Friday, 29 January 2016

More Than Lungs - Digestion & CF

On 8–9 February, the Trust will be hosting a research ‘sandpit’ exploring issues related to digestion in cystic fibrosis, a meeting bringing together experts from within and beyond the world of cystic fibrosis. Here Dr Jon King shares his experience of the often overlooked impact of cystic fibrosis on digestion.

A few months ago, the Cystic Fibrosis Trust approached me to be a part of a research meeting (sandpit) to discuss possible research avenues for gastrointestinal (GI) problems in cystic fibrosis (CF).

The Trust is exceptionally good at viewing CF and its care holistically, and I realised what an immense impact GI problems have on my daily life – dare I say it, rather more so than my lungs! During a committee conference call, we joked that perhaps CF is actually a condition of the GI tract with some lung involvement!

Of course when we think of CF, we think about our lungs. When we fear the future, we worry about downward trends in spirometry and worry about the need for transplants. We think about those times when we have been caught out in public; short of breath, coughing and spluttering, feeling quite awkwardly alien to everyone else around us. This is CF… But is it?

Until 18 months ago, almost every morning for over 10 years, I threw up acid and bile due to morning reflux. My face would contort with the griping burning pain of my reflux between meals or whilst eating certain foods. Triple therapy (pantoprazole, ranitidine and domperidone) made no difference and when I had a pH manometry the surgeon did not believe that I was complying with the drugs because the results were so extreme. I have since had two operations on my stomach, the first failed, the second with the addition of a metal mesh has worked well.

Reflux is annoying and can be really painful, even leading to surgery; but to paraphrase Monty Python, apart from reflux, what does the GI system do to us?

Well, what about Creon? Look at yourself. You’re out with your friends, having a meal and you pull out a container and take more tablets in one go than anyone round that table probably takes in a year. And you have to do that almost every time you eat or drink. That is quite an impact on our daily lives. Now that we are being deprived of 40,000s, I am on at least 70 25,000 capsules a day - it does allow me to perform my party trick of 24 tablets in one go though!

How about insulin? CF-related diabetes requires careful blood-sugar monitoring and insulin regimes, and yet we rarely really think about it; we deal with it as an adjunct to everything else, like taking a vitamin tablet.

Which brings me conveniently on to the small bowel GI effect of CF: fat-soluble vitamin malabsorption. What about the long-term effect of the half a dozen or so more tablets (vitamins A+D, vitamin E and a calcium tablet) for that? We have regular dexa scans to monitor bone density because with the additive effect of regular steroid use, we have a high risk of developing osteopaenia and eventually osteoporosis.

Alas, we are only at the upper GI system – we still have the large bowel to tackle yet. Distal intestinal obstructive syndrome (DIOS): excruciating pain requiring hospital admission for pain relief and rehydration, sometimes an operation.

And what about steatorrhoea? I don’t know about the readers but I spend an awful long part of my day in the toilet. How many times have you been stood over a toilet wiping for three, four or five times longer than you were ever sat on it?! And how many times have you had to flush the loo so many times that someone has looked at you strangely as you return to the living room? Do you even dare repeat this ritual in a public loo? I commend you if you do – you are braver than me! I live in a small flat with my girlfriend. I spent all my savings refurbishing but ran out of money before I could afford the en suite door – to say that this can be a mood killer is an understatement!

And our bowels can go completely the opposite way with severe constipation, thanks to a perfect combination of sticky, fatty steatorrhoeic stools and the thick mucus lining our guts. I once went 15 days without going to the toilet at all. There can be advantages – I use all this time on the toilet catching up with social media and replying to emails.

The constipation also affects our appetite intake, which is essential for our calorie counts, and can even lead to regular throwing up as the food has nowhere to go. Some readers may know that I cycled to Barcelona last summer to raise money for the Cystic Fibrosis Trust. For five days in a row I was so constipated that I was throwing up all my meals every day - not a great way to tackle hundreds of kilometres of cycling.

