Not dead. Not shitting out worms. And certainly have not developed hooves.
It honestly tasted good with some orange juice.
It was the last tube of the stuff on the shelf at my local feed store though. Not a bad idea to have some around for $9
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I took it for covid when my wife was diagnosed. She ran a temp, coughed, felt like utter crap. I lost smell and taste, but otherwise felt great. I can attest, the stuff works.
Excellent.