Episode Transcript
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0:01
Hi, I'm Wendy Zuckerman and you're listening to Science
0:03
Versus. Today is the last episode
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for a little bit, just for a little bit. We're
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going to be back in the new year. We
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get in touch, it's all in the
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show notes. All right, now let's
1:00
let the show begin. Today,
1:04
we are diving into the
1:06
science of what is perhaps
1:08
the weirdest and most mysterious
1:10
psychedelic drug, ayahuasca. If
1:17
you're into late night talk shows, you'll know
1:20
that this drug is the talk of Hollywood.
1:23
You drank ayahuasca tea.
1:26
It's like you can't swing a dead
1:28
cat without some celebrity telling you a
1:30
story about this adventure they went on
1:32
where they took ayahuasca and things got
1:35
wild. There's Miley Cyrus. I
1:37
had a very great ayahuasca experience.
1:39
Prince Harry, Megan Fox. Do you
1:41
guys know what ayahuasca is? Oh
1:44
yes, y'all know ayahuasca. Musicians,
1:47
sports stars, comedians, podcasters all seem to
1:49
be giving it a go. And
1:51
all of these stories start basically the same
1:53
way. You head into the
1:56
jungles of South or Central America. You really are
1:58
in the middle of the jungle. tens
2:00
of millions of frogs and insects. Howler monkey
2:02
is the most useless animal in the world.
2:04
They scream at the top of their lungs.
2:07
Oh my God. And while
2:09
you're deep in the jungle, you sit in
2:11
a circle with a bunch of people that you've
2:13
never met. Someone is brewing
2:15
this tea. You know, there's a guy, a shaman,
2:17
looks like a shaman. And he's old and he's
2:20
got a face like the map of the world
2:22
and he calls you forward and
2:24
you kneel before him. And I remember watching
2:26
everybody go up and take theirs. They had
2:28
one cup, one cup, one cup. Oh man,
2:30
awful taste and stuff. As soon as this
2:33
goes down, I'm gone. You
2:35
might stop spewing a tongue. Purge,
2:38
they call it purge. Vomit everything out
2:40
of your body. So you have a puke bucket too,
2:42
but some people get the shits. I got
2:44
the shits. But
2:49
what's happening on the outside is
2:51
nothing compared to what's going on
2:53
inside your head. It was incredibly
2:55
intense. I went to hell for
2:57
eternity. This was like somebody
2:59
unzipped the universe. And
3:01
I saw like gray, like it would look like
3:03
sand coming from my body. What was that? What's
3:05
that mean? And she reached down my throat and
3:07
pulled out every dead animal I had ever eaten
3:09
and made me sew it up. And is that
3:11
good? Well, apparently
3:13
it is good. Because
3:16
all that hectic stuff, the vomiting, the
3:19
pooing, the mind bending hallucinations, people
3:21
say that it works miracles. It was
3:23
one of the most important things that
3:25
happened to me in my life, that
3:27
the plant was a medicine. Just felt
3:30
wonderful about myself, about decisions
3:33
I was making, about
3:35
the direction I was headed in my life. So
3:39
today on the show, we are entering
3:41
the world of ayahuasca. Because
3:43
while these ayahuasca ceremonies have been going
3:46
on for ages, scientists
3:48
have actually bottled the active
3:50
ingredient in this brew. It's
3:52
DMT. That's the chemical that makes
3:54
you trick balls. And amazingly,
3:56
when you smoke it or inject
3:58
it. You don't
4:00
vomit or sh** yourself. Which
4:03
makes this drug way more
4:05
tantalising as a medicine. A
4:08
medicine that some say might cure
4:10
depression where no other drugs have
4:12
helped. So
4:15
we are going to find out what
4:17
on earth is this drug doing to our
4:20
brains? Can we channel
4:22
its powers to help us feel
4:24
wonderful about ourselves? And
4:26
with all these hectic stories, what
4:29
are the risks here? When
4:31
it comes to Iowaska, there's a lot of... And
4:33
she reached down my throat and pulled out every
4:35
dead animal I'd ever eaten. But
4:38
then there's science. Science
4:42
versus Iowaska is coming up to start the
4:44
break. Have
4:52
you ever told a friend? Oh, I'm fine.
4:55
When you really felt... Just
4:57
so overwhelmed. Or sent a
4:59
text. Can't sleep. Are
5:02
you awake? When you couldn't find the
5:04
words to say. I'm scared to
5:06
be alone with my thoughts right now. Then
5:08
this is your sign to reach out to
5:10
the 988 Lifeline for
5:13
24-7 free confidential support. You don't
5:15
have to hide how you feel.
5:18
Text, call or chat
5:20
anytime. Welcome
5:28
back. Today on the show,
5:30
we are guzzling down the science on
5:32
Iowaska and the chemical inside it, the
5:35
DMT that makes you trip balls. And
5:37
we're going to find out what is up with this
5:39
drug, what's it doing in our brain, and can we
5:41
use it for medicine? To tell us all about it
5:44
is Joel Werner, supervising producer of Science Masters.
5:46
Hey, Joel. Hey, Wendy.
