Prevalence: 1 in 100, 75% women
Sx: progressive disability, systemic complications, early death
Dx: Anti-citrullinated protein antibody
Rx: initial aggressive therapy. Escalate based on disease intensity. Goal: remission.
COMBO DMARD plus prednisone/infliximab
DMARDs:
Methotrexate
Jakvinus (Tofacitinib) (JAK inhibitor class)
ADD DR PERFECT ON WHATSAPP +1 (256)-251-3614 AND GET A CURE TO ANY TYPE OF DISEASES AND VIRUS
ReplyDeleteI'm so happy and excited to give my testimony of how I was cure of herpes virus. I'm Karen Wilson from Paris France I was diagnosed with herpes virus for 6 years, I took every drugs prescribed to me by the doctors but there was no positive result, so I decided to try if I can find a cure for my herpes online and I saw different people's comments on how Dr Perfect helped them to cure their diseases and viruses I message him urgently on WhatsApp it's didn't take long he replied my message and we talked on how I can get the cure and he told me he will send the cure to me, in four days time the cure was delivered to my house and he gave me instruction on how I will use it, 17 days later there was no sign of herpes in my body then I went for test and the doctor told me he couldn't find any sign of herpes virus in my blood. Dr Perfect herbal cure is the best don't think because he cured me of herpes virus and you are diagnosed with Hepatitis or other virus he can't cure you, Dr Perfect can cure all types of diseases and virus. If you need a cure for your disease and virus WhatsApp him +1 (256)-251-3614 if you are not on WhatsApp email him at solutiontoallproblems1@gmail.com
ADD DR PERFECT ON WHATSAPP +1 (256)-251-3614 AND GET A CURE TO ANY TYPE OF DISEASES AND VIRUS
DeleteI'm so happy and excited to give my testimony of how I was cure of herpes virus. I'm Karen Wilson from Paris France I was diagnosed with herpes virus for 6 years, I took every drugs prescribed to me by the doctors but there was no positive result, so I decided to try if I can find a cure for my herpes online and I saw different people's comments on how Dr Perfect helped them to cure their diseases and viruses I message him urgently on WhatsApp it's didn't take long he replied my message and we talked on how I can get the cure and he told me he will send the cure to me, in four days time the cure was delivered to my house and he gave me instruction on how I will use it, 17 days later there was no sign of herpes in my body then I went for test and the doctor told me he couldn't find any sign of herpes virus in my blood. Dr Perfect herbal cure is the best don't think because he cured me of herpes virus and you are diagnosed with Hepatitis or other virus he can't cure you, Dr Perfect can cure all types of diseases and virus. If you need a cure for your disease and virus WhatsApp him +1 (256)-251-3614 if you are not on WhatsApp email him at solutiontoallproblems1@gmail.com
ADD DR PERFECT ON WHATSAPP +1 (256)-251-3614 AND GET A CURE TO ANY TYPE OF DISEASES AND VIRUS
I'm so happy and excited to give my testimony of how I was cure of herpes virus. I'm Karen Wilson from Paris France I was diagnosed with herpes virus for 6 years, I took every drugs prescribed to me by the doctors but there was no positive result, so I decided to try if I can find a cure for my herpes online and I saw different people's comments on how Dr Perfect helped them to cure their diseases and viruses I message him urgently on WhatsApp it's didn't take long he replied my message and we talked on how I can get the cure and he told me he will send the cure to me, in four days time the cure was delivered to my house and he gave me instruction on how I will use it, 17 days later there was no sign of herpes in my body then I went for test and the doctor told me he couldn't find any sign of herpes virus in my blood. Dr Perfect herbal cure is the best don't think because he cured me of herpes virus and you are diagnosed with Hepatitis or other virus he can't cure you, Dr Perfect can cure all types of diseases and virus. If you need a cure for your disease and virus WhatsApp him +1 (256)-251-3614 if you are not on WhatsApp email him at solutiontoallproblems1@gmail.com
Hello viewers around the Globe, I was despondent because i had a very small penis, about 2.5 inches soft and 4 inches hard not nice enough to satisfy a woman, i have been in so many relationship, but cut off because of my situation, i have used so many product which doctors for me, but none could offer me the help i searched for. i saw some few comments on the INTERNET about this specialist called Dr,OLU and decided to contact him on his email: Drolusolutinthome@gmail.com) so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis Enlargement, Within 3 week of it, i began to feel the enlargement was surprised when she said that she is satisfied with my sex and i have got a large penis. Am so happy, thanks to Dr OLU I also learn that Dr OLU also help with Breast Enlargement Hips and Bums Enlargement etc.. If you are in any situation with a little Penis, weak ejaculation, small breast_hips_bums do get to Dr OLU now for help on his email (Drolusolutionhome@gmail.com) or add him on whatsapp line +2348140654426
