Motivation: As a medicine intern last year, I often scoffed at the algorithmic recommendation by neurosurgery of Keppra for seven days after every small subdural hemorrhage. Two nights ago, I self-consciously found myself writing the same recommendation while consulting as neurology for a patient after a fall. What is the data?
Turns out that there is no high quality randomized trial testing anti-epileptics in acute sub-dural hematomas. The practice is drawn from literature in traumatic brain injury.
Paper: Chang, B.S. and Lowenstein, D.H. "Practice Parameter: Antiepileptic drug prophylaxis in severe traumatic brain injury." Neurology (2003); 60: 10-16.
Method: A meta-analysis of prospective placebo controlled trials testing anti-epileptic drugs in traumatic brain injury. Literature search revealed that data existed only for severe TBI - typically with loss of consciousness or amnesia for 12 to 24 hours, depressed skull fracture, or brain contusion on CT scan. No constraint was placed on the choice of AED. Authors separated analysis by prevention of early or late seizures.
Results:
Prevention of Early Seizures: Four randomized trials examined early (less than 7 days) prevention of seizure from TBI. Three studies used phenytoin and one used carbamazepine. The pooled RR for seizure on AED compared to placebo was 0.37 (CI: 0.18-0.74). Of the four studies, one did not find any benefit with AED though that study was hindered by low event rate. There was no significant increase in frequency of adverse effects in group taking AED.
Prevention of Late Seizures: Five high quality trials tested long-term AED for prevention of seizures. The treatment duration was 6 months to 2 years (most trials were 1-2 years) with median follow-up of 2 years (five trials) with range of 18 months to 2 years. Trials used phenytoin, carbamazepine, or valproic acid. The pooled RR for seizure on AED compared to placebo was 1.05 (CI: 0.82-1.35) demonstrating no benefit - none of the individual studies showed benefit. Some unblinded studies (not included in pooled analysis) showed benefit. Adverse effects (particularly rash) was significantly higher in the intervention group than placebo group.
Discussion: In severe TBI, anti-epileptic drugs appear beneficial in preventing seizures in the short term (7 days) but ineffective in the long-term. This landmark meta-analysis, though, has been commonly extended to justify prescribing anti-epileptics for many minor to mild TBI without changes in consciousness or brain contusions. Although probably beneficial, the practice is still more opinion based rather than evidence based. Also, the trials used mostly phenytoin as the anti-epileptic of choice while current practice is more heavily biased towards levetiracetam (Keppra). While I do not plan to rebel against the seven day course of Keppra for subdurals, there is need for data in this common clinical situation.
Turns out that there is no high quality randomized trial testing anti-epileptics in acute sub-dural hematomas. The practice is drawn from literature in traumatic brain injury.
Paper: Chang, B.S. and Lowenstein, D.H. "Practice Parameter: Antiepileptic drug prophylaxis in severe traumatic brain injury." Neurology (2003); 60: 10-16.
Method: A meta-analysis of prospective placebo controlled trials testing anti-epileptic drugs in traumatic brain injury. Literature search revealed that data existed only for severe TBI - typically with loss of consciousness or amnesia for 12 to 24 hours, depressed skull fracture, or brain contusion on CT scan. No constraint was placed on the choice of AED. Authors separated analysis by prevention of early or late seizures.
Results:
Prevention of Early Seizures: Four randomized trials examined early (less than 7 days) prevention of seizure from TBI. Three studies used phenytoin and one used carbamazepine. The pooled RR for seizure on AED compared to placebo was 0.37 (CI: 0.18-0.74). Of the four studies, one did not find any benefit with AED though that study was hindered by low event rate. There was no significant increase in frequency of adverse effects in group taking AED.
Prevention of Late Seizures: Five high quality trials tested long-term AED for prevention of seizures. The treatment duration was 6 months to 2 years (most trials were 1-2 years) with median follow-up of 2 years (five trials) with range of 18 months to 2 years. Trials used phenytoin, carbamazepine, or valproic acid. The pooled RR for seizure on AED compared to placebo was 1.05 (CI: 0.82-1.35) demonstrating no benefit - none of the individual studies showed benefit. Some unblinded studies (not included in pooled analysis) showed benefit. Adverse effects (particularly rash) was significantly higher in the intervention group than placebo group.
Discussion: In severe TBI, anti-epileptic drugs appear beneficial in preventing seizures in the short term (7 days) but ineffective in the long-term. This landmark meta-analysis, though, has been commonly extended to justify prescribing anti-epileptics for many minor to mild TBI without changes in consciousness or brain contusions. Although probably beneficial, the practice is still more opinion based rather than evidence based. Also, the trials used mostly phenytoin as the anti-epileptic of choice while current practice is more heavily biased towards levetiracetam (Keppra). While I do not plan to rebel against the seven day course of Keppra for subdurals, there is need for data in this common clinical situation.
NATURAL & EFFECTIVE TREATMENT TO SEIZURE (EPILEPSY): Our son has temporal lobe epilepsy, He has seizure and had a grand mal with rage episode (8 men to hold him down), Our son's seizure is constant throughout the day according to EEG results. We had used several medicine which include: 600 Epilem 100 topolex 150 Epitec X2 Daily Dopoquel and cilift, Keppra, Topomax lasted for about 3 days, but I put an end to that due to my son losing weight and being lethargic. I recently got a natural medicine that handle Epilepsy with no side effect. It is an herbal medicine. William Herbal Product is the only effective treatment I have ever used.
