It's no problem at all if you cannot do coffee enemas as we want you to customize the program to work for you and they are not required for success. Our supplement kit includes Trifala which will help with constipation and we include many other modalities that don't require physical exertion as well as neuro-activation techniques to stimulate the Vagus nerve. So with all the tools GT5 offers, you will certainly find ones that work for you. We incorporate castor oil packs in the preparation phase and often that is enough to get the pipes flowing.