5:49
Do you know it's so hot and dry in Melbourne
5:51
right now that my
5:53
snot is drying in
5:56
my nose? Is that
5:58
better or worse? than in winter
6:00
where it just like runs out of, you know, I
6:02
don't know. It's
6:05
true. It's convenient. It's more convenient
6:07
in a little hard package. Um,
6:09
so Joel, so you, um, you
6:12
were supposed to do a completely different episode and then
6:15
you started reading about DMT
6:17
and couldn't stop. Uh, why
6:20
were you so intrigued? Yeah,
6:22
look, I think, you know, I studied, I
6:24
studied brain science at uni
6:26
and I've always been fascinated
6:29
with the way that this
6:31
bit of mushy gray stuff
6:34
in between our ears just
6:37
creates this entire sense of the
6:39
world that we have. And
6:42
when stuff gets in there
6:44
and really messes with that,
6:47
like I want to know more, I think
6:49
DMT is a drug that messes
6:51
with our gray stuff in a way
6:53
that like. Not many
6:56
other drugs do. Okay.
6:59
So, so where do we
7:01
begin? So yeah, for centuries, people in
7:03
South and Central America have been drinking
7:05
this ayahuasca brew and have
7:08
been using it for healing ceremonies,
7:10
the spiritual ceremonies, but
7:12
like way more recently in the
7:15
1930s, scientists actually isolated the DMT
7:17
molecule in a lab. But
7:19
one super interesting thing about DMT is
7:22
that it's not just found in the
7:24
plants that they use to make the
7:26
ayahuasca brew. Right? Like DMT is found
7:29
in thousands of plant species.
7:31
Oh, wow. And it's not just
7:33
found in plants, right? DMT is
7:35
like found in mammals. So we
7:37
looked in the lung of a
7:39
rabbit, for example, and we found
7:41
DMT there. And we've
7:43
also found DMT occurring in humans,
7:45
like naturally occurring in humans. Like
7:48
we produce DMT inside
7:51
our bodies. It's in our brains. It's
7:53
in our placentas. Really?
7:55
But it's a big mystery, right?
7:57
Like we don't really know what
7:59
it's doing. doing there. Wow. So
8:02
there's been some speculation that DMT might
8:04
play a role when we're dreaming, for
8:06
example, or that like when people have
8:08
near-death experiences that maybe DMT is wrapped
8:10
up in that. But we don't know.
8:12
We don't know. It's so weird.
8:14
So what do we know about DMT? So
8:17
yeah, what we do know, we do know
8:19
that if you give the body a big
8:21
dose of it all at once, well then
8:23
that's when sh** really kicks off. Right,
8:25
yes. That is when you unzip the
8:27
universe or whatnot. You unzip the universe,
8:29
you throw it off and it crumbles
8:31
in a pile in the corner. Of
8:34
course. Okay,
8:36
so let's dive into the brain of
8:38
someone on this weird molecule DMT and
8:40
see what happens as their universe unzips.
8:44
I want you to meet Anya. Anya
8:46
is a psychedelic researcher based in London.
8:48
She's originally from Russia. And
8:50
she's been a volunteer in a few
8:52
DMT experiments being run out of Imperial
8:54
College London. So she's sitting
8:57
in the lab there when the team
8:59
injects DMT straight into her arm. You
9:03
feel the liquid going inside. So
9:05
it's kind of this cold
9:08
slush going inside. And
9:10
then you start feeling DMT effects, which
9:13
is tingling or a rush
9:15
going through the body and this feeling
9:17
of acceleration of going somewhere. And
9:20
then very, very fast after that
9:22
come very, very strong
9:24
visual hallucinations of like
9:26
geometric patterns of something that's
9:29
moving. I
9:33
start to have the sensation that I've
9:36
been observed or
9:38
proved through skin sensing. I'm
9:40
not sure I'm okay with, you know, the I'm
10:00
checking out every single cell of my body.
10:03
After the aliens examine every cell
10:05
in Anya's body, they take her
10:08
to what she describes as some
10:10
sort of intergalactic hub. And
10:12
I was going through different parts
10:15
of this space hub, absorbing all
10:17
the aliens that are there. And
10:19
that really felt like I'm in the episode of
10:22
Rick and Morty in one of those planets. Then
10:24
I wandered off to the slightly dodgy
10:28
part of that space hub and
10:30
then maybe I was like, oh, let's make
10:32
this space virus. And
10:36
that broke the illusion of how
10:38
real it was. And I started to laugh.
10:41
And then I thought, oh, only my brain
10:43
can come up with space virus here. And
10:47
with that, I realized like, oh, I'm not.
10:51
That representative, of course, who was
10:53
sent to this space hub, I'm
10:56
actually taking part in a DMC experiment
10:58
and my brain just came
11:00
up with space virus. And
11:03
so is that when you started to come out
11:05
of the trip then? Is that like when you...
11:07
That's when I started to come out of
11:09
the trip. Saved by the space virus. Exactly,
11:13
exactly. Wow,
11:15
that is a drug that makes
11:17
you triples. This is... I
11:20
was wondering if like the Rick and Morty fan
11:22
base in her trip is just as toxic as
11:24
it is in real life. I
11:27
don't think we have a way of testing that. What's
11:30
really wild about Anya's experience? There's two things.
11:32
There's two things that make these DMT trips
11:34
like kind of bizarre, even in
11:36
the bizarre world of psychedelics. The
11:38
first one is just how
11:41
quickly they happen. Right. So
11:43
like Anya's experience, like how
11:45
long do you reckon that trip would have taken?
11:48
I guess it felt
11:50
like she would have been under for maybe
11:52
half a day or something. Exactly right. Like
11:54
Ayahuasca ceremonies go on for like four to
11:56
six hours depending on the strength of the
11:58
dose. In this... particular study
12:00
that Anya was part of, they were
12:02
experimenting with longer than usual DMT trips.