So how do we deal with this severe constipation? Yet more medication. Maybe four or more sachets of movicol a day and an equal amount of NAC. Perhaps the occasional day on the toilet after a gatsrograffin or picolax or Klean prep clear out. These are medications strong enough to clear the bowel out for surgical or camera test procedures and yet we use them merely to return to regular bowel movements!

But still, apart from painful reflux, stomach operations, dozens of tablets a day, insulin regimes, malabsorption of vital vitamins, high risk of osteoporosis, occasional DIOS, irregular bowel habits, embarrassing steatorrhoea, sachets of laxatives a day and occasionally needing to set a day or two aside for a full bowel clear out, what does the GI system do to us?!


What oddities have you found with digestion and cystic fibrosis? We can help those coming to the research sandpit really get to grips with the subject –­ share your experiences with me, @JonKingBYD, on Twitter with the hashtag #DigestCF.

31 comments:

  1. Great piece - this is a really exciting initiative.
    If I was being picky(!), the article doesn't close the loop back between the GI tract and the lungs: we know that good nutritional health is likely to translate into better respiratory health, so improving GI health is an essential part of better respiratory outcomes (how much of the FEV1 improvement attributable to Kalydeco in the G551D cohort is a consequence of the increase in weight seen in the study subjects?).
    We also need to find ways for mitigating the impact which treatment for respiratory exacerbations has on the gut.

    ReplyDelete
    Replies
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    1. A welcome article, and brilliant that there will be a ( probably long overdue) sand pit meeting. The recent FB posting on breakfasts certainly raised a lot of interest.( Diet, not the outcome of it !) I'm a parent of children born '68 & '70, pre Creon,pre advice or discussion(except an A4 piece of paper)Low fat( & little sugar) were the order of the day, and yet still constant steatorrhoea (but adequate growth). London Zoo recommended MCT oils (as part of a study on nutrition in 70s)Canada had better survival rates,on higher fat.Creon came along. All change ! Isn't it time for the 'new ' diet gospel to be re-evaluated ? Voices in the wilderness call for a 'healthy' diet. Do the health food and sports industries & and other cultures have any useful insights ? ( on fibre,prebiotics etc etc) The emphasis is on calories, not nutrients. Our 46 yr old(meconium ileus) has recently experienced DIOS, & the Movicol/gastrografin scene. We realise nobody,in 1 gen hospital and 3 specialist CF units over the years, until recently had ever mentioned hydration , colour of stools,and other 'obvious' gut considerations(an observation, not a criticism) GI health has been overlooked, just as diabetes was, until recently.

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  3. How to Get Your Ex Back After a Breakup or Divorce.! Am giving this testimony cos am so happy, I want to thank Dr Frank Ojo for the great thing he has done in my life , he brought happiness to my life .! A very big problem occurred in my Marriage seven months ago,between me and my husband .so terrible that he took the case to court for a divorce. he said that he never wanted to stay with me again,and that he didn't love me anymore.So he packed out of the house and made me and my children passed through severe pain. I tried all my possible means to get him back,after much begging,but all to no avail.and he confirmed it that he has made his decision,and he never wanted to see me again. So on one evening,as i was coming back from work,i met an old friend of mine who asked of my husband .So i explained every thing to him,so he told me that the only way i can get my husband back,is to visit a spell caster,because it has really worked for him too.So i never believed in spell,but i had no other choice,than to follow his advice. Then he gave me the email address of the spell caster whom he visited. TEMPLEOFLOVEANDPROSPERITY@GMAIL.COM. So the next morning,i sent a mail to the address he gave to me,and the spell caster assured me that i will get my husband back the next day. What an amazing statement!! I never believed,so he spoke with me, and told me everything that i need to do. Then the next morning, So surprisingly, my husband who didn't call me for the past 7 months, gave me a call to inform me that he was coming back. So Amazing!! So that was how he came back that same day,with lots of love and joy,and he apologized for his mistake,and for the pain he caused me and my children. Then from that day,our relationship was now stronger than how it were before,by the help of a spell caster. So, i will advice you out there if you have any problem contact Dr Frank Ojo, i give you 100% guarantee that he will help you.. Email Him @( Templeofloveandprosperity@gmail.com ). Thank you sir .. , me & my family live in Toronto, Canada.

