endo-protocols

Week 3 — Clearance (Days 15–21)

Goal: With Phase 2 pathways active, now maximize elimination. This is the week to block enterohepatic recirculation of estrogens, push fiber, dial in hydration, and run sauna at full cadence.


What’s new this week

   
💊 Add: Calcium-D-glucarate Blocks gut β-glucuronidase from reactivating already-cleared estrogens — practitioner-confirmed
🌾 Max fiber Push to 35–40 g/day (carefully ramped)
💧 Hydration target 2.5–3 L water + 1 L electrolyte mix
🔥 Sauna 3–4x this week Now at full cadence
🏃 Movement Continue Zone 2 cardio 2–3x; can add 1 light strength session
📋 Tracking Mid-protocol checkpoint; note what’s working

Why Week 3 emphasizes clearance

You’ve reduced inbound load (Week 1). You’ve activated Phase 2 enzymes (Week 2). Now the bottleneck shifts to elimination — getting the conjugated estrogens out of the body via bile + bowel + skin without reabsorbing them.

The gut microbiome’s β-glucuronidase enzymes can deconjugate estrogens in the gut and reabsorb them, undoing the liver’s clearance work. This is the “estrobolome” effect, and it’s why fiber + calcium-D-glucarate matter so much for estrogen-driven conditions.

Sauna runs at full cadence this week because the cumulative heat acclimation effect from Weeks 1–2 (plasma volume expansion, sweat efficiency improvement) means each session now clears more.


Daily routine

Morning

  1. Warm lemon water (continue)
  2. AM protein-fiber shake (continue daily this week — fiber matters)
  3. Phase 2 supplement stack (same as Week 2):
    • Methylated B12 + folate
    • B6 (P5P)
    • NAC
    • Milk thistle / silymarin
    • Vitamin D₃ + K₂
    • Omega-3
  4. Calcium-D-glucarate — 500–1,500 mg/day in divided doses (practitioner-confirmed). Typical regimen: 500 mg AM + 500 mg PM.
  5. 30-min walk outside

Midday

  1. Lunch — high-fiber, vegetable-forward:
    • Large salad with kale/spinach/arugula + cruciferous (cabbage, broccoli) + protein + ½ avocado + flax or chia
    • Plus 1 cup berries OR a piece of fruit
    • 16 oz water with lemon
  2. Sulforaphane source with lunch
  3. Optional Zone 2 cardio 30 min — walking, easy cycling, easy swim
  4. Optional snack — fruit with nut butter, hummus with vegetables, a small handful of nuts

Evening

  1. Dinner — protein + 2 vegetables + complex carb
    • Continue elimination diet
    • Heavy on cruciferous, sulfur foods, fiber
    • Example: roasted salmon + brussels sprouts + roasted sweet potato + steamed kale
  2. PM shake OR clean protein-and-vegetable snack
  3. DIM (if practitioner-prescribed) — typically 100–200 mg with dinner
  4. Curcumin with dinner if approved
  5. Calcium-D-glucarate (2nd dose if split)
  6. Magnesium glycinate evening
  7. Phone off 8:30, bed 9–10 PM

Sauna days (3–4 this week)


Fiber strategy — the unsexy hero of estrogen clearance

Most US adults eat ~15 g of fiber/day. Therapeutic target for estrogen clearance is 30–40 g/day. That’s a big jump for most bodies — ramp carefully or you’ll be bloated and uncomfortable.

High-fiber, protocol-compliant foods

Food (1 cup or 1 serving) Approx. fiber
Cooked lentils 16 g
Chickpeas 12 g
Black beans 15 g
Raspberries 8 g
Avocado (1 whole) 10 g
Brussels sprouts (cooked) 4 g
Broccoli (cooked) 5 g
Chia seeds (2 tbsp) 10 g
Ground flaxseed (2 tbsp) 6 g
Steel-cut oats (gluten-free) 5 g
Sweet potato (medium) 4 g
Almonds (1 oz) 3 g
Pear (medium) 6 g
Apple with skin 4 g

A “35 g fiber day” example

Hydration matters for fiber

At 35–40 g fiber/day, you need at least 2.5 L of water or fiber becomes constipating instead of clearing. Pair every fiber boost with extra fluid.


Why calcium-D-glucarate matters

Calcium-D-glucarate is the calcium salt of D-glucaric acid, a naturally occurring compound that the body metabolizes into D-glucaro-1,4-lactone — a direct inhibitor of bacterial β-glucuronidase.

The mechanism:

  1. Liver glucuronidates an estrogen molecule → packages it into bile → ships it to the gut
  2. Gut bacteria (some species) produce β-glucuronidase enzyme
  3. β-glucuronidase cleaves off the glucuronic acid → the estrogen becomes free again → reabsorbed into circulation
  4. The liver’s work is undone (enterohepatic recirculation)
  5. Calcium-D-glucarate inhibits step 2-3 → estrogens stay conjugated → excreted

⚠️ Important: because calcium-D-glucarate also lowers the bioavailability of orally administered conjugated drugs (including some oral contraceptives), review with your prescriber if you’re on hormonal medication. This is why it’s deferred to Week 3 (gives time for the prescriber conversation).


What you might notice this week

Days 15–17:

Days 18–21:

If you’re a cycle tracker, watch for cycle-day relevance — if your cycle starts during Week 3, note pain levels vs. recent cycles. Improvement (less cramping, lighter flow, shorter duration) is one of the strongest signals the protocol is helping.


Mid-protocol checkpoint — should I keep going?

You’re now at the halfway-plus mark. Ask yourself honestly:

Question If yes → If no →
Is my WHOOP/Garmin recovery trending green more often? Stay the course, transition into Week 4 Worth a practitioner conversation — what might be limiting?
Are symptoms (pain, fatigue, bloat) directionally better? Yes, keep going Honest data — protocol may not be the right fit for your specific drivers
Are the eliminations sustainable? Plan Week 4 reintroductions thoughtfully Adjust Week 4 to focus on the easier wins
Am I sleeping better and consistently? Whatever you’re doing is working Sleep is the master variable — review caffeine, alcohol if slipped, screen time, bedroom environment

If anything is concerning, that’s the moment to message your practitioner.


⚠️ Watch for


End of Week 3 — checkpoint

Before moving to Week 4 — Integration:

If everything is in good shape, proceed to Week 4 — where you’ll start food reintroduction and plan for sustainable maintenance.