The Dr. Hyman Show - Why Psychedelics May Be The Future Of PTSD, Addiction, And Depression Treatment

Episode Date: June 12, 2023

This episode is brought to you by Rupa Health, InsideTracker, and LMNT. Compounds that have long been considered recreational drugs by conventional standards are finally being recognized through scien...ce as powerful tools for overcoming hard-to-treat health issues like PTSD, depression, addiction, and more. For the right person, psychedelics can provide a sense of peace and hope that helps heal their inner wounds and allows them to live with more freedom. In today’s episode, I talk with Rick Doblin, Alberto Villoldo, and Wade Davis about the ancient healing mechanisms of plant medicine. Rick Doblin, PhD, is the founder and executive director of the Multidisciplinary Association for Psychedelic Studies (MAPS). He received his doctorate in public policy from Harvard’s Kennedy School of Government. His professional goals are to help develop legal contexts for the beneficial uses of psychedelics and marijuana, primarily as prescription medicines but also for personal growth for otherwise healthy people, and eventually to become a legally licensed psychedelic therapist. Medical anthropologist Alberto Villoldo, PhD, is an international bestselling author who has researched the shamanic healing practices of the Amazon and Andes for over 25 years. He is the founder of the Four Winds Society, an organization dedicated to the bridging of ancient shamanic traditions with modern medicine and psychology. Wade Davis is a writer, photographer, and filmmaker. Explorer-in-Residence at the National Geographic Society from 2000 to 2013, he is currently Professor of Anthropology and the BC Leadership Chair in Cultures and Ecosystems at Risk at the University of British Columbia. He is the author of 23 books, including One River, The Wayfinders, and Into the Silence, and he was the winner of the 2012 Baillie Gifford Prize for Non-Fiction (formerly the Samuel Johnson Prize), the top nonfiction prize in the English language. This episode is brought to you by Rupa Health, InsideTracker, and LMNT.  Rupa Health is a place where Functional Medicine practitioners can access more than 3,000 specialty lab tests like DUTCH, Vibrant America, Genova, and Great Plains. You can check out a free, live demo with a Q&A or create an account at RupaHealth.com. InsideTracker is offering my community 20% off at insidetracker.com/drhyman. LMNT is offering my listeners a free sample pack with any purchase. Get yours at DrinkLMNT.com/hyman today. Full-length episodes of these interviews can be found here: Rick Doblin Alberto Villoldo Wade Davis

Transcript
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Starting point is 00:00:00 Coming up on this episode of The Doctor's Pharmacy. The fundamental message coming from the field of psychedelic psychotherapy and psychedelic research is that there's a reason for hope. Hey everyone, it's Dr. Mark. Now, I know a lot of you out there are healthcare practitioners like me, helping patients heal using real food and functional medicine as the framework for getting the root cause of the issues. Now, in my practice, this often means looking at lots of internal variables to find the most effective path to optimize health and reverse disease. But up until now, that meant we were usually ordering tests
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Starting point is 00:01:37 is unoptimized, InsideTracker provides practical recommendations backed by dozens of peer-reviewed studies and personalized for your body. For a limited time, you can get 20% off the entire InsideTracker store when you sign up at InsideTracker.com slash Dr. Hyman. So if you're ready to get a crystal clear picture of what's going on inside your body, along with science-backed recommendations to optimize what's not working, then visit InsideTracker.com slash Dr. Hyman. And now let's get back to this week's episode of The Doctor's Pharmacy. Hi, this is Lauren Feehan, one of the producers of The Doctor's Pharmacy. Mental health problems are the number one driver of indirect healthcare costs, loss of productivity, and diminished quality of life. And unfortunately, we are only moderately
Starting point is 00:02:21 successful at treating mental health issues with modern medicine. However, now through the exploration of psychedelics and plant medicine, we are in a pivotal moment of reimagining mental health treatment. In today's episode, we feature three conversations from the doctor's pharmacy exploring the healing and evolutionary benefits of plant medicine. Dr. Hyman speaks with Rick Doblin about using psychedelics to heal from trauma, with Alberto Violdo about how plant medicine repairs the brain, and with Wade Davis about the rich history of psychedelics. Let's dive in.
Starting point is 00:02:55 People have looked at the word psychedelic, and again, how do we do this public reframing? How do we take something so demonized and so beaten down and suppressed? And so a lot of it is framing and public education. So that's where I'm so glad to be talking to you as part of this public education. But the word word psychedelics with all of its cultural connotations. But I think it's propaganda in the positive side. So hallucinogen is propaganda in the negative side that you're going to take this. It's going to be fake. It's going to be a hallucination. It's not going to be real. It's all a delusion.
Starting point is 00:03:42 And then entheogen is, oh, it's all about meeting God right you know and then entheogen is oh it's all about meeting god and you're connected to god and well i see the value of that word but but i've focused and you can see that maps has the word psychedelic in the title that that our mission was to try to reframe the word psychedelic reclaim it the same way gay and you know it has has done or queer you know the same way that the right right that they try to reclaim these. You quote Stanislav Graf often, you say, you know, the study of psychedelics is what the, you know, telescope was to astronomers and the microscope was to biologists. And I think that's a very interesting frame because it's like we're on a frontier that we have just had so little
Starting point is 00:04:22 understanding of and so little effective treatment for. And, you know, we now actually are. I mean, it's very helpful to me to think about the ways in which these compounds can really help so many people who are really struggling and suffering. And the amount of trauma is huge. I mean, I think one in four people, and I've talked to us in the podcast, have been sexually abused, you know, including me. And I think that's kind of a really big, big phenomena. And that's a big trauma. But there's so much other trauma. Gabor Mati talks about the micro traumas, there's living in our current society, and the macro traumas of real abuse. And so I think all
Starting point is 00:04:56 these compounds have some role to play in our collective healing. Yeah, they do. And so, you know, Bhutan has, the country of Bhutan has developed a national index of happiness. And many people have heard about this. So what MAPS we're talking about now is to develop a national index of trauma. And we just had a meeting with some people at the UN and how we might actually do this. And then the goal is a world of net zero trauma by 2070. So now that it seems like we're maybe two years away or less than two years away from FDA approval of MDMA-assisted therapy for PTSD, it seems likely. Psilocybin, I think, will be shortly thereafter for psilocybin for depression. And so as we start mainstreaming psychedelics, we already have five or six hundred or more ketamine clinics in the United States. So we will eventually have thousands, you know, hopefully multigenerational trauma and move to a world of net zero trauma?
Starting point is 00:06:13 There's some statistics that I recently have incorporated into one of my PowerPoints about how there's supposedly or there are predictions that there'll be over a billion climate refugees by 2050. Yeah, yeah. So the stresses on the human species are going to increase. We're really good at denial. And, you know, that's the classic story of addiction. And so, you know, we still have people in the fossil fuel industry saying, you know, let's do more of this. So we tend to do things at the last minute. And so the species extinction is increasing.