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  4. My husband said he no longer loved me at the end of January 2016 and i was hurt and heart broken i felt like my life was about to end and I almost committed suicide, I was emotionally down for a very long time. Thanks to a spell caster called Dr Frank Ojo, which I meet online, on one faithful day, as I was browsing through the internet and I came across a lot of testimonies about this particular spell caster. Some people testified that he brought their Ex lover back, some testified that he restores womb, cure cancer and other sickness, some testified that he can cast a spell to stop divorce and so on. I also come across one particular testimony and it was about a woman called Sonia, she testified about how he brought back her Ex lover in less than 2 days and at the end of her testimony she dropped Dr Frank Ojo mail address. After reading all these,I decided to give it a try and I contacted him via email and explained my problem to him. In just 48 hours, my husband came back to me and we solved our issues, we are even happier than before. Dr Frank Ojo is really a gifted man and I will not stop testifying about him because he is a wonderful man and so powerful... If you have any problem and you are looking for solution to solve all your problems. Great Dr Frank Ojo can also offer any types of help like Reuniting of marriage and relationship, Curing of all types of Diseases, Court Cases, Pregnancy Spell, Spiritual protection,winning of lottery and lot's more. you can contact him on his Email address: Templeofloveandprosperity@gmail.com ,or call his mobile number: +2348072370762, if you have any problem contact him, he cast real spells that work fast, I give you 100% guarantee that he will help you. Name: Clare Burrow ,From:UK.

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  5. My life became devastated when my husband sent me packing, after 8 years that we have been together. I was lost and helpless after trying so many ways to make my husband take me back. One day at work, i was absent minded not knowing that my boss was calling me, so he sat and asked me what its was all about i told him and he smiled and said that it was not a problem. I never understand what he meant by it wasn't a problem getting my husband back, he said he used a spell to get his wife back when she left him for another man and now they are together till date and at first i was shocked hearing such thing from my boss. He gave me an email address of the great spell caster who helped him get his wife back, i never believed this would work but i had no choice that to get in contact with the spell caster which i did, and he requested for my information and that of my husband to enable him cast the spell and i sent him the details, but after two days, my mom called me that my husband came pleading that he wants me back, i never believed it because it was just like a dream and i had to rush down to my mothers place and to my greatest surprise, my husband was kneeling before me pleading for forgiveness that he wants me and the kid back home, then i gave Happy a call regarding sudden change of my husband and he made it clear to me that my husband will love me till the end of the world, that he will never leave my sight. Now me and my husband is back together again and has started doing pleasant things he hasn't done before, he makes me happy and do what he is suppose to do as a man without nagging. Please if you need help of any kind, kindly contact Happy for help and you can reach him via email: happylovespell2@gmail.com

    ReplyDelete
  6. As a 54 years-old CF patient, I can attest to other long-term GI issues. I had a double-lung transplant in Oct 1994 - my transplanted lungs work beautifully. But non-lung CF problems persist: the irritation of undigested fat over decades combined with chronic constipation, and immunosuppression for lung transplantation ... for me, led to a perforated colon, Hartmann procedure, life with a colostomy, colostomy takedown surgery, life with an ileostomy, and finally ileostomy reversal. I lost ~one foot of colon, and although my GI tract is 'back to normal' I have little time to reach a toilet when peristalsis occurs. Pill swallowing is easy ... treatments and/or side effects that require time are difficult to manage, particularly when working full-time.

