Sunday, May 29, 2011

Prostate Cancer Invading The Seminal Vesicle: Prognosis and Treatment

I have recently heard from many new friends here and on some patient forums with concerns about seminal vesicle involvement by prostate cancer.  Often times, when giving a patient his pathology result after a prostatectomy, the urologist will mention the seminal vesicle but not explain its significance or, more importantly, the significance of involvement of the seminal vesicle by prostate cancer.  In this post, I want to shed some light on what the seminal vesicles are, why it is important to know if prostate cancer invades them, and what can be done once seminal vesicle involvement is determined after a prostatectomy.

 The Seminal Vesicle Exposed

A good place to start this discussion is to provide a little background about the seminal vesicle.  As its name implies, the seminal vesicle is basically a container for semen.  Two such seminal vesicles are located behind the prostate.  On diagrams, they look like bunny ears emerging behind the prostate and the bladder.  The seminal vesicles, along with the prostate, produce most (about 90%) of the semen released during ejaculation.  They are attached to the prostate and actually have ducts which empty into the center of the prostate.  This is the part of the prostate through which the urethra travels into the bladder (the “donut hole”).  These ducts connect to those of the tubes carrying sperm from the testes (the vasa differentia).  When ejaculation occurs, the sperm from the vasa differentia mix with the semen produced by the seminal vesicles and the prostate in the part of the urethra travelling through the prostate. The whole mixture is then propelled out through the urethra and penis by means of a forceful contraction of the muscles of the pelvis (this contraction is what provides the feeling of an orgasm).  As is probably clear from this description, the seminal vesicles are intimately associated with the prostate. As a result, prostate cancer that has escaped the prostate can proceed to directly invade the seminal vesicles.

Prostate Cancer and the Seminal Vesicle

Prostate cancer invades the seminal vesicles in about 3-7% of men with the disease.  Historically, invasion of the seminal vesicle by prostate cancer has been considered a sign of a very poor prognosis for men with prostate cancer.  In the past, studies reported that 50% of men with seminal vesicle invasion actually had metastatic disease at the time of surgery and, in fact, invasion of the seminal vesicle, itself, has been considered metastatic disease by many urologists.  This idea was supported by the fact that the majority of patients with seminal vesicle invasion demonstrated a rather quick biochemical recurrence after prostatectomy. This rapid recurrence of PSA after prostatectomy often led to subsequent documented metastatic disease.  As a result, the survival rate for men with seminal vesicle invasion was historically reported to be as low as only 32% at 7 years. 

With the era of PSA testing, outcomes for men with prostate cancer invading the seminal vesicles have been somewhat more encouraging.  The chance of a PSA recurrence within 10 years of prostatectomy remains very high (around 80%) for men found to have seminal vesicle invasion.  The rate of metastatic disease, as well, remains high at 44% for these men at 10 years after surgery.  However, these high rates of recurrence and metastasis do not appear to the lead to the dismal survival rates I previously mentioned.  In fact, recent studies demonstrated that at 10 years after surgery, men with invasion of the seminal vesicles demonstrated an overall survival rate of 61%.  In addition, a cancer specific survival rate of 84% has been described for these men.  That statistic is pretty astounding if you think about it: despite extremely high recurrence and metastasis rates, only about 16% of men with seminal vesicle invasion died of prostate cancer at 10 years after surgery!  This discrepancy is most likely a strong testament to the efficacy of hormonal therapy in managing metastatic disease.

Managing Seminal Vesicle Invasion

Because of the high rates of metastatic disease and poor prognosis associated with seminal vesicle invasion, patients with this finding have often been treated as if they had metastatic disease.  As a result, doctors have waited for early signs of a PSA recurrence after which they initiated hormonal therapy to manage impending metastatic disease.  Even with such a pessimistic, conservative approach, the impressive 10 year cancer specific survival of 84% mentioned above was attained for men with seminal vesicle invasion at 10 years after surgery.

Recently, however, a new, viable treatment option has become available for men with seminal vesicle invasion thanks to a randomized trial published in 2008.  The SWOG 8794 trial included 139 men that were found to have seminal vesicle invasion with or without positive margins or extracapsular extension (I cover both of these topics in prior posts).  These men were randomized into 1 of 2 treatment arms:

1)    Adjuvant Radiation Therapy
2)    Observation

Of note, men in the observation arm of the study could be treated at the digression of their physicians once a recurrence was documented.  This treatment could include either delayed radiation or hormonal therapy. 

The study demonstrated that men undergoing adjuvant radiation therapy enjoyed a significantly higher freedom from recurrent disease of 36% versus 12% for those in the observation arm.  In addition, men undergoing the radiation therapy appeared to be half as likely to need long term hormonal therapy as those in the observation arm.  The study also found that, after 10 years of follow up, men undergoing adjuvant radiation therapy enjoyed a higher rate of freedom from metastasis (66% versus 47%) and a higher overall survival rate (71% versus 51%) as compared to those men undergoing observation and possible delayed treatment.  The differences in freedom from metastasis and in overall survival, although impressive, were not statistically significant.  This lack of statistical significance is most likely due to the 10 year follow up of the study, the small overall number of patients, and the fact that men in the observation arm did receive hormonal therapy or salvage radiation therapy. Nonetheless, the results of the study are clinically significant and have really changed the approach to managing prostate cancer in men with seminal vesicle involvement. Rather than waiting for recurrent cancer and palliatively treating metastatic disease, many doctors are now aggressively treating men with seminal vesicle disease with adjuvant radiation therapy.  While the side effects of radiation need to be kept in mind, the potential benefit of this adjuvant radiation therapy appears to be substantial.  Another fact important to point out is that the dose of radiation administered to patients in this study was fairly modest as compared to that received by contemporary patients.  As such, one would imagine that the results of the study would be even more impressive if current radiation doses were used.

Take Home Message

Invasion of the seminal vesicle is usually a sign of an aggressive cancer, very different from the “run of the mill” Gleason 6, localized disease usually thought of when referring to prostate cancer.  Seminal vesicle involvement is a poor prognostic indicator associated with high rates of recurrence and metastatic spread.  In the PSA era, however, seminal vesicle involvement no longer appears to be the death sentence it was historically thought to be.  Aggressive management with adjuvant radiation can delay prostate cancer recurrence and spread.  In addition, the prudent use of hormonal therapy to manage metastatic disease can lead to many more years of life.  Overall, while certainly a serious condition to deal with, seminal vesicle invasion can still be successfully treated when encountered in men with prostate cancer.

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This blog is not a medical practice and cannot provide specific medical advice. This information should never be used to replace or discount the medical advice you receive from your physician 

84 comments:

  1. I was advised today that I had a T3C prostrate cancer that has invaded my seminal vesicles. My medical team have advised a 6 month course of hormone treatment to be followed by radiotherapy. I was anticipating radical surgery as the first step and my head tells me that removal is a logical thing to be doing first.
    I have read your excellent posts tonight and am now unsure what to do.... second opinion to check out if radical surgery is the right move? or just get on with my medical teams advice.

    59 years old and confused..... can you shed any light on this dilemma for me?

    ReplyDelete
    Replies
    1. I am 56 and was diagnosed with prostate cancer July 3, 2014. I have just undergone Radical Prostatectomy. I now find out that I am a T3C and the Seminal Glands are infected... I am confused at what is happening and Just want someone to explain in simple terms what this means. All I know at this time is that I have to wait two months to see what my PSA results are . The doctor has mentioned Radiation Treatment, but again I don't understand if this is serious or actually something that I may loose my life over? What should I expect to happen next?

