Tuesday, 25 October 2016
FIBROID/ CYSTS TREATMENT
WHEN a 35-year old housewife walked into a clinic in Festac Town, Lagos recently, she was a bundle of worry. The mother of two beautiful daughters had a problem of secondary infertility. She and her spouse had been through thick and thin to resolve the problem without success. Apart from painful menstruation, she had symptoms of pregnancy – missed periods, swollen breasts and protruding stomach. The trip to yet another clinic was part of her search for succour. Following physical examination, the doctor recommended an abdominal scan. Only then was the cause of her woes unveiled. She had uterine fibroid. Her case was not unusual because fibroid is quite common. It is a condition that is bringing sorrow into the lives of many women and wrecking marriages. Even when surgery is recommended, pregnancy may not be guaranteed. Experts say surgery for fibroid could involve the removal of the patient’s womb. So, it was a call to arms when, in response to complaints from its independent distributors on the prevalence of this condition, that Forever Living Products (Nigeria) Limited, engaged an expert in the field of herbal medicine and clinical sexology, Dr. Taiwo Fadeyi, Medical Director, F&G Clinic & Laboratory Services, Lekki, Lagos. Fadeyi, who is also a marriage counselor, told a large audience in Lagos all they needed to know about the condition. He began by describing fibroid as a non-cancerous tissue found in the womb. “It is a mass which creates a lot of problems for women in terms of fertility, menstrual problems and frequent abdominal pains”. According to him, fibroid has become rampant in Nigeria due to modern lifestyle. “The causes of fibroid can be traced to lifestyle our people now adopt. Such lifestyles cannot be compared with the natural lifestyles of the people of old.” He added: “There are so many things bringing in a lot of estrogen into the body systems now, such as plastics, pesticides and even the foods and the processes under which we breed animals for consumption. “Most of these things, including fishes, are bred artificially. So they store those hormones that we are imbibing and that are what is causing some of these problems. What to do? You need supplements; they do help and they will continue to help”, Fadeyi assured. He said herbal herbal supplements are holistic in that they go into the body and try to reverse whatever bad that had been done inside the body and they want to do that holistically. “That is the way they help”, he said, displaying to the audience, two specimens of fibroid extracted from patients at his clinic recently. Fadeyi said supplements were capable of not only managing the ailment, but capable of providing possible cure, recommending supplements like Aloe Vera Gel, Arctic Sea, Aloe Berry Nectar as foundation supplements that could take care of Fibroid condition and even help to restore and check re-growth for those who had undergone surgery. “Definitely, a surgery for fibroid is recommended for cases which cannot be managed. In cases of surgery, where you have a patient that is bleeding uncontrollably, or you have a patient who has a big fibroid mass, I will personally suggest surgery for such cases and thereafter they can go back and use these supplements to prevent reoccurrence”Fadeyi stressed that Forever supplements are natural products which have been accepted all over the world as a check against contamination modern living has brought. To those with fibroid, he advised, “For each particular case, I would just normally say, herbal supplements.
Taken from vanguard of 17th october 2015
Forever Aloe Berry Nectar™
contains all of the goodness found in our Forever Aloe Vera Gel™, plus the added benefits of cranberry and apple.
Besides their reputation as a cleanser for the urinary tract, cranberries provide a high content of vitamin C. They are also a natural source of healthful proanthocyanidins.
Apple juice contains many flavonoids as well as pectin.
You can drink Forever Aloe Berry Nectar™ with meals or alone. The delicious flavor is totally natural, prepared from a blend of fresh cranberries and sweet, mellow apples. Added fructose (a natural fruit sugar) sweetens it just enough to please both adults and children alike.
INGREDIENTS
Stabilized Aloe Vera Gel, Fructose, Natural Cranberry and Apple Juice Concentrates (Flavors), Sorbitol, Ascorbic Acid (Antioxidant), Citric Acid, Potassium Sorbate (To Help Protect Flavor), Sodium Benzoate (To Help Protect Flavor), Xanthan Gum, Tocopherol (Antioxidant).
Contains 100% Juice
Nutrition Facts
Serving Size 8 fl. oz. (240 ml)
Servings Per Container about 4
Amount Per Serving
Calories 120
% Daily Value*
Total Fat 0g 0%
Sodium 60mg 3%
Total Carbohydrate 30g 10%
Sugars 18g
Protein 0g
*Percent Daily Values are based on a 2,000 calorie diet.
