Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

4
2430
Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy
Loading...

Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy; Do you suffer from any of the following?

  • Headaches/Migraines
  • Asthma
  • Itching
  • Puffy eyes
  • Facial flushing
  • Hives
  • Pre-menstrual cramps
  • Cough
  • Palpitations or racing heart
  • Swelling of ankles/feet
  • Low blood pressure
  • High blood pressure
  • Insomnia

Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

I am astounded at how many of us unknowingly suffer from excess histamine. Some of us itch or sneeze while others get headaches, migraines, joint pain, or nausea – within minutes or several hours after exposure! Our “histamine bucket” fills up based on factors such as genetics, allergies, medication, diet, environment, nutritional deficiencies, intestinal damage, and UV exposure. When our body cannot break down excess histamine, we suffer with histamine intolerance and increased inflammation. When we realize what is really happening, we can better prevent and treat this misunderstood condition!

Most of us know histamines through antihistamine drugs that relieve our suffering from allergies to pollen, insect bites, and even foods. Histamine is naturally produced in our body by mast cells or white blood cells, and it performs different functions by binding with histamine receptorsDepending upon their location, histamine receptors control very different body functions:

  • Histamine H1 receptors: Smooth muscle and endothelial cells affecting skin; blood vessels (Benadryl and Claritin block activity of these receptors)
  • Histamine H2 receptors: Cells in the intestines control acid secretion, abdominal pain, and nausea; heart rate (Histamine H2 receptor antagonist drugs have been used to reduce symptoms of dyspepsia and GERD)
  • Histamine H3 receptors: Central nervous system controlling nerves, sleep, appetite and behavior
  • Histamine H4 receptors: Thymus, small intestine, spleen, colon, bone marrow and white blood cells; immune function and inflammation.

Keep in mind, histamine is essential for us to properly function and fight off invading toxins. But when histamine accumulates faster than we can break it down, it triggers inflammation in dreaded patterns of histamine intolerance unique to each person and episode. Our battle with histamine can hide behind less obvious symptoms like headaches, foggy thinking, diarrhea, arrhythmia, sinus congestion, or itchy skin appearing within minutes or even several hours after exposure. Extreme histamine levels can trigger breathing difficulty and swelling called anaphylaxis. The concept of histamine intolerance is rarely discussed by doctors but clearly outlined in scientific forms.

 

Why You haven’t heard about Histamine Intolerance?

Histamine intolerance is hugely underestimated in the population. Most people respond to symptoms of histamine intolerance with an aspirin, antacid, or other quick-fix pill that does not address the root problem. Sometimes histamine levels are raised due to allergy, but histamine intolerance is not a true allergy and it won’t show up on allergy tests.

Unlike allergy testing, confirming a serious histamine intolerance isn’t easy or profitable for doctors. An elaborate study discovered that “histamine-intolerant subjects reacted with different organs on different occasions”. Each person has a unique set of symptoms that may not always recur in the same location or intensity. The only true test for histamine intolerance requires a strict histamine-free diet followed by a double-blind food challenge. With a true diagnosis, the standard treatment is even more dismal – a low-histamine diet for life. But don’t give up yet!

Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

What causes histamine levels to rise? 

 

Reduced or inhibited enzymes: Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

One of the more common reasons we suffer from histamine intolerance is the lack of enzymes diamine oxidase (DAO) and histamine-N-methyl transferase (HNMT). These enzymes break down histamine and keep it in check. DAO and HNMT levels may be genetically low in some individuals, blocked by drugs, or reduced from intestinal damage or diseases such as celiac. Though human research is lacking, caffeine inhibited DAO in animal studies. Though DAO testing has typically been limited to countries outside of the United States, Dunwoody Labs in Georgia appears to offer DAO analysis of blood tests shipped from a practitioner.

Many factors affect the body’s histamine levels, and there are ways we can help reduce the load. Our exposure to allergens, diet, drug use, temperature, hormones, and nutritional deficiencies dramatically impact our histamine levels throughout the day. Imagine your histamine as a “bucket” that fills up and only reveals symptoms after overflowing.