ReplyDeleteNote: There is no cure for epilepsy yet but effective treatment of Epilepsy is available. for more info, contact Dr.William with this Email: drwilly37@gmail.com
Contact Dr Ebute, for any kind of problem...
Deletesuch as
HIV/AID, SEIZURE CURE CANCER,LOVE SPELL,GOOD JOB,PROMOTION.. ALS CURE,EX
BACK..
I wish i have found this spell caster earlier before spending my money on
spell without result.His powers are really amazing and i enjoyed the
satisfaction i gained from using his spell. He is really gifted with powers
to help people with their various problems. His email is
drebute16@gmail.com.or you can whatsap him on +393512120399
How my daughter was saved from grand mal seizure.
ReplyDeleteI am not really a fan of sharing my personal private story on the internet but i decided to do this because this joy is too voluminous for me to hide. My daughter which i took over 8 years after marriage to conceive had her first seizure at age 8 and ever since then it has been from one seizure to another in school, in church, at picnics. This got me worried because she has a bright future that i do not want epilepsy to become a hindrance, i tried several doctors in Texas and none could help with an effective cure. I went on the internet and saw testimonies about a treatment for epilepsy which a doctor offered and i was interested, i got in contact with him and i was able to get the medicine for my daughter which she used for 3 months as he instructed and it has been over 6 months now she is doing just fine without any allergies or aftermath effects. If you are suffering problem try to reach him too on (josephalberteo@gmail.com) i can count on him for a cure for you too.
ALL THANKS TO DR WILLIAMS My daughter suffered from a terrible tinnintus for more than 23 years which started after she turned 5 we all thought it will end but got even worse as days went by. We tried all several treatments and therapy prescribed by various doctors we met but to no avail, she lost total consentration and screamed most times. She usually tells me she hears hissing and ringing noises. This were steady noise that disrupted her entire life, even at night she screams even more because the sounds become louder because everywhere is quiet and she slept less because of this. I was able to contact Dr.williams. on the matter and his medicine was able to restore her back to normal and she is very okay now without any side effects whatsoever. If you have Tinnitus, do not hesitate to contact him on drwilliams098765@gmail.com for advice and for his product. I hope this helps someone out there.
ReplyDeleteTHANKS SUSAN FOR THE GOOD RECOMMENDATION TO DR WILLIAMS,WITH HIS HERBAL PORTION AM NOW FROM FROM THE RINGING IN MY EARS
DeleteCURE TO TINNITUS
ReplyDeleteAppreciation is the key to doing more that is why I have took some time out to thank some one who cured me of my 4 years tinnitus problem. It became a major problem to me as it was affecting my marital life and I was no longer comfortable so I decided to look for a solution and I came across a post of Dr williams and how he has been helping people of the same problem with his herbal remedies I contacted him and told him all I have been facing in my life. He told me how to get his product and how to take it after every thing I find out that all was now okay with me and that my tinnitus problem was gone that is why I have come out today to say thank you to him and for any tinnitus problem either from man or woman. Contact him on drwilliams098765@gmail.com his a man that take good care of his children
COMPLETE CURE TO TINNITUS: I had tinnitus in both ears for fifteen years with a high pitched two tone sound, the noises are constant and have learned to ignore the ringing. Later, another sound was added, a deep tone that has a sporadic rhythm, that mimics human speech. It varies from soft and muted, to painfully clear, and loud. Have try sound machines, ear plugs, my hearing aid, and medication all to no avail rather I have a difficult time sleeping. Lately I was directed to a Doctor called William on internet who provided solution to the problem. Do not be discourage, dr williams product is a permanent cure to Tinnitus. Contact him with this email (drwilliams098765@gmail.com)
ReplyDeleteDr.lewishill product is a real cure to Tinnitus, I am 38 years old, I suffered from permanent tinnitus for about 10 years, mostly in my right ear... which means I've got this constant ringing in my ears, which has also made me somewhat deaf. It's like this Whee! noise in my head all the time. My T was more steady, this is due to prolonged exposure to the loud volume of concerts. Looking after your ears is unfortunately something you don't think about until there's a problem. I wish I'd thought about it earlier. There were days when I didn't know whether I would survive, I was so tormented by this symptoms. When I lay down to sleep it bothers me the most, As I lay my head on the pillow, it cancels out all the other noise but the Tinnitus. The GoodNews is that after using lewishill Herbal medicine, Tinnitus is gone, try it also it going to work for you. There are real cure and do not be discouraged. Hang in there... Better days will come (email him on: drlewishill247@gmail.com)
ReplyDeleteCOMPLETE CURE TO TINNITUS: I had tinnitus in both ears for fifteen years with a high pitched two tone sound, the noises are constant and have learned to ignore the ringing. Later, another sound was added, a deep tone that has a sporadic rhythm, that mimics human speech. It varies from soft and muted, to painfully clear, and loud. Have try sound machines, ear plugs, my hearing aid, and medication all to no avail rather I have a difficult time sleeping. Lately I was directed to a Doctor called lewishill on internet who provided solution to the problem. Do not be discourage, it is a permanent cure to Tinnitus. Contact him with this email (drlewishill247@ gmail. com)
ReplyDeleteALL THANKS TO DR WILLIAMS FOR CURING ME FROM THIS TERRIBLE DISEASE TINNITUS.