Starting point is 00:06:57 The environmental degradation is increasing. On the other hand, there is this hope of, you know, through the brilliance of our mind, can we sort of remedy some of the problems through the sort of primitive nature of our mind as well? So it's a touch and go situation, I'm sure. It's quite a vision. Yeah. So this idea of 2070, a net zero world that, you know, what we need is this idea of a spiritualized humanity. So that is really our goal is mass mental health and a spiritualized humanity. You could say that humanity is now like lemmings going over the cliff. And how do we stop that? We need more people to wake up. And so one
Starting point is 00:07:40 of the things that I think was also good about Timothy Leary is that he didn't say, oh, we need to give, he did do this, but he did think about giving LSD to leaders. And there's an incredible story about- Put it in the G20 meeting water. Well, one of the lovers, the mistresses of President Kennedy came to Leary and said that she and some of her friends were sleeping with the major political leaders. This is in the early 60s. And could he help train them with their, so that they could be more effective with their LSD experiences with these guys to help them become, you know, more enlightened. So there's some very interesting, there's a book that
Starting point is 00:08:21 Mary's Mosaic is about this woman that may woman that supposedly did do LSD with John Kennedy. Wow. Trained by Leary. That's pretty wild. Mary's Mosaic. That's pretty wild. Okay. But the theory for me is slightly different.
Starting point is 00:08:37 And I think it was also for Leary is that you need to ground mental health in the mass of the population. That there's always going to be psychopaths and that you can, you know, but it's the mass of people that give them their power that make them so destructive, you know, and that they can manipulate people's fears and anxieties. And if you can help people not have such fears and anxieties or find a process to work through it, then the psychopaths aren't going to do so much damage. So that's, for me, the theory of change is more of this idea of mass mental health. And that's why we need drug policy reform. That's why we need, you know, these 25,000 or more therapists trained just in this, and all these clinics. And so I think it's, um, a vision that of hope in a sense that, that, that the human species can pull itself out of this tailspin, um, hopefully not at the very last minute, but, but, uh, and that's where I think
Starting point is 00:09:38 public education, what you're doing and with these podcasts is so important for people, particularly, I want to say this, that there are, there's a lot of people committing suicide out of despair. There's, there's what's called deaths of despair, which is alcoholism, drug overdoses and suicide. But the message, I think the fundamental message coming from the field of psychedelic psychotherapy and psychedelic research is that there's a reason for hope that it's going to be a while before these things become mainstream, before everybody can have access, before it's insurance coverage. But there are technologies that are being developed that are not actually different from what we've done thousands of years ago. I mean, we as a culture,
Starting point is 00:10:19 you could say, as a Western culture, have suppressed the irrational or the, the emotional, you know, and the psychedelics, both for power reasons to have hierarchies of the churches that are the intermediary between you and church, but also, um, it helped facilitate the flourishing of our rational mind. And we have produced miracles of technology. The fact that we can talk like this, that I can see you. I mean, this is amazing. You know, so hopefully the brilliance of our mind will be able to overcome
Starting point is 00:10:50 the primitive nature of our psyche and help us to evolve. And that's the race that we're in. I mean, these compounds have been used for millennia by humans throughout the world. And even some say early Christianity was influenced by influenced by or got alkaloids that were from kind of mold that was growing on grains and that created these mystical experiences psychedelic experience like lsd so i think you know this is not new to humanity this is just something that's been suppressed and and uh marginalized but it's actually central to the human experience throughout history that we've co-evolved with these plants. That's one of my favorite courses I took in college is plants, plants and humans. It was like all about all of this stuff, you know,
Starting point is 00:11:31 all about the cultural use of plants, but for food is medicine, for psychedelic experiences, healing. And I think we're now kind of seeing, you know, places where people can go and get help. And it's a lot of it's underground right now. There's other countries that are doing this kind of work, for example, in Iboga, which is a, you know places where people can go and get help and it's a lot of it's underground right now there's other countries that are doing this kind of work for example in iboga which is a you know west african bark is being used out in mexico and these clinics to deal with addiction and end the physiological addiction but also give these people a really profoundly different way
Starting point is 00:11:58 to look at their trauma and their past and seems to reset their neuroplasticity so there's these clinics opening around there's different centers around world. Where do you see this sort of besides the United States emerging? Is there places? Well, it's already in Switzerland. So, you know, again, Switzerland is where Albert Hoffman lived and he was the one that worked for Sandoz and invented LSD first off in 1938 and then had his unexpected experience where he realized back in 1943. And then in 58, 15 years later, he got them on his fingers. Somewhere, yes. And then he also was the first one to identify psilocybin in the mushrooms. So there's a tradition of psychedelics in Switzerland, of psychedelic discovery.
Starting point is 00:12:45 And so in Switzerland right now, they have compassionate use of LSD, MDMA, and there's a group of 30 plus psychiatrists that are permitted to give MDMA and LSD to their patients. So that is kind of the advanced place. There are clinics, as you notice, Ibogaine is, because of the zeal of the drug lawyers in America, Ibogaine is illegal in the United States, but it's not criminalized most of the rest of the world. So it's legal in Mexico, it's legal in Canada, legal in England, much of Europe, much of South America. And it's not a drug of abuse. And the irony is that we can have over 100,000 people die of opiate-related
Starting point is 00:13:25 and fentanyl-related overdoses. And yet we still have the National Institute on Drug Abuse is not funding research into Ibogaine, even though it's clearly helpful for helping people overcome dependence on opiates. It resets the brain. It's incredible. And it gives us psychedelic, therapeutic, spiritual experience. So I think we're at this situation where there is this recognition that there are tools that have been around sometimes for millennium that our culture has really not figured out a way to incorporate them. And that time of suppression is coming to an end, and the need for these tools is apparent to more and more people. So we are involved in Ibogaine research. We've done studies with Ibogaine clinics in Mexico and New Zealand and did long-term follow-ups. There's a for-profit company, a tie that's trying to work with Ibogaine. There's a study that we've supported in Barcelona with a group called
Starting point is 00:14:34 ISEERS and Claire Wilkins, and they're helping people with draw from methadone with increasing doses of Ibogaine. There's Bruno Rasmussen is this therapist, psychiatrist, and Brazil is doing work with ibogaine. So it's breaking through in different ways. But I think from the for-profit perspective, from for-profit pharmaceutical companies, these drugs are in the public domain. And the traditional pharma investors want drugs that they patent. So MDMA was invented by Merck in 1912 and is in the public domain. LSD is in the public domain. Psilocybin is in the public domain. Ibogaine. So that's been a challenge is to find the resources. And then you have your classic pharma tricks where you try to patent this and that of what you've done to prevent other people from doing it,
Starting point is 00:15:22 to justify your hundreds of millions that you got to put into making them into a medicine so you can see both sides of it. So it's- I mean, one of my questions I have is, you know, these compounds are extremely safe. You know, we see the, you know, psilocybin, I'll see there's really no sort of lethal dose. There's not terrible side effects
Starting point is 00:15:39 unless you have some very serious preexisting psychosis like schizophrenia and can kind of trigger things. But what's fascinating to me is that, that safety, they're now trying to come up with these new molecules that are altering the structure or function somehow. But we don't know what the side effects of those will be. So they're saying, oh, they're going to be shorter duration or it'll be this or that. And I think that worries me a little bit. Yeah.
