The first preparatory step is internal oleation. The patient is asked to drink a specific, small quantity of ghee (clarified butter) every day for several days. The ghee creates a thin film in the body’s channels that lubricates them, allowing the ama lodged in the deep connective tissues to move freely, without sticking to the channels, to the gastrointestinal tract for elimination. Internal oleation is done for three to five days or even longer, depending on the individual circumstances.

