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Menopause & perimenopause3Fertility & preconception1A first retreat3Travelling alone3Going together3

By problem and place

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15 concerns, each answered with what helps, what a fortnight can and cannot do, and where the evidence stops.

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The atlas

Every destination, the season each one is genuinely best in, and the months we would talk you out of.

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The houses

Somatheeram Ayurveda VillageIndiaKalari KovilakomIndiaCarnoustie Ayurveda & Wellness ResortIndiaAnanda in the HimalayasIndiaSix Senses VanaIndia
Barberyn ReefSri LankaSantani Wellness ResortSri LankaAmankoraBhutanCOMO Shambhala EstateIndonesiaFivelements Retreat BaliIndonesia

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The properties the world has actually heard of — and which of them we can book for you.

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Koh Samui, Thailand

Detox retreats in Koh Samui

Which houses in Koh Samui treat detox seriously, the right season, and the minimum stay worth booking.

Houses
1
How long
Fourteen nights is our absolute floor for Panchakarma and twenty-one is the real answer. Anything sold as a Panchakarma in under a week is a different product wearing this one’s name.

What we are treating

I want to properly clean myself out once a year.

A real thing and a marketing word, in roughly equal measure. Here is which is which.

Your liver and kidneys detoxify you continuously and no programme improves on them. What the word is actually doing in this industry covers two quite different products. One is a classical medical procedure — Panchakarma, prescribed by a physician after examination, delivered over three weeks with preparation and re-feeding phases — which is a serious intervention with a serious pharmacopoeia behind it. The other is a juice fast with a colonic and an infrared sauna, sold in five nights.

We sell the first and decline the second, which is why several of the most commercially attractive programmes in this market are not on this site. The Panchakarma pages here are explicit that the five actions themselves take a day each at most, and that what takes three weeks is the preparation before and the rebuilding after — and that the rebuilding is where the benefit is made and kept.

For most people asking about a reset, the honest recommendation is a Mayr cure or a rejuvenation programme rather than a purification one. Purification is for bodies that have something to remove and the reserves to withstand its removal.

What actually helps

  • ayurvedaThe classical Panchakarma, at fourteen nights minimum and properly twenty-one. Prescribed and revised daily by a physician, with a structured re-feeding phase that most short versions omit entirely.
  • mayrThe European answer: a physician-led staged diet with diagnostics either side. Less dramatic, more measurable, and the better choice for most first-timers.

What a programme actually does

  • Being talked out of the short version if you are depleted rather than congested. It is the commonest redirection we make.
  • Internal oleation, if this is a real Panchakarma — medicated ghee on an empty stomach in rising doses. Brief, unpleasant, central.
  • One supervised difficult day, with the two days after it cleared.
  • A structured re-feeding over six days that matters more than anything before it.
  • Two quiet days at home afterwards, which we will build into the flights.

Where to go

1 house, and what each is for

Every house →

When to come

The season in Koh Samui

When to travel to each destination, by month
DestinationJanFebMarAprMayJunJulAugSepOctNovDec
Koh SamuiThailandJan: perfectly goodFeb: book thisMar: book thisApr: book thisMay: perfectly goodJun: book thisJul: book thisAug: book thisSep: perfectly goodOct: we would talk you out of itNov: we would talk you out of itDec: we would talk you out of it
Book this
Perfectly good
We would talk you out of it

Koh Samui. Samui does not follow the mainland or Andaman calendar, and this catches people out constantly. The northeast monsoon pushes across the Gulf from October, so October to December is Samui’s genuine wet season — November is the wettest month of the year. February to April and June to August are the reliable windows.

What we would tell you on the phone. Purification is contraindicated in pregnancy and while breastfeeding, during active treatment for serious illness, with a history of an eating disorder, and in frail or significantly underweight people. Several common medications need adjustment. If you are unwell rather than congested, the correct programme is rejuvenation and a good physician will tell you so on day one — if one does not, leave.

Asked and answered

Questions we actually get

Is extended fasting safe?
Under supervision, for a screened healthy adult, for a defined period — yes, and that is exactly why you do it here rather than at home. Refeeding syndrome is a real risk afterwards, which is what the last days and the final bloods are for.
Do you sell colonics?
No. The properties we list offer them; we do not include them in anything we sell and we will tell you the evidence is poor and the risks are real. If you want them, that is a conversation with the physician on site, not with us.

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