ReplyDeleteAppreciation is the key to doing more that is why I have took some
time out to thank some one who cured me of my 2 years TINNITUS
problem. It became a major problem to me as it was affecting my
marital life and I was no longer comfortable so I decided to look for
a solution and I came across a post of Dr willaims and how he has been
helping people of the same problem I contacted him and told him all I
have been facing in my life. He told me how to get his product and how
to take it after every thing I find out that all was now okay with me that my TINNITUS RINGING EARS was gone that is why I have come out
today to say thank you to him .you can contact his email address drwilliams098765@gmail.com for people with similar condition.
ALL THANKS TO DR WILLIAMS FOR THE GREAT DEED HE HAVE DON FOR MY DAUGHTER
ReplyDeleteMy daughter suffered from a terrible tinnitus for more than 23 years which started after she turned 5 we all thought it will end but got even worse as days went by. We tried all several treatments and therapy prescribed by various doctors we met but to no avail, she lost total concentration and screamed most times. She usually tells me she hears hissing and ringing noises. This were steady noise that disrupted her entire life, even at night she screams even more because the sounds become louder because everywhere is quiet and she slept less because of this.It was during a casual conversation with a friend that i learned about dr Williams herbal medicine I was able to contact him on his email address. and give him all the necessary information that he needed,few day later he sent me the herbal portion and his medicine was able to restore her back to normal and she is very okay now without any side effects whatsoever. If you have Tinnitus, do not hesitate to contact him on drwilliams098765@gmail.com for advice and for his product. I hope this also helps someone out there.
This comment has been removed by the author.
ReplyDeleteDr.William product is a real cure to Tinnitus, I am 38 years old, I suffered from permanent tinnitus for about 4 years, mostly in my right ear... which means I've got this constant ringing in my ears, which has also made me somewhat deaf. It's like this Whee! noise in my head all the time. My T was more steady, this is due to prolonged exposure to the loud volume of concerts. Looking after your ears is unfortunately something you don't think about until there's a problem. I wish I'd thought about it earlier. There were days when I didn't know whether I would survive, I was so tormented by this symptoms. When I lay down to sleep it bothers me the most, As I lay my head on the pillow, it cancels out all the other ear. The GoodNews is that after using William Herbal medicine, Tinnitus is gone, try it also it going to work for you. There are real cure and do not be discouraged. Hang in there... Better days will come (email him on: drwilliams098765@gmail.com)
ReplyDeleteDr.William product is a real cure to Tinnitus, I am 38 years old, I suffered from permanent tinnitus for about 4 years, mostly in my right ear... which means I've got this constant ringing in my ears, which has also made me somewhat deaf. It's like this Whee! noise in my head all the time. My T was more steady, this is due to prolonged exposure to the loud volume of concerts. Looking after your ears is unfortunately something you don't think about until there's a problem. I wish I'd thought about it earlier. There were days when I didn't know whether I would survive, I was so tormented by this symptoms. When I lay down to sleep it bothers me the most, As I lay my head on the pillow, it cancels out all the other ear. The GoodNews is that after using William Herbal medicine, Tinnitus is gone, try it also it going to work for you. There are real cure and do not be discouraged. Hang in there... Better days will come (email him on: drwilliams098765@gmail.com)
ReplyDeleteI have beeen following this blog for a while now and today i decided to share my tinnitus story to encourage someone out there. I suffered from terrible tinnitus for 8 years after a constant exposure to loud noise. These noise sounded like a car horn in my right ear and grew worse at night when everywhere was calm and quiet, i lacked sleep and this ruined my psychological life. I had no idea the sound was damaging my hearing until it was too late and i had partial deafness, i had a constant ringing in my ear which always makes me feel like taking my own life. I tried so many drugs even B-vitamin supplements, especially B-5, visited so many audiologist, neuromonics and all was to no avail. I have not seen my ex for a long while and when we bumped into each other she knew i was not okay and i had to tell her all i was facing. She felt so sad but told me there is a cure which let me in amazement. That was when she told me about Dr. Joseph herbal medicine which gives a permanent relief to tinnitus symptoms and cures it. Lord know i needed help so i got the medicine and used it, that was when i met a breakthrough, i am perfectly okay now and i sleep calm without any stress and i hear clearly now. You too can get cured just contact him on (josephalberteo @ gmail. com) for advise and how to get the medicine. Thanks
ReplyDeleteDR GEORGE HERBAL CURE TO EPILEPSY
ReplyDeleteI was always praying to have a testimony when ever i saw people sharing their own testimonies which really took me years but today i am the happiest father on earth.
My son suffered EPILEPSY, for 20years after taken different kind of western medication without been cured.
All these years my son was like a death person but today he is been cured.and you do not know how i feel having my son back to life because it was not really easy for me having just two children and one been abnormal.
