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You can use the Uterus Formula without doing the cleanses first, but it will not be as effective in eliminating the fibroid. Working to heal the body from a clean bill of health makes your body more receptive to treatment for the conditions. The formula is just one of six supplements that is included in the Uterus Cleanse. Also, Yes, please consult our article on "Fibroid Tumors" which you can find on our website under Articles.