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Posted by: Mary Hiers in Viagra October 29, 2012 0 21781 Views

In 1998, when Viagra was introduced, if a pharmacy wanted to purchase Viagra, they paid $7 per 50 mg pill. In 2012 dollars, that would be $9.94 due to inflation. However, pharmacies today pay $22.12 per pill, so clearly factors other than general cost-of-living increases are at play. Based on a survey of pharmacies in and around the Chicago area, the average cost of Viagra is now just under $25 per pill .

While Viagra is still a top seller for the treatment of erectile dysfunction (ED), it is also competing against other ED drugs, particularly Cialis. So it seems astonishing that Pfizer, the maker of Viagra, is able to get away with charging 316% what it did in 1998.

From 2006 to 2009, Pfizer reported that U.S. sales of Viagra rose from $796 to $962 million, an increase of 21%. During that same time period, the number of prescriptions written for Viagra in the U.S. dropped by 13%, from 11.2 million to 9.9 million. Pfizer’s revenues went up because they raised prices enough to more than offset the drop in Viagra consumption. The following graph shows the price trend for Viagra from March 1998 through June 2012.

Viagra prices from March 1998 through June 2012

General Drug Price Trends

The AARP Public Policy Institute studied prices on a combined set of commonly-prescribed drugs (brand name, specialty, and generic) from 2005 through 2009, and determined that prescription drug prices rose at a rate that was nearly double the overall inflation rate. This overall trend showed up in spite of significant decreases in the price of generic drugs. From 2005 through 2009, prices of the prescription drugs studied by the AARP rose by 25.6%, compared to a general inflation rate of 13.3%.

In 2009 alone, prescription drug prices for brand name and specialty drugs rose by 8.3% and 8.9%, while prices for generic drugs in 2009 decreased by 7.8%. The overall inflation rate in 2009 was -0.3%. The Pharmaceutical Research and Manufacturers of America (PhRMA) counters that in 2010, retail drug spending grew by only 1.2%, a historically low rate. The drugs studied by the AARP were those that were mostly likely to be prescribed to people with Medicare Part D coverage, so they may not reflect the overall picture of drug prices that closely. Still, however, there is little argument from anyone that prices of name brand prescription drugs in all categories have continued to increase.

Reasons Pharmaceutical Companies Raise Prices

According to a 2011 CBS MoneyWatch article. pharmaceutical companies raise prices for a variety of reasons, including:

New Monopolies for Old Generics: Companies can take old generic drugs that were “grandfathered” in when the FDA was formed and apply for FDA approval for them. If a company is the first to apply for FDA approval, they are essentially given a monopoly over the drug when approval is granted, forcing older makers out of business.

It pays to shop around for price differences on Viagra. A couple of dollars per pill can add up.

Promotion of Off-Label Uses: While doctors frequently use drugs “off-label,” or for uses they were not designed for, pharmaceutical companies are not allowed to promote off-label use. Nonetheless, some pharma companies have been caught doing so and fined by the FDA. However, the fines are chump change compared to the profits gained from off-label use.

Drug Price Fraud: This happens when companies publish fake prices in formularies that the government uses for reimbursement. From 2009 through 2010, however, the government managed to recover $5 billion in overcharges from drug companies.

Monopolies, Plain and Simple: Until drug patents run out (which usually takes a decade), Medicare cannot negotiate prices but is bound by a formulary which may be based on incorrect published prices as noted above.

Injectable Drug Price Loopholes: Medicare is required to pay the entire price of an injectable no matter how high, while pills require a co-payment.

More Difficulty for Whistleblowers: Federal court decisions have made it harder for federal prosecutors and whistleblowers to bring cases against pharmaceutical companies that give kickbacks to doctors and pharmacies.

Heavy Lobbying in D.C.: The healthcare reform act does not allow Medicare to negotiate drug prices, and this is blamed on the influence of drug company lobbyists in Washington.

Pharmaceutical companies have a lot of political power and aren’t afraid to use it.