I took time to search internet which i found a lot of people thanking Dr. George concerning the same problem and i discussed it with my wife and she said we should give a try so we order his product which my son took for some months and he is very much okay now.
I will advise you stop wasting time on all these western medicine because they only work for some
days and the problem bounce back again.
Contact Dr. at drgeorge2580@gmail.com for advice and for his product and be the next to give testimony
How can I ever stop thanking Dr William for the great thing he have done for me, i got an accident when I was 27 years old from that day on i started experience ringing ear problem(tinnitus) i have taken all the western drugs prescribe by various doctor but to no avail . my tinnitus was very loud in the afternoon and I sleep less at night because of this problem i stop my work, few days later i was going through the Internet and I saw a post of a woman testifying about Dr William herbal remedies on how she was being cure for over her 30 years suffering from tinnitus the story Really motivated me that I have to speak with my husband about it, and he said i should give him a try, i contacted Dr William and explain all i have be facing in my life. He assured me that everything is going to be fine if only I can get his herbal portion, i said yes and I requested for it, few days later the herb was sent to me in Kuwait,i started using it as instructed by Dr William for me to take it for 21 Days which I did, can you imagine after talking Dr William herbal medicine for just two weeks i started experience results, it was like a miracle,and now i am permanently cure from this terrible tinnitus, i promise that am going to publish his herb on thing my last breath for the great deed he have done for me. For those with similar ear problem should please contact him on his email address drwilliams098765@gmail his a good man and am proud of him.
ReplyDeleteDR WILLIAMS HERBAL CURE TO TINNITUS
ReplyDeleteAppreciation is the key to doing more that is why I have took some time out to thank some one who cured me of my 4 years tinnitus problem. It became a major problem to me as it was affecting my marital life and I was no longer comfortable so I decided to look for a solution and I came across a post of Dr williams and how he has been helping people of the same problem with his herbal remedies I contacted him and told him all I have been facing in my life. He told me how to get his product and how to take it after every thing I find out that all was now okay with me and that my tinnitus problem was gone that is why I have come out today to say thank you to him and for any tinnitus problem either from man or woman. Contact him on drwilliams098765@gmail.com his a man that take good care of his children
This comment has been removed by the author.
ReplyDeleteALL THANKS TO DR WILLIAMS WITH HIS HERBAL PORTION I WAS COMPLETELY CURED FROM A TERRIBLE TINNITUS.
ReplyDeleteHow can I ever stop thanking Dr William for the great deed he have done for me, i got an accident when I was 27 years old from that day on i started experience ringing ear problem(tinnitus) i have taken all the western drugs prescribe by various doctor but to no avail . my tinnitus was very loud in the afternoon and I sleep less at night because of this problem i stop my work, few days later i was going through the Internet and I saw a post of so many people testifying about Dr William herbal remedies on how they was being cure for over many years suffering from tinnitus the story Really motivated me that I have to speak with my husband about it, and he said i should give him a try, i contacted Dr William and explain all i have be facing in my life. He assured me that everything is going to be fine if only I can get his herbal portion, i said yes and I requested for it, few days later the herb was sent to me in Kuwait,i started using it as instructed by Dr William for me to take it for 21 Days which I did, can you imagine after talking Dr William herbal medicine for just two weeks i started experience results, it was like a miracle,and now i am permanently cure from this terrible tinnitus, i promise that am going to publish his herb on thing my last breath for the great deed he have done for me. For those with similar ear problem should please contact him on his email address drwilliams098765@gmail his a good man and am proud of him.
This comment has been removed by the author.
ReplyDeletethankes to Dr ebhota, who cured me of fallopian tube blockage and fibroid. i married for over eight years wthout a child of my own. because of the problem with my fallopian tubbe and fibroid, until i came in conntact with Dr ebhota's testimony and recommendations online, on how he has cured and healed so many people of the same illment, and i decided to contact him, and he administered his medicatons on me, and i became pregnant in two months. increase you want to reach him for a similar problem, you can reach him on +2347086564868 or email him,drebhota123456@gmail.com
ReplyDeleteIt was January 2014. I was having major pain in my abdomen for months, I was to start a new job and was very excited about it. My job required me to work for 8hours of 24hours per day. On my second week of work, I began my cycle. I could tell right away this period was different, it started out really bad. One week went by and it kept getting worse and more heavy.
ReplyDeleteIn March, I received a diagnosis and was scheduled for surgery at the end of that month. On April 3, I had a myomectomy, removal of my Fibroids, That was a very difficult surgery which left me in excruciating pain, I developed complications with my breathing after surgery. After a year there was nothing to show as the fibroid kept growing back. But thankfully I’ve heard of Dr. Leonard's Herbal Medicine and decided to give it a trier to my surprise, I started to experience some changes within 3weeks of taking his medicine as my menstrual cycle was still a bit heavy but the color was lighter than usual, clots were moderate. I met with my doctor last week. We discussed the results from my fibroids and he didn't find any. You can contact Doc. at drleonard288@gmail.com.
