You could die from choking on your own vomit or physically injure yourself from moving around without being conscious of the outside world while under the influ

You could die from choking on your own vomit or physically injure yourself from moving around without being conscious of the outside world while under the influence of 5-MeO-DMT. This is why you want someone around, so they can keep you safe. So I'd say the risk of being uncomfortable with people around is of less potential harm than of dying or physically injuring yourself if you're by yourself and something goes wrong. Besides, once you've blasted off on a serious dose the outside world disappears and as far as you're concerned no one else is there but you (sometimes not even you). But, yeah, if being around others makes you anxious then maybe you won't be in the best frame of mind when you do it (you want to maximize feeling good).. but still better that than being dead or injured, imo.