You are correct, the lettuce doesn't contain the bacterial culture. It contains the enzymes that drastically aid in maintaining a healthy gut.
The bacteria you want is in such things as saukraut, kimchi, miso, fermented vegetables. Probiotics. You can just buy them in pills but fermented foods are where the bacteria you want comes from.
It's not really a cleanse, it's more of a chemical balance. The lemons and limes help to alkalize the blood properly and the entire endocrine system starts to come back into proper functioning.
How much the weight loss is attributable to an intestinal "cleanse" or an overall metabolic improvement I don't know but it worked and that's all I can say.
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