12:04
And so she was probably under for
12:06
about 30 to 45 minutes
12:09
here. But typically, if
12:11
you smoke or inject
12:13
DMT, the peak would have
12:15
happened about two or three minutes into
12:17
the trip. Whoa! Two
12:19
or three minutes. Yeah. And the whole thing
12:21
is done and dusted inside 15 minutes on
12:24
a DMT trip, right? So it's this super
12:27
intense, but also super short
12:29
acting psychedelic drug. Wow. Wow,
12:31
wow, wow. And that's why it's sometimes
12:34
been given this nickname of the businessman's
12:36
trip. So like the idea is you
12:38
could have this psychedelic experience in your
12:40
lunch break and then still
12:42
be back for the meeting with Harold
12:44
from HR at 2pm. Joel,
12:48
our work days are about to get
12:50
so much more fun. Look,
12:53
don't tell Harold from HR, he's a bit of
12:55
a stickler for no psychedelics in the lunch break.
12:57
No, no, no. Okay, so can I ask?
13:00
Okay, so super short trips. That
13:02
is one of the things that
13:04
makes DMT unique. The other thing,
13:07
the fact that she felt like
13:09
it was really real, like what's
13:13
going on there? Because I feel like with most
13:16
sort of psychedelics, they're sort
13:18
of imprinted on the world. Like you kind
13:20
of know that you're tripping,
13:24
but she didn't. 100%,
13:26
100%. So like the
13:28
DMT experience is like fully
13:31
immersive. And people also
13:33
report that you don't necessarily feel
13:35
high, that it still feels like
13:37
you in your like sober brain
13:39
and you're just like she felt
13:41
like she was in that intergalactic
13:44
space port. And that was just
13:46
her life. And that was what
13:48
she was doing until the space
13:50
pirates saved her from the trip.
13:53
Like at the point of most
13:55
intense experience, it felt absolutely real.
13:58
Like absolutely real. When
14:01
you talk to people who have done DMT
14:03
and done other psychedelic drugs, they
14:06
really talk about like how immersively
14:08
real the DMT trip experience is
14:10
and that nothing really compares to
14:12
how much you feel like you're
14:15
there in the intergalactic space hub
14:17
or whatever and it feels just
14:19
like your real life. It's so
14:21
weird. And this has
14:23
led a lot of people to think
14:26
that these dimensions that they're visiting
14:29
or these aliens or other entities
14:31
that they're encountering aren't just like
14:33
your brain on an intense psychedelic
14:35
drug but are actually real
14:38
dimensions and real aliens. So
14:41
for example, here's what Joe Rogan said about this.
14:43
I think it's some sort of a chemical gateway.
14:47
That's what I think. I think there's a
14:49
gateway in your mind that can lead to
14:51
some other dimension that's probably there all the
14:54
time. Wait. Oh,
14:56
right. Sorry, sorry,
14:59
sorry. So he
15:01
thinks the drug is literally a portal
15:04
into another alien world
15:07
that exists. It's opening this
15:09
gateway. Number
15:12
one podcast on Spotify. Do
15:14
you know, like, one
15:17
way in which I can tell whether I'm going to be friends
15:20
with someone or not is
15:22
whether they understand that drugs are
15:24
chemicals that do s*** your brain
15:27
and people who think drugs are
15:29
portals into alien worlds. So...
15:33
It's a very good yardstick, Wendy. I think
15:35
I have a similar kind of following. But
15:38
I do. So,
15:43
but I do want to know why DMT
15:46
does feel so
15:49
immersive and realistic because that is
15:52
super interesting. Yeah, so like on this
15:54
show, we don't jump straight
15:56
to portals opening to
15:58
alien dimensions. talk about like
16:00
the impact that molecules have on our physiology,
16:03
right? So that's why we're the number 25
16:05
podcast. Proudly,
16:09
proudly 25th. Yeah, 25th is the US.
16:13
Okay, so to find out like what DMT is
16:15
doing to our brains, I caught up with one
16:17
of DMT Sciences top
16:20
nerds. I'm the head
16:22
of the DMT research group. You sure
16:24
did. Who's the king? Dr.
16:26
Chris Timmerman is the king. He's
16:28
the guy running a lot of these DMT
16:31
experiments at Imperial College London, including the one
16:33
we just heard about from Anya. He
16:36
also ran a study where he
16:38
got 20 volunteers to slip on
16:40
an EEG cap and then slide
16:42
into the cramped noisy tube of
16:44
an fMRI machine where he'd inject
16:46
them with DMT and watch what
16:48
happened to their brains. Cool.
16:51
So what did he see? So
16:53
when Chris started analysing the brain
16:56
data, it's pretty
16:58
apparent that like DMT just gets inside
17:00
your brain and messes everything up. Like
17:02
it's knocking over the furniture in there,
17:05
right? And he could see that. I mean,
17:07
it's cool that he could just like see
17:09
it in his data. Yeah, so he
17:11
compares like the brain activity
17:13
without DMT and then watches what happens
17:15
when the DMT gets in there. Right.
17:17
And what he saw
17:19
was that there are a couple of
17:22
brain networks in particular that are really
17:25
massively affected by this dose
17:27
of DMT. Now, what a
17:29
brain network is, is like as we
17:32
grow up, as our brains develop, different
17:34
parts of the brain become interconnected with
17:36
each other in a really structured way.
17:39
And like those interconnections become
17:41
really set in stone. And
17:43
so what Chris was seeing
17:45
was that DMT completely scrambles
17:48
a couple of these networks.
