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Friday, March 6, 2015

Update: Cyanokit for cardiac arrest in fire victims


I had written about this topic last year, but a recent EM:RAP segment and ensuing Twitter discussion prompted me to revisit the issue. Sadly, there is no new evidence to add to the discussion.  Nonetheless, let's revisit the question: 

If a pulseless patient is pulled from a smoky, burning building, will giving Cyanokit during CPR help?
 
Step 1

1. There is no known “50% ROSC rate” because of Cyanokit.

The four studies looking at this issue are, by design, unable to support any such conclusion. They were case-series, with no controls whatsoever. They gave Cyanokit to a number of people, and some of them lived. However, we have no idea if the “save rate” was better or worse than usual care. These studies show that EMS can administer Cyanokit, but they can’t speak to its effectiveness at all.  As a result, even toxicologists don’t make much of these studies.

Furthermore, most of the “saves” in one study had ROSC before they received the Cyanokit. It isn’t clear in the other studies when the patients received the antidote, and the amount of missing data makes it hard to interpret.

Go read the original studies; the links are at my post Does Cyanokit save lives in cardiac arrest

Step 2

2. Meds, in general, don’t increase save rates in cardiac arrest.

Although the AHA teaches a “reversible cause” approach to arrest, this isn’t helpful most of the time. For example, although heroin OD and severe hypoglycemia may cause cardiac arrest, there is no AHA recommendation to give naloxone or dextrose in cardiac arrest. In fact, naloxone use is discouraged.

Same with tPA. An AMI or a PE commonly triggers cardiac arrest, and tPA could theoretically “treat the cause.” But the evidence showed that, overall, it didn’t work during cardiac arrest. True, many of us have tried it once or twice, but not routinely

Step 3

3. I’m no EBM diehard, but we have to do better than this!

The evidence for Cyanokit is sort of like the evidence that supported Digibind (for digoxin OD) or fomepizole/Antizol (for methanol/ethylene glycol OD). Neither one of those drugs had a supporting RCT, or even a strong case-control trial. Indeed, the important studies showing their benefit were open-label, and uncontrolled. (E.g. Brent 1999 “Fomepizole for the Treatment of Ethylene Glycol Poisoning,” and Antman 1990 “Treatment of 150 cases of life-threatening digitalis intoxication with digoxin-specific Fab antibody fragments.”). 

However, the low rate of adverse effects, and the strong mechanistic and animal data, along with the difficulty of conducting a true RCT, argued strongly in favor of using these drugs, despite active discussion regarding the costs. So it’s appealing to use a similar argument to support using Cyanokit.

This argument, however, also suggests that recommendations for the routine administration of Cyanokit are very premature. The studies of Digibind and Antizol were of far higher quality than the 3 French and 1 Texas Cyanokit studies. 

For example, both Brent 1999 and Antman 1990 used prospective collection of data (rather than chart review), and both used clear, quantitative criteria for the use of the antidotes. That approach generated high quality data, which could be used to make valid comparisons with historical cohorts. By contrast, the Cyanokit studies are of very low-quality, based on chart reviews with unclear methods, and have plenty of missing data. 

Step 4

4.  Cardiac arrest at fire scene, especially in a firefighter?

It’s probably an MI, and the key issue isn’t getting a miracle drug started, but getting access to the patient to start high-quality CPR, and defibrillating as early as possible. Getting the gear off a “downed” firefighter requires a coordinated team effort, with plenty of practice beforehand.

Step 5
"Pit crew" style CPR has been proven to save lives. Firefighters have been shown to have high rates of cardiac disease, and high rates of on-duty arrests. It's a fact that it's hard to do CPR on someone wearing bunker gear and a SCBA. If your FD isn't drilling for this scenario, an expensive drug isn't going to help. 

The good news about saving a firefighter's life is that it's free and proven - but you have to put in some effort. Check out the Firefighter Down- CPR website for the specifics on how to improve your response. Here's the vid:



29 comments:

  1. I completely agree in regards to Narcan and D50 during cardiac arrest. Where is the data and AHA documentation that supports this?

