Comprehensive Candida Treatment: Cleansing and Controlling Are Key

In a previous article, I laid out the four stages of Candida overgrowth I see among my patients. This was the first time the stages of Candida had been set out and to follow on, I want to discuss the how we successfully treat our Candida patients at Mitchell Medical Group (MMG).

The 3 Step Approach

My approach to treating Candida involves 3 basic steps:

1. DIET & PRE-CLEANSE candida diet

The first step in reversing Candida involves diet. To reverse Candida, you have to change your diet and embrace the Candida diet.

The diet can be intimidating to anyone, but it doesn’t have to be. The basics start with avoiding the key FOOD enemies: refined sugar, wheat (bread and pasta), and dairy (milk and cheese).

I know what you’re thinking – what’s left to eat? Plenty!! When I treat my patients I give them a handout on the Foods You can Eat and the Foods You must Avoid. I personally go over these items to make sure it is clear where certain exceptions can be made.

If you have Candida overgrowth it is critical that you have essential minerals and vitamins in your body so your liver (the main organ for detoxification) can handle the Candida cleanse phase necessary to ridding the yeast overgrowth.

In conversations with Ann Boroch, N.D. (author of The Candida Cure ), we both agree on the importance of this nutritional support in making the cleanse phase easier for the body to handle.

At MMG, we achieve this by giving patients high dose B vitamins and magnesium through injections. I also recommend oral supplementation, but unfortunately only about 30% of these nutrients get absorbed and the injection route hastens the process of achieving vitamin and mineral fortification. It is typical to do an initial series of these treatments for 4 weeks to achieve immune protection. The treatment can then be spaced out every two weeks, and eventually once a month as an ongoing source of protection.


Candida imbalance starts in the gut, so the gut has to be carefully cleared of excess Candida through an antifungal medication.

The most effective antifungal medication I have found is Diflucan. Diflucan is a potent antifungal that not only clears out excessive yeast in the gut but it also travels throughout the body to clean up the Candida outside the gut in places like: the liver, the sinuses, the vagina, the skin and even the brain.

I prescribe Diflucan for just 3 days, with one pill to be taken every 3 rd day to give the liver the chance to refresh. After this 9 day period, you’ll switch to a milder antifungal medication, Nystatin, that essentially cleanses the bowel to keep the Candida in check. Typical you’ll remain on the Nystatin for at least 90 days to make sure the Candida doesn’t have a chance to excessively repopulate.


Once the Candida is under control, it is important to bolster the immune system to achieve long term protection. This is when probiotics are most valuable.

Re-populating the “good bacteria” in the body is the proper seed we want to plant in our body. There are many good probiotics, but I prefer ones that require refrigeration and are encapsulated, so they reach the small intestine, as well as the stomach. Probiotics should preferably be taken on an empty stomach and not at the same time as the Nystatin, as this can cancel the effects.

A deep level of lasting protection can be achieved with Candida sublingual drops. These are natural extracts obtained from companies that make allergens, such as pollen and molds. Patients take the drops under their tongue regularly to boost their immunity to Candida. The Candida sublingual drops are typically taken for a few years to get lasting protection. It also helps protect patients when they deviate from the Candida diet (we are only human after all) or need antibiotics for an infection.

In patients with more advanced Candida (brain fog and chronic fatigue) it is often necessary to consider using intravenous vitamins with high dose Vitamin C, B complex and magnesium to speed up recovery along with the other modalities listed.

At Mitchell Medical Group in Manhattan and Long Island, we are adept at diagnosing and prescribing the appropriate Candida treatment so you can get back on your game! The wonderful news from our experience is that patients start to feel better in 30 days, and that is definitely something good!

-Dr. Dean Mitchell

Categories: Candida, Yeast Overgrowth


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