i started with the dr.clark cleanse, after a month did a liver flush, that seemed to release eveything big time. then i continued on the upkeep dose (once a week) then i had a 3 week break. after that i did just the tincture of paragone (that we had left over) i took that once a day 15 drops along with occasional Black-Walnut . throughout this i did 4 Liver Flushes that produced no stones, but sometimes worms! my schedule was hectic so i couln't keep a regular schedule. but in the last week or more i started again on the paragone (program 1 and 2 together) along with the Bowel Cleanse (b&p shakes)and have been clean! i haven't seen a worm in a week and i'm used to seeing them everytime i bm.