Starting point is 00:16:02 So this gets back to where your earlier question about scaling, you know, and how do we make so, so that a lot of these for-profit companies are thinking, oh yeah, the problem is that these experiences take longer and we got to squeeze it into the normal therapeutic model that we have. Like to have an hour experience. Can we make a psilocybin experience? It's 15 minutes or something, or, you know, but you can do that with, with five MEO DMT or, or, or things that are shorter. But I think that this, there,
Starting point is 00:16:29 there's this assumption that somehow shorter is better where I don't think that's true. And also, as you say, well with a spice. So there was a whole lot of interest in, in cannabis alternatives, cannabis like molecules that wouldn't show up on drug tests. And there's been, you know, those are more dangerous than the cannabis itself. So a lot of times this search to get away from these tried and true things produce ones that are technically legal, but they're more dangerous in many ways. We do know, I think it's possible to produce psilocybin-like molecules, MDMA-like molecules that are relatively comparably safe, I would say.
Starting point is 00:17:12 But I do want to say that there's physiological safety and psychological safety. So when we think about the psychedelics, I would say that MDMA and ibogaine are more physiologically challenging in certain ways. You can take MDMA in non-therapeutic settings. This doesn't happen in therapeutic settings, but you can dance all night, you can overheat, and people have died from hyperthermia. And sometimes people have drank in too much water as a harm reduction method, then they die from hyponatremia. So I would say that MDMA and Ibogaine have more physiological challenges. Ibogaine has an impact on the heart that you have to be careful of, but that the classic psychedelics are safer physiologically. You won't overdose,
Starting point is 00:17:59 you cannot overdose on psilocybin or let's see, but they're, they're more challenging psychologically. Yeah. And so I would say it's important for people to realize that, that you can, you need a safe, supportive context when you're dissolving your sense of self. The set and setting, right? Yeah. Yeah. Also from Timothy Leary, so that we get back to, now there's another thing, talk about sustainability that I'll give credit to Timothy Leary for. So what I'm talking about is the future of drug policy reform. One way to think about it is what's called licensed legalization. And so if we think about alcohol, the way alcohol is regulated in our society, it's pretty light, right? You can go to a bar and you can get a bar fight and, you know, you get busted for that.
Starting point is 00:18:44 But the next day you go back and you go back into the bar and you can buy alcohol or go to a bar and you can get a bar fight and you know you get busted for that but the next day you go back and you can go back into the bar and you can buy alcohol you go to a liquor store you can be arrested for drunk driving and you could lose your driver's license but you can still get alcohol in a bar or liquor store so i think there should be a license to do drugs and that particularly for alcohol and other things and also for psychedelics and that the idea is that it's not that hard to get the license, but if you misbehave, you lose the license and then it makes it a little bit harder and you have to do reeducation or something like that. And it turns out that the person that proposed that was Timothy Leary.
Starting point is 00:19:16 Wow. He talked about how it's like you need a pilot's license to drive a plane. Well, you should have a LSD license, you know, and it's similar to that. So he did have that kind of relatively conservative theory. And I think the one downside of it is that we don't trust our governments. And a lot of times there's changes in policies. And so if you have a license, then there's a list of everybody that's got the license that the government has. Now, the government has so much information already. You know, they know your credit cards.
Starting point is 00:19:49 They know, you know, what you're buying. If you go to a marijuana dispensary, they're, oh, you charge this marijuana dispensary. So I do think that the future, I would say, would be licensed legalization of some kind and that these second dollar clinics would be a site of initiation. The idea is that you want to have a license for LSD or MDMA. You go to a clinic, you have it basically for free, paid for by all the taxes, and then you understand what it is. And if you don't have a terrible, terrible experience, then you get a license and you can go do it on your own. And that's the same
Starting point is 00:20:20 way with driver's license. You have to drive in a car with an instructor making sure you know what you're doing before you get a license to drive on your own. Hey everyone, Dr. Mark here. Scientists have long known that electrolytes are important in the body. So many daily ailments like headaches, cramps, and fatigue can be caused by electrolyte imbalances. Sports drink companies know this and they've responded by peddling electrolyte drinks
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Starting point is 00:22:05 psychedelic departments of research and inquiry. And this is- Even at Harvard. Even at Harvard. Even at Harvard, right. Even at Harvard, yeah. Right, exactly. The Harvard Center for the Neuroscience of Psychedelics at MGH, Massachusetts General Hospital, yeah. Which is really remarkable considering how marginalized these were. And I guess my
Starting point is 00:22:22 question to you is, how do you see traditional psychiatrists interacting with this information knowledge? Are they resistant? Are they excited? Are they open to it? I mean, I think we really are in a moment where psychiatry is really about to change. And it seems to be potentially a big threat
Starting point is 00:22:39 to traditional psychiatric paradigms. In some ways. Well, Max Planck, who is a physicist, the Planck constant is named after him. He had a saying that I have learned a lot from. And what he said is that science precedes funeral by funeral. Yeah. So you think science, they're the most open to continual inquiry. And, you know, the whole idea of science is you try to disprove hypotheses or to prove hypotheses, you know, that even in science, people get entrenched ideas. And so for Max Planck to say science proceeds funeral by funeral, you know, it's kind of a
Starting point is 00:23:17 disappointing indictment. Well, it's like basically it just changes. It's hard to change paradigms and views for sure. Yeah. So I would say that what we're seeing with traditional psychiatry has been more openness than I would have anticipated. And I think that it's because a lot of the young generation of psychiatric residents and people in medical schools and psychiatry, they've grown up now over the last 20 years with more and more stories about the therapeutic value and the spiritual value of psychedelics. And they've grown very disillusioned. A lot of people have grown disillusioned with psychiatry, where, as I said before, you know, you see a patient for 15 minutes,
Starting point is 00:23:56 you adjust their medications, you know, that's the way you maximize your income, but you're not really relating much on a human way with these patients. So I think that there's also an understanding among a lot of psychiatrists. We do a lot of work at the Veterans Administration. Also, we're starting, it took us like 30 years or so to get into the VA. You're a patient man, Rick. Well, you know, the resistance was great. And the only way to get through it was being patient. But that there are people that they've seen for 20 years or 30 years or 40 years since Vietnam Well, you know, the resistance was great. And the only way to get through it was being patient. But that there are people that they've seen for 20 years or 30 years or 40 years since Vietnam that they're giving SSRIs to and they're not getting better.