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    2. Hello Balnastraid.
      I am a G9 T3B Radical Pros, then 33 RT. Operation June 18,Rt Late December , finished 6/2/ 18. Last three PSA tests were 0.1. Next PSA late January.
      All above without HT.
      At the moment I am doing "HBOT" four days a week, then after twenty sessions, cut it down to once a week.
      Also after I was feeling a bit better after surgery, went on a twentyone day fast, just water, same after RT.
      I recognised your house name, I drove you about a few times

      Delete
    3. Correction, Finished RT 6/2/19

      Delete
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  2. Balnastraid: While I cannot give individual medical advice through this blog, I do have some thoughts. Young, healthy men with T3C prostate cancer present a dilemma for urologists. As I mentioned in my post, the current thought is that men with T3C disease most likely has some prostate cancer that has spread locally or distantly. As a result, many urologists feel that surgery will not be successful as it probably wont get rid of all of the cancer. That, in combination with the good data from Europe about the results of a combination of radiation and 36 months of hormonal therapy ( see my post on timing of hormonal therapy), leads many urologists/oncologists to recommend some variant of the treatment course you were offered. That being said, some urologists try to be more agressive with younger men, opting to do at least a "debulking" surgery which gets rid of most of the cancer and then proceeding with radiation and possibly hormones. The decision depends on the clinical exam, PSA, presence or suspicion of lymph node or bone metastases, physician mentality, lifestyle/quality of life choices, and patient desire. As for a second opinion, that is something I recommend to all men diagnosed with prostate cancer. Fortunately, prostate cancer is not a heart attack and gives you the luxury of a little time to make up your mind. A second opinion may give you more confidence with your current treatment plan or make you realize that you need to choose a different path. In addition, comfort with your treatment team is almost as important as the treatment plan itself. Hope that helps.

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  3. That is extremely helpful and is sound advice. "De-bulking" (great term) surgery seems an obvious step to a younger person who feels he wants an aggressive approach to trying to beat the cancer.

    Does a patient who has previous undergone some initial hormone therapy still have the option of "de-bulking" surgery. It's not clear to me from all that I have read on the subject.

    Thanks for trying to help us out here trying to pick our way through the options available. It's much appreciated.

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  4. Balnastraid: Prostatectomy can still be carried out after hormonal therapy is initiated. As I mentioned, prostatectomy in patients with seminal vesicle disease can have higher complication rates. A thorough discussion with a urologist about all of the risks is extremely important. Glad to help!

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  5. Balnastraid, I'm a high-risk G-9 positive vesicle patient..I'm being treated with all three, surgery, RT, HT..The surgery was worth a try and if it fails (in my case it did) at least 98% of the cancer was removed, giving the RT/HT FAR less work to do and improving the chances for success..I'm one year out from diagnosis, still on HT, PSA undetectable...

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  6. Thanks for the encouragement Fairwind ..... i think I also will be going down the same treatment path ...seems to make sense.

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  7. Seminal Vesicle Invasion for me. Radical Prostatectomy for me in Jan 2010. RT started in March 2010 for 39 doses. Have been on HT since - 90 day release - Zoladex.
    So far PSA is undetectable. Feeling great.

    ReplyDelete
  8. Age 53. Just had robotic prostatectomy on Dec. 10. PSA prior to surgery was 12.3. Biopsy positive on 9 of 12 cores. Gleason - 7 (3+4). Post-op Gleason lowered to 6. Margins were negative and lymph nodes (also removed) were negative. However there was SVI. Haven't had a follow-up yet for post-op PSA. Gleason of 6, neg margins and no lymph node involvement seems to contradict SVI but that's what I've been told. Doc suggested I consider radidiation. Seems like the prudent approach. Worried right now.

    ReplyDelete
    Replies
    1. You are in the same boat as I am. I'm 56 and just undergone Radical Prostatectomy and your story sounds like mine. I just want someone to explain in simple terms.... what this all means and what should I do? Worried too!

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    2. I am in the same boat as you and really confused. I had robotic surgery in May with a psa of 23, this followed failed radiation 13 years ago. Post op psa was a 2.3. I had svi and positive margins and lymph nodes were negative. Since the took the seminal vessels, how can this be a big problem? Can I be cured? I know this is 2018 so may there is something good out there for me. If someone knows of anything please let me know as I am stressing badly.

      Delete
  9. Sonny Jan 17,2013 at 9:07 am
    jgmcbride &Chaz: Age 71, had robatic prostatectomy on Dec 26. SVI on the left side. Will have post-op PSA and see the Doc on Feb 12. Chaz, I am fighting incontenece and worring like you. Please post what your doc finally plan for you.

    jgmcbride: What is your post-op PSA? RT used in your case was low dose or regular dose? What kinds of side effect from RT and HT? Thanks.

    ReplyDelete
  10. sanit, I have my first post-op PSA on Feb. 15. Had a urologist friend of mine recommend against RT unless the PSA starts to rise...why do it if it's not necessary...right? We'll see. Have an appt with a radiation oncologist at the end of Jan.

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  11. Chaz: I also will have my first post-op PSA on Feb 12. I am worry about the score and what the urologist is going to say. As your urologist friend reccomentation, it seems to me that is against The Prostate Doc above article which says: "Rather than waiting for recurrent cancer and palliatively treating metastatic disease, many doctors are now aggressively treating men with seminal vesicle disease with adjuvant radiation therapy." and, "Aggressive management with adjuvant radiation can delay prostate cancer recurrence and spread. In addition, the prudent use of hormonal therapy to manage metastatic disease can lead to many more years of life."
    Please share what you learn from the radiation oncologist. Thanks.

    ReplyDelete
  12. sanit, the RT is a tough call. While I appreciate the philosophy of being aggressive there's also the possibility of the surgery being curative and the RT being over-treatment. There are docs on both sides of the issue and there aren't a ton of studies with significant follow-up timelines that makes it an easy decision one way or the other. My mother died recently (at 90) of MDS which can be triggered by radiation exposure and/or chemo. So...I've got that to consider. Also, my post-op path report indicated a Gleason score of 6 so a little less aggressive than some. What was your post-op Gleason? With my negative margins and LN there is...by some accounts a good chance that my surgery was curative.
    The Sloan-Kettering nomogram would indicate that I have a 92% chance of remaining re-current free at 10 years based on my pathology. Thus...my dilemma with RT. Will have to see what the oncologist says and what my PSA result is.

    ReplyDelete
    Replies
    1. Chaz: I am in worse shape than you. I am 71. My post-op was a Gleason 7, T3b, positive left seminal vesicle,focally positive margin adenocarcinoma of the prostate. I don't know much about the Sloan-Kettering nomogram. Would you please check it for me, if you don't mind?

      Delete
  13. sanit, here is a link to the nomogram.
    http://nomograms.mskcc.org/Prostate/PostRadicalProstatectomy.aspx

    I would encourage you to join the Prostate Cancer Infolink.
    http://prostatecancerinfolink.net/

    Join the social network that is part of the website. Ask lots of questions. It has helped me to understand a few things about my situation...like...just because I had positive seminal vesicle doesn't mean the surgery wasn't curative. Longevity runs in my family so I'm possibly looking at 40-45 years of having to try to deal with this disease if it wasn't curative. I figure there will be new methods for curing it or at least keeping it in regression as the years roll by. There are lots of treatment options available...studies you can participate in...keep your chin up...it's not a death sentence...it can be managed.

    ReplyDelete
    Replies
    1. Chaz:Thanks.I will look into both links.

      Delete
    2. sanit, the radiation oncologist agreed with my assessment that my post-op path is in kind of gray area and since I had neg margins and no ECE that RT was probably not necessary at this time. I will be closely monitoring my PSA and if it rises then I'll pursue RT. I see you joined the Infolink social network.

      Delete
    3. Chaz: Thanks for sharing. I will wait and see my PSA on Feb 12.

