Hepatitis A

Hepatitis A (formerly known as infectious hepatitis) is an acute infectious disease of the liver caused by the hepatitis A virus (HAV). Many cases have little or no symptoms especially in the young. The time between infection and symptoms, in those who develop them, is between two and six weeks. When there are symptoms they typically last eight weeks and may include: nausea, vomiting, diarrhea, yellow skin, fever, and abdominal pain. Around 10â€"15% of people experience a recurrence of symptoms during the six months after the initial infection. Acute liver failure may rarely occur with this being more common in the elderly.

It is usually spread by eating or drinking food or water contaminated with infected feces. Shellfish which have not been sufficiently cooked is a relatively common source. It may also be spread through close contact with an infectious person. While children often do not have symptoms when infected they are still able to infect others. After a single infection a person is immune for the rest of their life. Diagnosis requires blood testing as the symptoms are similar to those of a number of other diseases.

The hepatitis A vaccine is effective for prevention. Some countries recommend it routinely for children and those at higher risk who have not previously been vaccinated. It appears to be effective for life. Other preventative measures include hand washing and properly cooking food. There is no specific treatment, with rest and medications for nausea or diarrhea recommended on an as needed basis. Infections usually resolve completely and without ongoing liver disease. Treatment of acute liver failure, if it occurs, is with liver transplantion.

Globally around 1.5 million symptomatic cases occur each year with likely tens of millions of infections in all. It is more common in regions of the world with poor sanitation and not enough safe water. In the developing world about 90% of children have been infected by age 10 and thus are immune by adulthood. It often occurs in outbreaks in moderately developed countries where children are not exposed when young and there is not widespread vaccination. In 2010, acute hepatitis A resulted in 102,000 deaths. World Hepatitis Day occurs each year on July 28 to bring awareness to viral hepatitis.

Signs and symptoms



Early symptoms of hepatitis A infection can be mistaken for influenza, but some sufferers, especially children, exhibit no symptoms at all. Symptoms typically appear 2 to 6 weeks (the incubation period) after the initial infection. 90% of children do not have symptoms. The time between infection and symptoms, in those who develop them, is between two and six weeks with an average of 28 days.

The risk for symptomatic infection is directly related to age, with more than 80% of adults having symptoms compatible with acute viral hepatitis and the majority of children having either asymptomatic or unrecognized infections.

Symptoms usually last less than 2 months, although some people can be ill for as long as 6 months:

  • Fatigue
  • Fever
  • Nausea
  • Appetite loss
  • Jaundice, a yellowing of the skin or whites of the eyes due to hyperbilirubinemia
  • Bile is removed from blood stream and excreted in urine, giving it a dark amber colour
  • Diarrhea
  • Clay-coloured faeces

Virology



Following ingestion, HAV enters the bloodstream through the epithelium of the oropharynx or intestine. The blood carries the virus to its target, the liver, where it multiplies within hepatocytes and Kupffer cells (liver macrophages). Virions are secreted into the bile and released in stool. HAV is excreted in large quantities approximately 11 days prior to appearance of symptoms or anti-HAV IgM antibodies in the blood. The incubation period is 15â€"50 days and mortality is less than 0.5%. Within the liver hepatocytes the RNA genome is released from the protein coat and is translated by the cell's own ribosomes. Unlike other picornaviruses this virus requires an intact eukaryote initiating factor 4G (eIF4G) for the initiation of translation. The requirement for this factor results in an inability to shut down host protein synthesis unlike other picornaviruses. The virus must then inefficiently compete for the cellular translational machinery which may explain its poor growth in cell culture. Presumably for this reason the virus has strategically adopted a naturally highly deoptimized codon usage with respect to that of its cellular host. Precisely how this strategy works is not quite clear yet.

There is no apparent virus-mediated cytotoxicity presumably because of the virus' own requirement for an intact eIF4G and liver pathology is likely immune-mediated.

Structure

The hepatitis A virus is a picornavirus; it is non-enveloped and contains a single-stranded RNA packaged in a protein shell. There is only one serotype of the virus, but multiple genotypes exist. Codon use within the genome is biased and unusually distinct from its host. It also has a poor internal ribosome entry site. In the region that codes for the HAV capsid, there are highly conserved clusters of rare codons that restrict antigenic variability.

