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I don't know where all this scam business came from, but herbs like Golden Seal and Milk Thistle tend to be recommended by physicians. Many cleansing products use very basic things that people use separately quite often, ginger, cayenne, etc.
Perhaps the scam is in their advertisement statements. But most of them consist of fiber (or a multi-fiber), and very basic herbs like I listed above. Are they magical? No. Do they do something geared towards improving health? More times than not, yes.
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