      Delete
  14. I had a RALP via daVinci. My seminal ducts and some lymphs were taken out as precaution, but were clear. Can I get some kind of surgery to replace the ducts so I can ejaculate normally again?

    ReplyDelete
  15. chris - i am waiting my psa post op test and then talking with my radiologist. as my pre op gleason was 7 , my psa 3.5 ( low), while all other evidence indicated aggressive cancer, then post op it was discovered I had SVI in one outer membrane but no current other spread to outer margins / bones or lymph glands. their current recommendation is that I have adjunct radiotherapy for 6 weeks plus possible hormone therapy for 1 year. it seems that with this treatment I have better possibility of non re-occurrence and 10 year life expectancy than wait and see. i am at a good advanced treatment centre ( UCH London) and hope that new more focused and higher doses of radiation will work better. is this true - are there more recent studies showing whether there is significant improved life chances with this approach? on the other hand it seems there is at least a 4% chance that the result can be horrible side effects with complete loss of bladder and bowel control and other serious impacts. my wife urges me to consider quality and well as length of life. what do others think - has the chances of radical negative side effects reduced with more recent treatments?
    finally are there any trials / tests going on that indicate better outcome treatments - like proton therapy?
    thanks

    ReplyDelete
  16. My father is 65. Diagonised with T3C , No , Acinar Adenocarcinoma. 4 out of 12 cores +ve. G score 7 (3+4) with Peineural Invasion present(13% involved). Bone Scan NORMAL. PSA 30(August2014). Hormone therapy started with eligard taken on 9.9.2014.
    Now we are confused about further treatment pocedure… Pls help…

    ReplyDelete






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    ReplyDelete
    Replies
    1. What a bizarre place for an advert for a breast cancer doctor!

      Delete
  18. I have T3b and had RP in February 2018. My Gleason is 9, PSA pre-op was 7.1. I have SV involvement and positive margin. I'm scheduled for radiation x 37 days. I know my recurrence chances are high. I am encouraged that it seems now that this disease can be managed but not cured.

    ReplyDelete
    Replies
    1. Same as me. My psa 23 pre op with gleason 7 with sv involvement and positive margins. Do a pet scan next week. It seems like we should be able to find a cure since we have no lymph node involvement and sv are gone. I would think this would be good news and if someone has some, please respond.

      Delete
    2. Chris, I have heard that this can be managed but not cured. Some threads that I have read said a person will probably die with pc, not because of it. It is really mental and I wrestle with it but as I had positive margins, sv but negative lymph nodes. This stuff is different for every person. Good Luck and hope we both get many many years.

      Delete
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  19. It is really a shame for someone to say to another " a man who cannot satisfy his wife's sexual need is not a real man!" You need to find the definition of a "real man" because you clearly are callous and ignorant in posting that. If your man sees that, I would be most definitely concerned for you in remaining married or in your relationship. I hope NO ONE ever says to you, " a woman who cannot satisfy her man's sexual needs is not a real woman!" You are self centered and have no idea what it is to be pleasured in other ways other than sex, if all a man is to you is sexual. When you no longer can pleasure your man due to illness or other factors, hope he never has to "throw you away" because now you are a FAKE woman! You need a RUDE AWAKENING Ms. Mcneil.

    ReplyDelete
  20. Hi all, anyone can help me understand I have had been diagnosed prostate cancer gleason 7b by biopsy with PSA 4.8. Carcino macould not be detected by RMI scan, I went for PET scan and following is the summary of findings, anyone out there can help me understand ."PSMA-PET findings compatible with known prostate malignancy in both lobes. Impression of extension to the seminal vesicles bilaterally. No signs of locoregional nodal involvement or distant metastases.

    ReplyDelete
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  24. Hello everyone, i'm Linda Harry from United State i was diagnosed with Parkinson Disease  for over 6 years which made me loose my job and my relationship with my Fiance after he discovered that i was having Parkinson, he departed from me, and i tried all my best to make him stays, but he neglected me until a friend of mine  from UK told me Great healer, who will restore my life back with his powerful healing herbal medicine. then he  sent me his email address to contact him- drimolaherbalmademedicine@gmail.com. and i quickly contacted him, and he said my condition can be solved, that he will treat the disease immediately only if i can accept trust on him and accept his terms and condition, i Agreed because i was so much in need of help by all means, so i did all he instructed me to do. And surprisingly after two weeks, He sent me a text, that i should hurry up to the hospital for a checkup, which i truly did, i confirm from my doctor that i am now ( PARKINSON NEGATIVE) my eyes filled with tears and joy, crying heavily because truly the disease deprived me of many things from my life, This is a Miracle, dr imoloa also uses his powerful herbal medicine to cure the following diseases:  lupus disease,  mouth ulcer,  mouth cancer, body pain, fever, hepatitis A.B.C.,   syphilis,  diarrhea,  HIV/AIDS,  Huntington's Disease,   back acne,  Chronic renal failure,   addison disease,  Chronic Pain,   Crohn's Disease,   Cystic Fibrosis,  Fibromyalgia,   Inflammatory Bowel Disease,  fungal nail disease, Lyme Disease, Celia disease, Lymphoma, Major Depression,  Malignant Melanoma,   Mania,  Melorheostosis,   Meniere's Disease,  Mucopolysaccharidosis , Multiple Sclerosis,  Muscular Dystrophy,  Rheumatoid Arthritis, Alzheimer's Disease, parkison disease, vaginal cancer, epilepsy,  Anxiety Disorders, Autoimmune Disease,   Back Pain,  Back Sprain,   Bipolar Disorder,  Brain Tumour,  Malignant,   Bruxism, Bulimia,  Cervical Disk Disease, cardiovascular disease, Neoplasms, chronic respiratory disease,  mental and behavioural disorder,     Cystic Fibrosis,   Hypertension, Diabetes, asthma,  Inflammatory autoimmune-mediated arthritis.  chronic kidney disease, inflammatory joint disease,  impotence,  feta alcohol spectrum,  Dysthymic Disorder,   Eczema, tuberculosis,  Chronic Fatigue Syndrome, constipation, inflammatory bowel disease, bone cancer, lung cancer. contact him on email- drimolaherbalmademedicine@gmail.com. and also on whatssap- +2347081986098

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  25. I am a 51 year old female that just found out I have Motor Neuron Disease Parkinson's about a year and half, but I have been having signs of it for years, tremors, depression, body weakness. ECT. I honestly don't think my doctor was reading the signs because of my gender and age. A few years ago I had my shoulder lock up on me and I was sent to a P.T since x-rays didn't show any physical damage. My shaking was getting worse and I began falling. Only when my speech became so bad that it brought concern to my dentist was Parkinson's even considered. He phoned my doctor with his concerns about my shaking and balance problems. By this time I was forgoing shots in the back of my neck for back and neck pain to which once again I was sent to a P.T (although x-rays showed no damage) I was told I had a few spurs which were most likely causing the pain. Here I was feeling like my whole body was falling apart and doctor could not find anything wrong, maybe in was all in my head? My doctor even seemed annoyed with me and things just kept progressing and I just kept it to myself, why bother going through testing and them finding nothing? Well, it was after my second P.T called my doctor about the weakness in my legs and arms, by this time I have developed a gait in my walk and I fell more frequently. Only then did my doctor send me to a specialist and it was found that I had Parkinson's, and that I have had it for awhile. I think because I was a woman that my signs and symptoms weren't taken seriously and therefor left untreated for so long,I was taking pramipexole dihydrochloride three times daily, I Was on carbidopa levodopa but only lasted 90 minutes then wore off.I found that none of the current medications worked effective for me.I got tired of using those medication so I decided to apply natural herbs formula that was prescribed to me by my second P.T, i purchase the herbal formula from totalcureherbsfoundation. com, There has been huge progression ever since I start the treatment plan which will last for 15 weeks usage.all the symptoms and sign has begin to disappear .