17:50
So instead of being highly
17:52
organised, they just became completely
17:54
fluid, right? They were able to
17:56
connect with parts of the brain they don't
17:58
usually connect to. Oh, so it's
18:01
like those stairs in Harry Potter, our
18:03
brain, not on DMT, is like
18:05
very thick stairs and then you take DMT and
18:07
it's like, everything's like moving around and parts
18:10
of the brain are chatting to each other that weren't
18:12
before. Totally. And what's really
18:14
interesting is that the two brain
18:17
networks that are most affected
18:19
by DMT are those that
18:22
work to produce our sense of reality,
18:24
like our place in the world. Here's
18:26
Chris. So whenever we
18:28
are thinking about the past, projecting
18:31
ourselves in the future, thinking about
18:33
our relationships, abstract thought, our
18:35
ability to imagine, to conjure
18:37
up things that are not present in
18:39
the here and now, for example. So
18:42
all of this stuff, like our ability
18:44
to imagine things, to project ourselves into
18:46
a scene in the future, like what's
18:48
future, when are you going to do?
18:50
Like all of the brain networks that
18:52
allow us to do this, when DMT
18:54
gets introduced, they get completely scrambled and
18:56
jumbled up. So then why
18:58
does whatever we
19:00
see look so real? So
19:03
one thing I think people don't think
19:05
about a lot, because it probably creates
19:07
like massive existential crisis, right? Is
19:09
that like our idea of the
19:11
external world is mediated by our
19:13
perception, right? So our brain is
19:16
actually constructing our idea of reality.
19:18
And so what happens
19:20
when DMT gets in there is
19:23
that it completely scrambles everything. All
19:25
these networks that are usually like
19:27
set in stone become like really
19:29
loose and fluid. But because our
19:31
brains are used to trying to
19:34
make sense of stuff, they do
19:36
that and they construct these alternate
19:38
realities like the intergalactic spaceport that
19:40
feel quite real, but it's just
19:43
our sensible brain trying
19:45
to make sense of noise and chaos.
19:48
Yes, yes. This is, um, this
19:50
is like when you might
19:53
like see something down a dark street and you're
19:55
like, Oh my God, I just thought I saw
19:57
a person, but really it was just the shadows
19:59
doing something in your brain. brain was like, ah,
20:02
seems like a person to me. So I'll make
20:04
you see a person. It's just that on steroids.
20:06
That's DMT. A hundred percent. There
20:08
is this noisy stream of
20:10
information and we're just trying to put
20:13
it together because our
20:15
minds are meaning making systems. So
20:18
they're immediately trying to make figures out of
20:20
the noise. So yeah, that's
20:22
why it feels so real when you're on
20:24
one of these DMT trips. Cause the parts
20:26
of your brain that are responsible for like
20:29
creating your perception of
20:31
the world have just gone bonkers. And
20:33
in creating that world of
20:35
your trip, remember when I said the brain networks
20:38
get fluid and they're able to start talking to
20:40
bits of the brain that they don't usually talk
20:42
to. Well, they
20:44
start drawing in memories that you
20:47
might have or your pop culture
20:49
knowledge. So it's using things that's
20:51
dragging from other parts of your
20:53
brain to construct this new trip
20:56
reality. And there's even
20:58
this idea that Chris told me that
21:00
because people will go online and, you
21:02
know, write up their trip story for
21:04
other people to read that maybe when
21:06
someone's about to go on a DMT
21:08
trip, they might go and do some
21:10
research and read other people's trip stories
21:12
and information from other people's trip stories
21:15
might get woven into their own experience.
21:19
It becomes this like self fulfilling prophecy. If
21:21
you expect to be on DMT and be
21:24
taken through an alien portal, then that's what
21:26
is going to happen because that's been in
21:28
your head. Oh, that's so funny. And then
21:30
some people might think I saw the portal
21:33
too. Exactly. Really? It's
21:35
the chemicals, bro. Now,
21:44
you know, like whatever
21:46
you think is causing the
21:48
alien encounters and the otherworldly
21:51
dimensions, people
21:53
are having genuinely life
21:55
changing experiences on this
21:57
track. So much so that
21:59
it's. got a bunch of people
22:01
wondering whether DMT could be the
22:04
latest psychedelic to have therapeutic potential
22:07
and that's a trip we're going to go on after
22:09
the break. Could this be a portal to
22:11
your mental health? Welcome
22:26
back today on the show DMT. It's
22:29
a psychedelic 2.0, 3.0, I don't know. It's
22:35
a wild one. And now we're going to
22:37
talk about whether it could be used to
22:39
maybe help our mental health. Joel,
22:41
what's the thinking? Okay, so to
22:43
get into this I caught up with a couple
22:45
of people who are working on one of the
22:47
most recent clinical trials into DMT and
22:50
we caught up for a chat early one
22:52
London morning. I'm hoping that these microphones
22:54
are not so good that they pick up my stomach rumbling.
22:57
I think it's alright. We'll
23:01
get you to breakfast soon Graham, I promise.
