Across both bodies of literature, recurring gaps include larger and more diverse samples, clearer adverse-event reporting, longer follow-up, better accounting for setting and concurrent care, and studies that can distinguish expectation from other influences. Legal status and local regulation can also shape what research is feasible and how results can be applied.
For ibogaine, unanswered questions include the conditions under which cardiac risks may be amplified and how screening and monitoring are reported across settings. For ayahuasca, questions include how much observed change relates to the preparation, the setting, participant expectations, accompanying psychotherapy, and the duration of follow-up.
Keeping those uncertainties visible is part of a careful evidence-first approach. The wider ibogaine and ayahuasca research context at Ibogaine Boxers may help readers continue comparing practical questions without treating preliminary findings as settled conclusions.