Genotypes

One serotype and seven different genetic groups (four humans and three simian) have been described. The human genotypes are numbered I-III. Six subtypes have been described (IA, IB, IIA, IIB, IIIA, IIIB). The simian genotypes have been numbered IV-VI. A single isolate of genotype VII isolated from a human has also been described. Genotype III has been isolated from both humans and owl monkeys. Most human isolates are of genotype I. Of the type I isolates subtype IA accounts for the majority.

The mutation rate in the genome has been estimated to be 1.73â€"9.76 x 10âˆ'4 nucleotide substitution per site per year. The human strains appear to have diverged from the simian ~3600 years ago. The mean age of genotypes III and IIIA strains has been estimated to be 592 and 202 years respectively.

Transmission

The virus spreads by the fecalâ€"oral route and infections often occur in conditions of poor sanitation and overcrowding. Hepatitis A can be transmitted by the parenteral route but very rarely by blood and blood products. Food-borne outbreaks are not uncommon, and ingestion of shellfish cultivated in polluted water is associated with a high risk of infection. Approximately 40% of all acute viral hepatitis is caused by HAV. Infected individuals are infectious prior to onset of symptoms, roughly 10 days following infection. The virus is resistant to detergent, acid (pH 1), solvents (e.g., ether, chloroform), drying, and temperatures up to 60 °C. It can survive for months in fresh and salt water. Common-source (e.g., water, restaurant) outbreaks are typical. Infection is common in children in developing countries, reaching 100% incidence, but following infection there is lifelong immunity. HAV can be inactivated by: chlorine treatment (drinking water), formalin (0.35%, 37 °C, 72 hours), peracetic acid (2%, 4 hours), beta-propiolactone (0.25%, 1-hour), and UV radiation (2 μW/cm2/min).

In developing countries, and in regions with poor hygiene standards, the rates of infection with this virus are high and the illness is usually contracted in early childhood. As incomes rise and access to clean water increases, the incidence of HAV decreases. In developed countries on the other hand, the infection is contracted primarily by susceptible young adults, most of whom are infected with the virus during trips to countries with a high incidence of the disease or through contact with infectious persons.

Diagnosis



Although HAV is excreted in the feces towards the end of the incubation period, specific diagnosis is made by the detection of HAV-specific IgM antibodies in the blood. IgM antibody is only present in the blood following an acute hepatitis A infection. It is detectable from one to two weeks after the initial infection and persists for up to 14 weeks. The presence of IgG antibody in the blood means that the acute stage of the illness is past and the person is immune to further infection. IgG antibody to HAV is also found in the blood following vaccination and tests for immunity to the virus are based on the detection of this antibody.

During the acute stage of the infection, the liver enzyme alanine transferase (ALT) is present in the blood at levels much higher than is normal. The enzyme comes from the liver cells that have been damaged by the virus.

Hepatitis A virus is present in the blood (viremia) and feces of infected people up to two weeks before clinical illness develops.

Prevention



Hepatitis A can be prevented by vaccination, good hygiene and sanitation.

There are two types of vaccines: one containing inactivated hepatitis A virus, and another containing a live but attenuated virus. Both provide active immunity against a future infection. The vaccine protects against HAV in more than 95% of cases for longer than 25 years. In the US the vaccine was first phased in 1996 for children in high-risk areas, and in 1999 it was spread to areas with elevating levels of infection.

The vaccine is given by injection. An initial dose provides protection starting two to four weeks after vaccination; the second booster dose, given six to twelve months later, provides protection for over twenty years.

Vaccination programmes

The vaccine was introduced in 1992 and was initially recommended for persons at high risk. Since then Bahrain and Israel have embarked on eradication programmes. Australia, China, Belarus, Italy, Spain and the United States have started similar programmes. The incidence of hepatitis A where widespread vaccination has been practised has decreased dramatically. In China and the United States the incidence of hepatitis A has decreased by 90% since 1990.

In the United States vaccination of children is recommended at 1 and 2 years of age. It is also recommended in those who have not been previously immunized and who have been exposed or are likely to be exposed due to travel.