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  26. I had myasthenia gravis since 2015. I got medically discharged out of the Army, a job I loved well. My heart had 5 myasthenic crises, 3 being severe enough to be ventilated or require CPAP (continuous positive airway pressure) helmet. I have had countless plasma exchanges as my veins are bad. I also needed Hickman lines inserted. I have been on azathioprine, mycophenolate (CellCept), methotrexate and none have worked. I'm currently done with my herbal remedy I purchase from totalcureherbsfoundation .com which has totally cured my condition with a surprise after almost four months of their usage, I was discouraged and never thought I would be myasthenia gravis (MG) free ,to me the best to get rid of this condition is totalcureherbsfoundation com treatment because all medications I used never worked include mycophenolate (CellCept)

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  27. 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 received 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, FEVER, BODY PAIN, DIARRHOEA, MOUTH ULCER, MOUTH CANCER FATIGUE, MUSCLE ACHES, LUPUS, SKIN CANCER, PENILE CANCER,  BREAST CANCER, PANCREATIC CANCER, CHRONIC KIDNEY DISEASE, VAGINAL CANCER, CERVICAL CANCER, DISEASE, JOINT PAIN, POLIO DISEASE,  PARKINSON'S DISEASE, ALZHEIMER'S DISEASE, BULIMIA DISEASE,   INFLAMMATORY JOINT DISEASE CYSTIC FIBROSIS,  SCHIZOPHRENIA, CORNEAL ULCER, EPILEPSY, FETAL ALCOHOL  SPECTRUM, LICHEN PLANUS, COLD SORE, SHINGLES, CANCER, HEPATITIS A, B.  DIABETES 1/2, HIV/AIDS, CHRONIC RESPIRATORY DISEASE,  CARDIOVASCULAR DISEASE,  NEOPLASMS, MENTAL AND BEHAVIOURAL DISORDER, CHLAMYDIA, ZIKA VIRUS, EMPHYSEMA, TUBERCULOSIS LOW SPERM COUNT, ENZYMA, DRY COUGH, ARTHRITIS, LEUKAEMIA, LYME DISEASE, ASTHMA, IMPOTENCE, BARENESS/INFERTILITY, WEAK ERECTION, PENIS ENLARGEMENT. AND SO ON.

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  28. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to go to the internet and search for cancer cure so that was how I find a lady called peter Lizzy she was testifies to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

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  29. HOW I GOT CURED OF HERPES DISEASE IT IS REAL TESTIFIED
    All thanks to dr Ojiro , i have being suffering from Herpes for so long till i met a woman who told me about a particular doctor who has cured her from Herpes i didn't believe it, till i collected her number and i called her,she is an Florida woman, she told me all i need to know about this doctor and i contacted the doctor and explain my situation to him and he told me all i need to do and I'm happy to tell the whole world now that amHerpes negative, may the good lord grant you long life doctor.Ojiro If you are suffering from such illness or you have any spiritual problem, HPV, CANCER, penis enlargement, hurry up and contact dr Ojiro via email: drojiroherbalhome@gmail.com.or WhatsApp him to via:+2348056934051 will forever be grateful.

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  30. FINALLY FREE FROM HERPES VIRUS
    I thought my life had nothing to offer anymore because lifebecame meaningless to me because I had Herpes virus, thesymptoms became very severe and bold and made my familyrun from and abandoned me so they won't get infected. I gaveup everything, my hope, dreams,vision and job because thedoctor told me there's no cure. I consumed so many drugs butthey never cured me but hid the symptoms inside me makingit worse. I was doing some research online someday when Icame across testimonies of some people of how DR Ebhotacured them from Herpes, I never believed at first and thoughtit was a joke but later decided to contact him on the detailsprovided and when I messaged him we talked and he sent mehis herbal medicine and told me to go for a test after twoweeks. Within 7 days of medication the symptomsdisappeared and when I went for a test Lo and behold I wasNEGATIVE by the Doctor Who tested me earlier. Thank you DREbhota because I forever owe you my life and I'll keep ontelling the world about you. If you are going through samesituation worry no more and contact DR Ebhota viadrebhotasolution@gmail. com or WhatsApp him via +2348089535482.he also special on cureing 1. HIV/AIDS2. HERPES 3. CANCER 4.ALS 5. HEPATITIS B 6.DIABETES 7. HUMAN PAPILOMA VIRUS DISEASE(HPV)8. ALZHEIMER 9. LUPUS (Lupus Vulgaris or LupusErythematosus 

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  31. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to make search for cancer cure so that was how I find a lady called peter Lizzy she was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

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  32. There is a safe & effective Natural Herbal Medicine. For Total Cure Call    +2349010754824,  or email him   drrealakhigbe@gmail.com       For an Appointment with (Dr.) AKHIGBE contact him. Treatment with Natural Herbal Cure. For:Dengue Fever, Malaria. Painful or Irregular Menstruation. HIV/Aids. Diabetics. Vaginal Infections. Vaginal Discharge. Itching Of the Private Part. Breast Infection. Discharge from Breast. Breast Pain & Itching. Lower Abdominal Pain. No Periods or Periods Suddenly Stop. Women Sexual Problems. High Blood Pressure Chronic Disease. Pain during Sex inside the Pelvis. Pain during Urination. Pelvic Inflammatory Disease, (PID). Dripping Of Sperm from the Vagina As Well As for Low sperm count. Parkinson disease. Obesity, Lupus.  Cancer.  Tuberculosis.  Zero sperm count. Bacteria, Impotence Fertility,Protoplasmic, Diarrhea. Herpatitis A&B, Rabies. Asthma.  Quick Ejaculation. Gallstone, Cystic Fibrosis, Schizophrenia, Cirrhosis,  Premature Ejaculation. Herpes. Joint Pain. Stroke. Cornelia Disease, Weak Erection. Ovarian problem,  Erysipelas, Thyroid, Discharge from Penis. Bronchial Problem,  HPV.  Hepatitis A and B. STD. Staphylococcus + Gonorrhea + Syphilis. Heart Disease.  Pile-Hemorrhoid.rheumatism,  Impotence, thyroid, Autism, Sepsis Bacteria,  Penis enlargement, Prostate Problem,  Waist & Back Pain.  Male Infertility and Female Infertility. Etc. Take Action Now. contact him & Order for your Natural Herbal Medicine:  +2349010754824  and email him    drrealakhigbe@gmail.com    Note For an Appointment with (Dr.) AKHIGBE.I suffered in Cancer for a year and three months dieing in pain and full of heart break. One day I was searching through the internet and I came across a testimony herpes cure by doctor Akhigbe. So I contact him to try my luck, we talk and he send me the medicine through courier service and with instructions on how to be drinking it.To my greatest surprise drinking the herbal medicine within three weeks I got the changes and I was cure totally. I don't really know how it happen but there is power in Dr Akhigbe herbal medicine. He is a good herbalist doctor.