I had an epileptic fit for the first time 5 years ago in the middle of supermarket on my birthday of all days, wasn't fun for my kids to see it, it still haunts, I've tried many anticonvulsants and had never been able to stop the seizures. Surgery was not an option. I was still an epileptic patient, who have completely lose hope. As the problem is always embarrassing and disturbing. While surfing the internet one fateful day, I learned about Doctor on the internet called Lawson. I contacted him with some info and I ordered for the Herbal medication and used the medication for 6 months, though hesitantly, considering the fact that I have done a lot of procedure. After which I went for medical test It worked! I've been seizure free, Over a year now, I have not show any symptoms of seizure and I believe I am cure if you want to contact him at this email dr.lawson52@gmail.com.+1(936) 657-1274
ReplyDeleteALL THANKS TO DR WILLIAMS FOR THE GREAT DEED HE HAVE DON FOR MY DAUGHTER
ReplyDeleteMy daughter suffered from a terrible tinnitus for more than 23 years which started after she turned 5 we all thought it will end but got even worse as days went by. We tried all several treatments and therapy prescribed by various doctors we met but to no avail, she lost total concentration and screamed most times. She usually tells me she hears hissing and ringing noises. This were steady noise that disrupted her entire life, even at night she screams even more because the sounds become louder because everywhere is quiet and she slept less because of this.It was during a casual conversation with a friend that i learned about dr Williams herbal medicine I was able to contact him on his email address. and give him all the necessary information that he needed,few day later he sent me the herbal portion and his medicine was able to restore her back to normal and she is very okay now without any side effects whatsoever. If you have Tinnitus, do not hesitate to contact him on drwilliams098765@gmail.com for advice and for his product. I hope this also helps someone out there.
ALL THANKS TO DR WILLIAMS WITH HIS HERB I WAS CURED FROM A TERRIBLE TINNITUS.
ReplyDelete. Is my pleasure to comment on this site and i thank the admin of this site for his/her great work so far. I really don’t know how to thank DR WILLIAMS for helping me get cured for over 20 year of suffering from a terrible tinnitus, my tinnitus started when i was 28 year i thought is going to end one day but even get worse as days went by,i have tried all western drugs prescribed by doctors but to no avail, even at night i screams even more because the sounds become louder because everywhere is quiet. i came across DR WILLIAMS contact through a headline news on internet about how DR WILLIAMS have help so many people to get cured of tinnitus and so many other with similar body problem ,i contacted him and he told me how to get his herb,few day later he sent me the herbal portion which i take every morning for 21 days, and his medicine was able to restore me back to normal and now am very okay without any side effects whatsoever If you have Tinnitus, you can contact him on his email address drwilliams098765@gmail.com for help
ALL THANKS TO DR WILLIAMS FOR THE GREAT DEED HE HAVE DON FOR MY DAUGHTER
ReplyDeleteMy daughter suffered from a terrible tinnitus for more than 23 years which started after she turned 5 we all thought it will end but got even worse as days went by. We tried all several treatments and therapy prescribed by various doctors we met but to no avail, she lost total concentration and screamed most times. She usually tells me she hears hissing and ringing noises. This were steady noise that disrupted her entire life, even at night she screams even more because the sounds become louder because everywhere is quiet and she slept less because of this.It was during a casual conversation with a friend that i learned about dr Williams herbal medicine I was able to contact him on his email address. and give him all the necessary information that he needed,few day later he sent me the herbal portion and his medicine was able to restore her back to normal and she is very okay now without any side effects whatsoever. If you have Tinnitus, do not hesitate to contact him on drwilliams098765@gmail.com for advice and for his product. I hope this also helps someone out there
ALL THANKS TO DR WILLIAMS WITH HIS HERBAL PORTION I WAS COMPLETELY CURED FROM A TERRIBLE TINNITUS.
ReplyDeleteHow can I ever stop thanking Dr William for the great deed he have done for me, i got an accident when I was 27 years old, from that day on i started experience ringing ear (tinnitus) i have taken all the western drugs prescribe by various doctor but to no avail . my tinnitus was very loud in the afternoon and I sleep less at night because of this problem i stop my work, few days later i was going through the Internet and I saw a post of so many people testifying about Dr William herbal remedies on how they was being cure for over many years suffering from tinnitus the story Really motivated me that I have to speak with my husband about it, and he said i should give him a try, i contacted Dr William and explain all i have be facing in my life. He assured me that everything is going to be fine if only I can get his herbal portion, i said yes and I requested for it, few days later the herb was sent to me in Kuwait,i started using it as instructed by Dr William for me to take it for 21 Days which I did, can you imagine after talking Dr William herbal medicine for just two weeks i started experience results, it was like a miracle,and now i am permanently cure from this terrible tinnitus, i promise that am going to publish his herb on thing my last breath for the great deed he have done for me. For those with similar ear problem should please contact him on his email address drwilliams098765@gmail his a good man and am proud of him.
WE WELCOME YOU ALL TO DEVANSH HERBAL HEALTH CARE.