Treatment



There is no specific treatment for hepatitis A. Sufferers are advised to rest, avoid fatty foods and alcohol (these may be poorly tolerated for some additional months during the recovery phase and cause minor relapses), eat a well-balanced diet, and stay hydrated.

Prognosis



In the United States in 1991 there was a low mortality rate for hepatitis A of 4 deaths per 1000 cases for the general population but a higher rate of 17.5 per 1000 in those aged 50 and over. The risk of death from acute liver failure following HAV infection increases with age and when the person has underlying chronic liver disease.

Young children that are infected with hepatitis A typically have a milder form of the disease, usually lasting from 1â€"3 weeks, whereas adults tend to experience a much more severe form of the disease.

Epidemiology



Globally, symptomatic HAV infections are believed to occur in around 1,4 million people a year. There is however likely tens of millions of infections in all. In 2010, acute hepatitis A resulted in 102,000 deaths which is slightly up from 99,000 in 1990. Developed countries have low circulating levels of hepatitis A virus while developing countries have high circulating levels of hepatitis A virus. Most adolescents and adults in developing countries have already had the disease and are thus immune. Adults in mid level countries may be at risk of disease with the potential of being exposed.

Countries

There were 30,000 cases of hepatitis A reported to the CDC in the US in 1997 but the number has since dropped to less than 2,000 cases reported per year.

The most widespread hepatitis A outbreak in the 2003 United States hepatitis outbreak afflicted at least 640 people (killing four) in north-eastern Ohio and south-western Pennsylvania in late 2003. The outbreak was blamed on tainted green onions at a restaurant in Monaca, Pennsylvania. In 1988, more than 300,000 people in Shanghai, China were infected with HAV after eating clams (Anadara subcrenata) from a contaminated river. In June 2013, frozen berries sold by US retailer Costco and purchased by around 240,000 people were the subject of a recall, after at least 158 people were infected with HAV, 69 of whom were hospitalized.

References



External links





25 comments:

  1. Hey nice blog. Thank's for this helpful information come back again for more interesting information…Keep it up!
    You can also refer Hepcinat Tablet

    ReplyDelete
  2. Natural Herbs Clinic,s Natural Herbal Remedies For Inclusion Body Myositis is the best possible and efficient treatments for such diseases are now easily available for you..... http://www.naturalherbsclinic.com/Inclusion-Body-Myositis.php

    ReplyDelete
  3. I am happy today to also testify I was totally cured of my Hepatitis
    A. I have lived with Hepatitis C for over 7 years. The thing so affected my
    system that even all part of my body where getting too bad. I tried to look for
    all possible solution just to get rid of this Hepatitis A, but could not see
    any. My doctors says nothing can be done except God himself intervene for me.
    So I began to pray, and hope in God to help cure this disease of mine. Some
    months ago, I saw some testimonies here in the internet people rejoicing on how
    they were cure of their various diseases by a herbal doctor called EHIDIAMEN. So I asked them for his contact so that I can contact him and also see
    if there is any herbal luck for me to get cured. After I contacted him, he
    assured me that he can cure me of my Hepatitis A and said to me that he have
    cured some persons before, so he told me what to do, and we made necessary
    arrangement. He prepared the herbal mixture, and sent it to me here in my
    country so I started to take it. And behold the herbs worked for me, and today
    I am proud to say I am cured and totally free from Hepatitis A. And now I can
    enjoy my wife to the fullest. Please I want you all here to help me say big
    thanks to Doctor EHIDIAMEN who God really use to cure me. I promise him that if I am cured, I will tell
    the world about him and his powerful herbs, and that’s exactly what I am doing
    now. So please if you have any disease and or virus relating to Hepatitis A,B
    or C or the like. Please I recommend you to this powerful and great herbal
    doctor, Doctor EHIDIAMEN. His contact details are as follows: his email is
    doctorehidiamen@gmail.com and his phone number is +2348102802949. If you
    email or call him just tell him you got his contact from me williams john.