23:05
That is an absolute lie, I know how long your
23:07
interviews go for, Joel. Look,
23:10
it was probably more like high tea by the
23:13
time we got back to Graham and Michelle. So
23:15
I'm Graham Campbell, I'm a psychiatrist. I'm
23:17
Michelle Baker Jones, I'm a therapist. Graham
23:20
and Michelle are running the therapy side
23:22
of this clinical trial so they're offering
23:24
support to the patients like before and
23:26
after they have DMT. But
23:29
because this drug produces such
23:32
bizarre psychedelic experiences, neither of them
23:34
were very optimistic when they first
23:36
started on the trial. To
23:40
be fair, I suppose Graham and I were skeptical
23:42
as to whether DMT would show promise. I
23:44
remember thinking that DMT is just going
23:46
to be too strange. Too
23:49
strange, too intense, too quick. You
23:51
hear this kind of classic
23:53
narrative about hyperspace and
23:55
alien entities and I
23:58
remember thinking it's just going to be a little bit of a struggle. to make sense
24:00
to anybody is just going to actually
24:03
provide experiences which are therapeutic
24:05
and healing. So
24:07
yeah, Graham and Michelle were kind of skeptical about
24:09
whether this would work, but hey, it's a job
24:11
and in this economy. I think
24:14
this is your best joke all
24:16
season. I
24:20
don't know if that's a compliment. Okay,
24:24
okay. So trial, trial. Yes, tell me
24:26
about the trial. So
24:28
this trial had 34 people in it. They
24:31
were all dealing with like moderate to severe
24:33
depression. Everyone in the trial
24:35
had to wean themselves off their antidepressants if
24:38
they were on them before the trial started.
24:40
So it's kind of a big deal for
24:42
people to actually participate. Oh, yeah. And Graham
24:44
has this really vivid memory of the first
24:46
person that they gave DMT to as part
24:48
of the trial. She was somebody
24:51
who'd had four and a half years of
24:53
depression pretty much continuously since
24:55
the birth of her daughter. And
24:59
she'd never had any drug experiences
25:01
before, but she
25:03
was incredibly tearful and distressed. It
25:06
was very, very clear that her mood was incredibly low.
25:10
And you know, that led her to sort of
25:12
feel a bit disconnected from her role as a
25:14
mother. So when
25:16
she had the DMT experience for her,
25:18
it was incredibly intense and
25:21
it felt very visceral. And
25:24
as it was intensifying, you know, over the
25:26
first 10, 15 minutes, she
25:29
got to a point where she felt
25:31
that she was reduced to something
25:34
very, very small, just a sort
25:36
of fragment of herself was remaining and
25:39
that she was going to disappear
25:42
into some kind of void. And
25:46
she suddenly realized that she liked herself
25:49
and that she didn't want to disappear. And
25:53
that was very, very profound for her to
25:56
actually come to that realization and
25:58
her depression, you know, she He was free of depression for
26:01
the rest of the trial and all the follow ups. Yeah,
26:05
wow. Yeah,
26:09
but not everyone had this kind
26:11
of shimmeringly beautiful experience.
26:13
Right, right. So one guy, he
26:15
was like a super high achiever,
26:17
went to a top university, had
26:19
this really stressful, high powered job.
26:22
He was dealing with a lot of depression and
26:24
anxiety. And when he had
26:26
the DMT, he had this trip experience
26:28
where this kind of
26:30
weird entity devoured him. But
26:34
in a very indifferent way. And I think
26:36
the thing that was so difficult for him
26:39
was the indifference, the casual indifference
26:41
of this entity. And
26:45
he did experience anxiety in the
26:47
immediate aftermath of the psychedelic experience.
26:50
Being devoured indifferently. Oh
26:52
man. Yeah. Yeah,
26:57
that doesn't sound like a traditional
26:59
medicine. It makes my skin crawl a
27:01
little bit. Just trying to imagine that experience.
27:05
Oh absolutely. So
27:07
zooming out, there were some, what
27:09
did you say, 34 people in the trial all
27:12
had depression. How many
27:14
ended up getting better? Yeah,
27:16
so at the six months follow up after getting the
27:18
DMT, 10 people, including the mum
27:21
that we heard from, were no longer depressed.
27:23
They were in remission. But
27:25
what's a bit disappointing is that nine people
27:28
didn't turn up for the six month follow
27:30
up. So we just don't
27:32
know what happened to them. Okay. But
27:34
still 10 got better. I mean, I
27:36
guess some of them might've gotten better anyway,
27:38
but still it's not
27:40
bad, right? Yeah. And we
27:42
do have some other data, right? So there
27:44
was this other study out of Yale. It
27:46
was very small. So seven people with treatment
27:48
resistant depression got DMT. And
27:51
the next day on average, their depression
27:53
scores dropped as well. Okay.
27:55
So we're getting like sprinklings of
27:57
data here. That's DMT. on
28:00
ayahuasca, like what happens when you take the whole
28:02
brew. Yeah, so there's a
28:04
bunch of studies where people have filled
28:07
out surveys about their ayahuasca experience and
28:09
these surveys suggest that ayahuasca could be
28:11
useful in treating depression and anxiety
28:13
but also substance abuse problems and
28:16
sometimes people report dealing with
28:18
really intense trauma with an
28:20
ayahuasca ceremony. But these
28:23
are all people who have chosen to
28:25
go on these ayahuasca retreats, right? Right.
28:28
So there's a little bit of a selection bias happening.
28:30
Right. And then speaking of
28:32
selection bias, what about our old friend,
28:34
the placebo? I mean, people are
28:36
choosing to go to the jungle, choosing
28:38
to vomit everywhere. You
28:41
know, there's got to be a whole lot of expectation that
28:43
this is going to help them. How
28:45
do we know that's not what's going
28:47
on here? Yeah, so I found one
28:50
randomized placebo controlled trial of ayahuasca and
28:52
this was in treatment-resistant depression. So
28:54
people who had been trying a lot to help with
28:56
their depression and hadn't found anything that worked. They
28:59
had 29 patients who got a
29:01
single dose of either ayahuasca or
29:03
a placebo. I love
29:05
this so much. They brewed
29:08
an ayahuasca placebo that looked
29:10
and pasted like this brew.
