You can but the more you do that the higher your risk becomes of doing something stupid or dangerous.
It's a very bad idea to allow yourself to dose while you are tripping because your judgment will be impaired, so you are likely to re-dose a lot more than you should because when you're high you stop caring about being careful and you will feel invincible.
I recommend you get a timed lock-box and lock away your chemicals so you physically cannot re-dose during a trip. This is an important safety protocol.

RSD uses their male customers the same way they use women.
When you are dealing with PUAs you are fundamentally dealing with people of low character, integrity, and truthfulness.

One of the earliest pick up artists mystery had a company called social dynamics and his students formed their own company called real social dynamics. You can read about that drama in the game book. The book caused a huge surge in interest in the pickup artist movement.
Over time most of the companies closed but real social dynamics persisted and became the biggest. It moved away from technique and outer game focus and more towards natural game and inner game focus. The way they made money was training different instructors who went on tour and posted YouTube videos advertising digital products and in person bootcamps.
Around 2014-2020 they started having issues with the media and backlash and internal issues with the company. Then an incident happened where some other pickup artist not affiliated with them got arrested and YouTube started banning the popular pickup artist channels showing infield video. Rsd deleted everything to avoid their channels being banned and copyright strikes anyone who tries to reupload it and most of the coaches went on to form their own brands many of which moved away from dating advice.
Some of their old products and videos are floating around online in torrents or other sites but they don’t last long because they get auto struck so you have to try and download them fast. I have a modest collection but am missing most of it.
Owen Cook, Julienhimself, Madison influence, Max Tornow and Jeffy show were former instructors (Owen was a founder) who now post videos about general self help or business and are still on good terms. I think some of them are still doing small bootcamps privately. 
Todd V and Alex Social were instructors who left after internal disputes and are not on good terms with the rest but still focus on dating advice, though Alex mentioned he is quitting soon.

https://www.instagram.com/reel/C_pyJ5CvgbD/?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==
Lentil and Quinoa bread made easy.

Quite cool to contemplate
https://www.incedigris.com/
Recomended for tripping

If you add 2 eggs to that minus one banana and the chocolate chip, put in a blender until smooth, you have pancake batter of which you can add back the chocolate chips for chocolate chip pancakes.

Very nice! Glad to hear you're getting closer to the ideal pharma experience.
I'm going to guess that the dose labeling of your B. Caapi extract may not be entirely accurate, because 375mg of harmine alone has a very good chance of making you profoundly nauseous, with the addition of harmaline making extreme nausea almost a certainty. Plus, even 100mg of oral harmine all by itself is enough to inhibit MAO a noticeable amount. So I think the extract must not be providing the expected amounts of harmalas per dose.
I've always had great success using this study to get an appropriate understanding of the alkaloid amounts in a typical cup of ayahuasca served by a few of the well-known facilitators. You can see in Table 1 how the main alkaloids are listed in mg/ml format. A typical cup of ayahuasca is ~100ml, so you can multiply each result in the table by 100 to decipher what would be considered an effective dose for each.
There's some extreme outliers which can be discarded, such as those showing a DMT dose of over 1 gram. There must have been an error in the analytical equipment or something. But when reviewing the relevant measurements which do appear to be accurate, I interpret the amounts per cup to be about:
DMT: 30-60mg
THH: 100-200mg
Harmaline: 10mg
Harmine: 100-200mg
Using these numbers as a guide, I've always had success in producing unbelievably amazing pharmahuasca trips.
Also worth mentioning is that I took the DMT and harmalas at the same time, and even in the same drink.

Yep, that should definitely work as a method of making it a more easily absorbable salt form.
I'm very far from being skilled in chemistry, but it's my understanding that citric acid is tribasic, meaning it can react in a 1:3 ratio with tryptramines. So that would account for the 1:0.35 ratio when mixing with DMT freebase in a liquid. For 5-MeO-DMT freebase, I believe it'd be a 1:0.3 ratio.
You may want to double check with an AI or something though. My chemistry skills are weak, and this is just info I've accumulated from places like DMT-Nexus.

