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Cancer Research UK notes that the therapy consists of three parts: 34 coffee enemas or castor oil enemas per day taking vitamin and mineral supplements, including potassium, vitamin B12, pancreatic enzymes, and thyroid supplements drinking 20 pounds of crushed fruits and vegetables each day, which equates to one glass each hour, 13 times a day Gerson advocated the use of coffee enemas along with a vegetarian diet as a way to heal and detoxify the body

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Deficiencies in vitamin B12 (particularly in patients also taking metformin), iron, and other nutrients have been linked to cognitive symptoms