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  33. Its a pleasure for me to write this testimony about how i got my Diabetes type 1 cured a month ago. i have been reading so many comments of some people who were cured from various diseases by dr ovia but i never believed them. I was hurt and depressed so I was too curious and wanted to try DR. Ovia then i contacted him through his email when i contact him, he assured me 100% that he will heal me, i pleaded with him to help me out. My treatment was a great success, he healed me just as he promised. he sent me his medication and ask me to go for check up after 2 weeks of taking the medication. i agreed with him i took this medication and went for check up , to my greatest surprise my result was negative after the treatment, i am really happy that i am cured and healthy again. I have waited for 7days to be very sure i was completely healed before writing this testimony. I did another  test one week ago and it was still negative. so i guess its time i recommend anyone going through diabetes Herpes HSV-1 or HSV-2, HIV, HPV, Hepatitis B,Cancer reach him through his ig link @droviaherbalhome or on whatsapp +2348117923986 his emails address droviaherbalhome@gmail.com

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  34. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to make search for cancer cure so that was how I find a lady called peter Lizzy she was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

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  35. Is any one here suffering from any kind of STD or STI ? , Now this is to everyone out there with different health challenges, as I know there are still a lot of people suffering from different health issues and are therefore looking for solution. I bring you Good news. There is a man called Dr. Tokubo a herbal practitioner who helped cure me from Genital herpes, this i had suffered from for the past 2years and have spent so much money trying to survive from it. I got my healing by taking the herbal medicine he sent to me to drink for about 9days . 3days after completion of the dosage, I went for a medical checkup and I was tested Genital Herpes NEGATIVE. I'm sharing this so that other people can know of this great healer called Dr Tokubo because I got to know him through a friend he cured from HIV. I was made to understand that he can cure several other deadly diseases and infections. Don't die in ignorance and don't let that illness take your life. Contact Dr. Tokubo through: drtokubotemple@gmail.com You can also call/whatsapp him on:+2349037990322 Thank you dr tokubo. Be kind enough to share your testimonies as you received your cure.

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  36. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to make search for cancer cure so that was how I find a lady called peter Lizzy she was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

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  37. FINALLY FREE FROM HERPES VIRUSESI thought my life had nothing to offer anymore because life became meaningless to me because I had Herpes virus, the symptoms became very severe and bold and made my family run from and abandoned me so they won't get infected. I gave up everything, my hope, dreams,vision and job because the doctor told me there's no cure. I consumed so many drugs but they never cured me but hid the symptoms inside me making it worse. I was doing some research online someday when I Came across testimonies of some people of how DR Ebhota Cured them from Herpes, I never believed at first and thought it was a joke but later decided to contact him on the details provided and when I messaged him we talked and he sent me his herbal medicine and told me to go for a test after two weeks. Within 7 days of medication the symptoms disappeared and when I went for a test Lo and behold IT was negative by the Doctor Who tested me earlier. Thank you DR Ebhota because I forever owe you my life and I'll keep on telling the world about you. If you are going through the same situation worry no more and contact him via email  drebhotasolution@gmail. com or WhatsApp him via +2348089535482.he also special on curing 1. HIV/AIDS2. HERPES 3. CANCER 4.ALS 5. HEPATITIS B 6.DIABETES 7. HUMAN PAPILLOMA VIRUS DISEASE(HPV)8. ALZHEIMER 9. LUPUS (Lupus Vulgaris or Lupus Erythematosus

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  38. FINALLY FREE FROM HERPES VIRUSESI thought my life had nothing to offer anymore because life became meaningless to me because I had Herpes virus, the symptoms became very severe and bold and made my family run from and abandoned me so they won't get infected. I gave up everything, my hope, dreams,vision and job because the doctor told me there's no cure. I consumed so many drugs but they never cured me but hid the symptoms inside me making it worse. I was doing some research online someday when I Came across testimonies of some people of how DR Ebhota Cured them from Herpes, I never believed at first and thought it was a joke but later decided to contact him on the details provided and when I messaged him we talked and he sent me his herbal medicine and told me to go for a test after two weeks. Within 7 days of medication the symptoms disappeared and when I went for a test Lo and behold IT was negative by the Doctor Who tested me earlier. Thank you DR Ebhota because I forever owe you my life and I'll keep on telling the world about you. If you are going through the same situation worry no more and contact him via email  drebhotasolution@gmail. com or WhatsApp him via +2348089535482.he also special on curing 1. HIV/AIDS2. HERPES 3. CANCER 4.ALS 5. HEPATITIS B 6.DIABETES 7. HUMAN PAPILLOMA VIRUS DISEASE(HPV)8. ALZHEIMER 9. LUPUS (Lupus Vulgaris or Lupus Erythematosus

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  39. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to search for cancer cure so that was how I found a lady called Peter Lizzy. She was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kinds of disease and the herbal man's email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister's help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me  or whatsApp  davidclara223@gmail.com +1(440)359-4106  

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  40. Am Richard, I am here to testify about a great herbalist  man who cured my wife of breast cancer. His name is Dr Imoloa. My wife went through this pain for 3 years, i almost spent all i had, until i saw some testimonies online on how Dr. Imoloa cure them from their diseases, immediately i contacted him through. then he told me the necessary things to do before he will send  the herbal medicine. Wish he did through DHL courier service, And he instructed us on how to apply or drink the medicine for good two weeks. and to greatest surprise before the upper third week my wife was relief from all the pains, Believe me, that was how my wife was cured from breast cancer by this great man. He also have powerful herbal medicine to cure diseases like: Alzheimer's disease, parkinson's disease, vaginal cancer, epilepsy Anxiety Disorders, Autoimmune Disease, Back Pain, Back Sprain, Bipolar Disorder, Brain Tumor, Malignant, Bruxism, Bulimia, Cervical Disc Disease, Cardiovascular Disease, Neoplasms , chronic respiratory disease, mental and behavioral disorder, Cystic Fibrosis, Hypertension, Diabetes, Asthma, Autoimmune inflammatory media arthritis ed. chronic kidney disease, inflammatory joint disease, impotence, alcohol spectrum feta, dysthymic disorder, eczema, tuberculosis, chronic fatigue syndrome, constipation, inflammatory bowel disease, lupus disease, mouth ulcer, mouth cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, HIV / AIDS, Huntington's disease, back acne, chronic kidney failure, addison's disease, chronic pain, Crohn's pain, cystic fibrosis, fibromyalgia, inflammatory Bowel disease, fungal nail disease, Lyme disease, Celia disease, Lymphoma, Major depression, Malignant melanoma, Mania, Melorheostosis, Meniere's disease, Mucopolysaccharidosis, Multiple sclerosis, Muscular dystrophy, Rheumatoid arthritis. You can reach him Email Via drimolaherbalmademedicine@gmail.com / whatsapp +2347081986098.  

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  41. There are some natural remedies that can be used in the prevention and eliminate diabetes totally. However, the single most important aspect of a diabetes control plan is adopting a wholesome lifestyle Inner Peace, Nutritious and Healthy Diet, and Regular Physical Exercise. A state of inner peace and self-contentment is essential to enjoying a good physical health and overall well-being. The inner peace and self contentment is a just a state of mind.People with diabetes diseases often use complementary and alternative medicine. I diagnosed diabetes in 2010. Was at work feeling unusually tired and sleepy. I borrowed a cyclometer from a co-worker and tested at 760. Went immediately to my doctor and he gave me prescriptions like: Insulin ,Sulfonamides,Thiazolidinediones but Could not get the cure rather to reduce the pain but bring back the pain again. i found a woman testimony name Comfort online how Dr Akhigbe cure her HIV  and I also contacted the doctor and after I took his medication as instructed, I am now completely free from diabetes by doctor Akhigbe herbal medicine.So diabetes patients reading this testimony to contact his email     drrealakhigbe@gmail.com   or his Number   +2348142454860   He also use his herbal herbs to diseases like:SPIDER BITE, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, GOUT, PROGENITOR, EATING DISORDER, LOWER RESPIRATORY INFECTION,  DIABETICS,HERPES,HIV/AIDS, ;ALS,  CANCER , TUMOR,  VIGOUR, HALITOSIS,  MENINGITIS, WAIST PAIN ,HEPATITIS A AND B,ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE. HEARING  LOSSDr Akhigbe is a good man and he heal anybody that comes to him. here is email    drrealakhigbe@gmail.com    and his Number +2349010754824