No problem, sounds good.
There's a few options when it comes to converting DMT freebase for oral ingestion. The simplest is to just swallow it as-is and let the conversion to DMT HCl occur in your stomach, though that can be pretty uncomfortable and I don't recommended it. I like to make DMT citrate from either dissolving the freebase in a shot glass of orange juice, or dissolving it in a shot glass of water along with citric acid. The ratio of DMT to citric acid should be roughly 1:0.35. The conversion will occur almost instantaneously as the ingredients fully dissolve in the liquid.
You could also make DMT acetate using vinegar as you mentioned, but I don't have any experience with that one. It should be similar to the DMT citrate method I described above, but I would imagine vinegar might be more harsh to drink. Especially if it's not heavily diluted.

If you want to break through on DMT the easy way here is the steps:

- buy changa

- buy a waterbong 12-20 cm, I got one only 14 cm height, seems perfect (pic:  )

 - fill the water bong with cold water just enough, not too much

- put the changa in the bowl (maybe buy cone bowls, I did, not nessecary I think though)

- light it up with std lighter.

- ??? PROFIT

-- read this: https://www.dmt-nexus.me/forum/default.aspx?g=posts&t=3539 

Basically changa in a waterbong is 10x times easier to break through on than any other method, including GVG pipe + pure dmt or GVG pipe + changa.

The issue with pure DMT is that it's SO EASY to destroy the molecules with too much heat. You need to vaporize the molecules into vapor, which requires JUST ENOUGH heat. The GVG pipe helps with that, and it's actually easy enough to break through with the GVG pipe once you get the technique right.

But with Changa, haha, my friends, you get a 2-5 times longer DMT trip which means it's MUCH EASIER to remember/integrate the trip, much more time to float around in Infinite God-Consciousness.. Oh yes baby. + it's so much easier to smoke. You just light up the leaves and smoke it man. The leaves makes sure the DMT molecules get enough to heat vape before getting destoryed.. the leaves server as a buffer:-)

Read the DMT nexus link.

Gl intrepid travelers

changa perhaps. easier to break through on through a water bong, since u can smoke it without destroying the sacred molecule. u cant smoke pure dmt, because that destroys the molecule

I experience vasoconstriction on tryptamine psychedelics, with some causing it worse than others. As anybody who's ever experienced this can attest, it really sucks, and it can sour an otherwise great experience. In addition to a moderate amount of vasoconstriction during the trip, I'll also usually get a large amount of post-trip vasoconstriction that causes a strong pressure headache which lasts the rest of the day until it's slept off. For me, 5-MeO-DMT was one of the worst culprits for causing this, which was very unfortunate since it's my favorite psychedelic.
After doing some research into the methods by which frequent lysergamide users deal with vasoconstriction (LSD can cause it especially bad), I found that some of them use natural vasodilator supplements, such as the amino acid citrulline. Its conversion into arginine, and then into nitric oxide, appears to counteract the vein-constricting effects by providing them the opposite stimulus to expand.
I found a ton of reports claiming success, so I gave it a try. This is preliminary, and I've only tried it once so far, but just 500mg of citrulline consumed an hour before the trip seemed to prevent the discomfort that usually plagues me for the rest of the day. I think I may be able to finally relax and dive deeper into my trips, while also knowing that the rest of the day won't be a wash until I recover. More testing is definitely incoming to confirm, with perhaps a higher dose of citrulline.
Anyone have experience with this kind of thing? Any tips to share?

Yes, I have a good amount of experience with vaporhuasca. This is what I used for a while before I tried out pharmahuasca.
There's a couple ways to go about it. You could take the harmalas via sublingual administration or orally about 20-30 minutes before vaping DMT. Sublingual will only require about 20-30mg of harmine since the bioavailability is much higher. Oral will require around the dose that you'd need for pharmahuasca, so about 100mg of harmine. For reasons that aren't clear, taking the harmalas orally for vaporhuasca creates a noticeably more powerful, more immersing, and longer trip. It was my preferred method despite the larger amount of material needed.
At least for myself, the nausea was extremely minimal and essentially non-existent. Like I mentioned above, it's one of the huge benefits of pharma over aya.