CONTENTS
33.8 Fl. Oz. (1 Qt., 1.8 Fl. Oz.) 1 Liter
DIRECTIONS
Shake well. Refrigerate after opening.
Drinks 1/2 glass x 3 daily (240ml)
Forever Aloe Berry Nectar ™
• All the benefits of Forever Aloe Vera Gel™ with the sweet taste of cranberries
• Contains healthful phytonutrients
• Natural source of Vitamin C
Retail Price = $23,54 x N280 = N6591.20
GARLIC THYME
The dietary use of garlic and thyme has been traced back thousands of years. An Egyptian papyrus dating from 1,500BC listed 22 healthy uses for garlic. Today, we are starting to understand how they work.
Garlic and thyme, the two powerful antioxidants found in Forever Garlic-Thyme®, combine to create a great tool in maintaining good health. When garlic is cut or crushed, enzymes react to produce a powerful immune-enhancing agent. Studies have shown that garlic’s other ingredients help the metabolism convert fats to energy and protect the body against free radicals.
Thyme contains saponins and other beneficial antioxidant substances.
Powerful antioxidant
Odorless, softgel capsule
Helps protect the body against free radicals
Helps support the conversion of fats to energy
Retail Price $22.50 x N280 = N6300
Forever Garlic-Thyme®
ARTIC SEA
New and improved Forever Arctic Sea® now contains a proprietary blend of DHA-rich Calamari Oil, ultra-pure Omega-3 Fish Oil and High Oleic Olive Oil. This unique blend is exclusive to Forever Living and provides not only 33% more DHA per day, but creates the perfect balance of DHA and EPA for optimal health and wellness.
The Critical Omega-3:Omega-6 Balance
There is an important balance that most people do not fully understand when it comes to Omegas. Historically, nutritionally balanced diets contained a healthy ratio of Omegas as 1:1 up to 1:4 DHA:EPA. Unfortunately, many diets include unhealthy levels of Omega-6’s which are traditionally derived from fried foods, vegetable oils, fake butter products, grain-fed animal fat and other modern convenience and processed foods. In addition, many diets are low in fish and Omega-3 consumption, which creates an unhealthy ratio of Omega-6: Omega-3 as high as 30:1! The key to getting back to a healthy ratio of DHA:EPA is increasing Omega-3 consumption and reducing Omega-6 intake.
Forever Arctic Sea® has been improved to not only increase the total amount of Omega-3’s you get per serving, but also has significantly increased the amount of DHA per dose. DHA Omega-3 is naturally found throughout the body and is most abundant in the brain, eyes and heart. Just as calcium is essential for building strong bones, DHA ensures that the cells in the brain, retina, heart and other parts of the nervous system develop and function properly through all stages of life. Additionally, DHA intake has been associated with a decreased risk of mental decline associated with aging. No other fatty acid demonstrates this relationship.
Custom Omega-3 ratio to mimic a diet rich in seafood
All-natural citrus flavor for a pleasant aroma and minimal fishy flavor
Ocean friendly and responsibly sourced • Pure source of EPA and DHA
Retail Price $28.27 xN280 = N7915.5
Forever Arctic Sea®
ABSORBENT C
Daily vitamin C has long been associated with good health. Science now provides us with a whole list of benefits derived from this most famous of all vitamins:
It is a powerful antioxidant, forming part of the body’s defense system against the harmful effects of free radicals.
It is a beneficial supplement for the skin, as it supports the formation of intercellular collagen
It is necessary for the maintenance of healthy connective tissue.
Vitamin C is water soluble, and is secreted from the body. Since humans are among the few animals that are unable to make their own vitamin C, we must therefore get it from our food, drinks, and supplements, such as Forever Absorbent-C®.
The need for adequate levels of vitamin C is very evident. Science reports that one cigarette destroys 25mg of vitamin C. Stress, medication and environmental factors all heavily deplete the body of this vitamin. A deficiency can result in broken capillaries and bleeding gums.
Forever Absorbent-C® with Oat Bran is an outstanding nutritional supplement. It combines two vital nutrients into one convenient product. The bonded matrix composition, is a unique delivery system combining 500 mg of oat bran with the full 60 mg of Vitamin C in each tablet.
