I've been doing a bit of reading on this subject lately, inspired by the use of MAOI's in Aya/Pharma to potentiate the spice. I can't answer the main question and what I say is total speculation on my part but it's an interesting area, particularly when you realise how something like LSD actually gets into the brain by mimicking the structure of serotonin.
I know from my own experience how something like fluoxetine, an SSRI, can affect how substances act within my own body and I imagine that it's similar for others who use anti-depressants. Having never had DMT yet, I don't know how this will affect my experience when it comes but I look forward to seeing what some of the more knowledgeable members have to say about this subject.
As far as I can see, from what I've read at least, it's more to do with how certain drugs share similarities with serotonin rather than causing an increase by themselves. Perhaps it's the way the brain realises that it's allowed something it THINKS is serotonin and tries to generate more to account for the absense of what it perceived to be serotonin in an attempt to balance it's own chemistry? Also, the way that MAOI's are used in treatement of depression and how they allow for more serotonin to be produced in the intenstinal tract rather than metabolised in the gut by natural MAO's fascinates me. Not to mention the mysteries of the pineal gland and it's connection to serotonin!!!
Apologies for posting more questions rather than answers but this is a subject I'm very interested in lately and I can't wait to see how this thread progresses.