 

Allergies: Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

Large amounts of histamine are promptly released when we are exposed to our allergens, and the most common allergens include mold, dust mites, animal dander, pollen, medications, insect stings, latex, and food. Interestingly, scientists are beginning to suspect that allergies have developed in order to protect us from environment toxin. It is important to avoid exposure to known or suspected allergies, especially when histamine levels are a potential problem. Get tested and avoid the triggers to start emptying the bucket!

The most common food allergies include dairy, wheat, shellfish, eggs, and nuts. Contact allergies can include a wide range of substances such as rubber, nickel (in jewelry), acrylates (artificial nails), pine resin, and sunscreen or shampoo ingredients (such as benzophenone). Some people experience an early response to allergens, while others might only notice a late-phase response that can appear up to 10 hours later. Symptoms of this delayed response can last up to 24 hours.

If any type of food allergy is suspected, consult with an allergist and start carefully taking notes about diet and symptoms. ChartMySelf.com can help you keep online records of your health. Blood tests for both immediate and delayed food allergies are available to doctors from Great Plains LaboratoryUS Biotek, and many others. Depending on the type of allergy exposure and related damage, a body may require days, weeks, or even months to fully recover.

 

Air pollution and pollen: Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

New research shows that air pollution contributes to cardiovascular disease by the increase in histamine and inflammation. Genetics also play a role in a person’s susceptibility to position.

These collective studies suggest that both short- and long-term PM inhalation can enhance thrombotic and coagulation tendencies, potentially via increases in circulating histamine and inflammatory cytokines and/or activated white cells and platelets. – Circulation, 2010.

Interestingly, new research shows that some of us can experience inflammation from pollen without any specific allergy! Future studies will undoubtedly reveal how particles in our environment can affect our immune system beyond the classic allergy response.

 

Water pollution: Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

Studies have shown that common environmental contaminants trichloroethylene and tetrachloroethylene raised histamine levels in lab rats by increasing their sensitivity to allergens.

 

Drug interference: Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

Drugs can inhibit our vital histamine enzymes even more than food, possibly increasing the risk of food poisoning and other symptoms of excessive histamine. According to a research report, NSAIDs such as aspirin, ibuprofen and naproxen can cause histamine levels to rise. Opoid drugs and analgesics are the most common drugs used in hospitals, releasing histamine that results in uncomfortable itching for many patients. Excessive histamine can also result from drugs including (but not limited to) acetylcysteine, acetylsalicylic acid, alcuronium, alprenolol, ambroxol, amiloride, aminophylline, amitriptyline, cefuroxime, cefotiam, chloroquine, cimetidine, clavulanic acid, cyclophosphamide, D-tubocurarine, dihydralazine, dobutamine, isoniazid, metamizole, morphine, pancuronium, pethidine, prilocaine, propafenone, metoclopramide, pentamidin, thiopental, and verapamil.

 

Foods high in histamine:  Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

Symptoms can often be prevented by avoiding foods high in histamine:

  • Fermented foods like wine, aged cheese, aged or smoked meats, fermented soy products (including tofu and soy sauce), vinegar (including pickles, ketchup and prepared mustard), and sauerkraut
  • Foods exposed to high amounts of bacteria such as fish/shellfish
  • Leftover meats can quickly accumulate microorganisms which result in histamine formation
  • Chocolate/cocoa, spinach, eggplant, nuts, pumpkin, tomato, strawberries, citrus fruits, and seasonings like cinnamon, chili powder, and cloves can stimulate the release of histamine
  • Wheat-based products
  • Beverages such as tea (herbal or regular) and soy milk are high in histamine
  • Any type of alcohol interferes with the body’s ability to break down histamine.
  • Prepackaged meals

Foods high in histadine (over 1000 mg) may also be problematic, as histadine converts to histamine:

  • Game meat including buffalo, elk, moose, caribou
  • Pork including loin, chops or other cuts, ham, bacon
  • Soy protein
  • Chicken and turkey
  • Veal and beef, pastrami
  • Lamb
  • Fish including tuna, pike, cod, sunfish, perch, grouper, and others
  • Cottage cheese

Foods high in fat:

New studies show that fat absorption may dramatically increase the release of histamine and contribute to chronic inflammation.