    ReplyDelete
  7. My life became devastated when my husband sent me packing, after 8 years that we have been together. I was lost and helpless after trying so many ways to make my husband take me back. One day at work, i was absent minded not knowing that my boss was calling me, so he sat and asked me what its was all about i told him and he smiled and said that it was not a problem. I never understand what he meant by it wasn't a problem getting my husband back, he said he used a spell to get his wife back when she left him for another man and now they are together till date and at first i was shocked hearing such thing from my boss. He gave me an email address of the great spell caster who helped him get his wife back, i never believed this would work but i had no choice that to get in contact with the spell caster which i did, and he requested for my information and that of my husband to enable him cast the spell and i sent him the details, but after two days, my mom called me that my husband came pleading that he wants me back, i never believed it because it was just like a dream and i had to rush down to my mothers place and to my greatest surprise, my husband was kneeling before me pleading for forgiveness that he wants me and the kid back home, then i gave Happy a call regarding sudden change of my husband and he made it clear to me that my husband will love me till the end of the world, that he will never leave my sight. Now me and my husband is back together again and has started doing pleasant things he hasn't done before, he makes me happy and do what he is suppose to do as a man without nagging. Please if you need help of any kind, kindly contact Happy for help and you can reach him via email: happylovespell2@gmail.com

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  10. Hi, I am a USA citizen, am here to testify how i got my Ex back with the help of this God-sent called Dr Unity for the great things he has done in my life.. First of all i want to thank mareen for the post she made on how Dr Unity helped her in bringing back her lover. At first when i saw the posting i was so happy and in the other hand so scared,That this might not be real, Then i decided to give it a try in which i contacted Dr Unity and told him how my lover left me for another lady for the past 3years and i have been lonely and depressed without him,So i asked him if he has helped anyone called mareen and he said yes, that was the lady he helped in bringing back her lover. I said good and i told him that if he can help me in bringing back my own lover,He laughed and said once i have contacted him that my problem will be solved.He said that my lover will be back to me within 48hours, Truly when the 48hours was completed i got a text from someone saying am sorry, then i decided to call the number i saw it was my lover Steve voice.i was so happy he was begging me and crying on phone, That he is ready to do anything that will make me happy in life,So i told him to come over which he did,As he was coming he came with a brand new Car as gift. i am so happy today with the help of Dr Unity. He has proven to me that he is not going to leave me for another lady again and stay with me forever, Am so happy today and am also thanking mareen for posting this early.Dr Unity you are truly a man of your word. He can also any kind of sickness and he can solve any kind of problems in this world. Friends i believe Dr Unity is a man to trust and believe on. You don't need to cry anymore Dr Unity has been sent to clean our tears you can contact him on his Email:( Unityspelltemple@gmail.com or cell phone +2348072370762).

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  11. Hi everyone! how are you feeling after just break up or divorce with your ex? Getting back together after a break up or divorce is possible if you really want to make it happen!! My name is Tiffany Marie. from Odessa, TX.
    My husband broke up with me last week,i was so frustrated and i could not know what next to do again, i was so confused and i could not concentrate any more, i love my husband so much but he was cheating on me with another woman and this makes him broke up with me so that he can be able to get marry to the other lady and this lady i think cast a spell on my husband to make him hate me and my kids and this was so critical and uncalled-for,I cry all day and night for God to send me a helper to get back my man until i went to NY to see a friend and who was having the same problem with me but she latter got her Husband back and i asked her how she was able to get her husband back and she told me that their was a powerful spell caster in Africa name Dr.Unity that he help with love spell in getting back lost lover back and i decided to contacted the same Dr.Unity and he told me what is needed to be done for me to have my man back and i did it although i doubted it but i did it and the Dr told me that i will get the result after 48hours, and he told me that my husband was going to call me by 9pm in my time and i still doubted his word, to my surprise my husband really called me and told me that he miss me so much, Oh My God i was so happy, and today i am happy with my man again and we are joyfully living together as one good family and i thank the powerful spell caster Dr.Unity of Unityspelltemple@gmail.com , he is so powerful and i decided to share my story on the internet that good spell casters still exist and Dr.Unity is one of the good spell caster who i will always pray to live long to help his children in the time of trouble, if you are there and your lover is turning you down, or you have your husband moved to another woman, do not cry anymore contact the powerful spell caster Dr.Unity on his email: Unityspelltemple@gmail.com and he will answer you, i am a living testimony and i will continue to testify of his goodness in my family,he turn my family to paradise and today we are all happy together Dr.Unity i say thank you in one million times thanks.

