Andrew Huberman· PhD
For those who got escitalopram, Lexapro for six weeks, they got a very, very low dose of psilocybin.
The headline is broadly defensible, but the qualifications matter. Effect sizes vary by population, the strongest claims rest on shorter trials, and credible voices push back on how it's typically framed.
For those who got escitalopram, Lexapro for six weeks, they got a very, very low dose of psilocybin.
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the reality was the truth was it wasn't it wasn't powered for non-inferiority if you want a proper non-inferiority study in psychiatry takes a hundred and fifty patients in each arm we could never afford to do that there's very few that we've ever been done except by what probably none have been done except by companies we could not statistically do a non-inferiority study so we had to just do a kind of comparison
the new england journal so the reality was the truth was it wasn't it wasn't powered for non-inferiority if you want a proper non-inferiority study in psychiatry takes 150 patients in each arm we could never afford to do that there's very few that have ever been done except by com well probably none have been done except by companies we could not statistically do a non-inferiority study so we had to just do a kind of comparison and and the answer was that well we we had to pre we you know use pre-specify we've pre-specified two outcomes the quids and the well-being and it did brilliantly on the well-being but because that's kind of not well that's sort of soft wishy-washy psychiatry we they insisted that we use the quids as the primary
it wasn't powered for non-inferiority if you want a proper non-inferiority study in psychiatry takes 150 patients in each arm we could never afford to do that