You can do use paracleanse one of the active active ingredient praziquantel that treats tape worms flat worms and flukes were as expel p active ingredient levamisole treats nematode worms hook worms nodular worms roundworms looking at the picture I would start treating with expel p what you could do is @Odd Ducktreatment protocol for parasitic infections using paracleanse instead of prazipro @macdaddy36