 

Nutritional imbalances: Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

When the body is low in B vitamins, vitamin C, and copper, histamine may not break down sufficiently to overcome symptoms of intolerance. Foods high in Bs include potatoes, sunflower seeds, and soybeans. Foods high in vitamin C include bell peppers, broccoli, brussels sprouts, kiwifruit, cantaloupe, and kale. Researchers found that vitamin C may work by increasing the activity of the DAO enzyme.

Copper is required to form the DAO enzyme and copper deficiency associates with low DAO enzyme activity in animals. More research is necessary to confirm that supplementation increases DAO activity. Foods high in copper include fresh basil, cocoa powder, cashews, soybeans (mature), herbal tea, sesame seeds, sunflower seeds, garbanzo beans, and lentils.

Some foods like potato are also high in oxalate which can release histamine in certain people. Keep in mind that while citrus is high in vitamin C, it releases histamine within the body and can aggravate symptoms. A food allergy to any of the above foods will also increase histamine.

 

Heat and UVB light: Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

Studies show that UVB light caused histamine release in vitro, though it was protected by ascorbic acid (vitamin C). Some people notice that rashes and skin conditions can worsen with exposure to sun and heat.

 

ExerciseHistamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

Some episodes of anaphylaxis have been triggered by moderately intense exercise, particularly in warm environments. These extreme reactions are typically related to food allergens that were consumed prior to physical activity. Strict avoidance of allergens may help prevent symptoms of histamine intolerance that occur during exercise –particularly dynamic exercises such as jogging, running and aerobics that involve less resistance. Recent studies indicate that the amino-acid L-carnosine is released during these exercises and then converted to histamine.

 

Hormones – including stress hormones: Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy

Rising estrogen levels have been associated with elevated histamine, and women might notice increased sensitivity and symptoms of histamine intolerance at different times in their monthly cycle. Periods of high estrogen link to sinus sensitivity to histamine. Environmental estrogens such as pesticides, agricultural growth hormones, and PVC in plastics may also activate histamine release. Conversely, histamine appears to stimulate estrogen levels as well and exacerbate symptoms. Diamine oxidase levels are much higher in the luteal phase of the menstrual cycle, theoretically reducing the risk of excess histamine during that phase.

The “stress” hormone cortisol appears to increase histamine in stomach and intestines in lab studies.Reducing stress can lower the amount of stimulating hormones that activate mast cells which release histamine and other factors of inflammation.

 

How can we manage a histamine overload?

At times we can reach a “point of no return” where our histamine levels start the cascade of inflammation and aggravating symptoms. Nausea, diarrhea, skin rashes, headaches, and mental distress are common ways our body expresses inflammation from excess histamine, though each person experiences this differently. Seek immediate medical attention for any signs of anaphylaxis!

