Which removes more toxins?

Plasmapheresis is broader — it removes everything circulating in plasma at once. Chelation is narrower and metal-specific.

Both are safe when done by trained clinicians. Plasmapheresis requires more clinical oversight; chelation can strip beneficial minerals if not properly supported.

Yes — at Sanctuary Tulum many guests receive plasmapheresis first for a systemic reset, then targeted chelation IVs for any specific metals still elevated on repeat labs.

Which is right for me?

That depends on your labs, symptoms, and goals — our medical team designs the sequence based on individual bloodwork.

Plasmapheresis vs Chelation

Both plasmapheresis and chelation aim to clean the body — but they target very different cargo.

Scope

Chelation: targets specific heavy metals. Plasmapheresis: removes the entire plasma — autoantibodies, cytokines, protein-bound toxins, oxidized lipids, and pharmaceutical residues.

Mineral Loss

Chelation can deplete beneficial minerals; plasmapheresis preserves cellular components and replaces only the plasma.

Best Strategy

For most cases, plasmapheresis first — to reduce the systemic toxic load — followed by targeted chelation if confirmed metals remain.

Both fit inside our broader detox program alongside EBOO, colonics, and infrared sauna.

Find Your Detox Path

Clinical Screening Before Any Session

Every prospective guest at Sanctuary Tulum completes a confidential clinical intake and full medical screening before any plasmapheresis vs chelation 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

Therapeutic plasma exchange 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 ibogaine treatment, 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 plasmapheresis vs chelation 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.

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.

What Guests Typically Notice

Individual experience varies considerably. Some guests report clearer thinking, steadier energy, and less inflammatory reactivity in the days after a session; others notice change over weeks as the wider protocol accumulates. Nothing on this page should be read as a promise of a specific outcome, and the medical team is deliberate about calibrating expectations during intake. Read more about the sanctuary philosophy in the Pouyan Method™ overview, and about admissions on the apply page. A brief confidential intake call is the honest first step.