    ReplyDelete
  12. There is a certain point you reach in life where you think that there is no hope. i was at that point when my girlfriend for 4 years just walked away from me. but thanks to the DR.AGBAZARA TEMPLE who helped me bring back my husband who left me for another girl. i did everything as instructed by Dr.Agbazara,And after 48hours my husband came back begging me on his kneels to accept him back. if you know your love is what saving contact DR.AGBAZARA TEMPLE on email: ( agbazara@gmail.com ) or call him on +2348104102662

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  13. Hi, my girlfriend of a year had a bit broke up with me and went back to her EX-boyfriend. She said our relationship lacked the conversation piece because am a very quiet person and she don't feel loved by me. I felt heart broken and it affected me that i couldn't concentrate properly at my place of work for i very much loved her and need to get her back and my last chance was getting a love spell. I entered on the website http://doctorokpamenpowerfulspelltemple.webs.com and made contact with the Doctor for i read that he has a lot of positive feedback with his spells. I’m not disappointed because my lover came back to me within 24 hours after getting a love spell from the Doctor called Osemu Okpamen. We are happy couples now and if you need any kind of help, Email him on ( doctorokpamenspelltemple@hotmail.com or whats-app +2348135254384 ). Michael Snapp, +1 (305) 647-6660 USA.

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  14. Mavelous and genuine Testimony

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  19. My life became devastated when my husband sent me packing, after 8 years that we have been together. I was lost and helpless after trying so many ways to make my husband take me back. One day at work, i was absent minded not knowing that my boss was calling me, so he sat and asked me what its was all about i told him and he smiled and said that it was not a problem. I never understand what he meant by it wasn't a problem getting my husband back, he said he used a spell to get his wife back when she left him for another man and now they are together till date and at first i was shocked hearing such thing from my boss. He gave me an email address of the great spell caster who helped him get his wife back, i never believed this would work but i had no choice that to get in contact with the spell caster which i did, and he requested for my information and that of my husband to enable him cast the spell and i sent him the details, but after two days, my mom called me that my husband came pleading that he wants me back, i never believed it because it was just like a dream and i had to rush down to my mothers place and to my greatest surprise, my husband was kneeling before me pleading for forgiveness that he wants me and the kid back home, then i gave Happy a call regarding sudden change of my husband and he made it clear to me that my husband will love me till the end of the world, that he will never leave my sight. Now me and my husband is back together again and has started doing pleasant things he hasn't done before, he makes me happy and do what he is suppose to do as a man without nagging. Please if you need help of any kind, kindly contact Happy for help and you can reach him via email: happylovespell2@gmail.com