Starting point is 00:24:42 So the same way, I think there's a sense in traditional psychiatry that the tools that they have work for a bunch of people, but there's a large bunch of people that they are not helpful for. Yeah. Well, that's are not helpful for. Yeah. But one of the reasons why, when I say we do political science, not regular science, the reason I chose MDMA as the drug that I thought would make it through the system first, rather than psilocybin, let's say, or LSD, is because what we say is that the therapists who are working with the patients will be more effective if they've tried the drug themselves. Yeah. And we don't say psychiatrists should get ECT, electroconvulsive therapy. They should get psychoanalysis, right?
Starting point is 00:25:16 Yeah. But the ECT is the treatment or you don't want a psychiatrist necessarily to take anti-psychotic drug. But that's where the drug is the treatment. But in psychedelics, it's the therapy that's the treatment that the drug makes more effective. It's the human relationship. So what we've said is that for therapists who are in our program, we have FDA protocols to give MDMA to therapists as part of their training. That's incredible. There is more resistance in traditional psychiatry to themselves doing LSD or psilocybin, more fear, more anxiety than there is to doing MDMA.
Starting point is 00:25:49 But overall, I think that traditional psychiatry is warming up to psychedelics. We're right now experiencing the psychedelic renaissance. And I literally just met this man who was the CEO of Sandoz, which is a big pharma company that's a European pharma company that was actually the company that discovered LSD. One of the scientists who discovered LSD. And he now is going to be the chairman of MAPS, which is the Multidisciplinary Association for Psychedelic Studies. In other words, it's a scientific group that is looking in rigorous ways at the use of psychedelic medicine for healing trauma, PTSD, depression, for death, going through the process of dying, for healing all kinds of sexual trauma, everything from iboga to ayahuasca
Starting point is 00:26:40 to psilocybin to MDMA to what they call the Toad or 5-MeO. And there's just so many of these kinds of medicines. And you've been doing this work for so long, and I've done this work with you, and it's been so helpful for me. And I think people are kind of maybe scared of it, wondering about it. But I just met this man this weekend whose family, he was a Hungarian Jew and 150 of his family members died in the Holocaust. He says, I know every one of their names. I know every one of their names in Hebrew. And I live in a constant state of trauma, of fear and anxiety and PTSD.
Starting point is 00:27:20 And he's made it to adapt, but his biology is registering this. And I see it. He's like, never really talked about this. You're the first person I've is registering this. And I see it. He's like, I've never really talked about this. You're the first person I've told this to. And I'm like, wow. And I think that the traumas that we have either from this life or ancestral life are actually real. And now we're understanding them. There was a beautiful article in Scientific American that talked about the biology of trauma that happens in past generations from Holocaust survivors and now from the 9-11 women who are pregnant during 9-11 and their babies and offspring and
Starting point is 00:27:51 what they experience. And they're able to measure changes in cortisol and receptor function for trauma and stress responses. And it's like, now we're understanding that actually this is not just psychological, but biological. So can you talk us through how some of these plant medicines and these compounds from the ancient world that have been used for thousands of years in these cultures can be now brought into our psychiatric world and our emotional healing as well? Yeah. First, let me tell you the plus is that these plant medicines are extraordinary. They rewire the brain. They repair the damage that's been caused by trauma. Now, all of these plants work on the serotonin receptor, on the serotonin 1 receptor. So the problem with the Western use of these plants is that we're trying to put them into a Western medical psychological context, and we're forgetting about the sacred. We're forgetting about the element of
Starting point is 00:28:50 the sacred. And the second one is that we're not doing, when I was in the Amazon, for example, working with the shamans with the plant medicine, they would have me do a dieta, a diet. And when I looked at what the diet was, it was supplying the brain with the raw building blocks to repair the hippocampus. We know that the hippocampus, which is where you have, where you store memories, you have new experiences. The hippocampus is what allows you to wake up in the morning
Starting point is 00:29:21 with a person you've been married to for 40 years and go, wow, who is this wonderful being I'm waking up with? And if your hippocampus is damaged, you're going to wake up and go, who is this person in my bed? Get him out of here. You cannot have a new experience. So what the dieta of the shamans did was to repair the hippocampus with serotonin, with the DHA, with blueberries, with the plants that we know repair the hippocampus in six weeks. So this is the, what we, this, and we know that. We know that DHA, breast milk, for example, is 40% DHA because a baby brain needs it to grow. DHA will trigger the production of brain-derived neurotropic factors that increase your production of neurons. We have stem cells in the hippocampus that every day manufacture around 1,500 neurons.
Starting point is 00:30:21 If you step on the accelerator, you can manufacture many more because we have stem cells in. You switch on the production of stem cells and repair the hippocampus and then you've repaired the hardware to run the new software that's being offered to you by these plants. So the fallacy is that we're looking at these plants as chemicals, and we're not including the context that we need to maximize their possibilities. But still, we're getting tremendous benefits, and they will be approved very shortly for PTSD, for a number of treatment of a number of diseases. What you're saying just kind of blew me away, Alberto.
Starting point is 00:31:12 I'm sorry to interrupt, but I had an insight when you were talking that I've never had before, which was that these compounds, I always thought, opened up your spiritual consciousness, your psychological healing, your spiritual healing. But what you said just made me really aware that the compounds in these plants also heal the structure and the biology of your brain, not just the psychology. So it's like a double benefit. And I'm like, holy cow, this is actually right. Because from a functional medicine perspective, I know that phytochemicals from the food we eat does this, but why wouldn't I think that the phytochemicals in these ancient psychedelic plants also do a rewiring? And I had back issues my whole life, and I recently had an injection in my back, and they used ketamine in the injection. I'm like,
Starting point is 00:32:04 why are you using ketamine in the injection, I'm like, why are you using ketamine in the injection, which is kind of a psychedelic dissociative drug. And they were like, well, it actually increases the neuroplasticity and neural connections and helps to grow new nerves and heal the nerves. I'm like, wow. And so I think this is really what you're talking about. Well, this is essential because we cannot separate the biology from the psychology or the spirituality anymore. We cannot bring... The sacred plants come from a very feminine shamanic tradition, and we're trying to use them in a very masculine, patriarchal, reductionistic environment. And they still work. They're magical. They're
Starting point is 00:32:45 fantastic. But we need to know the biology behind them. And all of these psychedelics are basically working on serotonin receptors. And if you have enough serotonin in your gut to support the repair of the brain structures, then you're going to really get amazing benefits. So you got to also change the diet and not just administer the ketamine or the psilocybin. We got to learn to eat properly. You got to support the body, got to support the brain. But now we can get the same results by increasing the endogenous production of serotonin, but much more slowly than you can, of course, when you give a megadose of DMT or psilocybin. I was really lucky to have met Albert Hoffman, the discoverer of LSD. Yes, yes, wow. And actually, we were in a meeting in Basel 40 years ago,
Starting point is 00:33:47 and we were invited to one of the neuroscientists' rooms for an experience, and everybody was being offered a mind-altering substance, psilocybin, and we get to Hoffman, and Hoffman says, I don't do anything stronger than LSD. But the amazing thing, Mark, is that all of these substances, they're receptors in the brain for them. And the reason they're receptors is because the brain manufactures them endogenously. So the shamans say, okay, you had your experience with ayahuasca or with mushrooms. You know the pathways. You've rewired the brain for bliss. Now let's support it with
Starting point is 00:34:31 your diet, but even more than with your diet, with fasting. So go into a vision quest, support it with your fasting so that you can begin to produce these endogenously. And then you'll begin to repair your brain, repair your sleep. You'll begin to sleep better. You'll begin to lower your production of cortisol and adrenaline that's produced by the limbic brain, the ancient Neanderthal brain, and you'll be able to create health. And then you create health. Then you take control of your health destiny. And so the important thing was to be sure you didn't get stuck in Jaguar, because eventually Jaguar medicine was designed to take you beyond death to an experience of the death of an old self and the birth of a new self.
