Telman
Dr. Kelley is the author of "One Answer to Cancer" mention the benefits of malic acid in his book but doesn't explain how this works. He states that: "Apple juice (high in malic acid) or ortho-phosphoric acid, which acts as a solvent in the bile to weaken adhesions between solid globules.". This is about the earliest reference, circa 1971.
It is an additive to the flush but not essential by any means.