A daily intake of Forever® Absorbent-C® is highly recommended for good health.
Oat bran aids absorption of vitamin C
Powerful antioxidant
Promotes healthy skin
Retail Price $18.29 x N280 = N5121.20
Forever Absorbent-C®
Forever Lycium Plus®
Forever Lycium Plus®
A fruit used in ancient China for centuries, lycium has been shown to enhance the complexion and help maintain energy and good vision. Forever Lycium Plus® is a dietary supplement containing antioxidants, bioflavonoids and other beneficial phytonutrients.
Lycium is known in China as a “yin tonic”, with many traditional uses for maintaining good health. Licorice is considered to be the most widely used herb in China. It is made up of over 150 different compounds, which have been shown to have many beneficial effects. Its most frequent use by far is as a complementary herb, with its main function being to bring out the best beneficial effects of other herbs. This makes it an ideal companion for lycium.
Licorice Flavonoid Extract is a concentrated form of licorice bioflavonoids. It is produced according to a process that removes most of the glycyrrhizin, an intensely sweet component of licorice that has been shown to produce undesirable side effects. Based on modern studies, licorice bioflavonoids are among the strongest antioxidants discovered to date.
Supplement Facts
Serving Size 1 Tablet
Amount Per Tablet
Lycium Extract, powdered (fruit) 300 mg*
Licorice Flavonoid Extract, powdered (root) 37.5 mg*
* Daily Value not established.
Other ingredients: Microcrystalline cellulose,
cellulose, croscarmellose sodium, stearic acid,
magnesium stearate, silicon dioxide, dextrin,
dextrose, medium chain triglycerides, and sodium citrate.
CONTENTS
100 tablets
• Powerful antioxidant
• Good source of phytonutrients
• Beneficial to eyesight and skin
• Powerful tonic
Dosage = 2tabs x 2 daily
Retail Price $40.24 xN280 = N11262.20
BEE PROPOLIST TABLETS
When we think of bees, honey and pollen are foremost in our thoughts. Yet another important substance, propolis, is a sticky resin collected by bees. Honeybees collect and metabolize the propolis, then line their hives with it to protect the hive. It’s so effective, the interior of the bee hive has been found to be safer than most operating rooms. The name Propolis is derived from the Greek meaning “before the city,” signifying that propolis defended the entire community from external threat. Propolis has a 5000-year history. The Assyrians and the Greeks used propolis to help maintain good health. Fortified with royal jelly, Forever Bee Propolis® is an excellent way to help support the body’s natural defenses.
Forever Bee Propolis® is gathered from pollution-free regions. To further assure purity, specially designed bee propolis collectors are used. Forever Bee Propolis® is 100% natural with no added preservatives or artificial colors.
Natural immune support
Fortified with Royal Jelly
100% Natural
Dosages = 4tabs x 3 daily
Retail Price = $30.75 x N280 = N8610
BLOSSOM TEA
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Aloe Blossom Herbal Tea®
Aloe Blossom Herbal Tea® is a natural blend of leaves, herbs and spices, specially prepared to provide an outstanding flavor and a rich aroma. Caffeine-free, it has been formulated to leave you feeling revitalized. Whether you drink it hot or prefer it iced, Aloe Blossom Herbal Tea® has a great taste and is easy to prepare.
Refreshing cinnamon, orange peel and cloves impart a warm, fruity flavor, along with allspice and ginger to soothe. Combined with aloe blossoms from our own plantations, this zero calorie, refreshing tea is a great complement to your weight management program.
INGREDIENTS
Cinnamon, Orange Peel, Cloves, Blackberry Leaf,
Allspice, Fennel, Ginger, Cardamom, Aloe Blossoms, Gymnema Sylvestre, Chamomile.
Nutrition Facts
Serving Size 1 tea bag (1.5g) (makes 8 fl. oz.) Servings Per Container 25
Amount Per Serving
Calories 0
% Daily Value*
Total Fat 0g 0%
Sodium 0mg 0%
Total Carbohydrate 0g 0%
Sugars 0g
Protein 0g
*Percent Daily Values are based on a 2,000 calorie diet.
CONTENTS
25 individually foil-wrapped tea bags.
