Hi Matt, about 7 days in now. The praziquantel and alb definitely cause a bit of reaction. First took it, felt pressure in base of head, definitely in lower legs, like a pressure circling around my ankles and forehead, tingling in feet around top and bottom of toes and in left hand, also under left rib cage, dnt know if its stomach or spleen. I know my toes are a lot less cold. That has been a problem for the last yr, icy cold feet. Had a bit of the runs last three days, but no sightings of anything. Will keep at it. Less head congestion. Used to wake up with puffy face, now its just puffy eyes. Family noticed i def sound less nasal congested. Ive had a lot more drainage. 2 yrs ago i had major post nasal drip...didnt know that was a possible sign of parasites in upper body. Other things i notice with prazi and ivm is action in my gums and teeth. Again im sensitive as it is, but noticed that as well. Should i see anything in the coming weeks? Very grateful for this forum.