    ReplyDelete
    Replies
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    2. My names is Sandra I was diagnosed of Herpes disease 2017, I was told by my doctor that there’s no cure. I was so worried anytime i think about it,i was spending alot on medication,and i was sacked from work,because i was always sick,infact my life was a mess..i was just researching online I saw a lot of testimonials about Dr Odila on how he uses herbal medicine to cure so many deadly disease …. I contacted him via email: drodilaherbalhome@gmail.com and told him my problems, then he said i will be totally cured within 14days,my heart was full on joy when he said that i will be totally cured within 14days ,i just had faith and believe,then i purchased the herbal medicine and sent him my details such as NAME,HOME ADDRESS,PHONE NUMBER ,Then Dr Odila sent me the herbal medicine to me through courier service and I used the herbal medicine for good 14days, then I went for check-up and my doctor confirmed thats am totally free from Herpes it work like a miracle to me ,please viewers out there this is real am so happy to share this testimony .thanks to perfect health GOD WILL BLESS U . contact him through drodilaherbalhome@gmail.com or whatsapp +2348159047935. view his website https://drodilaherbalhome.weebly.com here is my private email sandraprecious100@gmail.com

      Delete
    3. Herpes is a serious and recurring disease which can't be cured through drugs or injections by the American doctors but the best way to deal with Herpes is by taking natural herbs medicine for it, I have read about DR EDIDIA the great herbalist doctor who cure me from herpes with his powerful herbal medicine. i contacted him to know how he can help me and he told me never to worry
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      Delete
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    5. Hello Everyone!
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      Delete
    6. I was positive to the deadly virus called HERPES and i lost hope because i
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      i contacted him to know how he can help me and he told me never to worry
      that he will help me with the natural herbs from God!
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      Delete
  2. I am bold enough among many others to state that there is now a potent cure to this sickness but many are unaware of it. I discovered that I was infected with the virus 3 months ago, after a medical check-up. My doctor told me and I was shocked, confused and felt like my world has crumbled. I was dying slowly due to the announcement of my medical practitioner but he assured me that I could leave a normal life if I took my medications (as there was no medically known cure to Herpes). I went from churches to churches but soon found that my case needed urgent attention as I was growing lean due to fear of dying anytime soon. In a bid to look for a lasting solution to my predicament, I sought for solutions from the herbal world. I went online and searched for every powerful trado-medical practitioner that I could severe, cos I heard that the African Herbs had a cure to the Herpes syndrome. It was after a little time searching the web that I came across one Dr Itua(A powerful African Herbal Doctor), who offered to help me at a monetary fee. I had to comply as this was my final bus-stop to receiving a perfect healing. My last resolve was to take my life by myself, should this plan fail. At last it worked out well. He gave me some steps to follow and I meticulously carried out all his instructions. Last month, to be precise, I went back to the hospital to conduct another test and to my amazement, the results showed that negative,Dr Itua Can As Well Cure The Following Desease…Cancer,Hiv,Herpes, Hepatitis B,Liver Inflammatory,Diabetis,Fribroid, Dercum,Get Your Ex Back, You can free yourself of this Herpes virus by consulting this great African Herbal Doctor via this e-mail: drituaherbalcenter@gmail.com or call and whatsapp him on +2348149277967 He will help you and his herb medication is sure. he has the cure on all disease .You can talk to me on INSTAGRAM..tashamoore219....

    ReplyDelete
  3. 6 months ago I was diagnosed with COPD with 55-60% lung capacity. My doctor just said all the crying , stomping your feet will not change it so just accept it and basically patted me on the back and sent me home to die. I was devastated and was afraid to do anything. I stopped riding my bike, I was afraid to do anything that would cause any exertion. It consumed my thoughts with every breath and the fear of what to expect was almost more than I could deal with. So I couldn't get myself all time I decided to find a herbal cure online and I came acrose Doctor Itua on how he cure several people suffering from Hiv, and Herpes I gave him a call on this Number +2348149277967 also chat on whatsapp he gave me all the details about the cure i paid him for the medicine after 5 working days i receieve my herbal medicine ,I use it for two weeks that is how I get Cured and today I'm living healthy and fine I give him thanks also promise him to testify about his work,He Can also cure the following deseases..Copd,Herpes,Hiv,Hepatitis,diabetes,
    Contact...drituaherbalcenter@gmail.com

