There is no substitute for a good list of challenge tests.
Foot Joints could be red worms challenge levamisole 50mg three times per day for a month. If hit positive then test what it means.
I use dodder seed for lymph drainage.
Skin migrans can be red worm. Look at my red worm formula, takes months to get total remission, then on to maintenance. Some report praziquantel flats, FenBen or OXBen white worm infection hits.
Occasional high dose Pyrantel challenge one day only every 3 weeks hits an infection, shows other nest locations.
Most tests miss like species, challenge tests do a better job.
If you have significant immune system load from bacteria, yeast, virus, flat worm, or white worm, or protozoan the clarity of a red worm infection becomes fuzzy.
The seldom missed cycles and symptoms are hard to identify.
Once you start Levamisole the cycles and locations are much easier to identify.
The red worm formula has several meds dosed mostly low level to keep cycles of stages in reset.
Of those who start Levamisole the emails of pain or problems rapidly diminish, people are on a path of control. For those that have bad white worm infections, more than tiny dose of levamisole is to much.
My usual blurb on this is that pH, balance, ion, metals, minerals always need fixing. I also always say fix the flat worm infection, white worm infection first.
Some try stasis of flat worm using 10 - 15mg praziquantel 6PM, or 2.5mg FenBen w 2.5mg or less of OXBen, to halt whites.
I cleared flats and white worm infection, before attacking reds. That sequence is all I know, others are testing faster way to clear reds with whites, could be a problem when these two infection types coexist.
The red worm formula was posted a few days ago, it has a lot of moving parts, but mostly low doses cept levamisole which along with Pyrantel cause paralysis of worm stages.
Takes a few months to totally reset all stages, clear smaller stages, and stop larger worms from ability to migrate.
Quick review of your emails show symptoms common with mostly red worm infections, so primary meds are IVM, LEV, DEC, Pyrantel, Hexylresorcinol lozenge.
steroids weaken immune system, so does booze.
I suggest using nPPZ Xanthoparmelia Scabrosa, beta glucan, LEM mushroom extract, some use PPZ low dose early, DEC low dose ramp, DHEA,
This is a more hormone friendly cofactor approach.
Steroids or Booze destroy the function of any formula. Anyone in treatment will tell you they get a day of out of control worm activity with small doses, so do not drink booze at all, for years. sorry.
Red worms have very few symptoms till you challenge with LEV, so do not be surprised if movement/nests/infections are detected clearly where none were felt before.