pinworms are very tenacious
children get them, they are shamed for scratching their butts, they are embarassed/afraid to tell their parent their butt itches, they suffer with it for years
as adults the itching becomes unbearable because the colonies have gotten so big
a dose large enough to kill them all, would how likely be lethal to the person
therefore most people attain relief by diminishing the size of the colony living inside them
the hardiest ones survive, natural selection, results in resistant strain
the only way to get rid of them is regular repeated extermination
and because so many people are carrying them around, not doing anything about it, the only way reinfection is certain, unless you can figure out how to move into a sterile bubble and live there permanently
therefore, regular routine maintenance is the only way to keep ridding yourself of them
rotating the products you use to fight them is important, to keep them off guard, so they never know which kind of poison you are going to hit them with next, get them used to dodging one product, stop for a few days and bait them with something they love, then hit them again with something different
this is jmho, as always, i reserve the right to be wrong
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