29:14
Like right
29:17
down to the bitter sour taste and
29:19
the brownish color. They
29:21
even added in some zinc
29:23
sulfate to produce quote low
29:26
to modest gastrointestinal distress. Yes,
29:28
yes, yes. Okay. Okay.
29:31
So how did it go? So they followed up
29:33
one week after receiving the dose and they
29:35
found there was a very strong
29:38
placebo effect. So tick
29:40
to the scientists, the little placebo brew they
29:43
made did the job. But the
29:45
people who got the real stuff, the people who
29:47
got the ayahuasca did better. So about
29:49
two thirds of those who got ayahuasca felt
29:51
the severity of their depression dropped by 50%
29:54
or more. Two thirds? That's
29:56
not bad. It's pretty good because in the
29:58
placebo group, there's only a quarter. could say the
30:00
same thing. Great. That
30:02
is promising. Yeah, totally. It's quite
30:05
promising. But what none
30:07
of these trials get at is
30:09
how it's having this effect. I
30:13
wanted to know what was going on in the
30:15
brain. Of course you did. You're bringing the trial
30:17
results. I want to know too because it
30:19
doesn't make sense. You see some aliens even
30:21
you see yourself get smaller and your depression
30:23
heals. Totally. To figure that out, I caught up with
30:26
this guy. My name is David
30:28
Orson. I'm the director of the
30:30
Institute for Psychedelics and Neurotherapeutics at
30:32
the University of California, Davis. So
30:34
David's trying to figure out how our brain
30:37
cells might be changing when they get
30:40
exposed to DMT and how this
30:42
might be helping people with depression. But
30:45
to do this work, you can't do it
30:47
in people. You've got to give the DMT
30:49
to rats. Okay.
30:52
Okay. So what is a rodent
30:54
tripping balls on DMT look like? Oh,
30:57
snap. Because that's exactly the question
31:00
I had for David. What
31:03
does a rat tripping on DMT
31:05
look like? Well,
31:07
for rats, when you give them
31:09
high doses, they tend to flatten
31:12
their bodies and stare. Have
31:15
you ever encountered an alien rat though? They
31:18
must be having some weird trips. Like if
31:20
the DMT trips, the humans have a weird,
31:22
like rat DMT trips must be out of
31:24
this world. Unclear what those
31:26
are like. You know
31:28
how Anya was imagining the tendrils
31:31
of aliens looking through every cell in
31:33
her body in this case, it's David.
31:35
David's the alien of that poor rat
31:38
on DMT. It's not an
31:40
hallucination, totally. There's no. So the
31:42
rats, the rats like get the DMT, they
31:44
have their little ratty trip. They live their
31:46
life for 24 hours and then they
31:49
sacrifice their lives for science. Well,
31:52
we chop up their brains to see what's going
31:54
on in them. Right. So
31:56
David's taking slices of these
31:59
rat brains. And for the
32:01
neuro nerds out there, the areas of the
32:03
brain he's working in are the prefrontal cortex
32:05
and the hippocampus. And
32:07
he's trying to figure out what's happening to
32:09
the brain cells after they interact with the
32:11
MT. Okay, so
32:13
analogy time. Brain
32:16
cells look like trees. Yes.
32:19
Stick with me. They do, they actually do.
32:21
So like the axon is like the trunk.
32:24
Yes. And then the branches, the bits
32:26
that communicate with the other brain cells,
32:29
those branches are called the dendrites.
32:31
It turns out that neurons look so
32:34
much like trees that we actually use
32:36
the term arbor to describe their dendritic
32:38
branches. It's very poetic. Yeah,
32:42
like sometimes science is super complicated and sometimes
32:44
it's just saying what you see in front
32:46
of you. Yeah.
32:50
So like when some people have,
32:52
say, depression, their canopies, instead of
32:55
being densely filled with lots of
32:57
branches, like bushy, bushy trees, they
32:59
look kind of barren. So
33:02
if you prune back those
33:04
branches and you lose all
33:06
the leaves, so it looks like winter time
33:09
and the arborists has come by, that's what
33:11
a lot of brain disorders look like. And
33:13
what David and his team are doing
33:16
is giving rats either DMT or placebo
33:18
and then counting the
33:20
leaves on those branches. We
33:23
had to do some very
33:25
painstaking experiments where we were
33:27
under the microscope for, I
33:30
don't know how many, hundreds
33:32
of hours tracing,
33:34
manually tracing these dendrites
33:37
and counting these dendritic
33:39
spines. And you're just
33:41
doing this thousands and thousands of times
33:43
over. And
33:46
one of my graduate students basically locked
33:48
himself in a dark closet for weeks
33:50
at a time so that he could
33:52
trace all of these neurons
33:54
manually. And what David and his
33:56
team found is that after they'd been
33:58
exposed to DMT, the
34:01
brain cells were healthier, like there were
34:03
more leaves on the branches of their
34:05
trees. What DMT seems
34:07
to do is
34:09
to act like miracle grow in
34:12
a lot of ways. It promotes the
34:14
growth of the branches and the leaves
34:16
start sprouting again so that
34:18
the canopy can be a lot
34:21
fuller than it was. That's really cool.
