Do you have gastrointestinal issues: diarrhea, vomiting, nausea, bloating, or cramps? Itchiness around the rectum or vulva? Fatigue, loss of appetite, or sudden mood changes? Headaches or memory issues? You might have parasites or worms in your body. This information has not been evaluated by the FDA. Please consult your doctor. We strongly recommend you follow the instructions on the label. Made with black walnut hull, wormwood, hawthorn leaf and flower, thyme, and oregano.