ReplyDeleteWe have Quality Rick Simpson Cannabis oil and medical marijuana for smokers, all types of cancer cure, insomnia, Diabetes,tinnitus,epilepsy,back pain,we also have the herbs that reduces stress and other illness. We are selling our products at very negotiable and workable prices. Apart from our very magnificent prices, when you buy from us, you are assured of the highest quality and purity available in the market,and we are 100% sure of our product, with a guaranteed discreet courier shipping or a special 24 hours confidential overnight delivery of the product to your address. We respect and value your privacy and will dont share your information with anyone. We offer discreet and Reliable packaging and delivery. -Fast and reliable shipment within 24hours within the US and 48 hours internationally, using courier service. Call or Text::::: +1936-2283-155, Email: devanshherbalheathcare@gmail.com for more information
I am Matthias lang, from Orlando u s a, i was diagnosed with tinnitus for 6 years, i lived in pain with the knowledge that i wasn't going to ever be well again, i contacted so many doctors on this issue,and i have use so many western drugs prescribe by various doctors and all was no avail, because i was determined to get my life back, one day i was researching for this disease on internet and i saw a post about devansh herbal health care who cure different manners of diseases, including tinnitus, I contacted them via email: devanshherbalheathcare@gmail.com and made purchase of the tinnitus herb, i received the herb through USPS within 24 hours, when i received the herb i applied it as prescribed and i was totally cured of tinnitus within few's days of usages,and on thin now i have never experience any ringing in my ears again,few days later i went back to my doctor and he confirmed i was completely cured from this disease, am so happy now, You do not have to suffer more just contact him for his medicine on devanshhrbalheathcare@gmail.com.com he will definitely put an end to that hearing problem of yours
ReplyDeleteDR WILLIAMS HERBAL CURE TO TINNITUS
ReplyDeleteAppreciation is the key to doing more that is why I have took some time out to thank some one who cured me of my 4 years tinnitus problem. It became a major problem to me as it was affecting my life and I was no longer comfortable so I decided to look for a solution and I came across a post of Dr williams and how he has been helping people of the same problem with his herbal remedies I contacted him and told him all I have been facing in my life. He told me how to get his product and how to take it after every thing I find out that all was now okay with me and that my tinnitus problem was gone that is why I have come out today to say thank you to him and for any tinnitus problem either from man or woman. Contact him on drwilliams098765@gmail.com his a man that take good care of his children
Though i haven't met DR Abor but i have being hearing and seeing his wonderful deeds on people's life.. This made me contacted him because i was also diagnosed of HIV, When i contacted Him, without wasting time, he started his Miraculous work in my Life, I am happy and Glad to say that i am now cured after using his herbal Medicine.. You can also reach him via IRABORSPELLHERBALHOME@GMAIL.COM
ReplyDeleteand he also cure , HEPATITIS , HERPES VIRUS, CANCER, LUPUS, EPILESY, WEAK ERECTION EJACULATION
and ALS , he also cast spell to get your EX BACK
you can reach him on via IRABORSPELLHERBALHOME@GMAIL.COM OR WHATSAPP ME or call +393512728432
My son recently started having grand Mal seizures at 16 years old. We were prescribed Kepler. We decided NOT to take the medicine and go with a Modified Atkins Diet that entails feeding our son 15 carbs a day with lots of healthy fat. He eats a lot of grass fed beef, free range eggs, organic low crab veggies and is doing fantastic! We could tell a difference in him by the 3rd day. This is not alternative or junk science. Dr. Lewis hill at Johns Hopkins has been championing this diet for years and has been really successful. Doctors are really resistant to this therapy but it works!. Read "Grain Brain" for why it works. He also takes taurine which helped stop the night time teeth grinding, jerking, and unrest in his sleep (also known to stop seizures). And he takes cur cumin as a brain protestant that raises seizures.one day came across Albert post thanking Dr Lewis hill for curing his son seizure problem, and i got the contact of Dr Lewis hill i quickly contacted him then he made me to know that the medication is 100% permanent cure, and that was how i got the medicine which i used for my son, after which i took my son for medical test It worked! Over a year now, my son have not show any symptoms of seizure and I believe my son is cure if you need his help email him on drlewishill247@gmail.com
ReplyDeleteALL THANKS TO DR WILLIAMS WITH HIS HERB I WAS CURED FROM A TERRIBLE TINNITUS.