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  42. I am here to give my testimony about Dr Ebhota who helped me.. i want to inform the public how i was cured from (HERPES SIMPLEX VIRUS) by salami, 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. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Dr Ehbota cured them. when i contacted him he gave me hope and send a Herbal medicine to me that i took for just 2 weeks and it seriously worked for me, my HERPES result came out negative. I am so happy as i am sharing this testimony. My advice to you all who thinks that there is no cure for herpes that is Not true just contact him and get cure from Dr Ebhota healing herbal cure of all kinds of sickness you may have like (1) CANCER,(2) DIABETES,(3) HIV&AIDS,(4) URINARY TRACT INFECTION,(5) CANCER,(6) IMPOTENCE,(7) BARENESS/INFERTILITY(8) DIARRHEA(9) ASTHMA(10)SIMPLEX HERPES AND GENITAL(11)COLD SOREHERPES. he also cure my friend from cervical cancer Email: drebhotasoultion@gmail.com or whatsapp him on +2348089535482

    ReplyDelete
  43. Hello! I'm very excited to inform everyone that I'm completely cured from my HSV 1&2 recently. I have used Oregano oil, Coconut oil, Acyclovir, Valacyclovir, Famciclovir, and some other products and it's really help during my outbreaks but I totally got cured! from my HSV with a strong and active herbal medicine ordered from a powerful Traditional Healer and it completely fought the virus from my nervous system and I was tested negative after 21 days of using the herbal medicine. I'm here to let you' all know that herpes virus has a complete cure, I got rid of mine with the help of DR ODUDU a traditional Healer from west African and his herbal exploit. Contact him via email: dr.oduduherbalhome@gmail.com and his whatsapp and calling number is  +2348101571054

    ReplyDelete
  44. I was diagnosed a couple of years ago with COPD and I was beyond scared! My lung function test indicated 49% capacity. After having had the flu a year ago, the shortness of breath, coughing and chest pains continued even after being treated with antibiotics. I've been smoking two packs a day for 36 years. Being born without a sternum caused my ribs to be curled in just one inch away from my spine, resulting in underdeveloped lungs. At age 34 I had surgery and it was fixed. Unfortunately my smoking just caused more damage to my already under developed lungs. The problem was that I enjoyed smoking and don't want to give up! Have tried twice before and nearly went crazy and don't want to go through that again. I saw the fear in my husband and children's eyes when I told them about my condition then they started to find a solution on their own to help my condition.I  diagnosed with this COPD emphysema which I know was from my years of smoking. I started smoking in school when smoking was socially acceptable.. It was not known then how dangerous cigarettes were for us, and it seemed everybody smoked it. On searching, internet my husband saw a testimony of a brother, Nathaniel, how he was also cured of COPD lungs. By a herbalist doctor Akhigbe with his herbal medicine and the brother also wrote the doctor contact on the testimony. We contacted the doctor I was writing to and my husband was writing to him too. The doctor told us what to do and the next week I received the herbal medicine. It was really unbelievable after I finished the medicine. Dr Akhigbe herbal medicine is supernatural, that is how I was able to get rid of my COPD lung condition through the help of  Dr Akhigbe with his  herbal medicine cure. Here is his email   [drrealakhigbe@gmail.com}   He has the right herbal formula to help you get rid and repair any lung conditions and other diseases, his medicine will cure you completely and permanently with his natural organic herbs,We received the medicine through courier delivery service. I wish anybody who starts smoking at a young age would realize what will eventually happen to their bodies if they continue that vile habit throughout their life. It's a lesson I learned and never to forget in my life now I promise my God myself and my family never to smoke again.. All thanks to doctor  Akhigbe, the real herbalist doctor with natural herbs who have cured different people with their different problems.
    Dr Akhighe also cured diseases like, HERPES, DIABETES, HIV/AIDS, COPD, CANCER,ASTHMA,STROKE,LUPUS,JOINT PAIN,CHRONIC DISEASES,PARKINSON DISEASES,TUBERCULOSIS,HIGH BLOOD PRESSURE,BREAST INFECTION,WOMEN SEXUAL PROBLEM, GINGIVITIS, ERYSIPELAS,STAPHYLOCOCCUS,HEPATITIS A/B, QUICK EJACULATION, IMMUNOTHERAPY, GONORRHEA,SYPHILIS,WAST/BACK PAIN,PELVIC INFLAMMATORY, DICK ENLARGEMENT,HEART DISEASES,TERMINAL ILLNESS,SHIFT IN FOCUS,ATAXIA,COMMON COLD, HEART HEALTH, CROHN'S DISEASES,ALCOHOL SPECTRUM DISORDER,GRAVES DISEASE,HEARING LOSS, ANTI VIRUS,  INTERSTITIAL CYSTITIS,LEUKEMIA,MULTIPLE SCLEROSIS,OBESITY,RABIES,SCOLIOSIS,INFLUENZA, POLIO,JACOB,ETC. If you are out there looking for your cure please  contact  dr Akhigbe  by his email    drrealakhigbe@gmail.com     or contact his whatsapp number   +2348025012866
    God bless you Dr Akhigbe for your good hand work on my life.

    ReplyDelete
  45. it"s obvious some patients with Herpes Virus are being enslaved to the antiviral and other supplementary Orthodox medicine just to help suppress the virus and not a cure. I have been with the virus since 2015 until I was introduced by a blogger who also narrated her story online on how she was cured of HPV after using Dr ALUDA Herbal Medicine. This is a year and 2 weeks since I was delivered from Herpes VIRUS. All thanks to God for using this Great herbalist to heal me. I have promised to keep telling good things about Dr ALUDA. Please feel free to share Your problems with him and don’t forget to tell him I did refer you to Him. Thanks. Write him on whatsapp +2348145636867 or mail him Draludaharbalhome @gmail. com He deals with Alzheimer virus, Cancer, HIV, Herpes, Genital, warts, ALS, HBV, UTI, Virginal infection, Genital, Wart, HPV, Hepatitis A/B, Good luck, HSV, Cold Sores, Diabetes 1 & 2, Pregnancy, Ex back.

    ReplyDelete
  46. I started on COPD Herbal treatment from Ultimate Health Home, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Health Home via their email at ultimatehealthhome@gmail.com . I can breath much better and It feels comfortable!

    ReplyDelete
  47. Herbal medicine is the best Greetings I am here to testify how great man called Dr OMO helped me out with herbs and roots which he prepared for me in use of curing my fibroids and Getting pregnant after 8 years of try to conceive with fibroids I takes his product (cure for my fibroid made with herbal medicine Root) for (14) days before I am to known I was totally pregnant after 2months of using dr omo herbs he also have Herbal medical for all types of diseases, and i promise him that i will tell the world about his Great job he ask me to drink from the herbal medicine before meeting my husband I did and after 2months I was pregnant thank you for your great job he can also help you if you have a low sperm count you want to convince a baby fast PCOS ,infections, stomach ucler ,THYROID, COPD, Endometriosis, breast cancer,HIV?AID,ALS, yeast infection, Gonorrhea, Chronic Sinus, HPV low testosterone, Herpes, blocked fallopian tubes Liver parasites ovarian Arthritis, Cysts, pile, ASTHMA, Crowns and all other type of diseases,WEAK ERECTION, STRETCH MARK REMOVER , breast cancer, Parkinson's, male-enhancement Cream, BARENESS/INFERTILITY, HEPATITIS B pile, Get lost period back, stop period pain, Email : dromo596@gmail.com WhatsApp him on +2349033505260 thank you for all your work..

