I saw my md on Saturday and he switched up another item for Perma-Clear a product made by Thorne and gave my some fiber stuff also made by Thorne to add to the shake that I drink I tried it and it totally solidifies if not drank in a matter of minutes!I havent looked up perma clear yet to see what it is exactly but will do that. I am still using the other holistic products like Black-Walnut and garlic. Just waiting now to do my third round of vermox 500mg in the morning and evening for three days