you have parasites.. just cause its not mentioned..there are many other things they ar not mentioning like brain fog.. cause of some possible medical issues to be brought forward.. just a thought.. parasites does not relate to a dirty house, rich poor. etc. they are natural in our bodies unless they exacerbate by foods (who knows why the increase but likely our gmo food issues. etc. and sugars.. carbs.. etc,, if you have animals ie dogs and cats. its a fact you have parasites.. i have them my hubby has them. my kids have them altho they are adults and what does momma the crasy person know.. horse paste ivermectin kills them, fenben kills the eggs before they hatch..acess sites that make their recommendations. horse past is 12 bucks. 1.87% is correct dosage and it is very safe for humans. ive taken it over the past 4-5 months myself and dont neigh or stamp my hoofs..or want to eat grass.just saying.. pills are also available.. follow the directions..