Rerail Price $16.29 x N280 =N4641.20
ECHINACEA SUPREME
Echinacea has a rich tradition in the culture of the North American Plains Indians, who used it more than any other plant to help maintain their health during the winter time. They also applied root poultices, used Echinacea mouthwash, and drank the tea. It was prominent in America until the 1940s. The Europeans, who discovered it in the 1930s, still use it extensively.
Botanists named the plant after the hedgehog (Echinus) to describe its prickly, cone-like center. It grows naturally in the Midwest states from western Pennsylvania to Kansas and as far south as Northern Texas. Hundreds of scientific studies have indicated that Echinacea can help support immune function.
In recent years, research has discovered a mechanism by which Echinacea may help. One of the primary defense mechanisms of the body is made of a jelly-like substance called Hyaluronic Acid (HA). HA occurs in the tissues between cells to “cement” them together. There is an enzyme, hyaluronidase, which attacks HA in a way not fully understood. When it does, the HA quickly loses its jelly-like viscosity, and this protective “cement” loses its effectiveness. If the enzyme is allowed to destroy the integrity of the HA barrier, immune function may suffer. Echinacea has been shown to prevent the enzyme from dissolving HA.
Forever Echinacea Supreme® contains both of the most highly prized forms of Echinacea (Purpurea and Angustifolia), plus Goldenseal and Grape Seed Extract, for maximum benefits.
Supplement Facts
Serving Size 2 Tablets
Amount Per Serving
Proprietary Blend 500 mg
Echinacea purpurea (whole herb) *
Echinacea angustifolia (root) *
Goldenseal (root) 300 mg*
Grape Seed Extract 100 mg*
* Daily Value not established.
Other ingredients: Cellulose, stearic acid,
magnesium stearate, croscarmellose sodium,
silicon dioxide, hydroxypropyl methylcellulose.
CONTENTS
60 tablets
SUGGESTED USE
Take 1 tablet two times daily. For best results, after taking Forever Echinacea Superme® for 4 to 8 weeks, a 2 week break is recommended before resuming use of this product.
Forever Echinacea Supreme®
• Can help support immune function
• Contains Goldenseal and Grape
Seed Extract
• Synergistic Combinatio
Retail Price = $18.91 x N280 = N5294.80
GARCINIA PLUS
Forever Garcinia Plus®
Forever Garcinia Plus® is a revolutionary dietary supplement, containing ingredients that may aid in weight loss. The primary ingredient is a natural substance derived from the fruit of a Southern Asian tree, the Garcinia Cambogia, also known as the Malabar Tamarind. The rind of this fruit is dried and used to produce a substance that is very similar to the citric acid found in oranges and other citrus fruits.
Specialists in plant compounds became aware of the remarkable qualities of this substance in the late 1960s, when they learned that it can temporarily inhibit the body’s production of fats from carbohydrates. During the normal metabolism of a meal, carbohydrate calories that are not used immediately for energy or stored as glycogen are converted into fats in the liver. Garcinia works by inhibiting the enzyme (citrate liase) which converts these calories into fat. As a result, the body will burn existing fat stores, thus aiding in weight loss.
When enough glycogen has been created and stored in the liver, a message is sent to the brain indicating sufficient food has been taken. This action is called a satiety reflex, and quells the appetite, reducing the desire for more food.
Contains a natural appetite suppressant
Temporarily inhibits the enzyme that converts calories into fat
A useful tool in weight management
ADDITIONAL NOTES
Forever Garcinia Plus® is suitable for any metabolism, fast or slow. It is not necessary to adjust the suggested amount per body size or weight.
While Garcinia is safe, it should not be taken by pregnant or lactating women.
You should consult with your physician prior to taking Garcinia, particularly if you have high blood pressure, diabetes, heart, liver or kidney disease.
Retail Price = $28.29 x N280 =N7921.20
What you should know about fibroids
THESE UTERINE TUMORS, THOUGH USUALLY BENIGN, CAN CAUSE HEAVY BLEEDING, CRAMPS, AND PREGNANCY COMPLICATIONS. BUT THERE ARE SEVERAL GOOD OPTIONS FOR TREATMENT.
Fibroids—smooth muscle tumors of the uterus—are common, affecting as many as 75% of women. They are rarely cancerous, and they cause symptoms in only about 20% of the women who have them. However, if you're one of those with symptoms like heavy menstrual bleeding, bad cramps, pelvic pressure, constipation, or frequent urination, you know how fibroids can disrupt your life. Even if they don't cause symptoms, they may grow into the uterine cavity, potentially complicating a pregnancy and raising the risk of miscarriage.