Syrian rue extract would work, though it'd be ideal to go the extra mile and use a tek to separate the harmine from the harmaline. I find harmaline way too heavy and sedating. It's not a dealbreaker to lack the THH, but it does add something very bright, joyful, and special in my experience.
Making a brew of pharmahuasca is very simple. If you're using the freebase form of the ingredients, a good method would be to use a shot glass of orange juice (so as not to have an excessive amount of liquid to drink) and simply stir in and dissolve all the ingredients at once. The citric acid in the juice should combine and create the citrate forms of the DMT and harmalas, which I've found to be much easier on the stomach and probably better absorbed. If you already have salt forms of the ingredients, you can use a shot glass of water instead of orange juice. Just as a warning, it'll taste foul either way, but that could be considered the price of admission.
I've never had straight ayahuasca comprised of full alkaloid extracts for the leaf and vine, but I'd have to imagine the experience is at least quite similar. And one major benefit is that pharmahuasca doesn't cause you to shoot out diarhea and vomit at the same time lol. It seems to be so much easier on your system based on what I've heard about ayahuasca.

@Soul Flight use as little white vinegar as possible. Freebase is poorly water soluble hence converting it into salt via vinegar. you are right with the importance of hitting the right depth injecting it. Put rubber band around number six on the scale of the one ml siringe and that should be how deep you'll insert it. You might adjust it a little for your body though. Don't inject too past, let it slowly trickle. You should notice 10 mg, if not adjust the depth and you position. Your butt should point up like a dog on its 4 feet. No soda needed. Slowly up your dose from 10/15mg in 5 mg steps. Some might end up with 40mg.
Watch this video:
https://www.actualized.org/insights/how-to-plug-psychedelics
 
I wouldn't plug nn dmt on your place because you will need rediculesly much and waste substance. Consume some with harmalas but never consume 5 meo dmt with harmalas. It's too easy to kill yourself if you're not an expert and even then...

100%
Actually, your reality maps are entirely running on linguistic distinctions.
The more precise, concise and clear your language, chances are that your life is powerful.
In NLP, they talk about an interesting distinction that people who are masters or are extremely effective in some areas of life have a deep, clear, concise, specific way to relate to that area using language.

Your doctors may be too myopic in their approach and or limited in how they can help you. 

There are a lot of supplements someone could look into for better sleep, but it sounds like your issues are serious enough to look into more holistic and systemic approaches. 

Couple of suggestions to look into that could significantly help with your sleeping issues:

Epitalon - Bioregulator peptide that regulates your pineal gland. Part of a group of peptides/tripeptides (bonded amino acid structures) developed by Dr Khavinson. Works wonders for sleep regulation. 1mg a day 2-3 days every 3 months. It will heavily regulate your circadian rhythms by restoring correct melatonin secretion in the pineal gland in older and young people. As a plus, it acts as a telomerase activator and anti-aging compound allowing cell division to keep going for much longer in humans. Pinealon and Endoluten are two other peptides that work through very similar systems, with superhuman anti-aging effects and benefits. 

DSIP (Delta Sleep Inducing Peptide) - It is a neuropeptide that does exactly what it sounds like. It induces delta EEG level activity in the brain. This is approximately 0-1hz for most people, where deep sleep happens. DSIP can fix narcolepsy and any normalized disrupted sleeping patterns. It's been used to correct a few CNS problems in children and young adults. The literature supports it as the principal endogenous sleep factor, which is found in minute amounts in humans. 

Nothing I am mentioning acts as a sedative. 
These should be things to consider once you've got your basic lifestyle factors down, nutrition, some exercise,  your macro and micros, sunlight, etc. 

These are naturally occurring peptides that are found in the body, most western medicine seems to be ignoring the potential nanotechnological use cases that come from peptides. There seems to be a bias against cures or miracle type of interventions to people's problems. The drug companies don't benefit from peptides so...

Megadosing Melatonin could be another option to look at. I am talking in the 100 to 300mg range. No your body does not have a negative feedback loop to high doses of melatonin. Transdermal or Creams are recommended for the most absorption, you can also buy patches here: https://101healthspan.com

Surprisingly megadosing melatonin has potent anti-aging effects. Seems to be a theme relating to anything that allows for better sleep. 

