EBOO therapy — Extracorporeal Blood Oxygenation and Ozonation — is an investigational adjunct therapy in regenerative medicine. It is not FDA-approved, and it is not a cure for any condition. At Sanctuary Tulum, we describe what it mechanically does in plain terms: blood is filtered and exposed to a controlled ozone-oxygen mixture outside the body, then returned. We do not claim this "detoxifies" the blood of specific toxins in a way the current evidence supports — what follows is a description of the mechanism and the safety framework around it, not a list of guaranteed benefits.

How EBOO Works
During an EBOO session, your blood is gently drawn from one vein, circulated through a sterile filter membrane where it is bathed in medical-grade ozone and pure oxygen, and returned to your body through another vein. Over 45 to 60 minutes, your entire blood volume — roughly 1.5 to 2 liters — is purified multiple times. The therapeutic exposure is 50 to 100 times greater than a traditional ozone IV.
What the Filtration Step Targets

These are the mechanical targets of the filtration membrane and ozone exposure, not a clinically established list of proven health outcomes. EBOO is investigational and not FDA-approved for detoxification claims.
- • The membrane is designed to mechanically filter lipid peroxides and cellular debris from circulating blood1
- • Ozone-oxygen exposure is studied for its effect on oxidative and immune signaling, though outcomes vary by condition and are not guaranteed1
- • The session does not target or remove specific pharmaceuticals, heavy metals, or pathogens as a matter of established clinical fact — guests should not stop or adjust medication based on an EBOO session
What EBOO Restores
Small clinical studies of ozone therapy report a transient increase in the body's own antioxidant enzyme activity following exposure.1 Guests sometimes report subjective improvements in energy or mental clarity in the hours after a session; we present this as commonly reported experience, not as a proven or guaranteed physiological outcome, and we make no claim that EBOO reverses chronic disease or long-standing oxygen deprivation.
Inside the Pouyan Method
EBOO never operates alone. At Sanctuary Tulum, it is integrated with our Brain Repair IV, NAD+ IV therapy, HBOT, and infrared sauna as part of the proprietary Pouyan Method™.
EBOO is one component of the broader detox and residential care at Sanctuary Tulum. Learn more about our medically supervised luxury detox and full luxury residential rehab.
Who Is Screened Out
Not every guest is a candidate. The intake process is designed to identify people for whom extracorporeal blood filtration carries meaningfully elevated risk, and to decline or defer those cases rather than proceed. Guests with active bleeding disorders, uncontrolled anticoagulation, or a platelet count outside safe range are not scheduled for EBOO. G6PD deficiency is screened for specifically, since ozone exposure can trigger hemolysis in G6PD-deficient red blood cells. Pregnancy, active systemic infection, decompensated cardiac or pulmonary disease, and severe untreated hyperthyroidism are additional exclusions. None of these are judgment calls made in the treatment room — they are decided in advance, in writing, based on labs and history the guest provides before travel.
Clinical Screening Before Any Session
Every prospective guest at Sanctuary Tulum completes a confidential clinical intake and full medical screening before any EBOO therapy session is scheduled. The intake reviews cardiovascular status, kidney and liver function, current medications, coagulation history, and any recent infections. Guests currently prescribed anticoagulants, immunosuppressants, or SSRIs are reviewed on a case-by-case basis with their treating physician before a session is planned.1 The team never advises anyone to discontinue prescribed medication on their own.
On-Site Medical Oversight
A physician is on site during every session, supported by registered nurses and IV therapy specialists. Vital signs — blood pressure, oxygen saturation, and cardiac rhythm where clinically indicated — are monitored continuously across the session, with emergency medications and airway equipment on hand.2 Credentialing detail lives on the Medical Review Board page, and a broader description of the safety approach is available on the safest psychedelic facility page. Guests are encouraged to review both before deciding whether the program fits them.
How This Fits the Wider Program
EBOO ozone blood filtration sits inside a broader biological and neurological protocol at Sanctuary Tulum rather than being offered as a standalone service. That means medical stabilization first, then a physician-scheduled combination of NAD+ IV therapy, HBOT, targeted nutrition, and — where clinically appropriate — medically supervised medically supervised ibogaine treatment, private ayahuasca ceremonies, or psilocybin therapy. The full framework is described in the proprietary Pouyan Method™. The exact sequence is individual and set by the medical team after intake — one guest's plan rarely looks identical to another's.
Honest Limits of the Evidence
Published research on EBOO therapy for the indications discussed here is still evolving. Therapeutic apheresis is well established for specific autoimmune and neurologic conditions in mainstream medicine,3 and ozone therapies have a longer clinical history in parts of Europe than in the United States. For broader wellness applications the evidence base is smaller and largely observational. Sanctuary Tulum does not present these protocols as cures or guaranteed treatments, and no diagnostic or prognostic claim is made outside a clinical evaluation.
Realistic Expectations
It helps to be plain about what a course of EBOO can and cannot do. It is adjunctive supportive care, not a stand-alone treatment for addiction, depression, or chronic disease, and it is not FDA-approved for any of those indications. Evidence-based addiction treatment still rests on the interventions described by agencies such as the National Institute on Drug Abuse and the National Institute on Alcohol Abuse and Alcoholism4,5 — behavioral therapy, medication where appropriate, and structured aftercare — and EBOO is positioned at Sanctuary Tulum as a complement to that continuum, not a replacement for it. Where oxygen-delivery adjuncts like hyperbaric oxygen therapy have been studied for neuromodulatory effects, the evidence is still an active area of research rather than a settled indication,6 and guests should expect the same honesty here: a subjective sense of clarity or energy is commonly reported, a cure is not promised.
Integration and Aftercare
A stay is only useful if it holds. Every program ends with a written integration and aftercare plan — continued check-ins with the integration team, referral to trauma-informed practitioners at home when appropriate, and lifestyle protocols covering nutrition, sleep, movement, and nervous-system regulation. Guests are encouraged to maintain their existing relationship with a treating physician and to return for booster sessions when a specific life transition benefits from it.
Frequently Asked Practical Questions
Guests often ask what a session actually feels like. Two IV lines are placed, one for withdrawal and one for return, and most describe the sensation as no different from a standard blood draw once the lines are in place. There is no sedation involved and guests typically read, rest, or talk with the nursing team throughout the 45- to 60-minute session.
Another common question is how EBOO is sequenced with other protocols during a stay. The medical team generally schedules EBOO earlier in a program, when total toxic and inflammatory load is highest, then layers in regenerative and neurological work — NAD+, HBOT, and plant-medicine preparation — once the initial filtration course is complete.
References
- Elvis AM, Ekta JS. "Ozone therapy: A clinical review." J Nat Sci Biol Med. 2011;2(1):66-70.
- COFEPRIS — Mexico's federal health regulator.
- Boussi-Gross R, et al. "Hyperbaric oxygen therapy can improve post concussion syndrome years after mild traumatic brain injury — randomized prospective trial." PLoS One. 2013;8(11):e79995.
- National Institute on Drug Abuse. Treatment approaches for drug addiction.
- National Institute on Alcohol Abuse and Alcoholism. Understanding alcohol use disorder.
- Bin-Alamer O, et al. "Hyperbaric oxygen therapy as a neuromodulatory technique: a review of the recent evidence." Front Neurol. 2024;15:1450134.
EBOO is not FDA-approved. It is offered at Sanctuary Tulum as an investigational, adjunctive therapy, not a diagnosed or guaranteed treatment for any condition.
Related EBOO Therapy Articles
EBOO is one of several regenerative modalities inside our luxury wellness center program — never a stand-alone quick fix — so guests get the full benefit of a coordinated protocol.

