Really interesting and exciting research study. A few little issues with it though, I appreciate it was a naturalistic and observational study, so obviously no placebo group, but it seemed to have a high drop out rate, with just over half of participants completed the four week assessment. Most people were already 5-MeO experienced, and were using it in expectancy of positive effects. Also no control over Bufo dosage, which is not a standardised source of 5-MeO-DMT as it is.
I'm assuming Bufo extract was used due to its greater accessibility. Given all the media coverage this study has attracted, I worry that some will read it and it will encourage them to seek out the toads (which have their problems as it is due to overharvesting as we know). I appreciate pure synthetic 5-MeO is maybe harder to access and work with scientifically, but moving forward I think it would be a better choice to look at scientifically, ecologically and ethically.