Starting point is 00:35:22 To me, that's literally the birth of Homo Luminis that'll have even a new body because you cannot just have a new psychological self without a new biological self. And then you had to bring it to Hummingbird. What's your new life map? What's your new life journey about? I know you and I have been speaking about what's our new life map now that we have done well in our fields, in our careers? How do we create a bigger vessel that's more sacred? And then you've got to bring it up to ego so that you awaken your vision of what you were born to do here in this life. What was your mission, your purpose?
Starting point is 00:36:04 And not a lot of ego inflation. This is not about self-aggrandizing. We have too much of that. With deep humility, what is it that you came to be part of? A sacred dream that humanity has the opportunity to dream together at this time of great crisis. Yeah, that's amazing, Alberto. You know, I actually, I have a little bit of a different theory. I mean, all that you said about the four archetypes of animals, the serpent, hummingbird, eagle, and the jaguar are so important as a framework for understanding. It's all in your book, your new book, which I think everybody needs to get. It's really an extraordinary book, The Wisdom Wheel, A Mythic Journey Through the
Starting point is 00:36:43 Four Directions. But you know what, I have a little bit of a different framework because as a doctor, and you mentioned this early on in the podcast, you said, Ficetin helps to kill the senescent or aging or zombie cells. Now, I'm thinking, there's no endogenous pathway for strawberries, right? And so my theory is that we co-evolve with these plants and we use these molecules in our plants to activate different healing systems in our body. And we just need to get back to that. And so, yes, there may be certain things like that are natural receptors for opioids, right? For like morphine or for the endocannabinoid system. We actually name the system after marijuana, you know, cannabis, endocannabinoid system, the opioid receptors, we call them. They're not, you know, they're not from opium poppies, right? But those are true.
Starting point is 00:37:38 But there's so many of these phytochemicals and we don't naturally, I think, have all these. So there are these molecules that are in the plant world that now I'm sort of uncovering and you're uncovering, the science is uncovering about how we actually can, these compounds turn on longevity switches, heal our bodies, heal our brains, repair us. Like fisetin, for example, or quercetin that you mentioned, these are just staples now in my diet and also in my supplement regimen. And so I kind of think I call it symbiotic phytoadaptation. Like we've co-evolved symbiotically and adapted to eating these plants. And now because our diet sucks, we're not eating these plants. And that's why we see our health degrade, our psychological health, our physical
Starting point is 00:38:20 health, our emotional health, our spiritual health, all degrading because we're not eating these plants or taking these plants. But yeah, let me jump in on that because polyphenols. Polyphenols are part of the phytonutrient. You know, there's a nutrient side and then we have the polyphenols that are the genetic switchers that begin to flip on the genes for health and silence the genes for disease. The polyphenols are produced by a plant as response to stress or to predators. So it's a defense system. The flavonoids, you know, the quercetin, the fisetin, it's the plants are producing this
Starting point is 00:38:58 and even the psychedelics. So I remember being in the high desert in Peru, working with shamans that work with the San Pedro cactus, and they would stress the cactus, expose it to, you know, don't give it any water to stress it. The minute you stress it, it produces these protective or defensive polyphenols that when we ingest them, begin to switch on the genes for health, but also switch on the NRF2 detox pathway. This is the pathway that activates the NRF2 protein that's normally bound to the cell membrane, and when it's switched, that are like the Navy SEALs, and when they're turned on, they migrate from the cell membrane to the nucleus and begin to again flip on
Starting point is 00:39:46 the genes for health. The protective genes should begin to produce glutathione again, superoxide, the antioxidants that the body will shut down at age 35 because this is part of a legacy of a biological program that predestined us to die after reproduction, but that we have overridden with our longevity program with these three species. But it's still operant in us. So we kickstart the production of the antioxidants, so glutathione, superoxide. And suddenly, we have this hormetic effect that's dose dependent where we have this tremendous repair process that's triggered by these plants. And that the shamans identified the ones that, you know, we don't use the strawberries or the quercetins in the Amazon because they have other plants they use.
Starting point is 00:40:45 And we don't employ them here because we can't get them at the reliable dosages. But this symbiotic relationship that you talked about with the plants is extraordinary. There's so much talk, Mark, about the psychedelic revitalization, right? And as someone who not only did I inhale, I liked it. In fact, I always say that it's interesting when we talk about these social transformations of our lifetimes, the one ingredient that's always expunged from the record is the fact that millions of us lay prostrate before the gates of awe having taken a psychedelic i mean i wouldn't write the way i write i wouldn't think the way i think i
Starting point is 00:41:30 wouldn't treat women the way i treat women i wouldn't treat gay people or people of color the way i treat them or interact with them i certainly wouldn't see the natural world as i do and i wouldn't understand the nuances of cultural relativism and the real gifts of anthropologies I do had I not taken psychedelics. And this is way before they were now in vogue. This is 50 years ago. Yeah, 50 years ago. And when I first went to see Schultes in 1974, I knocked on his door. He was the great Amazonian explorer, mentor of Andy Weil and Tim Plowman,
Starting point is 00:42:07 who were like my big brothers at the time. And I just knocked on his door and I said, I've saved up money in a logging camp. I want to go to South America like you did and collect plants. And at the time, people didn't even know where the Amazon was, right? And rather than ask me for my credentials, he just said, well, son, when do you want to go? And two weeks later, I was on my way. But before leaving, I remember he had one critical piece of advice. First of all, he said, don't bother with leather boots because all the snakes bite at the neck. And then he said, don't come back- At the neck. At the neck. And he said, don't come back without trying ayahuasca. So this was back in 1974. So of course I tried ayahuasca amongst other things. But my point is that much as I revere the role that psychedelics have played
Starting point is 00:42:52 in the social transformations of our lifetime, and I probably come down on the side of Ram Dass as opposed to Tim Leary or George Harrison with Ram Dass, get the message, hang up. I'm sort of in the school that I'm not sure how much psychedelics can teach us if you use them again and again and again. I'm not sure how much more there is to be learned. I tend to be somebody- They open the door you can see. They open the door you walk through. But that's just a matter of personal orientation and choice. I don't have any judgment on that. But I think that some of the expectations are a little inflated. I mean, I think that psilocybin can be very useful for end of life care, not to eliminate the fear of death, but to make it perhaps manageable or understandable or whatever. I think that
Starting point is 00:43:43 ecstasy can be terrific in couples therapy and post traumatic stress and everything. But I think the most important of all these plants and the most important role they can play is in the most important healing journey of all, which is our relationship with the natural world. And certainly you cannot take San pedro cactus um the cactus of the four winds a plant that's been used by human society since it sparked the first civilization of the andes chavine at 2500 before the christian era um it it um you cannot take that mescaline containing denison of the northern andes without having a more visceral almost sensual connection to the natural world. Yeah.
