A molecule psilocybin looks a lot like serotonin that is selectively and very strongly binding to and activating that serotonin-2a receptor. These receptors are located in multiple brain regions, but they have a tremendous amount of expression in the so-called neocortex,. That includes things like our prefrontal cortex, which is involved in understanding context. One of the major effects of pilocybin that people experience while they are on the drug is visual hallucinations.

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