Uny, given what you've laid out here with the reason the poster experienced this high level of accutane in the blood, after liver flushing, (which makes perfect sense to me) do you feel that a salt water flush is a good way to follow up a liver flush? My experience has been (It's been some time since I did the old Clarke style flushes)that using a SWF (Salt-Water-Flush) the morning after the olive oil and grapefruit and the ES was a VERY good thing. Maybe even doing one in the AM for a few days, though I never felt the need. The Epsom Salts were hard on me, and I think they are hard on lots of people. I never feel like recommending that flush anymore...