Starting point is 00:44:26 So I think in that way, psychedelics continued to be very, very powerful and potent medicines. So not just for trauma, not just for healing. I mean, they create a template upon which anything can happen. I mean, this is one of the, you know, I mean, I think Andy Weil, you know, said there's no such thing as good and bad drugs, there's good and bad ways of using drugs. And I think he also said,'s no such thing as good and bad drugs. There's good and bad ways of using drugs. I think he also said these psychedelics just create a template upon which cultural forces and beliefs can go to work. And of course, all the early pioneers spoke in those terms, set and setting. The set, you bring the experience.
Starting point is 00:45:00 The setting in which you take the substance. But I'm definitely of the school that believes that these are true medicines yeah yeah no i've definitely had a similar experience to you it really shaped as a young man my view of my relationship to myself to the natural world to the human culture that i lived in and it really you know once you see it you can't unsee it yeah well i mean i i think I think it's sort of like, you know, I didn't take a course in biology until third year of university. And then I, you know, I found Schultes and I found the Amazon. And I often look back and think how lucky I was that
Starting point is 00:45:40 I found that because, I mean, you know, it's kind of astonishing. You would never think that you could go through university and graduate if you didn't know the difference between a photograph and a painting. And yet we graduate students all the time who don't know the formula of photosynthesis, right? The fundamental formula of life. I mean, I don't think you should be able to run for political office if you don't know that formula. I mean, the very fact that carbon dioxide and water sparked by photons of light gives us carbohydrates, our food, and oxygen, our air. I mean, this is biblical verse, if you will. It is. I mean, we are so intertwined and we think we're so separate. And if all the plants died on the planet, we'd be dead pretty quick. When I was at Harvard, the night that I
Starting point is 00:46:22 actually figured out the Krebs cycle and photosynthesis and all the pathways, I just went berserk. I was like so ecstatic. I actually was rushing from student to student and kind of screaming at them in the library. Do you know how this works? And I actually got escorted out by security. I think I'm probably the only student ever kicked out of a out of a library at harvard for pure kind of intellectual ecstasy it's amazing you know i think it reminds me of what einstein said he said i'm not interested in the spectrum of this or that element i'm interested in the thoughts of god
Starting point is 00:46:55 the rest are details and what you're talking about when when you talk about photosynthesis and the krebs cycle how our mitochondria create energy from oxygen and food. There ain't one intertwined cycle. Well, you know, it's so funny because, like, you know, Suzanne Simard is wonderful. She's at UBC, and I remember when she first presented her work on mycelia, it was at a very obscure little gathering, and no one seemed in the audience to grok how significant it was, but I went right up to her and I said,
Starting point is 00:47:21 Suzanne, you're going to change the world. And she has. Around? Mycelia. Mycelia in general, not psilocybin. No, no, just her work in mycelia. Understanding the underground networks of mycelia. We're understanding how plants work in very sophisticated ways. But I only say that because back in the 70s when we didn't know some of these things, a book came out called The Secret Life of
Starting point is 00:47:41 Plants that made a big deal about plants responding to Mozart and everything. Yeah. I mean, they have 20 different senses. They have more senses than we do. Well, at the time, Tim Plowman, who was a great musician, great poet, and certainly a great botanist, he hated that book. He just hated it. And he used to say, why would a plant give a shit about Mozart? And even if it did, why should that impress us they can eat light isn't that enough uh-huh they can eat light yeah that's true that's amazing they transmute light into energy in other words yeah I mean you know I think biology is just so extraordinary and it's um um you know certainly I I I think how close I came to not studying it. I find it haunting. And ethnobotany was your PhD thesis.
Starting point is 00:48:26 Well, ethnobotany is more of a description than an academic discipline. It's looking at the world through the lens of plants and particularly how people use plants and how plants are important to people. And basically what happened to me, these things are so accidental. I mean, how life unfolds. It's true. Well, I call it notes from God, not necessarily accidental. Coincidence. Well, people say, how did you end up going to Harvard?
Starting point is 00:48:54 And well, the truth is I used to fight forest fires during Vietnam in our fire camps. I was 15, and our fire camps were full of draft dodgers. And we were these obedient Canadian lads. And one of these American draft dodgers would tell our bosses to piss off. It was irresistibly charismatic. And one of them had the Life magazine with the Harvard student strike of 1969 on the cover. And I thought, well, that's got to be the college to go to become cool like these Americans.
Starting point is 00:49:23 So I applied, not really even knowing anything about it. I got in and my parents didn't have the money to go to Boston from Vancouver. So I got to Boston and I realized I'm at Logan Airport with a big trunk. I don't know where Harvard is. And I saw this character with a Harvard t-shirt on. I thought, well, he's got to know where it is. He didn't know either. That was before GPS and Google Maps. Yeah, he didn't know. So I dragged my trunk through the subway, got to Harvard Square. It was crazy. And then I realized my mother had made a mistake and the dorms weren't open for a week. So I had no money. And I dragged my trunk until I hit a church, knocked on the door, and a pastor opened it up. And he kindly welcomed me. And I fell in love with America.
Starting point is 00:50:04 But he was also a war resistor and his basement was full of kids about to flee to Canada so I got completely radicalized totally radicalized spent my first year at Harvard making trouble including the last university-wide student strike and then the day to declare your major was the next day and I hadn't given it a thought and I just by given it a thought. And I just by chance walked through the Peabody Museum of Ethnology for the first time. I came out in the light of spring, saw an acquaintance. I said, Stuart, what are you going to major?