A few notable mentions of other peptides that act as very powerful bioregulators are: Cerebrolysin, Pinealon, Cortexin, which could help with autism, anxiety, depression, ocd as well. ISRIB (Integrated Stress Response Inhibitor) which is not a peptide, was the most effective and enlightening thing I've tried and has the potential to fix most neurological problems/deficiencies in the brain, it also raised my intelligence to an extent.  It's one of the least studied things I've tried so don't recommend trying anything like this until you thoroughly do your own research and come to your own conclusions as to whether or not you should be taking these things.

At some point, I also had a form of CPTSD in my life that led to other problems so I can partially understand what you are going through but now that I've mostly recovered and have managed to change how I let it affect me, there is without a doubt no question that these peptides helped me get to where I am today. 

I'm not a doctor, just giving some perspective on alternatives that might not be mentioned by your normal doctor.

Monk mode is a trap.
Study deep work.
Do meaningful extreme focused work for 6 hours a day x 5 years.
That's enough.
Consistency is more important than sprints.
 

I just saw a guy on Instagram who buys small businesses that have proven cashflow from retiring Boomers and then hires a manager to automate the biz.
He pays 2.5x annual cashflow for a business like carpet cleaning or AC repair. So if biz brings in $100k/yr profit he buys it for $250k. But he gets a small business loan from the bank for 80% of that cost and just puts 20% down.
He owns 7 such businesses and makes $750k/yr and it's mostly automated.

10mg should be sufficient for a breakthrough if vaporized efficiently and if you hold the breath as long as you can.
 
Considering that nothing gets burned in the process and that you have a typical sensitivity to 5-MeO-DMT.
 
5mg also does the job for me but such a low dose freaks the shit out of me.
 
Martin Ball told me that people normally  don't need more than 12-15mg vaped for a breakthrough.
( This was true in my case )
 
Doses that you plugged seem too low to have any effects.
For example, plugging doesn't have any effect on me.
I spent at least 0.5g of 5-MeO's testing out different techniques but never had a trip by doing it this way.
 
 

I recently experimented using a low dose at a 20:1 ratio. It's shocking to think that the 5meo could have such a strong effect on the overall experience at such a relatively low dose, but it does seem to be the case. I wouldn't say it entirely overrides the DMT, but it's as if it morphs the experience into something different. Maybe even something unique. It's hard to know for sure because the trip was too modest to be significantly impactful, so more experimentation will be needed using a higher dose.

When someone has experienced a lot of trauma, they often have developed many defense mechanisms against reality.
For some people, it may take many trips and very high doses to break through these barriers. Stan Grof has researched this quite well and written some good books about it if you're interested.

The sessions would get up to three hours long. They were insane journeys through all the different stages of a 5meo trip. It really helped map what was possible at different levels.
You're correct that there's a threshold where the trip will drastically change. From the description of your semi-breakthrough, it sounds like you got to that point. If you finesse your use of the vape, you can kind of keep yourself in that zone where the intensity spikes. From there, it'll be all about finding the courage to go further.
What really makes or breaks my trips is my use of spiritual practice before and during the experience (and ideally after). If I just go into it haphazardly, I'll be thrown around chaotically just like anyone else. But if my mind is relatively quiet, sense of self tamed, attention on the present moment, and the sensation of bodily energy at the forefront, my trip will crystalize into what it's supposed to be at that level of consciousness. There's a sort of predefined direction that the spiritual human experience is naturally supposed to head towards. If you can diminish the parts of you that fight against that, everything clicks into place and it's far less scary.

All I can say is that pharmahuasca is fantastic, and it produces the most fun, insightful, and euphoric psychedelic experiences I've ever had. Are harmalas legal in Germany? If so, I'd get a hold of some harmine and tetrahydroharmine and mix up some pharmahuasca.
Let me know if you have any particular questions.

I recommend reading the book integral relationships as a starting point, Also Leo has a video series called how to get laid.