Ryan Hawell  ·  Sacred Ceremony

Ceremony Readiness
Screener

Before we work together, this guide helps you understand where you stand. Read through each section and notice where you land — green, yellow, or red.

For educational awareness only  ·  Not a substitute for medical advice

Likely safe to proceed
Consult your facilitator
Red flag — do not proceed
Bufo / 5-MeO-DMT
Bufo alvarius  ·  Toad medicine
Safe to proceed
  • ✓No history of heart arrhythmia or QT prolongation
  • ✓No current psychiatric medications (SSRIs, SNRIs, MAOIs)
  • ✓No personal or family history of schizophrenia or bipolar I
  • ✓No active psychosis or manic episode
  • ✓Not pregnant or breastfeeding
  • ✓No seizure disorder
Consult your facilitator
  • —History of depression or anxiety — currently unmedicated
  • —On SSRIs or SNRIs (tapering plan needed)
  • —Controlled hypertension on medication
  • —Mild cardiac history — cleared by cardiologist
  • —Bipolar II — currently stable
  • —Recreational substance use (cannabis, stimulants)
Red flag — do not proceed
  • ✕Currently taking any MAOICritical
  • ✕Diagnosed Long QT Syndrome (LQTS)Critical
  • ✕Wolff-Parkinson-White Syndrome or SVT
  • ✕Active bipolar I or psychosis
  • ✕Personal or family history of schizophrenia
  • ✕Lithium or antipsychotic medications
  • ✕Uncontrolled cardiovascular disease
Kambo
Phyllomedusa bicolor  ·  Frog medicine
Safe to proceed
  • ✓No heart conditions, pacemaker, or arrhythmia
  • ✓No active liver or kidney disease
  • ✓No blood thinners or anticoagulant medications
  • ✓No history of Addison's disease
  • ✓Not pregnant or breastfeeding
  • ✓No recent surgery within 6 weeks
Consult your facilitator
  • —Managed GERD / acid reflux — no structural damage confirmed
  • —Controlled low blood pressure
  • —History of kidney issues — currently stable
  • —Autoimmune condition on immunosuppressants
  • —Epilepsy — currently managed with medication
  • —Chronic fatigue or adrenal insufficiency — mild
Red flag — do not proceed
  • ✕Active heart condition or uncontrolled hypertensionCritical
  • ✕Barrett's esophagus, esophageal stricture, or varicesCritical
  • ✕Active peptic ulcerCritical
  • ✕Addison's disease
  • ✕Currently on blood thinners / anticoagulants
  • ✕Active liver disease or hepatitis
  • ✕Pregnancy
  • ✕Surgery or serious illness within 6 weeks

This screener is for educational awareness only and does not replace a medical consultation or facilitator intake conversation.

Not sure where you land? That is exactly what your intro call is for. Every situation is individual — reach out before making any decisions.

Book a discovery call
ryanhawell.com  ·  Ceremonial Guide & Breathwork Facilitator
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