    ReplyDelete


  4. Thank you for sharing such wonderful information!In my opinion, Keep a healthy life by consuming healthy food and doing exercise regularly is the best healthy formula.
    regards,
    Nursing Jobs

    ReplyDelete
  5. macam mana rumus membendung ejakulasi dini?

    kamu mampu mengahdiri dokter guna berkonsultasi. Dokter bakal merekomendasikan sesi penyuluhan yg menyeret-nyeret psikoterapi. demikian lagi dgn formula berkomunikasi dgn pasangan menyangkut disfungsi seksual. terkecuali pengarahan, pengobatan yang lain serta dapat menyeret-nyeret alat tabiat, anestesi topikal yg( diberikan serta-merta buat kulit), dan sekian banyak remedi. Berikut ini sekian banyak penjelasannya:

    1. proses perilaku
    Seperti yg telah dijelaskan di atas, ejakulasi dini mampu berjalan dikarenakan kamu merasa terpojok. daya upaya perilaku sanggup dibilang tak runyam, kamu bisa jadi dapat direkomendasikan guna masturbasi seputar tunggal, atau dua jam sebelum lakukan senggama. tabiat ini ditujukan buat membimbing ejakulasi dini selagi kamu bersambung seksual. rahasia yang lain yg sepertinya direkomendasikan yaitu menghindari senggama selagi sekian banyak kala buat konsentrasi buat kategori permainan/rangsangan seksual saja, maka tekanan yg menyulut pendapat dekat pikiran kamu bisa dihilangkan.


    2. Latihan basic panggul
    tak cuma wanita yg mampu melaksanakan senam Kegel, cowok pula mampu melakukannya. Senam Kegel mematok otot-otot basic panggul. Ejakulasi dini mampu disebabkan bersama lemahnya otot basic panggul maka kemampuan pada mengganjal ejakulasi tengah 5 memindahkan. Latihan basic panggul dgn senam Kegel sanggup membenarkan otot-otot ini.

    trick melaksanakan senam Kegel:

    - dapatkan otot yg sah. Caranya kamu dapat cobalah aktivitas mengganjal ajaran kencing, atau kencangkan otot disaat kamu mengganjal buang udara. apabila kamu telah meraih otot yg sahih, kamu dapat lakukan kegiatan ini kapan saja. Pastikan perihal ini tak menciptakan kamu jadi mengganjal urin, atau menyangga buang cuaca, lantaran dampaknya tak apik terhadap kesegaran. melakukan kegiatan tertera kala tak mau buang air mungil atau buang angin.
    - sejak mulai laksanakan usaha latihan. kamu mampu mengganjal otot basic panggul sewaktu tiga detik, dulu lemaskan buat tiga detik seterusnya. waktu kamu merasakan otot panggul telah sejak mulai menguat, kamu dapat melakukannya sambil bersila, berdiri, atau berjalan
    - Latih konsentrasi kamu. siap sedia terhadap tak latihan melenturkan otot perut, paha, atau pantat. konsentrasi saja terhadap mengencangkan otot panggul. selagi latihan, sebaiknya kamu bernapas leluasa saja, tak butuh menyangga napas Anda
    - Ulangi latihan ini. supaya akhirnya maksimal laksanakan tiga kali pada sehari. kalau, kamu telah bisa melakukannya sekian banyak kali, targetkan 10 kali klise dekat sehari

    Kulup | Kulup panjang

    Ejakulasi dini | Sunat dewasa tak perlu malu

    Chat | Klini chat

    ReplyDelete
  6. As a sign of gratitude for how my husband was saved from hepatitis b, i decided to reach out to those still suffering from this.
    My husband was diagnosed of hepatitis b in 2013 and it was really tough and heartbreaking for me because he was my all and the symptoms were terrible, he always have Joint pain , and he always complain of Weakness of the body . we tried various therapies prescribed by our neurologist but none could cure him. I searched for a cure and i saw a testimony by someone who was cured and so many other with similar body problem, and he left the contact of the doctor who had the cure to hepatitis b. I never imagined hepatitis b has a natural cure not until i contacted him and he assured me my husband will be fine. I got the herbal medication he recommended and my husband used it and in one months he was fully okay even up till this moment he is so full of life. hepatitis b has a cure and it is a herbal cure contact the doctor for more info on drwilliams098675@gmail.com on how to get the medication. Thanks for reading my testimony.