    ReplyDelete
  20. HOW TO SAVE YOUR RELATIONSHIP
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  21. My Name is Jane Rosas..I never believed in Love Spells or Magics until I met this special spell caster when i went to Africa to Execute some business..He is really powerful..My husband divorce me with no reason for almost 4 years and i tried all i could to have him back cos i really love him so much but all my effort did not work out.. we met at our early age at the college and we both have feelings for each other and we got married happily for 5 years with no kid and he woke up one morning and he told me he’s going on a divorce..i thought it was a joke and when he came back from work he tender to me a divorce letter and he packed all him loads from my house..i ran mad and i tried all i could to have him back but all did not work out..i was lonely for almost 4 years…So when i told the spell caster what happened he said he will help me and he asked for him full name and his picture..i gave him that..At first i was skeptical but i gave it a try cos have tried so many spell casters and there is no solution…so when he finished with the readings,he got back to me that he’s with a woman and that woman is the reason why he left me…The spell caster said he will help me with a spell that will surely bring him back.but i never believe all this…he told me i will see a positive result within 3 days..3 days later,he called me himself and came to me apologizing and he told me he will come back to me..I cant believe this,it was like a dream cos i never believe this will work out after trying many spell casters and there is no solution..The spell caster is so powerful and after that he helped me with a pregnancy spell and my wife got pregnant a month later..we are now happy been together again and with lovely kid..This spell caster has really changed my life and i will forever thankful to him..he has helped many friends too with similar problem too and they are happy and thankful to him..This man is indeed the most powerful spell caster have ever experienced in life..Am Posting this to the Forum in case there is anyone who has similar problem and still looking for a way out..you can reach him here: drprosperspellhome@gmail.com …… CONTACT THIS POWERFUL SPELL CASTER TODAY VIA EMAIL:drprosperspellhome@gmail.com

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  22. All I hear is a bunch of whining about something that you could fix if you werent too busy looking for attention.
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  23. This is the most wonderful thing i have ever experienced. I visited a forum here on the internet on the 17 APRIL 2016, and i saw a marvelous testimony of Tracie Aldana from United States on the forum about the good works DR OSEMU. I never believed it, because have never heard anything about such miracle before. No body would have been able to convince me about it not until DR OSEMU did a marvelous work for me that restored my marriage of 4 years by getting back my divorced wife just as i read on the internet. Am Brooklyn Gray from USA. I was truly shocked when my wife knelt down pleading for forgiveness to accept her back. I am really short of words to use to show my appreciation to DR OSEMU. For his a God sent to me and my entire family for divine restoration of marriage. Contact him now for any kind or help via Email: Doctorokpamenspelltemple@hotmail.com, website: www.doctorokpamenpowerfulspelltemple@webs.com OR call and whats App him on +2348135254384. You can text or call me also for more inquiries +1 (914)-902-7078.

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  24. Wow i never thought i will happy in my life ever again, i want you all to thank DR OGUDUGU of GREATOGUDUGU@GMAIL.COM, he is a father that takes care of his children the spell caster of our time, he has saved me from a very ugly situation that almost made my life miserable and i want you all to thank him for me,my husband and i have be married for so many years now with children and the relationship was being threatened by a small girl in his working place,she was almost destroying my home i met so many spell casters but to no avail until i met a friend who came from africa and she told me about DR OGUDUGU, and i decided to contact him and try him out as i was losing faith in all spell casters, but he told not to worry that now am in his temple everything will be alright he assured me 100% that his spell has no side effects and that it will work straight and save my home and my marriage and after he has performed the sacrifices and casted the spell, my husband came back to us with love and affection and he loved us more and more and he never looked back or none did his love for me waiver, if you are also experiencing this sort of your situation in your home, if your husband is drifting away, if you are experiencing a broken home or you have lost your husband to a young woman outside there then look no further help is here as GREATOGUDUGU@GMAIL.COM is ready to help you out okay for any of your problem is it financial needs, revenge spell,Hiv cure, job spell, promotion spell what kind of spell do you need DR OGUDUGU is going to solve it for you okay i have promised him to always talk of his good works to the world in general and to any body who cares to listen, you can email him on his personal email on or GREATOGUDUGU@GMAIL.COM and he will attend to you as soon as possible okay once again his email is GREATOGUDUGU@GMAIL.COM.

