FAQs – Detoxification and Enemas


Coffee Enema Concentrate in jars


Do I have to take the enemas? Can I do the Gerson Therapy without them?

No. The coffee enemas are a must for anyone doing the Gerson Therapy. As the juices begin rebuilding the body and encouraging toxins to be released from the cells into the bloodstream, a great deal of stress is placed upon the liver. The liver alone, especially in cancer patients, cannot deal with a sudden influx of toxins into the bloodstream. The coffee enemas increase liver filtering, greatly aiding the liver’s ability to remove serum toxins.

If a patient has received chemotherapy, his/her schedule will be altered to reduce the number of enemas and eliminate the castor oil enemas, but some detoxification of this nature is always needed.


Where can I purchase coffee and enema supplies?

The Gerson Institute carries organic, therapy blend coffee and other enema supplies at store.gerson.org, and also maintains a list of Gerson-approved vendors for coffee, enema supplies and other Gerson-related materials such as supplements.


What should I do if I can’t hold the enema?

Sometimes it can be difficult to hold the coffee enemas for the full 12-15 minutes, particularly when you are just starting them. We have found a number of strategies and techniques for helping to hold coffee enemas, which you can find at the link below:


Can I do coffee enemas without a gall bladder?

Yes. The gallbladder acts as a reservoir for bile so that when a fatty meal is taken, more is released into the intestines to help digestion of fat. However, there is no storage and concentration of bile in the gallbladder. If there is no gallbladder, bile passes from the liver to the bile ducts, on to the duodenum and so on.

In general, those without a gallbladder have to be careful with fats. The Gerson Therapy is low in fat to begin with.


Why aren’t colonics part of the Gerson Therapy?

Colonics do not serve the same purpose as the coffee enema. Colonics are used to cleanse the bowel. Coffee enemas are used to increase the liver’s detoxification capacity. Certain substances in the coffee stimulate an important detoxification enzyme in the liver as well as dilate the bile ducts and increase the flow of bile.

A secondary benefit of the coffee enema is to increase peristalsis which helps to empty the bowel. However, utilizing colonics along with several coffee enemas a day would be harmful and depleting to the body. In most cases additional cleansing of the bowel is not needed. If someone who is anticipating starting the Gerson Therapy has a long history of constipation, it might be acceptable to do a series of colonics before starting the therapy to decongest the bowel.

However, once the Gerson Therapy is started, only coffee enemas are used. With a healthy Gerson diet, which includes plenty of fiber, the intestines manufacture and replenish the friendly flora on a daily basis so there is usually no risk of the enemas causing dysbiosis, a microbial imbalance in the digestive system.


References: Healing the Gerson Way, p. 163.


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