"Managing uterine fibroids depends on several factors, such as a woman's symptoms, whether or not she wants to have children, her age, and her personal preferences," says Dr. Hye-Chun Hur, director of the Division of Minimally Invasive Gynecologic Surgery at Harvard-affiliated Beth Israel Deaconess Medical Center and associate medical editor of Harvard Women's Health Watch.
TREATING FIBROIDS
These days, there's no reason to endure fibroid symptoms. There are several effective therapies that can be tailored to suit you, including the following:
Medical treatment. Traditional combined oral contraceptives, which contain both estrogen and a progestin, can provide effective treatment for fibroid-related symptoms. They can help diminish extremely heavy bleeding and can help regulate menstrual periods. Progestin-only therapies can stabilize the uterine lining to reduce bleeding. Both combined oral contraceptives and progestins come in a variety of forms, including pills, patch (Ortho Evra patch), injections (Depo-Provera), implants (Implanon), vaginal ring (NuvaRing), and a progestin-releasing inatrauterine device (Mirena IUD). Although these treatments can be very effective, fibroid symptoms typically return when women stop taking the medications.
Uterine artery embolization. A radiologist performs this minor procedure to deposit small particles into the uterine artery, blocking off the blood supply to the fibroids, which shrinks them and reduces bleeding. This procedure is not advised for women who want to have children in the future.
Endometrial ablation. This minor, same-day procedure destroys the lining of the uterus and decreases the amount of uterine bleeding. Although pregnancy is less likely after an endometrial ablation, this procedure does not provide contraception, and those who conceive after an ablation are at increased risk of pregnancy complications. Women who choose ablation are advised to take contraceptive measures, and the procedure is usually recommended only for women who have completed childbearing.
Myomectomy. This term refers to a surgical procedure to remove fibroids while leaving the uterus in place. This treatment is often used in women who still want to have children. Fibroids may be surgically removed through a variety of techniques; the best approach depends on the fibroid's location. Fibroids in the uterine cavity are best removed vaginally using a hysteroscope. This is an incisionless approach, in which a miniature camera and surgical tools are inserted through the cervix and into the uterine cavity. Fibroids within the uterine walls or protruding outward are better removed abdominally, either through a traditional open abdominal incision or with a minimally invasive approach using a laparoscope (a device that inserts a camera and tools through incisions no larger than a centimeter).
Hysterectomy. The removal of the uterus along with the attached fibroids provides a permanent solution for women who aren't interested in having children.
WHEN TO GET TREATMENT
Women typically are not complainers. Generally, they are the caretakers of the family and are not used to putting themselves first, so they may delay getting treatment until symptoms are intolerable.
"I often see women who are in the late stage of symptoms—either with severe pain or with low blood counts from anemia due to excessive bleeding," Dr. Hur says. "If women seek help when their condition is symptomatic but not so excessive, they may have more treatment options available to them, including the more conservative therapies. The sooner they can get relief, they can get on with their lives."
Symptoms alone are not always the deciding factor for treatment. Whether or not you want to have children is also important.
If you still plan to have children, fibroids that have grown into the uterine cavity should be removed before you conceive, since they can cause miscarriages and pregnancy complications. If you have fibroids that have increased significantly in number or size, they should also be removed because they may cause complications during pregnancy. Myomectomy is usually the best fibroid treatment for women who plan to conceive.
If you don't plan to have children, your symptoms, age, and health play a greater role in determining when to seek treatment. After menopause, fibroids often shrink and symptoms may resolve in women who don't use hormone therapy. If you are in your 40s and your symptoms are tolerable, you may choose to wait and see if they regress after menopause. However, if you have excessive bleeding that has caused anemia (abnormally low numbers of red blood cells) or symptoms that interfere with your day-to-day life, it may be time to think about having your fibroids treated. Speak to your doctor about which treatment is best for you.
Fibroids
Fibroids are classified by their location in or on the uterus. A woman often has several, and may have more than one type.
A fibroid can grow on the outer surface of the uterus (A), within the uterine wall (B), or under the endometrium, or uterine lining, (C). Fibroids may also extend from the interior (D) or exterior (E) wall of the uterus on a stalk called a pedicle.