  • Avoid further triggers in diet and environment. Don’t take risks until seeking medical advice and getting tested for true allergies.
  • Add a cold blast or slow warm-up. Ice packs can relieve affected skin and reduce histamine. Interestingly, cryotherapy is used to relieve pain with arthritis through the reduction of histamine. Frozen gel packs even relieve migraines in 50% of patients in one study- applied for 25 minutes – with benefits increasing in subsequent tests. Make it very cold and quick, because a short-term moderate decrease in temperature will likely increase any itching.
  • Cortisone cream and colloidal silver are quick, simple remedies for skin reactions. Topical hydrocortisone cream relieves itching and may consequently help prevent infection. Avoid complex medications or herbal remedies that expose the skin to more allergens and harsh chemicals. Colloidal silver spray is a natural antibacterial remedy that helps prevent infection.
  • Oral antihistamines do not reduce histamine, but they block histamine receptors to help us sleep, heal, and fight inflammation. First-generation antihistamines make us drowsy with occasional side effects of insomnia and confusion. Second-generation, newer antihistamines do not make us drowsy but may cause headache and dry mucous membranes. Long-term use of oral antihistamines is associated with weight gain, and oral antihistamines do not improve DAO enzyme activity.
  • Corticosteroids are used locally as in the case of nasal sprays or systemically in pill form. While corticosteroids may provide immediate relief for some allergy symptoms, their side effects can be dangerous, crippling, or fatal with prolonged use.
  • Bee Propolis as a powder from capsules can be applied to itchy skin to quickly reduce inflammation and histamine and relieve symptoms. This supplement can stain clothing so cover with a bandage or gauze. Individuals with asthma or an allergy to pollen or bee stings should avoid bee propolis.
  • Stinging nettle extract reduces allergic and inflammatory activity in vitro. Interestingly, experimental topical treatment also relieves osteoarthritic pain.
    • Probiotics show promising signs for alleviating allergic disease, and we are beginning to learn how these “good” bacterial strains can benefit the body in different ways. Probiotics likeL.reuteri help produce histamine in the gut that suppresses inflammation. Studies suggest that probioticL. rhamnosus reduces activation of mast cells and H4 receptors. In this manner, probiotics can shift immune activity to a more “intracellular” Th2 response that characterizes excessive histamine activity in allergy, asthma, and autoimmune diseases. In fact, taking different strains of probiotics including L.reuteri, L.reuteri, L.rhamnosus, L.casei, and B.bifidum may work best to reduce the allergic response that can trigger excessive histamine.
  • Flavonoids– Naturally occurring flavonoids fisetin, kaempferol, myricetin, quercetin, and rutin inhibited histamine release in lab studies. These antioxidant compounds are found in kale, broccoli, capers, buckwheat, onions, apples, and asparagus. Mast cell activity is also inhibited by flavonoid luteolin found in carrots, peppers, celery, olive oil, peppermint, thyme, rosemary, oregano, lettuce, pomegranate, artochoke, chocolate, rooibos tea, buckwheat sprouts, turnip, capers, and cucumber.
  • Enzymes– Enzyme diamine oxidase (DAO) breaks down histamine internally, and routine intake of a food supplement likeDAO sin and Histame can help prevent episodes in the long-term.

 

What other behaviors and health conditions are related to histamine?

  • Food poisoning symptoms– Many outbreaks of food poisoning are actually caused by excessive histamine consumption in certain high-histamine foods. Scrombroid food poisoning results from eating spoiled fish containing toxic levels of histamine – not bacteria. Histamine poisoning resembles a food allergy and is often misdiagnosed.
  • Migraines– There is much evidence to support the link between allergy and migraine, including the elevated levels of histamine in blood plasma of migraine patients. Yet typical antihistamine drugs that target histamine H1 and H2 receptors have not been effective for migraine. Future studies may target histamine H3 or H4 receptors with better results.
  • Atopic dermatitis– This inflammatory skin disease can be relieved with a low histamine diet in some patients who do not respond to food allergy tests.
  • Motivation, appetite, and addiction – Fascinating research describes how diminished histamine in the brain may relate to feelings of apathy and increased appetite. In women this behavior may be enhanced by hormones, as histamine rises with elevated estrogen and luteinizing hormone throughout the monthly cycle. Indeed, women generally experience increased appetite in the last half of their cycle as their estrogen and histamin drop. Similarly, allergic symptoms can be more pronounced in mid-cycle.

Histamine feedback loops may also contribute to the success of very-low-calorie diets. In fact, histidine supplementation suppressed food intake and fat accumulation in rats. Even chewing plays a role in triggering the histamine release that reduces appetite. Chewing has been effective for reducing fat in obese animals!

Too much of a good thing? Excessive histamine in the brain is linked to addiction and alcohol dependence in preliminary studies. Interestingly, females have higher levels of brain histamine and are more prone to addiction than males.

  • Cancer – Although we may suffer from an excess of histamine and consequential inflammation, exciting new research shows that histamine controls some types of cancer growth. Research shows that histamine and histamine receptors affect growth of cancers of the stomach, pancreas, colon, and liver in different ways. Certain cancer cells produce a form of histamine (histidine decarboxylase) that represses inflammatory cell activity. Other studies show that histamine and mast cells may both promote and inhibit cancer at different stages! In fact, melanoma skin cancer appears to be stimulated by histamine in lab tests and inhibited by a topical drug that blocks histamine called H2 antagonist. This type of drug has been used to treat acid reflux, ulcers, and indigestion.

Furthermore, histamine is being considered to prevent the damaging effects of cancer radiation therapy.

“…histamine significantly protects two of the most radiosensitive tissues, small intestine and bone marrow, from high doses of radiation. In addition, histamine has the ability to prevent functional and histological alterations of salivary glands exerted by ionizing radiation.”