DeleteI GOT CURED FROM HERPES WITHIN 14 DAYS, AFTER USING DR Ojoka HERBAL MEDICINE. am out here to testify about how Dr Ojoka cured my (HERPES SIMPLEX VIRUS) i visited different hospital but they gave me list of drugs which were expensive to treat the virus but to no avail. I was browsing through the Internet searching for remedy on HERPES and i saw comment of people talking about how Dr Ojoka them. when i contacted him he gave me hope and send a Herbal medicine to me which i first thought wont solve anything but later i gave it a try and it seriously worked, my HERPES result came out negative. I am so happy as i am sharing this testimony. My advice to you all who thinks that their is no cure for herpes and also no genuine spell caster that is Not true just contact him and get cured today Dr Ojoka spell shrine can cure all kinds of sickness.Remember delay in treatment leads to death email him (dr.ojokarootandherbal@gmail com}. HE IS ALSO SPECIALIZED IN THE TREATMENT OF VARIOUS AILMENT 1 HIV/AIDS VIRUS 2 CANCER DISEASE 3 TUMOR DISEASE ETC 4 HEPATITIS 5 KIDNEY PROBLEM 6 MASTURBATION 7 WEAK ERECTION EMAIL HIM TODAY whatsapp him +2348144172934 check his blog: https://perfectherbalcure.blogspot.com/ check his blog: https://penisherbalenlarge.blogspot.com/ FB page https://www.facebook.com/Sayo-Herbal-Healer-100145798345000/
DeleteA GREAT SPELL CASTER (DR. EMU) THAT HELP ME BRING BACK MY EX GIRLFRIEND.
DeleteAm so happy to testify about a great spell caster that helped me when all hope was lost for me to unite with my ex-girlfriend that I love so much. I had a girlfriend that love me so much but something terrible happen to our relationship one afternoon when her friend that was always trying to get to me was trying to force me to make love to her just because she was been jealous of her friend that i was dating and on the scene my girlfriend just walk in and she thought we had something special doing together, i tried to explain things to her that her friend always do this whenever she is not with me and i always refuse her but i never told her because i did not want the both of them to be enemies to each other but she never believed me. She broke up with me and I tried times without numbers to make her believe me but she never believed me until one day i heard about the DR. EMU and I emailed him and he replied to me so kindly and helped me get back my lovely relationship that was already gone for two months.
Email him at: Emutemple@gmail.com
Call or Whats-app him: +2347012841542
I want to share a testimony of how Dr.Osemuhau herbal mixture cream saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can't make love to my wife and my penis was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i cant even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr.Osemuhau herbal mixture cream have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is now 8 inches and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed. can contact him drosemuhau@gmail.com {) or call or what-apps him through +2348168714427
ReplyDelete5 years ago I had warts, I was treated with some liquid applied to the warts they continued to grow and spread... The next 2 doctors did laser surgery to remove them. 1 year after the surgery, they grew back close to where the 1st ones were' so I was finally told it was hpv. I have had it for very long time, I contract it from my cheated boyfriend and I found out he was also infected and I end up the relationship between us. the warts was so embarrasses because it started spreading all over I have be dealing with this things for very long time the last treatment I take was About 2 years ago I applied natural treatment from Dr onokun herbal cure, a week after applying the treatment all the warts was gone. it's now 2 years and some months I don't have single wart or any symptoms of hpv. wow"" it's great, Dr onokun has finally cured me. Anyone living with hpv contact Dr onokun for natural treatment.
ReplyDeleteHis email address: dronokunherbalcure@gmail.com
I am bold enough among many others to state that there is now a potent cure to this sickness but many are unaware of it. I discovered that I was infected with the virus 3 months ago, after a medical check-up. My doctor told me and I was shocked, confused and felt like my world has crumbled. I was dying slowly due to the announcement of my medical practitioner but he assured me that I could leave a normal life if I took my medications (as there was no medically known cure to Herpes). I went from churches to churches but soon found that my case needed urgent attention as I was growing lean due to fear of dying anytime soon. In a bid to look for a lasting solution to my predicament, I sought for solutions from the herbal world. I went online and searched for every powerful trado-medical practitioner that I could severe, cos I heard that the African Herbs had a cure to the Herpes syndrome. It was after a little time searching the web that I came across one Dr.Afrid (A powerful African Herbal Doctor), who offered to help me at a monetary fee. I had to comply as this was my final bus-stop to receiving a perfect healing. My last resolve was to take my life by myself, should this plan fail. At last it worked out well. He gave me some steps to follow and I meticulously carried out all his instructions. Last month, to be precise, I went back to the hospital to conduct another test and to my amazement, the results showed that negative,Dr.Afrid Can As Well Cure The Following Desease…Cancer,Hiv,Herpes, Hepatitis B,Liver Inflammatory,Diabetis,Fribroid, Dercum,fibromyalgia,Get Your Ex Back,Als,SYPHILLIS,Genetic disease, Parkinson's disease.Fibrodysplasia Ossificans Progressiva.You can free yourself of this Herpes virus by consulting this great African Herbal Doctor via this e-mail: drafridherbalhome@gmail.com or call and whatsapp him on +2349057260738 He will help you and his herb medication is sure. he has the cure on all disease ..