    ReplyDelete
  4. GOD has certainly lead me here this hour because before sharing this I prayed he lead me to site where my testimony will become blessing to people lives. I found out 4years ago that I was infected with HIV because I was engaged to a man that i knew I should have never had in my life. Like most of us here the HOLY SPIRIT was warning me but I decided to do what I wanted . He never came out to tell me he had it I just happened to go through some old stuff he left at my house and there some antiviral meds appeared . I got checked and was diagnosed. It instantly felt like agony!!! The enemy tempt me with suicide,depression and all kinds of unhealthy emotion. I was looking for love in all the wrong places and people. The enemy kept speaking to me that my life was over.. But one day I quickly with tears in my eyes prayed to GOD for healing. And GOD showed me a vision that my cure is in nature I woke up prayed over it, gradually I started having passion for herbs then gradually I started using for treatment. One evening I think early February this year after my evening prayer I was on a site on herbal remedies for STD and a page was telling possible cure for herpes, then on peoples comments I saw testimonies of people telling how same DR yakubu have successfully cured them of herpes and he cured all manner of STD including HIV. I copied his contact.. .... That same night in my dream I was in the doctor office and the doctor telling me there’s been a mistake THAT I’M FREE FROM ANY DISEASE in my body. I woke up the next morning and prayed over it then contacted DR YAKUBU who immediately responded to me he talked to me and assured me of permanent cure if I finish taking certain quantity of his meds of which I ordered for immediately and started use. Within few weeks of use I noticed total relieved in my body system then went for a test and was confirmed negative and another test and the result was same. Glory be to GOD who cured me as he promised. God is real and he still saves humans through fellow humans. Reach DR YAKUBU through his e-mail;dryakubuherbalhealingclinic@gmail.com

    ReplyDelete
  5. I am here to give my testimony about Dr Agege who helped me cure my HERPES (HSV), i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by Dr Agege, i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. Two months ago a friend suggested that I try Herbal Medicine; from a very powerful Herbal Doctor called Dr Agege. I looked up his blog on the internet site and indeed he have had immense success with his product. There were lot of persons posting their testimony about how he cured them. when i contacted him he gave me hope and told me what i need to do an avoid during the treatment, after that He send a Herbal Medicine wish He called ROOTS an HERBS to me that i took and it seriously worked for me, my HERPES result just came out negative. My doctor was shocked how i got cured. I am so happy as i am sharing this testimony. My advice to you all who thinks that their is no cure for Herpes that is Not true just contact him and get cure from Dr Agege Herbal Center. He can cure of all kinds of STD you may have. Remember your health is precious email him with his email dragegeherbalhome@gmail.com or call him on His WhatsApp +2348110560429

    ReplyDelete
  6. I am here to give my testimony about Dr Agege who helped me cure my HERPES (HSV), i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by Dr Agege, i visited different hospital but they gave me list of drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat the symptoms and never cured me. Two months ago a friend suggested that I try Herbal Medicine; from a very powerful Herbal Doctor called Dr Agege. I looked up his blog on the internet site and indeed he have had immense success with his product. There were lot of persons posting their testimony about how he cured them. when i contacted him he gave me hope and told me what i need to do an avoid during the treatment, after that He send a Herbal Medicine wish He called ROOTS an HERBS to me that i took and it seriously worked for me, my HERPES result just came out negative. My doctor was shocked how i got cured. I am so happy as i am sharing this testimony. My advice to you all who thinks that their is no cure for Herpes that is Not true just contact him and get cure from Dr Agege Herbal Center. He can cure of all kinds of STD you may have. Remember your health is precious email him with his email dragegeherbalhome@gmail.com or call him on His WhatsApp +2348110560429

    ReplyDelete
  7. Hello Everyone,

    Am Mr Lourens, Am really grateful and thankful for what Dr.Manbela has done for me and my family. i have be suffering from Herpes for good three years with no solution, the diseases almost took my life and because I was unable to work and I was also loosing lots of money for medication, but one faithful day when I went online, I met lots of testimonies about this great man so I decided to give it a try and to God be the glory he did it. If you need his help or you also want to get cured just the way I got mine, just email him below drmanbelaherbalhome@gmail.com or add him up on his whatsapp number +14154831433and get your healing. He has cure for other deadly diseases like cancer, Hiv/Aids, Hepatitis,Diabetes,Urinary treat infection,impotence,Infertility,Diarrhea,Asthma, bed wetting e.t.c. you will also share your testimony.

