A physical Examination and exams or screenings that has a healthcare professional to rule out other problems that can result in comparable indicators 32 MDMA has distinct mechanisms of motion from those of basic hallucinogens. Rather than agonism at cortical 5-HT2A receptors, MDMA inhibits monoamine (serotonin>norepinephrine>dopamine) reuptake and improves oxytocin https://sites.google.com/view/lsdforsaleonline/psychedelicss