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  25. Thank you for your miracle Doctor Osemu Okpamen

    This article is dedicated to the Doctor Osemu Okpamen. I have been married with my wife for 5 years and recently she broke up with me and it hurt me deeply when she told me to leave her alone and that she does not love me anymore when i was always faithful and honest to her. I tried all the ways to get her back buying her what she wants like i always did and she still left me heart broken and she even has a new boyfriend which destroyed me even more until a friend of mine from high school directed me to this genuine spell Doctor called Osemu Okpamen. This man changed my life completely. I followed everything he told me to do and my wife came back begging for me back. I was stunned everything happened exactly like he told me. I had faith in everything he told me and everything was true. Also he was there every moment until i got my happiness back and he also provides spells that cures any diseases & sickness. You could contact him via email at { Doctorokpamenspelltemple@yahoo.com } or visit his website http://www.doctorokpamenspells.com or reach him on +1 (914)-517-3229. He will help you in anything you need and quick to answer once you contact him.

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  26. Hello, I am Theresa Williams After being in relationship with Anderson for years, he broke up with me, I did everything possible to bring him back but all was in vain, I wanted him back so much because of the love I have for him, I begged him with everything, I made promises but he refused. I explained my problem to my friend and she suggested that I should rather contact a spell caster that could help me cast a spell to bring him back but I am the type that never believed in spell, I had no choice than to try it, I mailed the spell caster, and he told me there was no problem that everything will be okay before three days, that my ex will return to me before three days, he cast the spell and surprisingly in the second day, it was around 4pm. My ex called me, I was so surprised, I answered the call and all he said was that he was so sorry for everything that happened that he wanted me to return to him, that he loves me so much. I was so happy and went to him that was how we started living together happily again. Since then, I have made promise that anybody I know that have a relationship problem, I would be of help to such person by referring him or her to the only real and powerful spell caster who helped me with my own problem. email: drogunduspellcaster@gmail.com you can email him if you need his assistance in your relationship or any other Case.

    1) Love Spells
    2) Lost Love Spells
    3) Divorce Spells
    4) Marriage Spells
    5) Binding Spell.
    6) Breakup Spells
    7) Banish a past Lover
    8.) You want to be promoted in your office
    9) want to satisfy your lover
    Contact this great man if you are having any problem for a lasting solution
    through drogunduspellcaster@gmail.com

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  27. I've been really depress and been in so much pains after my wife left me. Our son is just 8 without her mother. Life can be very displeasing especially when i try every way possible to get her back and all i got is been scammed by this fake Spiritual Spell Casters.... I'm new on this spell stuff but after talking and chatting with Dr. Trust then i realize he is the man i can completely trust. I know there are many of you out there who are in the same problem too and also looking for a real spell caster that can give wealth and bring back your love again.. Dr. Trust is real and in just 2 days of his spell my whole story got turn around and things started to be as before.

    I followed his advice and Spell instructions, and fortunately, I'm a success story! Kathy is back now and im so glad our son got to see her mother again. Now we're better than ever. Dr. Trust spell really worked and he has been very helpful, and I can't believe it worked so well! I'm honestly, still in shock! :) If you feel like your relationship is salvageable, and you need help contact him .. It never too late ((Ultimatespellcast@yahoo.com or Ultimatespellcast@gmail.com WEB SITE: http://ultimatespellcast8.wix.com/ultimatespellcast OR CALL +2348156885231

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  28. there is this great spell caster in the states i just met through a friends description, and he have just helped me to get back my husband who left me for 2 years, I am so glad that i met with this spell caster, he is just in the US to help people and i am among those he have helped and i am telling you to also go and get hold of your own solution as he shall soon be living the the States, he said he was in the STATES to help his client. So i met with him and told him about how my husband left me.
    I visited his email address, after a friend talked about how she got help from him. After contacting him, then I found out he is currently in the US.
    It is even because his spell is so strong that is why someone invited him over, And through this medium he has brought home my husband with this spell powers. I contacted him, not up to 2 days, he told me that after 24 hours my husband would return back to me, and that day I was at work when my husband (Collins Mark toddle) called and said he is in the house,and i was so surprise when i really saw him and he just ask me to forgive him so that was how Dr aluda helped me to get my husband back to me so his email address is aludaspelltemple@gmail.com or call and whatsapp him on +2348063930531 if you still want him to help you solve your problems for you
    I am Benson Toddle.

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