ReplyDeleteHOW I GOT CURED OF HERPES DISEASE
ReplyDeleteI'm here to testify about what DR. ANUGE did for me. I have been suffering from (HERPES) disease for the past 5 years and had constant pain,especially inside my body. During the first year,I had faith in God that i would be healed someday. This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago i came across a testimony of one lady on the internet testifying about a Man called DR. Anuge on how he cured her from herpes disease. And she also gave the email address of this man and advise anybody to contact him for help for any kind of sickness that he would be of help.so I emailed him telling him about my (HERPES) he told me not to worry that i was going to be cured!! Well i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as DR. ANUGE assured me that i will be cured,after some time. i went to my doctor to confirmed if i have be finally healed behold it was TRUE, the test came out negative. So friends my advise is if you have such sickness or any other at all you can contact DR. Anuge for help. Email} dranuge@gmail.com WhatsApp /call +2348164866838
ReplyDeleteI am overwhelm with joy and happiness and i am happy to share this with you all around the world about how Dr.CHUKWU MADU HERBAL HOME cured HERPES VIRUS...ever since i was diagnosed of Herpes virus in 2015, I was always thinking on how I can get a solution out of my body so that i can be okay again. Until One day I went online on the internet to know more about the Herpes Virus i came across a Review Comment many people are saying that Dr.CHUKWU MADU HERBAL HOME cured their Herpes Genital Virus, I did not believe, i search again and i saw a testimony of someone who has been healed from HPV AND HIV by Dr.CHUKWU MADU HERBAL HOME..and i decided to contact Dr CHUKWU MADU HERBAL HOME to Help and i told him about my HERPES illness he told me not to worry about,that he is going to send me his herbal medicine and actually he did.i took the medicine just as prescribe by him, he told me to go for check up in the hospital which i did and to my great surprise my Doctor told me the Herpes Virus was no longer there, all thank to you sir Dr CHUKWU MADU HERBAL HOME, contact his WhatsApp Number: +2347030936239 .His email: dr.chukwumaduherbalhome@gmail.com. His herbs are very powerful and has no side effects. He can cured all kinds of Viruses, diseases, sicknesses.
I was diagnosed of herpes virus, 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 called Dr Agaba, who prepare herbal medicine to cure all kind of diseases including herpes virus (Herpes), when i contacted this herbal doctor via email, he sent me herpes virus 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 the virus within 3 weeks of usage. Contact this great herbal doctor today to get your cure.
ReplyDeleteVia Email: Dragabasolutionhome@gmail.com or WhatApp: +2349074536486
How can I explain this to the world that there is a man who can cure HERPES, I was diagnosed for the past 5 mouth I have being into HERPES since 5 mouth, so I decide to look for help in the internet then I found a post write about this great man called DR. Agaba , people say good thing about him that this man have cured, a lot of people in the internet, him has power's to cure HSV1 AND HSV2 I don’t believe that there is a cure for Herpes Simplex Virus because though there is no cure for herpes that what I have in mind HERPES had no cure well , my HERPES is negative through the using of herbal cured of DR Agaba , I contacted this man for help because of what i see in the internet. If you need his cured just email him now on dragabasolutionhomehome@gmail.com , thank you DR. i will never stop shearing you testimony DR. agaba . him Can as well CURE THE FOLLOWING DISEASE:-1, HIV/AIDS, 2, Diseases of the hear 3, Malignant tumors 4. Cardiovascular diseases 5. Diabetes mellifluous 6.Influenza and pneumonia 7.Alzheimer's disease 8. hsv1 - hsv2. If you need LOVE SPELL. E.T.C contact him dragabasolutionhomehome@gmail.com or you whatsapp him on +2349074536486.
ReplyDeleteI started on COPD Herbal treatment from Ultimate Health Home, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Health Home via their website at www.ultimatelifeclinic.com I can breath much better and It feels comfortable!
ReplyDeleteVery informative, because it compresses most of the information needed and I already have known that, the best solution to Paralysis is herbal medicines. My family and I are proof to this including Rex my friend.
ReplyDeleteI came to trust Nze Njoku Herbal Home because, they cured my friend from Pain and Arthritis without any aftereffect.
So I also contacted Nze Njoku for herbal treatment for my father who have suffered paralysis for 6years.
My father took this herbal medicine from Nze Njoku Herbal Home without any lifestyle change which healed him of paralysis within 4weeks.
As I write this my father is doing great on his feet and most importantly he has started his business effectively as if nothing happened to him.
Feel free to contact him on;
nzenjokuherbalhome@gmail.com