ReplyDelete. Is my pleasure to comment on this site and i thank the admin of this site for his/her great work so far. I really don’t know how to thank DR WILLIAMS for helping me get cured for over 20 year of suffering from a terrible tinnitus, my tinnitus started when i was 28 year i thought is going to end one day but even get worse as days went by,i have tried all western drugs prescribed by doctors but to no avail i lost total concentration, even at night i screams even more because the sounds become louder because everywhere is quiet. i came across DR WILLIAMS contact through a headline news on internet about how DR WILLIAMS have help so many people to get cured of tinnitus and so many other with similar body problem ,i contacted him and he told me how to get his herb,few day later he sent me the herbal portion which i take every morning for 21 days, and his medicine was able to restore me back to normal and now am very okay without any side effects whatsoever If you have Tinnitus, you can contact him on his email address drwilliams098765@gmail.com for help
ReplyDeletethanks to Dr ebhota, who cured me of fallopian tube blockage and fibroid. i married for over eight years wthout a child of my own. because of the problem with my fallopian tube and fibroid, until i came in contact with Dr ebhota's testimony and recommendations online, on how he has cured and healed so many people of the same illment, and i decided to contact him, and he administered his medication on me, and i became pregnant in two months. increase you want to reach him for a similar problem, you can reach him on +2347086564868 or email him,drebhota123456@gmail.com
I am sophie from Canada, I once suffered from a terrible and Chronic tinnitus ,in 2016, the doctor told me it has no permanent cure i was given medications to slow down its progress, i constantly felt my health was deteriorating as i constantly go out of breath,and this noise was really terrible especially when am sleeping, i have this constant ringing in my ears for about 8 months, this was really a terrible noise ,on thin one day that i was going through the internet,and i came across a post of Mrs Kate on how she was been cured from tinnitus through dr Williams herbal product, I contacted this herbal doctor via his email and explain everything to him and make purchase of his product,few days later he sent me the herbal medicine through courier service, when i received the herbal medicine i used it for 3 weeks as prescribed and i was totally cured of tinnitus within those week of usage,on thin now i have not hear anything ringing in my ears.if you need his help you can Contact this herbal doctor via his email drwilliams098765@gmail.com for help
ReplyDeleteWow: who will ever believe that a natural herb can cure tinnitus, i never believe that this will work i have spend a lot when getting drugs from the hospital to keep me healthy,i went to many hospitals for cure but there was no solution, One day I was in the office going through the internet when i see so many people testifying about Dr Williams herbal medicine on how they where been cured from tinnitus and so many other similar body problem, so i mail him.He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks To my greatest surprise after patiently going according to instruction given to me by Dr Williams, all the ringing in my ears stop gradually and up thing this moment i have not experience anything ringing in my ears. I want to say a big thanks to Dr Williams who God have sent to heal his people with his natural medicine i pray that God will bless you for the good work you are doing.for all who are still suffering from this disease, you can also contact Dr Williams through his email address on;drwilliams098765@gmail.com
ReplyDeleteI am Shelley from Los Angeles,California, I want to testify on how i got cured from tinnitus, I have suffered from ringing ears since the year 2011 with so mush pain,that i have to spend so mush money getting pain relief in the hospital, and I have visited several doctor ,but all to no avail, my world was gradually coming to an end because of the buzzing sound in my right ears, until i saw a post in a health forum about a herbal Dr Williams who use herbal portion in curing people from different kind of diseases including tinnitus, at first i doubted if it we be able to cure me, but i decided to give it a try, when i contacted this herbal doctor via his email, he prepared a herbal portion and sent it to me via courier service, when i received this herbal medicine, he gave me step by step instructions on how to apply it, when i applied it as instructed, i was completely free from tinnitus just for 1 months of usage,i we recommend this to all my friend family in the world today who still suffering from tinnitus you can contact him through his email on drwilliams098675@gmail.com for help.
ReplyDelete"Dear Williams, I wanted to drop you a note and say 'THANK YOU', from the bottom of my heart. I was browsing the Internet back in AUGUST this year looking for help, any help. I have been diagnosed with tinnitus that was extremely loud especially at night when going to bed. Thankfully enough I accidentally came across so many people thanking Dr Williams for his medication. I thought I should give his medicine a try. I ordered his medicine and went to my local health store and bought the herbs and vitamins and the other more basic ingredients for his medicine and then started his medication that day. After 7 days I didn't see any change so I thought 'here we go again'. But it wasn't another disappointment. By the end of the 4th week on a bright Monday morning, all the noses and the awful bloated feeling just stopped. I immediately went to my doctor and guess what? The ear ringing was not there anymore. I was so happy!
ReplyDeleteThanks to your advice, I now know how to prevent any future tinnitus formation and the array of symptoms that goes along with it, Thank you so much for everything!"for more information on how to get his medication you can email him on drwilliam098675@gmail.com
DR WILLIAMS HERBAL CURE TO TINNITUS
ReplyDeleteAppreciation is the key to doing more that is why I have took some time out to thank some one who cured me of my 4 years tinnitus problem. It became a major problem to me as it was affecting my life and I was no longer comfortable so I decided to look for a solution and I came across a post of Dr williams and how he has been helping people of the same problem with his herbal remedies I contacted him and tell him all I have been facing in my life. He told me how to get his product and how to take it after every thing I find out that all was now okay with me and that my tinnitus problem was gone that is why I have come out today to say thank you to him and for any tinnitus problem either from man or woman. Contact him on drwilliams098675@gmail.com his a man that take good care of his children
"DR WILLIAMS, I wish to praise you for sharing such a simple but comprehensive herbal medication to tackle this disease from the root. This is truly a valuable resource for all men and woman suffering from tinnitus. It's been almost 10 months since my doctor first diagnosed me with tinnitus. My doctor suggested that I will try watchful waiting but as the months went nothing has changed.
ReplyDeleteAs soon as I decided I'm going all the way and treat my tinnitus, I ordered Dr Williams and the results as you already know were shocking to say the least. The result I took clearly showed my tinnitus had completely vanished.
I have even encouraged my "Doubting Thomas" friend to order it and read it too. To have so much good information in one tight package is an unbelievable value. I would encourage anyone who suffers from tinnitus and/or any ears infection issue to take advantage of Dr Williams herbal medicine! you can contact him through his email on drwilliams098675@gmail.com for more information
Sincerely...
