Personally, I would take HW by itself. On my 2nd round in October, I bought a papaya and made papaya seed smoothies with coconut and still no signs of worms. Just was spicy and really quite unappetizing. I contacted HW to see if it was reasonable to expect to have complete eviction of all parasites with only one round, and they said that yes, that was not out of the ordinary, and if after going through round 2 of humaworm and not finding ascaris or parasites in my stool then I should be confident that I got them all the first time. You can imagine my joy! I will do a 3rd round in the spring, just to be certainly certain. I also believe HW has other benefits to it, such as combatting bacterial, fungal as well as viral loads. I hope you do well! Keep us posted.