I did the herbal parasite cleanse for a month before I did my first liver cleanse [a la Dr Clark] but didn't see liver fluke until the third flush.Then for about four more flushes fluke came out wraped up in the stones, and also loose in the stool.They were as shown by Telman but had longer suckers at each end. I made slides of them and was able to identify their latin name. I am sure they are endemic in populations and contribute to general ill health.I always add 2teaspoons of the herbal tincture to the oil and juice mixture when I do a flush. Some say that fluke will be expelled with a flush without the parasite cleanse, but as I was following Dr Clark's method I did it first. Keep flushing. Love and Light, Deotima.