Observational · 2026

Brain scans after magnesium-ibogaine treatment in 30 veterans with blast brain injury


Original title
Increased cortical thickness and decreased brain age among special operations veterans with blast TBI after a magnesium-ibogaine protocol.
Authors
Geoly AD, Coetzee JP, Buchanan DM, et al.
Journal
iScience, 2026
Molecules
Ibogaine
Conditions
Other
Participants
30
Evidence grade
Low
Source
Read the original paper

The question

Does a magnesium-ibogaine protocol change the structure of the brain in veterans who have had blast-related traumatic brain injury?

What they did

Thirty Special Operations Forces veterans with a history of blast-induced traumatic brain injury took part in an observational study. All received ibogaine, a psychoactive plant alkaloid, given together with magnesium. Structural MRI brain scans were taken at baseline (25 scans), shortly after treatment (25 scans), and one month later (22 scans). The researchers measured cortical thickness (the depth of the brain’s outer layer), the volume of deeper brain structures, and a computer-estimated “brain age” based on the scans.

What they found

Predicted brain age was significantly lower one month after treatment than at baseline, by 1.3 years. Cortical thickness increased in 11 brain regions after treatment. Eight deeper brain structures showed significant increases in volume. The authors describe the overall pattern as consistent with neuroplastic change, meaning the brain adapting or reorganizing.

The fine print

There was no control or comparison group and no placebo, so the changes cannot be attributed to ibogaine with confidence. The sample was small, self-selected and highly specific (male-dominated special operations veterans is not stated, but the group is narrow), follow-up was only one month, and not everyone completed every scan. The outcomes are brain-imaging measures, not symptoms or daily functioning, and the authors note the scan type used is sensitive to non-structural changes such as fluid shifts. This summary is based on the abstract alone.

What it means

In a small uncontrolled group of veterans, brain scans changed in the month after a magnesium-ibogaine protocol, but without a comparison group it is not possible to say the treatment caused those changes or that they mean better health.

Evidence grade: Low. Small observational study with no control group or placebo, and brain-scan measures rather than clinical outcomes.

This summary is based on the study’s published abstract.

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