    ReplyDelete
  7. I am karen from Canada, I once suffered from a terrible and Chronic hepatitis b,since i was 23 , the doctor told me there was no permanent cure i was given medications to slow down its progress, i constantly felt my health was deteriorating as i constantly had Abdominal pain and vomiting ,this ailment was really terrible especially when am going out with my friends, i have this constant disorder for about 31 years, this was really a terrible ailment ,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 hepatitis b through the help of 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 1 months as prescribed by dr williams and i was totally cured within those week of usage,on thin now i have not experience any sign or characteristics again . for more information you can email him on drwilliams098675@gmail.com for help

    ReplyDelete
  8. As a sign of gratitude for how my husband was saved from hepatitis b, i decided to reach out to those still suffering from this.
    My husband was diagnosed of hepatitis b in 2013 and it was really tough and heartbreaking for me because he was my all and the symptoms were terrible, he always have Joint pain , and he always complain of Weakness of the body . we tried various therapies prescribed by our neurologist but none could cure him. I searched for a cure and i saw a testimony by someone who was cured and so many other with similar body problem, and he left the contact of the doctor who had the cure to hepatitis b. I never imagined hepatitis b has a natural cure not until i contacted him and he assured me my husband will be fine. I got the herbal medication he recommended and my husband used it and in one months he was fully okay even up till this moment he is so full of life. hepatitis b has a cure and it is a herbal cure contact the doctor for more info on drwilliams098675@gmail.com on how to get the medication. Thanks for reading my testimony.

    ReplyDelete
  9. Dear FRIENDS,
    now i have a beautiful smiling face and so are which you all, after reading my testimony. My name is Nita, I am 31 years old,
    And live with my boyfriend in Belgium, but I am UK. I have been diagnosed with hepatitis b since 2012, which the Doctors told me this condition was forever. I know how you feel and what you are going through, I don't have a baby though. I just want to tell you that I am cured now,with the help of doctor Williams herbal medication, the last time I can remember having hepatitis b was October this year. It was a long and difficult process but I am so thankful to dr williams I don't have it anymore. Please know you can be cured too. Accept what happened and is happening to you, forgive, let the past go, love yourself and others unconditionally and be thankful. Everything happens for a reason. If you want to be in contact with dr williams and share your own testimony and thoughts feel free to e-mail him on; drwilliams098675@gmail.com for advice and for his product.

    ReplyDelete
  10. My
    name is Chastini Rose,from USA and am a force woman and i have a very
    bad sickness know as hepatitis b and i was really searching for help, i
    have bought some many drugs but to no avail until when i came across a
    comment of about 8 to 9 fellower testifying for what this Dr has done in
    their life so with that i know i myself will surely get help so i email
    this man and told him how i have been doing ever since i have this
    sickness and he ask me something and i did as he says and he also ask me
    to give him a day and i did as he say so on the nest day he email me
    and inform me on how he had sent the medicine through DHL and within in
    the evening i receive the message containing the medicine and he inform
    me on how to use which i followed and in the nest 9th days of it he
    email me and ask me to go for test which i did and surprisely my problem
    have been solve and that’s how i was free from this sickness so do you
    need help email this Dr for help via his email:odioaherbalcurehome@gmail.com or call +2347059055577 or whats app him for your solution

    ReplyDelete
  11. ALL THANKS TO DR WILLIAMS
    I was diagnosed of hepatitis B in 2011, I have tried all possible means to get cure but all my effort proved abortive, until a friend of mine introduced me to a herbal doctor , who prepare herbal medicine to cure different kind of diseases including hepatitis b virus (HBV), when i contacted this herbal doctor via his email, he sent me hepatitis b herbal medicine via courier service, when i received the herbal medicine he gave me step by step instructions on how to apply it, when i applied it as instructed i was totally cured from this disease within 1 months of usage. any body with similar problem can Contact this great herbal doctor via his email drwilliams098675@gmail.com for advice and for his product,and thanks to you admin for such an informative blog.