    ReplyDelete
  48. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to search for cancer cure so that was how I found a lady called Peter Lizzy. She was testifying to the world about the goodness of a herbal man who has the roots and herbs to cure all kinds of disease and the herbal man's email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister's help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or WhatsApp him +2348110114739 visit his website https://www.instagram.com/herbalist_sakurahttps://web.facebook.com/herbalistsakura/ https://drsakurahealthclinic.wixsite.com/website https://sites.google.com/view/herbalistsakura https://drsakuraspellcentre.blogspot.com/ https://drsakuraspellcentre.wordpress.com/ for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com

    ReplyDelete
  49. I started on COPD Herbal treatment from Ultimate Life Clinic, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Life Clinic via their website www.ultimatelifeclinic.com . I can breath much better and It feels comfortable!

    ReplyDelete
  50. Big thanks to Dr. Iyabiye who treated/cure my brother of chronic HEPATITIS B and Cirrhosis. My brother was diagnosed of the disease last year and we tried several antiviral medications but they were all to no avail. At a point my brother developed swollen stomach and loss of appetite, I went online out of frustration for a new medication and I came across this doctor’s recommendation. I reached out to him and my brother was cured after the completion of the medicine and tested negative at the hospital. Dr. iyabiye’s contact: call/whatsapp: +234-815-857-7300 and email: iyabiyehealinghome@gmail.com

    ReplyDelete
  51. Hi, is a true life experience is not designed to convince you its a personal health experience, sometimes medical doctors take a different approach about herpes treatment. i has been stocked in bondage with herpes for two years and four months i has tried different means to eliminate this sickness because it surely has distract me even with the world, and i was told there is no cure, but only medicine for treatment all the possible ways i has tried was treatment, two months back i did some herpes research and i found amazing testimonies concerning natural herbal cure, and i go for it through the email address from the post just to give a try of herbal treatment, and i found it grate without delay i got cured with natural treatment from doc Twaha herbal cure his cure are powerful and shows out excellent result. and i think everyone suffering with herpes and others symptoms should also know about this cure from, drlregbeyen10000@gmail.com or WhatsApp him +2349038518881 thank you

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  52. Very informative, because it compresses most of the information needed and the best solution to Paralysis still remains herbal medicines.
    I became more convinced in herbal medicines because of NZE NJOKU HERBAL HOME.
    I have also contacted Nze Njoku for herbal treatment for my grandfather who had suffered paralysis caused by stroke for eight years.
    My grandfather took herbal medicines from Nze Njoku Herbal Home as he's instructed without any lifestyle change which healed him of paralysis within nine weeks.
    As I write this my grandfather is doing great on his feet and most importantly he has started his business effectively as if nothing happened to him.
    Feel free to contact them on;
    nzenjokuherbalhome@gmail.com

    ReplyDelete
  53. I’m very excited to inform everyone that I’m completely cured from HSV1&2 recently. I have used Oregano oil, Coconut oil, Acyclovir, Valacyclovir, Famciclovir, and some other products and it’s really help during my outbreaks but I totally got cured from HSV1&2 with a strong and active herbal medicine ordered from a powerful herbalist called Dr. Riaria and it completely fought the virus away my nervous system and I tested negative after 14 days of using the herbal medicine. I’m here to let everyone know that the herpes virus has a complete cure, I got rid of it with the help of Dr. Riaria and his herbal medicine. Contact him via email: drriaria@gmail.com or WhatsApp him at +2349134987375
    https://web.facebook.com/Dr-Riaria-Herbal-Home-102467701992890

    ReplyDelete
  54. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to search for cancer cure so that was how I found a lady called Peter Lizzy. She was testifying to the world about the goodness of a herbal man who has the roots and herbs to cure all kinds of disease and the herbal man's email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister's help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or WhatsApp him +2348110114739 you can follow him up on Instagram @herbalist_sakura visit his website https://drsakurahealthclinic.wixsite.com/website https://sites.google.com/view/herbalistsakura https://drsakuraspellcentre.blogspot.com/ https://drsakuraspellcentre.wordpress.com/ for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com

    ReplyDelete
  55. BEST NATURAL TREATMENT FOR HUMAN PAPILLOMAVIRUS (HPV) earning that you have HPV can be one of the most difficult experiences you go through in life. You may feel scared, sad or even angry – this is OK, and a completely natural part of coping with something that can be life changing.
    It will probably take a while for the news to sink in.

    My name is Johnny Mary and i am from the United States.

    I remember spending so much money buying drugs from hospitals hoping that i will be cured from HPV VIRUS, but all to no avail. I contacted so many  doctors and they prescribe medicine for me which they indeed tried their best but was unable to provide for me a possible cure, luckily i saw a comment about a herbal doctor, (Dr.Ogberaese) online.

    I then contacted him (Dr.Ogberaese) through his email, After much chat and enquiry with the doctor, i decide to take a leap of faith because i have nothing to loose.
    To my greatest surprise, Dr.Ogberaese prepare a medicine and  send me a Herbal Medicine through FEDEX courier Service, and he gave me guidelines on how am to take it. I followed all procedures as instructed, and after 2 weeks of taking it i was cure from HPV VIRUS  his medicine is legit and it is real. I just want to encourage all individuals out there living with HERPES ,  ITCHY SHINGLES , Genital Herpes, HSV1&2, HIV/AIDS/ HPV, COPD, CANCER, Hepatitis b, Lupus, PCOS, Kidney failure, Lung cancer and alot more. That there is still a huge chance that you can get cure only with the help of dr Ogberaese. kindly contact him via email: drogberaese54@gmail.com or whatsapp: +2348073818653

    ReplyDelete

  56. I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
    liver already present. I started on antiviral medications which
    reduced the viral load initially. After a couple of years the virus
    became resistant. I started on HEPATITIS B Herbal treatment from
    ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
    treatment totally reversed the virus. I did another blood test after
    the 6 months long treatment and tested negative to the virus. Amazing
    treatment! This treatment is a breakthrough for all HBV carriers.

    ReplyDelete
    Replies
    1. Ultimate Life Clinic their treatment is good,i also used there treatment

      Delete
  57.  I was diagnosed a year later ,it was the onset of tremors starting in my right hand that caused my other symptoms to be recognized as Parkinson's.. I am now 59. With the new herbal medicine for Parkinson I purchased from Multivitamincare . org was my only way to get rid of my PD,the herbal formula effectively reversed my condition and alleviated all my symptoms, people are suffering from this Parkinson disease due to lack of information.

    ReplyDelete
  58. Hi friends!
    I am Lucy Donald by name and i want to use this great opportunity to share with you some great and amazing testimony of how i was cured from HERPES Virus with the help of Dr Ehimare Herbal Medicine.
    Over 2 years now i have been suffering and living in pain with this deadly virus Herpes, fear grew in my mind everyday as i heard there is no cure for it, but to me i knew that medical drugs was not the only option in treating viruses and infection, my greatest problem was that i was stocked in pain as the symptoms has circulated over my body.
    Few Months ago i decided to get more information online concerning herpes,and while i was surfing the web, i came across some great testimonials from various people on how Dr Ehimare has been using his herbal medicine to cure different disease, at first i was shocked as i have never heard of such thing before, and also i doubted if it was true as it never came up on media, these people gave out the email address of Dr Ehimare and advised we contact him for any problem, though i was doubting him i decided to put a test on it, moreover it was the fist time for me to hear something like that, i copied the email address of Dr Ehimare and i sent him a message about my health status and i also requested for his medicine in order for me to get good health, he gave me a responded after some hours and he told me the procedure involved in order for me to get his medicine, he also said to me he was going to send me some herbal liquid medicine which was gactually went to the hospital on Friday to do some test on my blood and after 3 days the result came out that i was completely free from HERPES, still many people will not believe this, but it did really works.
    Dr Ehimare is a brave man and he is set to answer all human disease, today i am living in good health as just with a test i conquered my pain and sorrow, Please you can contact Dr Ehimare for any problem with the email below: drehimare3@gmail.com or whatsapp on +1 (267) 691-1087