    Thanks DR.MANBELA

    ReplyDelete
  8. Thanks to great Dr Adeola that i met on this site, i was an HPV victim. i had it for over four years i do visit hospital always before. I was just at the point of death with shame after i have lost everything in life even my love one until my close relative direct me to this site to look for great Dr Adeola. It so amazing to see my self back to my feet with every thing i have lost. i am very happy because Dr Adeola did not only cure my sickness but he restructure my life by bringing back my ex and every thing i lost to the course of this sickness(HPV). i do not really know where to start from in appreciating you Dr Adeola . please my people out there do not play with your problem go out and seeks for the help of great Dr Adeola herbal healing, he healed me without future problem or hidden charges. now i am free from HPV and My ex, my joy and happiness are back. please with out a second choice go contact great Dr Adeola for the betterment of your life. CONTACT HIM VIA EMAIL;dradeolaherbalhome@gmail.com or whatsapp number +2349027752454.. .

    ReplyDelete
  9. HELLO EVERYONE.. FEW MUNINETS TO REDY THIS INFOR ON HERPES CURE 2018..
    2017 MY MOTHER WAS DIAGNOSED OF HERPES/ KNOWN AS GENITAL WARTS ,I SPENT A LOT OF MONEY ON HER MEDICATION TILL A POINT I EVEN LOST HOPE,BECAUSE MY MOTHER WAS GRADUALLY DYING AND LOST HER MEMORY TOO, I WAS SO DESPERATE TO GET MY MOTHER BACK TO NORMAL, ONE DAY MY UNCLE WHO LIVES IN LONDON UNITED KINGDOM TOLD ME ABOUT DR OLIHA ,WHO HELPED HIM GET RID OF HERPES /GENITAL WART WITH HERBAL MEDICINE AND HIS HERBAL SOAP ,I WAS SO SHOCKED WHEN HE TOLD ME ABOUT THIS ,ALTHOUGH I NEVER BELIEVE IN HERB BUT, I KEEP TO BELIEVE BECAUSE MY UNCLE CAN'T TELL ME LIES WHEN IT COMES TO HEALTH CONDITION I CONTACTED DR OLIHA VIA HIS EMAIL; OLIHA.MIRACLEMEDICINE@GMAIL.COM , YOU CAN TALK TO HIM VIA CALL OR WHATSAPP MESSENGER ON +2349038382931 , HE REPLIED AND ASK ME TO SEND MY HOME ADDRESS AND MY MOTHER'S DETAIL AND THEN I PURCHASED THE HERBAL MEDICINE,SENT ME THE HERBAL MEDICINE THROUGH COURIER SERVICE, WHEN I RECEIVED THIS HERBAL MEDICINE USED IT FOR 2 WEEKS, AND 4 DAYS OF USAGE THE WARTS FELL OFF, MY MOTHER I NOW TOTALLY CURED AND MY MOTHER IS LIVING FREE AND HAPPY AGAIN. YOU CAN TALK TO DR VIA HIS MOBILE NUMBER OR WHATS APP HIM ON +2349038382931.ALL THANKS TO DOCTOR DR OLIHA

    ReplyDelete
  10. A quick note to let everyone know about the good work of doctor Iyabiye. My name is Maria and I was ones a HEPATITIS victim until i read about Dr. Iyabiye's herbal medication online, I contacted him for help and I got cured after I applied his medication. I am testifying to his medication because I want everybody to be informed so that hepatitis can be wiped out once and for all. Contact him through: iyabiyehealinghome@gmail.com Call/Whatsapp: +2348072229413

    ReplyDelete
  11. i am from USA, i am here to give my testimony how i was cured from HIV, i
    contacted my HIV via blade. a friend of my use blade to peel of her
    finger nails and drop it where she use it, so after she has left i did know
    what came unto me i looked at my nails, my nails were very long and i took
    the blade which she just used on her own nails to cut of my finger nails,
    as i was maintaining my names, i mistakenly injured myself. i did even
    bothered about it, so when i got to the hospital the next week when i was
    ill the doctor told me that i am HIV positive, i wondered where did i got
    it from so i remembered how i use my friend blade to cut off my hand so i
    feel so sad in my heart to the extent that i don’t even know what to do, so
    one day i was passing through the internet i met a testimony of a lady that all
    talk about how she was cured by a doctor called DR Imoloa so i quickly
    emailed the doctor email, and he also replied to me an told me the
    requirements which i will provide and I do according to his command,
    he prepare a herbal medicine for me which i took. he
    called me the next week that i should go for a test which i did to my own
    surprise i found that i was HIV negative. Thanks to him once more the great
    doctor that cured me DR Imoloa so you can also emailed him at
    {drimoloaherbalmademedicine@gmail.com} or whatssapp him on +2347081986098} God Bless you Sir.

