Dr. J
494 posts

Dr. J
@DrJOnCall
I'm a physician, entrepreneur, all-around enthusiast. Founder/Chief MD @Bluechew & @Meds.com





Fight Club was booed when it premiered at the Venice Film Festival (1999) Edward Norton remembers it “got booed hard.” and organizers walked out. During the backlash, Brad Pitt turned to Norton and said: “That’s the best movie I’m ever going to be in.”

Has anyone ever come out of these “profound” psychedelic trips with a verifiable scientific insight or breakthrough in physics or psychology or something? Can you fix Africa now? Why do these trip reports just read like Eckhart Tolle Burning man Deepak Chopramaxxed guruslop




I'm 74. How do I survive 2 quarts of whiskey and 3 packs of unfiltered cigarettes every day? Because I also take 3,000 mg of N-Acetyl-L-Cysteine, inject 5,000 mcg. of Cyanicobalamin and take massive amounts of milk thistle extract, magnesium, calcium and thiamine daily. Simple.

Me after 9 overpriced Guinness at the local Irish pub




My personal prescription for depression: Take 20 micrograms of LSD and go for a hike. 1-2x per week, ideally when it's sunny outside. I posted this on X a few days ago, and it struck a nerve. Some people loved it, some thought I was reckless, & many were simply curious. So let me explain the science. A new paper just dropped in Discover Mental Health from Nicholas Fabiano, Robin Carhart-Harris, and colleagues. It's the first formal commentary arguing that exercise and psychedelics should be studied together for major depression. Up to 50% of people don't respond to antidepressants or therapy. Exercise works for roughly 1 in every 2 people with depression, a stronger hit rate than most antidepressants. Psychedelics show effects comparable to antidepressants that persist after the drug leaves your system. Both are powerful alone. But the real story is what happens when you layer them. The paper (linked below) maps out complementary mechanisms. Psychedelics spike cortical neuroplasticity through direct TrkB receptor binding, producing rapid spinogenesis within hours. Exercise drives hippocampal neurogenesis and sustained elevation of BDNF over time. Psychedelics temporarily disrupt default mode network connectivity, breaking rigid thought patterns. Exercise normalizes that connectivity, locking in the gains. They also converge on shared pathways: serotonin, glutamate/LTP, and dopamine signaling. Different entry points, but basically the same downstream effect: a more plastic, resilient brain. The behavioral data is just as compelling. In psilocybin therapy trials, up to half of the participants spontaneously reported improvements in diet and exercise. Ayahuasca users are consistently more physically active. People with lifetime psychedelic use show lower rates of heart disease, obesity, and diabetes. Psychedelics don't just change your brain chemistry. They actually change what you do with your body. This is why I coined the term "hikrodosing." It's not just a cute portmanteau. It's a protocol built on the convergence of these mechanisms. A sub-intoxicating dose of LSD paired with aerobic exercise in nature combines psychedelic neuroplasticity with exercise-driven BDNF, serotonin release, and hippocampal stimulation. Sunlight adds vitamin D and circadian regulation. The hike provides cardiovascular load. The microdose opens the plasticity window. No clinic, no 6-week waiting period, & no sexual side effects (I'm looking at you, SSRIs). The paper calls for formal research. I agree. But practitioners don't need to wait for an RCT to start moving their bodies on the days they microdose. Hikrodosing. Look it up. Or better yet, try it.



The world's most potent psychedelic, 5-MeO-DMT—nicknamed the "God Molecule" and sourced from the venom of the Sonoran Desert toad (Incilius alvarius, also known as the Colorado River toad)—is showing promising potential as a rapid-acting treatment for depression, anxiety, and addiction. This powerful tryptamine compound, which acts primarily as a potent agonist at serotonin receptors (with affinity up to 20 times greater than classic DMT at certain sites), triggers an extraordinarily intense, short-lived "whiteout" or ego-dissolving experience lasting just 15–20 minutes when inhaled or vaporized. Emerging clinical evidence and observational data indicate it can produce swift reductions in depressive symptoms, anxiety, and substance cravings, often with effects noticeable within 24 hours and persisting for days to weeks. Small-scale clinical trials and prospective studies have demonstrated that 5-MeO-DMT (synthetic or toad-derived) is generally well-tolerated in controlled settings, leading to marked improvements in treatment-resistant depression (TRD). For instance, inhaled formulations have achieved rapid antidepressant responses, with some participants reaching remission shortly after administration. Surveys of naturalistic users also report significant decreases in depression, anxiety, and addiction-related issues, alongside enhanced life satisfaction and mindfulness. However, experts stress that 5-MeO-DMT is not a standalone "cure"—its benefits appear to stem from catalyzing profound psychological shifts that must be integrated through therapy. Risks remain substantial: unsupervised use can trigger acute panic, persistent perceptual changes (e.g., hallucinogen persisting perception disorder, or HPPD), or rare psychotic episodes. Legally, it is classified as a Schedule I substance in the U.S., with severe penalties for possession or distribution. Additionally, the rising demand for "toad medicine" has raised serious conservation concerns, as harvesting venom from wild Sonoran Desert toads threatens local populations. Sustainable, synthetic versions are being prioritized in ongoing research to avoid ecological harm. Responsible advancement requires rigorous clinical trials, professional supervision, and ethical sourcing—shifting focus from sensational online trends to evidence-based psychedelic medicine. [Journal of Health Economics and Outcomes Research. (2023). Key Findings on 5-MeO-DMT and Addiction Treatment]







