I started using it over a year ago
I had been diagnosed by my naturopathic doctor as having listeria bacteria in my system - a long time problem & it can be tick borne like Lyme disease

Anyway, I was on a detox regimen he put me on but I was hearing more & more about ivermectin & decided to try it

I used the paste similar to what you have, & went by the weight measurements on the plunger, twice a week for six weeks

I went back to the nat doc & my system was free of inflammation caused by the bacteria
I still take it & fenbendazole at least once a week each, for maintenance & prevention