    ReplyDelete
  12. Dr. Imoloa has really made me so much believe in him by getting me cured with his herbal treatment. i really appreciate you Dr.imoloa for bringing back happiness to my life again. thank you so much,friends join me to thank him for what he has actually done for me i pray to you all for a good life and good health, and most especially to you Dr. imoloa Thanks

    I have been suffering from (HERPES SIMPLEX VIRUS) disease for the past four years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctors, few months ago i came on search on the internet if i could get any information concerning the cure of this disease, on my search i saw a testimony of someone who has been healed from (HERPES SIMPLEX VIRUS) by this Man Dr imoloa and she drop the email address of this man and advise we should contact him for any sickness that he would be of help, so i wrote to Dr. imoloa telling him about my (HERPES Virus) well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me. I am now here to testify that i am no longer a herpes patient, I have experience a total transformation in my life,for all herpes patients get your herbal medicine to cure your sickness. And there has being rapid improvement in my health, I no longer feel pains and I wake up each morning feeling revived. So friends my advise is if you have such sickness or any other at all,you can contact him on drimolaherbalmademedicine@gmail.com, you can still reach him on whatssap- +2347081986098
    CANCER
    EPILEPSY.
    GENPILENCIN.
    HIV AIDS.
    DIABETICS
    STROKE.
    EXPANDS OF PENIS BREAST
    H.P.V TYPE 1 TYPE 2 TYPE 3 AND TYPE 4. TYPE 5.
    HUMAN PAPAILOMA VIRUS.
    HERPES.
    SYPHILIS.
    HEPATITIS A B and C.


    ReplyDelete
  13. I'm Karem really happy that i have been cured of (HERPES SIMPLEX VIRUS 2) with the herbal medicine of DR. AKHIGBE HERBAL CENTER, i have been suffering from this disease for the past four years without solution until i came across this email (drrealakhigbe@gmail.com) on the internet of a herbal doctor who have cure so many people of herpes virus with his herbal medicine, i also choose to give him a chance to help me, he told me what to do and i kindly did it, and he sent me his herbal medicine through Dhl courier services delivery and direct me on how to use it, i also follows his instruction for use and he ask me to go for a check up after three weeks and which i did, to my greatest surprise my result came out as negative, i am really happy that there is someone like this DR. AKHIGBE HERBAL CENTER who is ready to help people anytime any day. to all the readers and viewers that is doubting this testimony stop doubting it and contact this DR. AKHIGBE HERBAL CENTER and see if he will not actually help you. i am not a stupid person that i will come out to the public and start saying what someone have not done for me. he is really a great man contact him now. with this email: (drrealakhigbe@gmail.com) or you can contact him +2348142454860

    ReplyDelete
  14. I have been diagnosed with COPD (chronic obstructive pulmonary disease) and my doctor has given me Seebri Breezhaler, it's an inhalation powder 44 micrograms. I take it once a day in the morning. It's a great help to breathing, it's a new medicine on test, 10 out of 10 from me! But still yet i was told it has no cure for it. I was fed up to nearly take my life until my son saw a post of a lady who testify that there's a cure for copd and she was diagnosed with this disease for 8 years before she came arrow a website of an Africa clinic. Which provide natural herbal herbs to cure copd and she purchase it through online. My son purchase their copd herbal remedy on my behalf and give it to me to use with the instructions given on how to apply it, when i applied it as instructed i was totally cured of this deadly disease within 12 weeks of usage. I advise whosoever reading my testimony should visit www.solutionhealthherbalclinic.com and seek for your solution, You also can email at solutionsherbalclinic@gmail.com.