Dr Williams,his medicine was extremely helpful to me. I have had tinnitus for 7 years now , and my doctor told me to have a tinnitus sugary . I am so glad I have found Dr Williams medicine (as I was surfing the net for a solution and saw a recommendation for it on a women's health forum early this year). I have felt so empowered by the knowledge you have given me and I quickly self diagnosed the individual cause of my tinnitus and armed with your clear instructions, I was finally able to beat this monster, in less than 4 weeks of using dr Williams medication. 9 weeks before the tinnitus surgery was due, I asked for a scan and it was clear that my tinnitus were gone,you can also email him on drwilliams098675@gmail.com for help.
ReplyDeleteThank you, thank you , thank you. dr williams "
Thanks to Dr Williams I am so happy today, I have been suffering from tinnitus for the past 2 years now, and i have spent a lot on western drugs which has all proved abortive, i have tried all means in life to become tinnitus free , but there was no answer until i decided to try herbal solution and i found Dr Williams online and i contacted him and after I took his medication as instructed, i am now tinnitus free within those week of usage, i am so much happy, thanks to Dr Williams for helping me get my life back again without any form of crisis, i promise to tell your name and good deeds to the whole world,if you have tinnitus you can email him on drwilliams098675@gmail.com for more information .
ReplyDeleteCURE TO TINNITUS WITHOUT SIDE EFFECT: I was diagnosed with tinnitus and ears watts. My tinnitus hurt so bad that I was usually in bed for about 8 hours and soreness killers (even prescription strength) don't stop the loudness (except to knock me out) even if I take triple the dosage. Every night that come to pass it always louder and louder and all the doctors would do is monitor it, prescribe me countless pain control pills and pain medication with no positive result. until recently I contacted a Doctor who put an end to this problem. If you are having problem with tinnitus or any ears problem contact Dr. William for advice and possible solution without any side effect (drwilliams098675@gmail.com)
ReplyDeleteI am John Danilla from UK( northern ireland), i want to share a
ReplyDeletetestimony on how a powerful spell caster cured my HIV disease, i was
diagnosed of this disease, in the year 2009, last week i saw a testimony on
Dr.Akioya on how he cured an HIV patient, so i contacted him through phone
call and he asked me to email him, which idid, so he told me that all my
problems is over and then he decided to do an healing spell spell for me so
after he finished it, he told me to wait for just 24 hours and then i
should go for a test, so i really did as he had said, so my greatest
surprised when i went to the hospital to go for an HIV test, the Medical
doctor diagnosed that, i am now HIV negetative at first i was amazed and
now i have come to realise that this spell caster Dr. Akioya is a very
powerful one and a real spell caster. So viewers of this should please join
me in my celebration for i am the happiest man on earth today and if you
want to contact him, you can do this via his email
(drakioya17spellhome@gmail.com or call him or whatsapp him
+2347019562805.
For those people whose relative are suffering from Tinnitus and maybe reading this, I find it hard that people are still ignorant of herbal medicine when it comes to treating Tinnitus. I have been through many phases over the last couple of years since my (audiological) exam/diagnosis, my tinnitus once buried me in a negative place where many of you are now - or have been. Believe me when I say, “I’ve been there.” I had sudden sensorineural hearing loss (SSHL), losing 70 percent of my hearing up to 4,000 kHz. I began noticing a low level of tinnitus around 51 years old and the diagnosis changed my life in many ways, I spend most of the time in denial and I keep thinking the tests were wrong. But deep down I knew they were correct. The level spiked dramatically, spiraling me down into a pit of depression. I could not sleep or eat; I stayed in bed with sweats and shaking spells; I lost strength and considerable weight. My wife held me in her arms, trying to comfort me, and still I thought I was going to die. Though sharing his story is very difficult. I was always very successful in being able to accomplish anything I set my mind on doing. Tinnitus is a bitch. I feel a need to express my thoughts and feelings about how it affected my day to day living and how its deteriorated since despite the help of some wonderful medics and medicine.
ReplyDeleteI remind myself how lucky to come across aparajita tan herbal medicine which is able to control Tinnitus without any side effect, I felt a moment of relief hoping that I am free from this ailment, and nothing compares to the healing power of nature. Now I believe almost every health problem can be addressed in one natural way or another. The only thing I wanted was for me to feel better. I’m proud to say am Tinnitus free. You can also contact him for advice and more info. aparajitatan@gmail.com
My husband was diagnosed with early onset Parkinson's disease at 57.his symptoms were shuffling of feet,slurred speech, low volume speech, degradation of hand writing, horrible driving skills, right arm held at 45 degree angle, things were tough for me, but now he finally free from the disease with the help of total cure ultimate health home, he now walks properly and all symptoms has reversed, he had trouble with balance especially at night, getting into the shower and exiting it is difficult,getting into bed is also another thing he finds impossible.we had to find a better solution for his condition which has really helped him a lot,the biggest helped we had was ultimatehealthhome they walked us through the proper steps,am highly recommended this ultimatehealthhome@gmail.com to anyone who needs help.
ReplyDelete