    ReplyDelete
  59. months ago I felt some pains and I went to the hospital my doc told me I had Herpes about 1 year ago and I need to start the treatment early, he gave me some medicine to be taking and I told him no I’ll not, because I hated taking medicine when I won’t not see cure for the purpose. After I got home I started getting worried searching for strong advice and I found valid natural treatment online a lot of people says they got herpes cure from DR ODUDU and I contacted DR ODUDU that same day I purchase his cure online, after three weeks of taking the herbal treatment i got cured totally. i tested negative all thank to DR ODUDU you can reach out to him through his email: [dr.oduduherbalhome@gmail.com ] or message him on WhatsApp +2348101571054 stay safe and bless you

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  60. Hello everyone i was diagnosed of herpes simplex virus for about 8 months ,I’ve lost all hope and my doctor said there is no possible cure and I have been taken antiviral to sustain myself I have had several out break from the time I was diagnosed till I got to know about Dr.Ebhota through a friend who he cured of Herpes . I contacted him and he sent me his herbal remedy which I took as he directed me to do for some days and I went to the hospital after consuming his Herbal medicine and I was confirmed Herpes Negative after 8 months of pains and depression , it was indeed a miracle, Dr.ebhota is a great man, I have heard so much about how he has help lot of people, He also cure ALS, HEPATITIS B, CANCER, HERPES, DIABETES and lots more. If you have any issues you can contact him for help add him on whatsapp +2348089535482. or via email:Email drebhotasolution@gmail.com

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  61. hello everybody DR.ODUDU has really made me so much believe in him by getting my Mom cured from Colon Cancer with his herbal treatment. I really do appreciate you DR.ODUDU for bringing back happiness to my Mother's life again. thanks you so much friends that has join me to thank DR.ODUDU for what he has actually done for me and for my lovely Mother i pray to you all for a good life and property, and most especially to you DR.ODUDU Thanks So Much. and if you want to get reach to DR.ODUDU here he his email dr.oduduherbalhome@gmail.com DR.ODUDU is the one of the great traditional herbal healing doctor in Africa and he has the cure on this disease HIV/AIDS. HERPES, SYPHILIS, CANCER, H P V, DIABETES, HEPATITIS, PREGNANCY, and so many on, email dr.oduduherbalhome@gmail.com phone him or whatsapp him through his cell phone contact +2348101571054 thanks everybody!!

    ReplyDelete
  62. Am really grateful and thankful for what Doctor Ehimare has done for me and my family. I Was having 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. he cured me of my diseases and am so happy and so pleased to Write about him today. if you need his help or you also want to get cured just the way I got mine, just him Doctor Ehimare  Whatsapp him ; +1 (267) 691-1087 or his email address drehimare3@gmail.com and get your healing. He has cure for other deadly diseases like Diabetes, Hiv/Aids, Hepatitis of all types and Cancer

    ReplyDelete
  63. Herbal medicine is the best 💓💓Greetings I am here to testify how great man called Dr OMO helped me out with herbs and roots which he prepared for me in use of curing my fibroids and Getting pregnant after 8 years of try to conceive with fibroids I takes his product (cure for my fibroid made with herbal medicine Root) for (21) days before I am to known I was totally pregnant after 2months of using dr omo herbs he also have Herbal medical for all types of diseases, and i promised him that i will tell the world about his Great job he ask me to drink from the herbal medicine before meeting my husband I did and after 2months I was pregnant thank you for your great job he can also help you if you have a low sperm count you want to convince a baby fast PCOS ,infections, stomach ulcer, Endometriosis, cancer, yeast infection, fibromyalgia, Gonorrhea, Chronic pain, LUPUS low testosterone, Herpes,BV, blocked fallopian tubes Liver parasites ovarian cysts Arthritis, pile, Crowns and all other type of diseases, breast cancer, Get lost period back, stop period pain, Email : dromo596@gmail.com WhatsApp him on +2349033505260 thank you..Dr Omo. Please help me share and save others God bless you all...

    ReplyDelete
  64. I’d recommend using Dr. Utu Herbal Cure topically for instant pain and itch relief as well as accelerated healing of lesions and permanently stopping oral and genital herpes virus outbreaks. I have tried practically almost everything from acyclovir suppressive therapy to different natural oils, extracts, and other natural methods, some of which are EXTREMELY painful and heighten the problem (i.e. apple cider vinegar!). While vitamin E oil and suppressive therapies worked well for me, when I became pregnant I went back to trying to find a herbal cure. I was using vitamin E oil topically for a while but it was thin and difficult to use and only seemed to prevent further outbreaks rather than getting rid of it. I contacted Dr. Utu Herbal Cure through my friend. To my surprise, I could tell my outbreak was starting to heal within only a few hours! No more itching and pain! Dr. Utu Herbal Cure that I used was liquid herbs in bottles, so it was very easy to use. It simply whiffs, but it works so I don’t care! The best part of my testimony was that I successfully delivered a herpes-free beautiful daughter without further medications. Anyone who has tried Dr. Utu Herbal Cure knows just how quickly those treatments can add up. So give it a try! Anyone can reach Dr. Utu through
    drutuherbalcure@gmail.com
    +2349072733661

    ReplyDelete
  65. Its a pleasure for me to write this testimony about how i got my Genital Herpes simplex been reading so many comments of some people who were cured from various diseases by Dr ubarlo but i never believed them. I was hurt and depressed so I was too curious and wanted to try Dr ubarlo, then i contacted him through his email when i contact him, he assured me 100% that he will heal me, i pleaded with him to help me out. My treatment was a great success, he healed me just as he promised. he sent me his medication and ask me to go for check up after one weeks of taking the medication. i agreed with him i took this medication and went for check up a , to my greatest surprise my result was negative after the treatment, i am really happy that i am cured and healthy again. I have waited for 3weeks to be very sure i was completely healed before writing this testimony. I did another blood test one week ago and it was still Herpes negative. so i guess its time i recommend anyone going through Herpes HSV-1 or HSV-2, HIV, HPV, Hepatitis B, Diabetes, Cancer reach him through Email drubarlohome@gmail.com OR add on whatsapp +2348119508814

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  66. My health was horrible before I decided to try the Protocol Of taking Dr. Ebhota pure herbal mixture. I felt there was no hope for my health and I was to try the Protocol, thinking it wouldn’t work because I have visited so many hospitals with the same result. However, I was convinced by an Instagram friend to try herbal medicine because I wanted to get rid of Herpes virus. The herbal mixture that was given to me was really quick and easy to take, within 2 week I was fully cured from Herpes. The herbal medicine really work and I will like to share this great doctor contact with you all by email him drebhotasolution@gmail.com WhatsApp +2348089535482 You won't regret it, I promise. ,,//

    ReplyDelete
  67. [ ] I'm here to testify about the great work Dr Ehimare did for me. I have been suffering from (HERPES) disease for the past 5 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 doctor, few weeks ago I came across a testimony of one lady on the internet testifying about a Man called Dr Ehimare on how he cured her from HIV Virus. And she also gave the email address of this man and advise anybody to contact Dr Ehimare for help for any kind of sickness that he would be of help, so I emailed him on ( Drehimare3@gmail.com ) telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! Well i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as Dr Ehimare assured me that i will be cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So
    - [ ] friends my advise is if you have such sickness or any other at all you can contact Dr ehimare via email. { Drehimare3@gmail.com }or call or what sapp him on + 1 (267) 691-1087
    - [ ] DR Ehimare CAN AS WELL CURE THE FOLLOWING DISEASE:-
    - [ ] HIV/AIDS
    - [ ] HERPES
    - [ ] CANCER
    - [ ] ALS
    - [ ] cancer
    - [ ] Diabetes

    ReplyDelete