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  15. Do anyone still doubt natural herbs? I’ve seen the great importance of natural supplements and the wonderful work Dr Edidia has done in my husband life.
    I was looking for chronic obstructive pulmonary disease COPD treatments for my husband who was 72yrs old, my husband has COPD and cancer, his condition was very critical which i was very afraid that will not survive it.
    His white blood count was very low right now and his doctors are planning on starting some chemo or other treatment soon.. I don't believe he will last long if he does this.. His COPD is getting worse even though he hasn't smoked in 30 years. so i decided to come online to see if there will be better alternative, during my research i saw a lady post about doctor Dr Edidia who has power over deadly disease, so i decided to contact him because i really do not care about what my husband was talking in all i want for him is for him to get well for me because he was all i have, my husband took the remedies that he send to us through UPS as he told us and few weeks later my husband stop to notice that symptoms of his disease are begging to leave him so he went back to his Dr and he was told he no longer has those diseases.
    My husband is totally free of COPD and cancer if not for doctor Edidia who help us rid this problem there is a possibility that my husband wouldn't be alive today.
    their contact info (dredidiaherbalhome@gmail.com or whatsapp +2349074505296 visit his website
    http://dredidiaherbalhome.weebly.com/

    ReplyDelete
  16. HOW I GOT CURED OF HERPES VIRUS.

    Hello everyone out there, i am here to give my testimony about a herbalist called dr imoloa. i was infected with herpes simplex virus 2 in 2013, i went to many hospitals for cure but there was no solution, so i was thinking on how i can get a solution out so that my body can be okay. one day i was in the pool side browsing and thinking of where i can get a solution. i go through many website were i saw so many testimonies about dr imoloa on how he cured them. i did not believe but i decided to give him a try, i contacted him and he prepared the herpes for me which i recieved through DHL courier service. i took it for two weeks after then he instructed me to go for check up, after the test i was confirmed herpes negative. am so free and happy. so, if you have problem or you are infected with any disease kindly contact him on email--- drimolaherbalmademedicine@gmail.com. or / whatssapp --+2347081986098.
    This testimony serve as an expression of my gratitude. he also have herbal cure for COLD SORE, SHINGLES, CANCER, HEPATITICS A, B. DIABETES 1/2, HIV/AIDS, CHRONIC PANCERATIC, CHLAMYDIA, ZIKA VIRUS, EMPHYSEMA, LOW SPERM COUNT, ENZYMA, COUGH, ULCER, ARTHRITIS, LEUKEMIA, LYME DISEASE, ASTHMA, IMPOTENCE, BARENESS/INFERTILITY, WEAK ERECTION, PENIS ENLARGEMENT. AND SO ON.

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  17. 5 years ago I had warts, I was treated with some liquid applied to the warts they continued to grow and spread... The next 2 doctors did laser surgery to remove them. 1 year after the surgery, they grew back close to where the 1st ones were' so I was finally told it was hpv. I have had it for very long time, I contract it from my cheated boyfriend and I found out he was also infected and I end up the relationship between us. the warts was so embarrasses because it started spreading all over I have be dealing with this things for very long time the last treatment I take was About 2 years ago I applied natural treatment from Dr onokun herbal cure, a week after applying the treatment all the warts was gone. it's now 2 years and some months I don't have single wart or any symptoms of hpv. wow"" it's great, Dr onokun has finally cured me. Anyone living with hpv contact Dr onokun for natural treatment.
    His email address: dronokunherbalcure@gm‎ail.com

    ReplyDelete
  18. An amazing testimony on on how i conceive, also cure from fibroid, i wonder why people still don't believe that roots and herbs are very essential and fruitful in different aspect, especially when you can't conceive and bear children. I am a living witness because I tried all I could to be pregnant but all to no avail, on this faithful day, i decided to check the net for updates on healthy living and i came across testimonies of lot of women who Dr Ebhota has helped with his native herbs to conceive. i decided to put a try because this has been my greatest problem in life so I emailed Dr Ebhota, and he told me what to do which i did, after which he sent me some roots and herbs syrup and gave me step by step guild lines on how and when to have sex with my man. I missed my menstrual flow within a short period of taking it, and the doctor confirmed that I am pregnant. I am very glad to tell the world that I just put to bed a bouncing baby boy last week. Contact Dr Ebhota for your own testimony on: (drebhota12345@gmail.com).Or Whatsapp Him +2349035314155, He can also cure so many sickness
    {1}Herpes
    {2}Diabetes
    {3}Epilepsy
    {4} Blood Cancer
    {5} HPV
    {6} ALS
    {7} Hepatitis
    {8} Sickle cell anaemia

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  19. I am not sure of the cause of COPD emphysema in my case. I smoked pack a day for 12 or 13 years, but quit 40 years ago. I have been an outdoor person all my adult life. Coughing started last summer producing thick mucus, greenish tint to clear. I tried prednisone and antibiotics, but no change. X-rays are negative, heart lungs and blood and serum chemistries all are normal. I have lung calcification from childhood bout with histoplasmosis. I am 75 years old and retired.My current doctor directed me to totalcureherbsfoundation.com which I purchase the COPD herbal remedies from them ,they are located in Johannesburg, the herbal treatment has effectively reduce all my symptoms totally, am waiting to complete the 15 weeks usage because they guaranteed me total cure.