34:24
That's really cool. And so if this plays out
34:26
in people, people with
34:28
depression, it's the idea that if
34:31
they have this like, their canopy
34:33
with now more leaves in it,
34:35
they themselves will be healthier. Totally,
34:37
totally. Buschier trees, healthier brains is
34:40
the idea, which is really interesting
34:42
because the ages scientists have been
34:44
trying to figure out whether like
34:46
the subjective experience of going on
34:48
one of these psychedelic trips, like
34:50
all of the weird stuff that
34:52
you see, whether that was what
34:54
was really doing the heavy lifting
34:56
in terms of these drugs being
34:59
therapeutic, or if something
35:01
else was going on. But then,
35:03
when we saw that there was physical changes
35:05
in the structure of the brain, we
35:07
thought that there might be this
35:09
alternative explanation. And so
35:12
even though David's study was being done
35:14
in rats, he's pretty confident that like
35:16
what he's seeing in these rodents is
35:18
happening in humans as well, because like,
35:21
this mechanism of growing leaves, it doesn't
35:23
just happen with DMT, it happens with
35:25
other psychedelics as well. And
35:28
it even happens with antidepressants like
35:30
SSRIs, because they have this effect.
35:32
So they cause the leaves, new
35:34
leaves to grow on the branches
35:36
of the brain cells. But
35:39
if anyone has taken antidepressants would
35:41
know, they're no businessmen's trip, right? Like
35:43
they take weeks or even months to
35:45
kick in. But a psychedelic, you can
35:47
take a single dose and see large
35:49
changes in growth within 24 hours. And
35:52
then that effect can be sustained for several
35:54
weeks. And that is really the
35:56
difference between psychedelics and more
35:59
traditional antidepressants. your process. That's
36:04
great. That's exciting. So a super interesting
36:06
part of David's research is that he
36:08
also found that DMT could promote what's
36:10
called neuroplasticity, so this growth of new
36:13
branches, at a dose of
36:15
DMT that was sub-hallucinogenic. And
36:18
so this kind of suggests that
36:20
maybe you don't need the whole
36:23
psychedelic experience to get the benefit
36:25
from psychedelics, which is
36:27
like exciting from a research point of view,
36:29
but also like totally no fun at all,
36:31
right? Right. Yeah,
36:34
I guess it depends how fun it is to
36:36
be prone by aliens. Yeah.
36:40
So speaking of no fun
36:42
at all, I think my last question is
36:45
like, can DMT or
36:47
ayahuasca, I don't
36:49
know, like all this brain plasticity
36:52
shaking up the snow globe between
36:54
my ears, can that
36:56
cause harm? Can you shake it up in a
36:58
way that is bad? Can you
37:00
end up worse after you
37:03
take these trips? Look, for such a
37:05
hectic drug, a bunch of
37:07
the scientists I spoke to told me that it's
37:09
actually pretty safe. So one review
37:11
paper looked at some people in Brazil who'd
37:13
been using ayahuasca in their religious ceremonies over
37:15
a long time. And
37:18
that review didn't find any evidence that it
37:20
was harmful to those people. There
37:22
are a few things to watch out for. So with
37:25
DMT, the big risk is your
37:27
heart health. So that initial rush
37:29
of the drug, it really increases
37:31
your heart rate. And in studies
37:33
of DMT and ayahuasca, there's the
37:35
odd case where people get hypertension.
37:38
But for Chris, his biggest concern
37:40
was to do with people's minds.
37:43
The main risks are psychological.
37:47
So people can have extreme anxiety and
37:49
fear responses. When
37:51
you go in the higher doses of DMT,
37:54
people can have very, very extreme
37:56
experiences that can be extremely confronting
37:58
for some individuals. individuals. Some
38:01
people do need to go to therapy
38:03
to deal with like the visions that
38:05
they saw when they were on their
38:07
trip. So one survey of 10,000 ayahuasca
38:09
users found that 12% got
38:11
professional help after going on one of
38:14
these retreats. Oh. There are
38:16
even stories of people experiencing psychosis
38:18
after taking ayahuasca, which can be
38:20
pretty full on. Yeah. Right?
38:23
But it's also quite rare. So of the
38:25
estimated hundreds of thousands of users of ayahuasca,
38:28
I could only find some case
38:30
reports of this. Has anyone ever died from
38:32
taking ayahuasca? Because like every
38:35
now and then you do read these stories of
38:37
people going to these retreats and
38:39
not coming back. It
38:41
is rare for this kind of thing to
38:43
happen. Like one report looks through more than
38:45
20 years of media articles from around the
38:47
world and found 58 deaths
38:50
that had been attributed to ayahuasca during
38:52
that time. 58 deaths over 20 years.
38:56
But in a lot of cases, it's
38:58
not clear if ayahuasca or DMT is
39:00
to blame because like during an ayahuasca
39:02
ceremony, there's other stuff that's mixed into
39:04
the brew. It's not just the drug.
39:07
And then sometimes people mix ayahuasca
39:09
with completely different drugs. So there's
39:12
one case study of a
39:15
guy from Australia who used
39:17
ayahuasca and died with a
39:19
quote, perforated esophagus from vomiting.
39:22
Oh, gosh. Yeah. It's
39:24
really full on. But that
39:26
same night, he'd also ingested the poison
39:29
from an Amazonian tree frog. So it
39:31
can be hard in cases like this
39:33
to determine what the exact cause of
39:35
death was. Hmm.
39:38
Okay. So Joel,
39:40
it's time to wrap up this
39:42
DMT adventure we've been on. Let's wrap
39:44
it. It's funny. I came into this
39:48
episode, I don't
39:50
want to say skeptical, would
39:53
you believe, about ayahuasca. You
39:55
get people in this
39:57
economy. I
40:02
mean, the fact that it has this very
40:05
long tradition makes
40:07
it very interesting, but then this
40:09
celebrity retreat vibe around it is just, it's
40:12
hard not to roll your eyes. But
40:16
the science is, it is really
40:19
intriguing. Where are you at
40:21
with CMT? Yeah, I
40:23
mean, influences are going to influence, right?