Starting point is 00:50:35 And he said, anthropology. And I said, what's that? And he said, well, you read about Indians. And like Forrest Gump, I said, that'll do. And that's how I signed on as a student. And then after two years of just reading about Indians and books, my roommate and I wanted to live with native people. And we were in a cafe in Harvard Square. It's a true story. And there was a National Geographic map on the wall right beside us. And David looked at the map, looked at me, looked at the map, looked at me, and he pointed to the high Arctic. Well, I had to go somewhere. And I watched my left
Starting point is 00:51:04 arm lift and it hit the Northwest Amazon of Columbia. Had it landed in Italy, I might have become a Renaissance scholar. But having decided to go to the Amazon just on a whim, there was only one man to see, Richard Evans Schultes, a legendary botanical explorer who had sparked the psychedelic era with his discovery of the so-called magic mushrooms in Mexico in 1938. 1938? Wow, so that had really been unknown to Western society before that? Yeah, it was—well, Schultes, I mean, that's another great story. You know, I mean, Schultes was a young pre-med student from East Boston. His family didn't have the money to attend the dorms at Harvard. And he took the course that had been taught for over 100 years at Harvard, Plants and
Starting point is 00:51:52 Human Affairs. Actually, I took that at Cornell. It was Plants and Humans. It was my favorite class. Well, but in this class, they used to get drunk all through prohibition because the professor disliked the government. But when it came to the plants that were then known as a fantastica, they had to do a term paper or a book report. So Schultes races to the back of the hall to get the thinnest book
Starting point is 00:52:17 possible. He's got so much other homework and puts it in the satchel and goes back to East Boston. And that night botanical history was made because that book turned out to be the only monograph available in the English language that described the stunning pharmacological effects of peyote, Henrik Kluver. And Schulte's read throughout the night of these visions of orb-like brilliance and he went to his professor the next day and said, I have to know this plant. And that was the beginning of Schulte's quest. And that summer, he goes out to Oklahoma territory and four to five nights a week takes peyote and he comes back to Boston, a new man. And then he sets off on this mystery of Tehuancato and Oloruiqui. And that's the story right out of Indiana Jones. So he didn't know there was psilocybin in
Starting point is 00:53:01 Mexico. He went to Mexico? No, what happened is he was studying peyote. And at the time, there was a prominent anthropologist at Smithsonian called Safford who said that this legendary tehuancatl, which in Nahuatl means the flesh of the gods, it was reported as a drug by the early Spanish chroniclers, but no one knew what the botanical source was. So the early Spanish chroniclers actually sort of experienced the questions? Well, we don't know if they experienced it, but they chronicled almost everything. They were very good observers, very good scientists, and they reported Tehuancatl as a sacred plant, right? And obviously, the church was drawn to anything like that in order to destroy it, right?
Starting point is 00:54:05 And Safford had maintained that Tewanakato was in fact peyote, and Schultes didn't believe it, but he had no evidence until he was in the National Herbarium, found a plant specimen which had a note attached to it by an obscure German engineer called B.P. Reiko, addressed to the former director of the National Herbarium, a man called Dr. Rose. And the note said, dear Dr. Rose, I understand your man Safford says Tehuana Kotl is peyote. It's not, he's an idiot. It's a mushroom. I've seen it, yours sincerely. And so Schultes having just jumped off a Greyhound bus from Tulsa, leapt on another one from Mexico City and hooked up with Reiko, who turned out to be an ardent Nazi. And this is 1938. And together they move into the
Starting point is 00:54:31 mountains of Oaxaca to Huautla, to the Mazatec community, and begin the search for Tewanakatl. Meanwhile, there was another team led by Bernard Bevan, who was British Secret Service, also looking for it. So in this kind of scenario right out of Indiana Jones, you had these two sides looking for the origin of this ancient Aztec hallucinogen and Schultes was the first to collect specimens. It seems like these cultures all around the world have used these plants whether- No, actually what's fascinating is that they don't use all these plants. What's really interesting is that of the 120 or more hallucinogens identified from nature,
Starting point is 00:55:12 95% of them are from the New World. Not because the forests of Ecuador, West Africa, or Southeast Asia are deep operant, but people there had other roots to the divine. For example, in Ecuadoratorial West Africa, the manipulation of plant poisons, including using them in judicial tribunals as punishment, is one of the most ubiquitous traits of material culture. But with the exception of iboga, ibogaine, or the containing plant in the Apocene family. There are not many hallucinogens in Africa or in Southeast Asia. Most are found in the Americas because in the Americas, that's the
Starting point is 00:55:57 vehicle to the divine. I mean, it's like the Haitians used to say to me in Haiti, you white people go to church and speak about God. Indians eat their magic plants and speak to God. We dance in the temple and become God. The use of these plants is firmly rooted in culture. So in fact, that anomaly is really marked. You know, Siberia and the New World are basically where you find the vast majority of the hallucinogens. Well, it seems that somehow the cultures have used these in a way that helped them actually stay connected to the world, to make meaning out of life, to do things which sort of seem to be really foreign to make meaning out of life, to do things which sort of seem to be really foreign to most Westerners.
Starting point is 00:56:49 And what really struck me, I mean, as a doctor who focused on the role of food and plant compounds that regulate our biology for health, you know, the medicine in plants is very diverse. And what you're talking about are these compounds that somehow we've been able to use to open our mindset, to change the way we think, to see our relationship to the world differently, to feel our place in nature. And I always wonder, how did that kind of get discovered? Or actually, more importantly, how do we sort of make sense of the fact that these molecules work in our brains on these receptors that change the way we feel and think and see? Because, you know, is it just an accident? Did we co-evolve with these things? Do we need them to wake up? Are they part of the things we
Starting point is 00:57:36 need to actually thrive? Like we need broccoli or we need these basic things? Well, you know, I think, I mean, humans are kind of innately curious. We're all natural philosophers. And I mean, one of the things that I find so fascinating is the question of how were these plants discovered, you know, particularly in something like ayahuasca, which is, of course, not a plant as much as a preparation. So if you think of ayahuasca, it's a combination of sort of the leaves of a nondescript shrub in the coffee family, Psychotria viridis, which are chock full of these powerful tryptamines, 5-methoxydimethyltryptamine, dimethyltryptamine. And these tryptamines are orally inactive, right? Because they're denatured
Starting point is 00:58:17 by an enzyme found in the human stomach called monoamine oxidase. That's why tryptamines traditionally are snuffed or smoked or injected, I suppose. And if you think ethnographically, the Yanomami, for example, blowing up their noses, the powder they call ebony, the semen of the sun, they call it, derived from the blood red resin of several species in the genus Varroa. Those powders are chock full of tryptamines, but they blow them up their nose specifically because tryptamines are orally inactive. Yeah. And they're very powerful. I think it was Dennis McKenna who said, you know, having that stuff blown up your nose,
Starting point is 00:58:59 or maybe it was Terrence who said it, you know, or maybe I said it, I can't remember. But anyway, it's like being shot out of a rifle barrel lined with broke paintings and landing on a sea of electricity. I mean, it just creates a total. In fact, I did argue with Schultes that you couldn't really classify Ibane as hallucinogenic because by the time you're under the influence, there's no one home anymore to experience hallucinations, right? Yeah.
