/SNRIs/MAOIs before use |
Cadence: Session-anchored, not continuous: reassess blood pressure and heart rate immediately before and during a session, re-screen medications before every session, and repeat liver enzymes only if repeated use is planned (e.g., every 6–12 months for frequent users).