40:25
But I'm super pumped by the science. The
40:29
idea that psychedelic drugs are
40:32
helping these little leaves on
40:34
the branches of our brain trees grow after
40:37
just 24 hours. That's
40:40
super exciting. But
40:42
then I think about DMT as
40:44
a therapy. And it's
40:48
like, our societies
40:50
tend to be so uptight about
40:52
drugs generally. Like if you think
40:54
about the path that weed has
40:57
taken, and like weed is such
40:59
a smaller deal than DMT, it
41:01
just makes me wonder like if
41:04
and when this idea
41:06
of having a kind of businessman's lunch
41:08
where you deal with some in this
41:10
really short acting psychedelic experience,
41:13
like when will we as a
41:15
people be ready? So I'm kind
41:17
of like, I'm struggling
41:19
to see how these therapies
41:21
breaks through into the mainstream.
41:23
Yeah. You know, I am
41:26
really curious if I would ever take this, if
41:29
I would start to believe that this
41:31
was an alien portal. Totally. I've
41:34
been thinking about like what my brain
41:36
would choose to turn into this super
41:38
immersive trip. And you know,
41:40
like I'd probably want some like mystical sci
41:42
fi experience, but I'd probably end up getting
41:44
like, like a Google
41:46
Doc with one of our scripts coming to
41:48
life. Yeah,
41:51
exactly. I reckon you'd get
41:53
all of the citations that you've
41:55
ever put in a science versus episode. Just
41:58
devouring me in differently. Thanks, Charles.
42:00
Thanks, Wendy. How's this? Your worst nightmare.
42:03
I have one more question, it turns out.
42:05
How many citations are in this week's episode? We had 79 citations. And
42:08
if people want to see them in all of their glory, where should they go? Well,
42:17
each week we put
42:19
a link to a website
42:21
where we can get citations from
42:23
you. And so if you
42:25
follow that link, you can read along while you listen and you
42:28
can deep dive into
42:45
all the extra information that we put there
42:47
for you. Yes. And while you're looking
42:49
at the show notes, you're also going to see ways
42:51
to get in touch with us while we're
42:53
on a break. So if you have an
42:55
episode that you think we should do, what
42:58
should we versus, please tell
43:00
us. And also we really
43:02
want to hear your thoughts on, remember there's three
43:04
topics, sex, diet, any questions you
43:06
have about diet, how much protein should you
43:08
be eating every day? I don't know, whatever
43:10
you're thinking, we want to know. And also
43:12
your questions about menopause. You can email
43:14
us, send us a
43:16
voice message to scienceversusatgimletmedia.com.
43:19
And there's a phone number in the show notes too. And
43:22
then finally, Joel, there was
43:25
one fact in this episode that you
43:27
were like, we cannot put an ayahuasca
43:29
episode down the feed without
43:31
this. And Blythe and I
43:34
were like, nah, I don't know. Tell
43:36
us now, tell us now what is this
43:38
fact? So when
43:40
you make the ayahuasca brew,
43:43
like the way that the
43:45
brew is brewed is super
43:47
cool, right? You get
43:49
the DMT by crushing up the leaves of
43:51
this particular plant. But if you
43:53
just ingest the leaves, like so if
43:55
you eat them or if you drink
43:57
them in this brew by themselves. then
44:00
the BMT gets broken down super
44:03
quickly by an enzyme and Not
44:06
enough of it gets absorbed to give
44:08
you this psychedelic experience So what you
44:10
have to add into the brew is
44:12
a vine, right? And so you put
44:14
the leaves in you put the vine
44:16
in and there's a secret ingredient in
44:18
the vine that inhibits the action of
44:20
that Enzyme which allows you to absorb
44:22
all the BMT and gets you high
44:24
on ayahuasca I just think that's such
44:26
a super cool idea that like it's
44:28
not just Getting the BMT out
44:30
of the leaves that you need to
44:32
like have this like interactive Relationship between
44:34
the leaves and the vine to make
44:36
the ayahuasca brew super potent Yes,
44:39
but if you get it from the scientists inject
44:41
it straight in you you can bypass that whole
44:43
system Yeah, choose your
44:46
own adventure Thanks
44:48
so much and we will see all of
44:50
you guys in the new year. Thanks so
44:53
much for listening to us. Thanks Bye
45:01
This episode was produced by Joel Buena
45:03
Which helped me, Wendy Zuckerman, Michelle Dang,
45:05
Rose Rimmler and Nick Del Rose We're
45:08
edited by Blythe Terrell, fact-checking by Diane
45:10
Kelly, mix and sound design by Bumi
45:12
Hidaka Music written by
45:14
Bumi Hidaka, Peter Leonard and Bobby Lord
45:17
Thanks to all of the researchers that
45:19
we spoke to for this episode including
45:21
Dr. Rick Strathman, Dr. David Errico Dr.
45:24
Jimo Borijin, Dr. Steven Barker,
45:26
Dr. Brandon Weiss, Dr. Pascal
45:29
Michaels, Dr. Michael Gatt Professor
45:31
Jerome Sarat, Professor Deepak
45:34
D'Souza, Sean Chidi and David Nichols.
45:36
A special Thanks to Jack
45:38
Weinstein and Hunter, Katie Vans, Finn
45:40
and Zules, Christian Dario
45:42
Vasquez Valentina Powers, Zach
45:44
Schmidt, the Zuckerman family and Joseph Lavelle
45:47
Wilson. I'm Wendy Zuckerman and we will
45:49
fact you in a couple of months
45:52
I'll see you then, bye! Thank
46:00
you.
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