Is power morcellation safe for uterine surgery?
Power morcellation—the use of a laparoscopic device to break up uterine tissue—has made it possible to perform hysterectomy and myomectomy through a small incision. In 2014, an FDA investigation raised concerns that the risk of morcellating an unsuspected fibroid cancer and dispersing malignant cells throughout a woman's abdominal cavity was higher than previously thought, which in turn could significantly reduce long-term survival in such women. The FDA recommended that power morcellators no longer be used for hysterectomy or myomectomy in most women with fibroids.
The FDA recommendation is just that—a guideline, not a law. Many gynecologists have countered that morcellation can be used safely for many women with fibroids.
In a commentary in the December 2015 issue of Obstetrics & Gynecology, a group of 49 physicians who reviewed extensive data challenged the FDA recommendation, contending that the benefits of a less invasive surgery far exceeded the risk of spreading a low-incidence cancer. The authors recommended minimizing risk by using ultrasound, MRI, and biopsies to look for cancer before using morcellation procedures in older women undergoing fibroid surgery who might have a higher risk for certain uterine cancers.
In another article, in the October 2015 European Journal of Obstetrics & Gynecology and Reproductive Biology, Dr. Hur and colleagues highlighted the importance of informed consent and shared decision making for women with fibroids who are planning hysterectomy. They recommended that women discuss with their surgeons the pros and cons of open hysterectomy without morcellation versus laparoscopic hysterectomy with morcellation. The authors acknowledged that evidence is limited, but it does suggest that cancer outcomes are worse among patients who undergo morcellation. However, they also raised concerns that converting all laparoscopic hysterectomies to open abdominal hysterectomies to avoid inadvertent morcellation of hidden fibroid cancer would lead to other risks, such as increased adhesions, hernias, obstructions, blood clots, and infection.
Originally published: March 2016
Foods to Avoid With Fibroids on the Uterus
by LISA MOONEY Last Updated: Aug 16, 2013
Foods to Avoid With Fibroids on the Uterus
Red meat is one of the foods to avoid when you have fibroids. Photo Credit filet boeuf image by Johann WELCH from Fotolia.com
Uterine fibroids are benign tumors that can invade the female reproductive system. Most often fibroids occur during the middle to late childbearing years. They are often non-symptomatic but occasionally can cause extreme pain. Fibroids can also hinder fertility in many women. Surgery that removes the fibroids or the extreme uterus can be performed, but many women choose to treat the condition with natural methods, including nutrition. There are certain foods to avoid when you suffer from uterine fibroids.
SATURATED FATS
Foods high in saturated fats should not be consumed by fibroid patients. These fats can raise the estrogen level, which allows fibroids to grow larger. These foods are also hard on the liver, making it difficult for the body to break down and rid itself of the excess hormones. Avoid bacon, sausage, egg yolks, avocados and high-fat processed snacks such as cookies and pastries, which are loaded with saturated fats.
RED MEAT
Red meat from mammals and duck are not recommended for those with fibroids. These foods are likely to be high in added hormones, including estrogen. Eat lean white meat for a protein source instead.
HIGH-FAT DAIRY PRODUCTS
Women with fibroid tumors are encouraged to limit consumption of high-fat dairy products such as whole milk, cream and butter. These products are often high in added hormones that can feed your tumors. Opt for organic hormone-free products for your dairy consumption.
CAFFEINE LADEN BEVERAGES
Beverages containing caffeine are on the list of foods to avoid when you have fibroids on your uterus. William E. Richardson of the Atlanta Clinic of Preventative Medicine warns against drinking these beverages due to their high level of methylanthins which, in turn, cause a high level of biochemicals in the body that can form tumors. Stay away from caffeinated sodas, tea, chocolate and coffee. According to Dr. Andrew Weil, coffee beans are often sprayed with the chemical DDT.
HIGHLY SALTED FOODS
Limit the amount of highly salted foods in your diet because they are hard on your liver. The liver is the organ most responsible for removing toxins and balancing hormones. Avoid canned soup, baked beans, pretzels, chips, pickles, olives and dried foods, such as jerky.
WHITE FOODS
Lower the amount of "white" foods you consume. According to Healthy.net, these foods alter estrogen metabolism and can cause fibroids to grow larger. These foods include pasta, white bread, white rice, cakes and cookies.
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