Hello
It has been my experience that the Humaworm Parasite cleanse is a 'stand-alone' protocol, highly effective in its own right.
A lot of us have also done liver flushes with positive results (regardless of our diet, macrobiotic or otherwise).
I know that Hulda Clarke recommends liver and kidney cleansing BEFORE parasite cleansing.
I did a few liver flushes and then went straight into the Humaworm parasite cleanses. Never done a kidney cleanse and don't know how - probably would just eat watermelons for a week.
Between Humaworm I do a couple of Liver Flushes if I feel like it.
My six Liver Flushes have benefited me so much that I can't restrain myself from telling everyone I care about, of the benefits of the LF. Same for the Humaworm.

verysugar is correct - you don't have to do any other cleanses. Liver flushes are recommended when the body is so full of toxins that the liver needs to dump them out for relief. HUMAWORM is an all-in-one product and cleanses the entire body at the same time.