Bonus question... What meds / herbs are most effective for these and any suggestions on where to get them? Thanks

Vegetable fibre. I have seen this on a regular basis doing stool analysis for many people.
Shroom

Worms, what kind we do not know for sure. Keep doing what you are doing...it is working, and up the dosages when you feel you need to or can handle it.......daily enema's will help draw it out also. Mebendazole is the drug of choice for this, but taken for like 10 days or more a month...and as far as herbals....if you are taking the Clarkia mix, you obviously have been reading so you know that already. Good job, just keep hitting them cause there are most likely many, many, more that need to go!

I have to say that I agree with others here who suggest roundworms (especially the first and second from the left). The two to the right look 'fibrous', but while vegetable fibers might come out similarly, depending on how well one chews their food, the first two, at least look as if they have the consistency and shape of roundworms that I've seen in my stool...better to be safe and start parasite cleansing now. It can be a long, long journey.

There are a variety of herbal cleanses as well as drug treatments as you will see as you read here on this and other forums.

parasite drug treatments designated for horses (ivermectin, albendezole, fenbendezole, prazi) are taken by some. See poster 'scabdragger' here for more info on that. The drugs for horses can be obtained online and at Tractor Supply stores. I think they exist in many places here in the states.

Some (very few I understand) doctors give very limited prescriptions for parasite drugs.

More posters will chime in here regarding where to obtain these drugs, but maybe you should try the Curezone parasites Drugs forum here. Best of luck.