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Rob Sweetman
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Stanford Ibogaine Study

Study Overview


  • Population: 30 male Special Operations Veterans with predominantly mild TBI and high rates of PTSD, depression, and anxiety.

  • Setting: Treatment occurred at Ambio Life Sciences in Mexico, where ibogaine is legal; assessments were conducted by Stanford.

  • Intervention: A single administration of oral ibogaine (avg. 12.1 mg/kg) combined with magnesium (to reduce cardiac risk), alongside structured coaching.

  • Study Name: MISTIC – Magnesium-Ibogaine: Stanford Traumatic Injury to the CNS Protocol.



Key Outcomes


Primary Outcome – Disability


  • WHODAS 2.0 score improved significantly:

  • From 30.2 (moderate disability) to 5.1 (no disability) after 1 month.

  • Effect size at 1 month: Cohen’s d = 2.20 (very large).


Secondary Outcomes – Psychiatric Symptoms


  • PTSD (CAPS-5), Depression (MADRS), and Anxiety (HAM-A) scores all decreased significantly:

  • CAPS-5: d = 2.54

  • MADRS: d = 2.80

  • HAM-A: d = 2.13

  • All outcomes were statistically significant (P<0.001).


Exploratory Findings


  • Suicidal ideation (SI): Reduced from 47% to 0% immediately post-treatment; 7% at 1 month.

  • Neurocognitive Function: Improvements in processing speed, executive function, and memory without cognitive decline.

  • Safety: No serious or unexpected adverse events. Minor side effects included headaches, nausea, and mild ataxia (resolved within 24 hours).


Conclusion


  • Significant, rapid, and sustained symptom improvements were observed in veterans with chronic TBI-related psychiatric disorders.

  • The MISTIC protocol appears safe with proper screening and medical supervision.

  • Limitations: Not a randomized controlled trial, small and homogeneous sample, and conducted outside the U.S. healthcare system.


Implications


This is the first evidence suggesting a single psychedelic therapy session (with ibogaine + magnesium) may reverse disability and improve neuropsychiatric outcomes in TBI-affected veterans. Controlled clinical trials are needed to validate these results.


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