  • Parkinson’s Diseaseand brain degeneration – Accumulated histamine in the brain can cause damage to neurons through inflammation. Studies on patients with Parkinson’s Disease have shown abnormal, reduced ability to break down histamine in the brain and accumulation of histamine methyltransferase. Furthermore, Manganese exacerbated this altered histamine activity in lab rats.
  • Multiple Sclerosis– Recent studies revealed that multiple histamine receptors are involved in multiple scelrosis, with some receptors promoting the disease and others inhibiting it.
  • Inflammation– Histamine and its receptors are constantly engaged in a vital balancing act, preventing excessive inflammation while promoting homeostasis and healing. A variety of inflammatory diseases involve histamine activity.

Animal models indicate that mast cells, through the secretion of various vasoactive mediators, cytokines and proteinases, contribute to coronary plaque progression and destabilization, as well as to diet-induced obesity and diabetes.

Periodontis shows high levels of histamine in inflamed gum tissue, and topical H2 antagonist drug cimetidine dramatically improves conditions. Patients with inflammatory (rheumatoid) arthritis have pain relief from cryotherapy which has been shown to reduce histamine levels for extended periods. Certain types of histamine receptors in joint tissues are suspected to play a role in chronic conditions like arthritis.

Yet histamine may also protect us by inhibiting AGE activity which contributes to chronic inflammatory diseases such as cancer, diabetes, heart disease, and brain degeneration. Researchers found that histamine and H2 receptors inhibited AGE activity that increases plaques in diabetes, proposing that stimulating H2 receptors might help prevent atherosclerosis.

  • Osteoporosis– Mast cells which release histamine appear important to bone health, and a deficiency or excess of them can be associated with osteoporosis. It has even been suggested that inhibiting mast cells might become a treatment for osteoporosis! Estrogen deficiency (associated with calcium deficiency) may contribute to increased mast cell activity and low volume that leads to osteoporosis.
  • Dilated blood vessels– Typically histamine lowers blood pressure and dilates blood vessels which leads to low blood pressure and increased permeability. Even hemorrhoids are dilated blood vessels associated with increased mast cells and histamine. Again, histamine can switch directions and constrict and dilate arteries and cause chest pain.
  • Nausea and motion sickness– Histamine can play a role in symptoms like vertigo, motion sickness, and nausea, and vitamin C supplementation may provide relief. Antihistamines have also been used to reduce post-operative nausea and vomiting.
  • Sleep disorders– First-generation antihistamines made us drowsy, revealing how histamine helps keep us alert. Normally, histamine H3 receptors reduce histamine activity so we can properly fall asleep or stay awake. Studies suggest that damge or deficiency of these receptors can result in permanently excessive histamine which can contribute to chronic sleep disorders.
  • Hypothermia– Histamine released by the hypothalamus helps control body temperature which affects various body functions. Experiments on mice showed that histamine injected in the spinal cord can even produce hypothermia. Higher histamine levels that induced hypothermia were associated with low vitamin B1 (thiamine) levels in another study.
  • Diverticulitis– Some types of diverticulitis appear linked to allergies and histamine activity which generate massive inflammation.
  • Meniere’s disease – This condition involves chronic dizziness, tinnitus (ringing ears), and hearing loss which are associated with histamine levels. Betahistine works to relieve symptoms in a mixed manner by inhibiting histamine H3 receptors while enhancing H1 receptors.
  • Vulnerability to disease– Histamine increases the permeability of the blood-brain barrier which can leave us vulnerable to bacterial infections and other diseases. Disruptions of the blood-brain barrier play a role in the development of epilepsy, Alzheimer’s Disease, meningitis, and multiple sclerosis.

 

Natural Treatment of Histamine Intolerance

If you suspect you have Histamine Intolerance, here are some options which may help you to feel better:

  1. Eat a low-histamine diet. Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/AllergyAvoid cultured, processed, cured, fermented and aged foods. Choose fresh foods whenever possible. Look for the “packed on” date of the meat or fish being sold. “FAS” (frozen-at-sea) fish may be your best bet. Grass-fed and pastured meats are not necessarily better choices—it depends on how far they had to travel to get to your store. Also, it is important to know that nearly all beef sold in the U.S. “hangs” for at least two weeks before it is packaged, even if it comes from a local family farm that pastures their animals. Therefore virtually all beef is aged to some extent.

