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Functional medicine takes a root-cause, systems-based approach to preventing recurrence of uterine fibroids (myomas). Instead of only suppressing symptoms or hormones temporarily, it aims to rebalance the body’s internal environment to make it less favorable for fibroid growth.

Here are the key steps in a functional medicine approach to prevent fibroid recurrence:

1. Hormone Balance Optimization

Fibroids thrive in a high-estrogen or estrogen-dominant environment. Functional medicine focuses on:

  • Reducing estrogen excess through liver detox support (Phase I & II)

  • Supporting progesterone naturally (via adrenal support, stress management)

  • Using natural compounds like DIM, calcium-D-glucarate, or flaxseed to aid estrogen metabolism

2. Gut Health Restoration

The gut microbiome plays a major role in hormone recycling:

  • Addressing dysbiosis (imbalance of gut bacteria)

  • Supporting the estrobolome, the subset of gut bacteria that metabolize estrogen

  • Ensuring daily bowel clearance to avoid estrogen reabsorption

3. Liver Detoxification Support

The liver processes estrogen. A sluggish liver = estrogen buildup.

  • Support Phase I (cytochrome P450 enzymes) and Phase II (methylation, glucuronidation, sulfation) detox pathways

  • Use of nutrients like B-vitamins, magnesium, sulforaphane (from broccoli), NAC, and milk thistle

4. Anti-inflammatory and Anti-proliferative Nutrition

  • Emphasizing an anti-inflammatory diet: rich in vegetables, low-glycemic fruits, healthy fats (like omega-3s), and lean proteins

  • Avoiding fibroid-promoting foods: red meat, alcohol, sugar, dairy with added hormones, ultra-processed foods

  • Focusing on foods that reduce fibroid size: cruciferous vegetables, green tea, turmeric

5. Insulin and Blood Sugar Regulation

  • High insulin levels promote fibroid growth.

  • Using a low-glycemic diet, intermittent fasting (if suitable), and targeted supplements like inositol, berberine, or chromium

6. Stress and Cortisol Management

Chronic stress disrupts hormonal balance and worsens estrogen dominance.

  • Adaptogenic herbs (ashwagandha, rhodiola)

  • Mind-body practices: yoga, mindfulness, trauma release therapy

7. Toxin and Xenoestrogen Elimination

Environmental estrogens (plastics, pesticides, cosmetics) mimic estrogen and worsen fibroids.

  • Avoiding BPA, phthalates, parabens

  • Using clean, organic personal care and cleaning products

  • Filtered water and toxin-free cookware

8. Vitamin and Mineral Optimization

Deficiencies in vitamin D, magnesium, iodine, and B6 are linked with fibroid growth.

  • Functional testing to correct these deficiencies

9. Addressing Mitochondrial and Cellular Health

Newer functional insights link fibroid behavior with:

  • Mitochondrial dysfunction

  • Oxidative stress
    Support includes: CoQ10, alpha-lipoic acid, antioxidants, and mitochondrial nutrient therapy

10. Personalized Root-Cause Mapping

Every woman’s fibroid root cause may be different — it could be gut-driven, estrogen-dominant, stress-induced, or inflammatory. A personalized plan is developed after functional lab testing (DUTCH hormone test, GI-MAP, organic acids test, etc.).

If you are a gynecologist. looking for advanced learning in fibroid recurrence prevention, join out masterclass/ Send a whatsapp message and join the learners group.

The duration of training is 4 weeks. Class will begin on May 29 night 9 pm via ZOOM. 

the total cost of the 12-hour master class plus study materials plus case discussions is 12000.per person to be paid in 3000 weekly X 4 weeks

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