    ReplyDelete
  12. I am karen from Canada, I once suffered from a terrible and Chronic hepatitis b,since i was 23 , the doctor told me there was no permanent cure i was given medications to slow down its progress, i constantly felt my health was deteriorating as i constantly had Abdominal pain and vomiting ,this ailment was really terrible especially when am going out with my friends, i have this constant disorder for about 31 years, this was really a terrible ailment ,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 hepatitis b through the help of 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 1 months as prescribed by dr williams and i was totally cured within those week of usage,on thin now i have not experience any sign or characteristics again . for more information you can email him on drwilliams098675@gmail.com for help

    ReplyDelete
  13. ALL THANKS TO DR WILLIAMS
    I was diagnosed of hepatitis B in 2011, I have tried all possible means to get cure but all my effort proved abortive, until a friend of mine introduced me to a herbal doctor , who prepare herbal medicine to cure different kind of diseases including hepatitis b virus (HBV), when i contacted this herbal doctor via his email, he sent me hepatitis b herbal medicine via courier service, when i received the herbal medicine he gave me step by step instructions on how to apply it, when i applied it as instructed i was totally cured from this disease within 1 months of usage. any body with similar problem can Contact this great herbal doctor via his email drwilliams098675@gmail.com for advice and for his product,and thanks to you admin for such an informative blog.

    ReplyDelete

  14. I can’t believe this. A great testimony that i must share to all HERPES SIMPLEX VIRUS patient in the world i never believed that their could be any complete cure for Herpes or any cure for herpes,i saw people’s testimony on blog sites of how Dr.Voodoo prepare herbal medicine that cure and brought them back to life again. i had to try it too and you can,t believe that in just few weeks i started using it all my pains stop gradually and i had to leave without the pills the doctor gave to me. Right now i can tell you that few months now i have not had any pain,delay in treatment leads to death. Here is his email:(voodoospell10@gmail.com) or call (+2348135790702) for more information or WhatsApp with him....

    ReplyDelete
  15. ALL THANKS TO DR ORIANE FOR CURING ME FROM A DEADLY DISEASE HEPATITIS B.
    Appreciation 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 HEPATITIS B
    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 ORIANE 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
    and that my HEPATITIS B problem was gone that is why I have come out
    today to say thank you to him . his email address droriane6@gmail.com or add on whatsapp or via call +2349031652461 for advice and for his product

    ReplyDelete
  16. "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 hepatitis b. It's been almost 10 years since my doctor first diagnosed me with hepatitis b. My doctor suggested that I will try watchful waiting but as the months went nothing has changed.

    As soon as I decided I'm going all the way and treat my hepatitis b, I ordered Dr Williams and the results as you already know were shocking to say the least. The result I took clearly showed my hepatitis b 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 hepatitis b or any other disease to take advantage of Dr Williams herbal medicine! you can contact him through his email on drwilliams098675@gmail.com for more information

    Sincerely...

    ReplyDelete
  17. ALL THANKS TO DR WILLIAMS
    I was diagnosed of hepatitis B in 2011, I have tried all possible means to get cure but all my effort proved abortive, until a friend of mine introduced me to a herbal doctor , who prepare herbal medicine to cure different kind of diseases including hepatitis b virus (HBV), when i contacted this herbal doctor via his email, he sent me hepatitis b herbal medicine via courier service, when i received the herbal medicine he gave me step by step instructions on how to apply it, when i applied it as instructed i was totally cured from this disease within 1 months of usage. any body with similar problem can Contact this great herbal doctor via his email drwilliams098675@gmail.com for advice and for his product,and thanks to you admin for such an informative blog.

    ReplyDelete
  18. Thanks to dr.ezomo for his good work I never believe that ALS has cure, I was ALS over 3 year now before I came across a comment about how
    dr.ezomo cure ALS and herpes disease but when I saw it i have it in mind
    that he cant cure ALS I just decided to give it a try I contact him that
    night luckily to me he replied me, but I dont believe him I thought it was
    a scam but I still hold on to see the work of Dr ezomo if he is saying the
    truth he ask for some details about me i gave him all he needed and I
    waited to see his reply to my problem after all, he told me to go for check
    up and I went for HIV test I cant believe I was negative,am so happy and
    grateful to God for using Dr ezomo to cure me, that is the reason why i
    decided to write this wonderful testimony of our i was cured, i recommend
    Dr ezomo to you all around the world,contact him on his Email dr.ezomorootandherbals@gmail.com or you can also reach him through WhatsApp number+2349069171173
    dr.ezomo for helping me at this young age if you need help contact,
    He can also cure so many sickness

    ReplyDelete
  19. I am Shelley from Los Angeles,California, I want to testify on how i got cured from hepatitis b, I have suffered from hepatitis b 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 pain in my abdomen , 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 hepatitis b, 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 hepatitis b just for 1 months of usage,i we recommend this to all my friend family in the world today who still suffering from hepatitis b you can contact him through his email on drwilliams098675@gmail.com for help.