 

  1. Occasional use ofantihistamines such as Diphenhydramine (Benadryl) and Cetirizine (Zyrtec), or “mast cell stabilizers” such as Cromolyn Sodium (Gastrocrom) may be helpful if they don’t bother you.

 

3. Vitamin C, vitamin B6, zinc, and copper Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy  are all required for DAO to work properly. Addressing potential deficiencies in these may be helpful in resolving Histamine Intolerance.

 

4. DAO supplements Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy are available and have been proven effective. The one I use is called Histamine Block. It is made by Seeking Health, an Austrian company. Please note: this supplement is advertised as “vegetarian capsules”, but this is very misleading because it is only the actual capsules themselves that are vegetarian. Inside the capsules are DAO enzymes isolated from pig kidney. They also contain a small amount of vitamin C, which helps DAO to work better. While I generally try to avoid high-histamine foods, life happens. When I’m traveling, eating at someone else’s home, or not sure about the histamine content of a food, I use this supplement to help minimize symptoms of Histamine Intolerance from foods I suspect may bother me. It needs to be taken right before you eat—no longer than 20 minutes before, so that it will be in the right place at the right time—in your small intestine when the suspicious food arrives.

 

5. Some people, especially those with prominent gastrointestinal symptoms of Histamine Intolerance may benefit from pancreatic enzymes.

 

6. Avoid alcoholHistamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy alcohol reduces DAO activity

 

7. Be aware of medications Histamine Intolerance: How to Naturally Reverse That Excessive Histamine and Stop the Itching/Allergy that interfere with DAO activity. If you take any of the following medicines, discuss with your clinician how they may be affecting your Histamine Intolerance symptoms, to see if alternatives are available.21)22)

Acetylcysteine Cefotiam D-tubocurarine Pethidine
Alcuronium Cefuroxime Isoniazid Prilocaine
Alprenolol Chloroquine Metamizole Propafenone
Ambroxol Cimetidine Metoclopramide Propafenone
Amiloride Clavulanic acid Morphine Verapamil
Aminophylline Cyclophosphamide NSAIDs (Ibuprofen/Advil, etc.)
Amitriptyline Dihydralazine Pancuronium
Aspirin Dobutamine Pentamidin

Bottom Line? EAT FRESH (and I don’t mean at Subway…)

.

 

Source:  

http://ajcn.nutrition.org/content/85/5/1185.full.pdf

Nutritiondata.self.com

http://thelowhistaminechef.com/

http://www.diagnosisdiet.com/

http://healthypixels.com/

http://onlinelibrary.wiley.com/doi/10.1002/9780470015902.a0001404.pub2/abstract

Advanced IBA (DAO, Histamine, Zonulin)

http://www.chartmyself.com/

http://healthlinkpartners.com/testkits/index.php?cPath=2&osCsid=ae594afe01ae6aeaad34a87c2c2f8c8d

http://circ.ahajournals.org/content/121/21/2331.full

http://www.amazon.com/dp/B00EOBH8KG/?tag=diaghist-20

 

 

4 COMMENTS

  1. Following study several of the weblog posts in your website now, and I genuinely like your way of blogging. I bookmarked it to my bookmark web page list and are going to be checking back soon. Pls take a look at my website too and let me know what you think.

  2. I would like to thnkx for the efforts you have put in writing this blog. I’m hoping the same high-grade web site post from you in the upcoming as well. Actually your creative writing skills has inspired me to get my own website now. Actually the blogging is spreading its wings fast. Your write up is a good example of it.

  3. Very well written story. It will be valuable to anyone who employess it, including yours truly :). Keep doing what you are doing – looking forward to more posts.

  4. It’s actually a great and helpful piece of info.
    I’m glad that you just shared this useful info with us.
    Please keep us up to date llike this. Thank you for sharing.

    stpodn sekolah tinggi pemerintahan dalam negeri

LEAVE A REPLY

Please enter your comment!
Please enter your name here