Starting point is 00:59:22 It's the death of the ego. But the interesting thing is that the only way for these tryptamines to be taken orally is if they're taken in conjunction with some other compound that denatures the MAO in the human gut, which of course the beta carbolines found in the woody liana, Banisteriopsis capi, are MAO inhibitors of precisely the sort necessary to potentiate the tryptamines. Well, the really interesting question is not just how that combines to create this powerful psychoactive substance, but where did that knowledge come from? In a flora of 80,000 species of vascular plants, how did the indigenous people learn to combine these morphologically distinct denizens of the
Starting point is 01:00:04 rainforest to create this biochemical version of the whole being gradologically distinct denizens of the rainforest to create this biochemical version of the whole being ridden to some of the parts. It's ayahuasca. Ayahuasca, or Yahé for the north. And, of course, the only scientific explanation is trial and error, which statistically is quickly exposed as being a meaningless euphemism. Well, it's not going to kill you before you figure it out. Well, it's not going to kill you.
Starting point is 01:00:23 It's just that, you know, I mean, 80,000 species, I mean, you're going one by one. No. And if you ask the indigenous people, as Schultes did in 1941 when he was with the Siona Sequoia, and he documented 17 folk varieties of the woody liana, all of which were referable to his Harvard-trained taxonomic eyes being the same species. And when he asked them about the nature of their classification, they kind of looked at him as if he was a fool because any real botanist knew that you took each one of the
Starting point is 01:00:55 17 on the night of a full moon and each of the 17 sang to you in a different key. Yeah. Well, that's not going to get you a PhD at Harvard in plant systematics, but it's a lot more interesting counting flower parts. But it also speaks about a different way of knowing. When I was doing the work in Haiti, this was a really important thing for me to try to understand. I was sent to Haiti, quote unquote, to find the drugs used to make zombies. Well, no drug can make a social phenomena. We did believe that a drug could bring on a state of apparent death so profound that it could fool a
Starting point is 01:01:38 physician, in which case that drug could have some medical potential possibly. But when it came time to really understanding what a zombie was, it was a cultural phenomenon and you had to distinguish the reaction, for example, hypothetically to a dose of tetrodotoxin, this very powerful neurotoxin that brings on peripheral paralysis, dramatically low metabolic rates, consciousness is retained until the moment of death and so on. And one of the things that allowed me to sort of take the zombie thing from the phantasmagoric to the plausible was the identification in Haiti of in the folk preparations that were known as the zombies cucumber, not the zombies, the pudzombi rather,
Starting point is 01:02:27 zombies cucumber was the antidote. The consistent ingredient was a marine fish in this order of fish that trotted onto formase, which does have tetrodotoxin in it. Those are the blowfish, it's the fugu toxin. It's the fugu, the same as fugu. And because there was this huge literature because of the use of the fish in Japanese
Starting point is 01:02:46 cuisine and also people dying in survival conditions and so on, we knew exactly what tetrodotoxin did to someone. And in Japan, there were actually cases, many cases of people nailed into their coffins by mistake. And in Hokkaido, you're actually laid by your grave to make sure you're really dead. Because if you don't prepare the blowfish properly in a restaurant or at home you could end up well no it's that's a bit of a Calvinist interpretation of what's going on in Japan you know if if it was simply a matter of these specially licensed chefs eliminating all of the toxin why would anyone
Starting point is 01:03:21 bother there's lots of fish in the seas of japan that you don't have to go through that effort to eat i've had blowfish you can feel it on your tongue well but the real role of those specially trained chefs is not to eliminate the toxin it's to reduce the amount of toxins so the connoisseur still enjoys a pleasant after effects of a mild intoxication, which can be euphoria, flushing sensations up and down the body. And it's really one of the substances that kind of walks the line between food and drug. But the point is that a victim of tetrodotoxication in Japan nailed in their coffin, if they're lucky enough to survive, they say, oh, that was really terrible. I ate the fish. It was too badly prepared prepared i'm glad to be alive end of story but you know someone raised within
Starting point is 01:04:12 the world view of the haitian zombie knows what a zombie is why a zombie is created and when he or she suffers that same condition it becomes a template for all these belief systems to go to work. So you really had to understand the psychology of what a zombie was and the sociology of what it implied to realize how it was in fact a fate deemed by the people to be worse than death. Yeah. Well, you know, I just want to sort of loop back. This zombie story is very interesting. And I read the book Serpent and the Rainbow. It's a great read for people who want to understand how this all works. But you mentioned about the sort of the infinite variety of plants in the rainforest and how these ancient shamans were able to figure out how to combine the plants
Starting point is 01:05:00 to activate the ingredients and make them absorbable and actually create the visions and the transformations that people experience with ayahuasca and i was i was down in peru and sort of on the border bolivia and we were in the amazon jungle on the beach and it was way up some tributary no electricity nothing and and uh there was an ayahuasquero, a shaman, who was named Pandura, who's now died. But I asked him, how did he figure out that these plants could go together? It's not trial and error. It was something else. He says, well, the plants told us.
Starting point is 01:05:36 The plants spoke to us. And so my question, too, is are human beings capable of this kind of communication with nature? And is it really a true story? Or is he just sort of making it up? It's very difficult to know what is, I mean, it's obviously at one level it's a metaphor because plants literally don't speak. We know that, you know. On the other hand, you know, if we go back to this fundamental revelation that all human beings share the same genius, right? Okay, imagine if every scientist you've ever heard of in the West had spent their entire lifetime,
Starting point is 01:06:14 all of them, trying to understand Central Park. The plants, the birds, the soils, the relationships, all of that human genius had come together just for that purpose. I think we know Central Park pretty well, don't you? Well, these people of the forest are exactly that. They're true natural philosophers who are using all of our human genius to understand a world upon which their lives depend. So they have that same adaptive imperative that we do. And once you can truly understand that and accept that, then in a way it doesn't come as that much of a surprise that with all of the human genius that they share, together with the perspicacity of their attention to the world around them, that you would have these kinds of observations, experimentation, deductions and results. And I think also informed by
Starting point is 01:07:21 some of these experiences that take them outside of the rational, in a sense, in the best sense of the word, you know. I mean, the psychedelic experience, I think, is its own teacher to society. I hope you enjoyed today's episode. One of the best ways you can support this podcast is by leaving us a rating and review below. Until next time, thanks for tuning in. Hey everybody, it's Dr. Hyman. Thanks for tuning into The Doctor's Pharmacy. I hope you're loving this podcast. It's one of my favorite things to do and introducing you all the experts that I know and I love and that I've learned so much from. And I want to tell you about something else I'm doing, which is called Mark's Picks. It's my weekly newsletter. And in it, I share my favorite stuff from foods to supplements to gadgets to
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