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  20. I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr movo and decided to contact him on his email: {drmovo.supernaturalherbalmedic@gmail.com} so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement of my penis, " and now it just 4 weeks of using his products my penis is about 9 inches longer, and i had to settle out with my Ex girlfriend JOY, i was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr movo I also learn that Dr movo also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr movo now for help on his email:{drmovo.supernaturalherbalmedic@gmail.com} or whatsapp +2347061865209.

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  21. Hello Everyone!
    I am Dr Edidia, a traditional herbal doctor i have traditional herbal medications for CANCER, GENITAL HERPES 1&2 , HPV, COPD, HIV, HERPES,ALS, ANAL WART, HYPERPIGMENTATION, ,DIABETIC, Aggressive Systemic Masctocytosis(ASM) and all kinds of diseases or infections and other health threatening ailments, my herbal medication i prepare is 100% guarantee with no side effects, all 100% pure natural herbs and Roots, i assure you permanent cure once you take this herbs medicine no matter the illness my herbs will get you cure completely.
    visit my website http://dredidiaherbalhome.weebly.com/ OR https://dr-edidia-herbal-home.business.site/
    also visit my facebook pages https://www.facebook.com/dredidiaherbs/?modal=admin_todo_tour OR https://www.facebook.com/HIV-CURE-1359918664158191/?modal=admin_todo_tour

    my Contact Email: dredidiaherbalhome@gmail.com
    Call/WhatsApp: +2349074505296.

    Dr Edidia also has cure for the following disease:
    Herpes.
    * Hiv*
    HPV*
    Candida*
    Cancer*
    Fibromyalgia
    * Endometriosis*
    Pemphigoid *
    Irritable Bowel Syndrome (IBS) *
    Sarcoidosis *
    Scleroderma *
    Diabetes *
    ILD *
    Glaucoma *
    Primary Lateral Sclerosis (PLS) *
    Psoriasis *
    Celiac Disease *
    ALS (Lou Gehrig’s Disease) *
    Ankylosing Spondylitis *
    Autism Spectrum Disorders *
    Behcet’s Disease *
    Alzheimer’s Disease*
    Chronic Fatigue Syndrome*
    CREST syndrome *
    Crohn’s Disease *
    Multiple Sclerosis (MS) *
    Parkinson’s Disease *
    Rheumatoid Arthritis *
    Emphysema (COPD) *
    Atrial fibrillation*
    Thyroid/adrenyl *
    Extremities Lymphodemia *
    Stiff Person Syndrome (SPS) *
    Systemic Lupus (SLE) *
    Transverse Myelitis*
    Ulcerative Colitis *
    Wegener’s Granulomatosis *
    Bronchiectasis *
    Pulmonary fibrosis.

    Visit Dr Edidia today for a life lasting testimonies.


    Thanks
    Dr Edidia

    ReplyDelete
  22. I was positive to the deadly virus called HERPES and i lost hope because i
    was out casted and rejected even by my closet friends.
    i searched on-line to know and enquirer about cure for HERPES and i read
    someone testimony on how he was cured from HSV-2 so i decided to contact
    the same herbalist Call Dr Osagie because i know that nature has the power
    to heal everything.
    i contacted him to know how he can help me and he told me never to worry
    that he will help me with the natural herbs from God!
    after 2 days of contacting him, he told me that the cure has been ready and
    he sent it to me via UPS SPEED POST and it got to me after 3 days!
    i used the medicine as he instructed me (MORNING and EVENING) and i was
    cured!
    its really like a dream but i am so happy!
    thats the reason i decided to also add more comment of Him so that more can
    be saved just like me!
    and if you need his help, you can email him on drosagieherbalcentre627@gmail.com
    or whatsapp +2348160530032
    here is the Dr website https://drosagieherbalcentre627.weebly.com/

    ReplyDelete
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