    ReplyDelete
  20. SPECIAL THANKS TO DR WILLIAMS FOR THE HEPATITIS B CURED HE
    RENDER TO ME.
    I'm giving a testimony about Dr. WILLIAMS the great Herbal man, he has
    the herbal cure to hepatitis b, he cured my hepatitis b disease,
    though I went through different website I saw a testimonies about this
    Dr Williams, I was like: 'Dr Williams have the hepatitis b cure why are
    people still suffering from it?' I thought of it, then I contact Dr Williams, I didn't believe him that much, I just wanted to give him a try, he replied my mail and Needed some Information about me, then I sent them to him, he prepared the (CURE) and sent it to me through Courier Service he gave my details to the Courier Office, they told me that 1-3 days I will receive the package and i took the medicine as prescribed by Dr Williams and I went for check-up 1 week after finishing the medicine, then the hepatitis b was not there, if you are suffering from hepatitis b you can also contact him on his via email address: drwilliams098675@gmail.com for his herb

    ReplyDelete
  21. Really i found this article more informative, thanks for sharing this article.
    ashwagandha extact manufacturer in india

    ReplyDelete
  22. MY HERPES SIMPLEX CURE BY HERBAL MEDICINE..
    It's Good for herpes patient to please read my testimony,my name is James i am from California USA, I caught genital herpes from my ex girlfriend who never had any symptoms. I have had it for 1 year now, and it has affected my life. I have told my boyfriends who I trusted about it and I have never had a bad reaction, it has affected my new relationships with Damon People think herpes is really a minor skin irritation,herpes has a long term effects on health.The stigma attached to this virus by ignorant people is ridiculous. Most people have herpes in one form or another. I would like to advise people on how i got rid of my herpes.i was reading a comment on the internet,and i saw a testimony posted by a woman from island that she got rid of her herpes with the help of dr. boadi .so i was so happy when i saw that post,that his herbal medication is free.i quickly collected the herbal doctor email: drgodstimeboadi@gmail.com
    call or whatsapp him on his mobile number +2348144964531
    visit website http://drgostimeboadiherbalcentre.blogspot.com.ng/
    He also have the herb to cure
    (1) CANCER,
    (2) DIABETES,
    (3) HIV&AIDS,
    (4) URINARY TRACT INFECTION,
    (5) CANCER,
    (6) HERPES,
    (7) BARENESS/INFERTILITY
    (8) DIARRHEA
    (9) ASTHMA...

    ReplyDelete
  23. DR WILLIAMS HERBAL CURE TO HEPATITIS B.
    I 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 hepatitis b for 5 years, 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 normal because it was not really easy for me having just two son and one been infected by this disease .I took time to search the internet which i found a lot of people thanking Dr. williams concerning the same problem and i discussed it with my wife and she agreed we should give a try so we order his product which my son took for 28 days and he is very much okay now.I will advise you to stop wasting time on all these western medicine because they only work for some times and the problem bounce back again.Contact Dr.at drwilliams098675@gmail.com for advice and for his product and be the next to give your testimony.

    ReplyDelete
  24. CURE TO HEPATITIS B WITHOUT ANY SIDE EFFECT: My daughter was diagnosed with hepatitis b . My daughter hepatitis b was something i don't understand she cry so bad that she was usually in bed for about 8 hours and soreness killers (even prescription strength) don't stop the crying even if she take triple the dosage. my daughter symptoms was really so terrible,that we have to make hospital our home, and all the doctors would do is monitor it, prescribe him countless of 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 same problem with hepatitis b contact Dr. William for advice and possible solution without any side effect drwilliams098675@gmail.com

    ReplyDelete