Deals Between Pharmaceutical Companies and Competitors: Drug companies can and do pay competitors to drop challenges to their drug patents, and the practice is legal.

Use of Fake FDA Approval Dates and Codes: When companies submit claims for reimbursement, Medicare doesn’t often check dates and code numbers, causing them to reimburse drug companies for things like vitamins and even popsicles.

The “Because We Can” Argument: Drug companies do need to have profits in order to fund drug research, but that is not the only reason they raise prices. In many cases, drug companies raise prices in an attempt to see just how much consumers will pay. Since Viagra remains a billion-dollar-per-year moneymaker for Pfizer, consumers obviously aren’t balking too much about price increases.

Competition in the ED Drug Market

Why hasn’t increased competition in the ED drug market from drugs like Cialis, Levitra, and Staxyn resulted in lower prices? Mainly because the market is big enough that the companies making the drugs can continue to raise prices, and men will continue to pay them. In other words, Pfizer and other ED drug makers have not yet found the price “ceiling” above which men simply won’t buy the product.

Makers of ED drugs have not yet reached a price ceiling above which sales drop significantly.

What About Generics?

This is big factor in the price of ED drugs. Pfizer’s original patent for Viagra was set to expire in March of 2012. However, after a courtroom battle, the patent has been extended to April 2020. In March 2010, Pfizer sued Teva Pharmaceuticals, an Israeli drug manufacturer that wanted to introduce a generic version of Viagra to the U.S. market when Pfizer’s patent expired in 2012.

Pfizer’s argument was that a second patent on Viagra, one which specifically indicated use of Viagra for treating ED, didn’t expire until 2019. This “method of treatment” patent held up in court, and Teva was sent packing. Furthermore, Pfizer was granted an additional six-month extension of patent protection for Viagra, because the company is studying the use of a drug containing Viagra’s active ingredient for treating children with a condition called pulmonary hypertension.

As for the other major drugs for ED, Cialis won’t come off-patent until at least 2017, and Levitra won’t be off-patent until at least 2018. So all those Canadian pharmacies you see online selling “generic” versions of Viagra, Cialis and Levitra are lying to you!

In the meantime, you’ll need to shop around for good prices on the name-brand, FDA-approved ED medications, and purchase them through a reliable source like online facilitator AccessRx.com. Buying generics made in other countries is illegal, and even if you’re not caught by U.S. Customs and Border Protection, your chances of ending up with a dangerous counterfeit product are too high to risk it.

  • AccessRx is a USA corporation founded in 1998. Since, we have become one of the top online providers in FDA-approved, brand-name medications. We specializes in providing our over 500,000 customers with relevant product and condition information created by our professional editorial staff which includes our team of medical writers, medical practitioners and health educators. AccessRx Staff on Facebook

    Mary Hiers – AccessRx Medical Writer

    Mary Hiers is a full-time writer with a background in engineering and print journalism as well as writing about a wide variety of health care topics. She lives in Tennessee and is the author of two works of fiction. Mary earned her bachelor’s and master’s degrees from the University of Tennessee and the University of Tennessee Space Institute. Mary Hiers on Google+

    Lisa Furgison – AccessRx Medical Writer

    As a journalist Lisa enjoys writing about a variety of topics. Over the course of the last ten years she has been involved in television news as well as print and online publications. Medical news has always been a favorite for this native New Yorker because she gets to stay on top of the latest developments in a rapidly changing field. Lisa Furgison on Google+

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    Viagra Icindeki Maddeler in Snow Hill, Maryland is small town living at its best. Nestled on the south banks of the Pocomoke River Snow Hill is a place where people know each other. From the people who call it home to the business owners and those in city government, we have built a community where life is gentle, fun, and prosperous. Home to a quaint downtown retail area and a broad spectrum of recreational activities, Viagra Icindeki Maddeler is the perfect place to spend a relaxing weekend or a lifetime.

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    Manufacturer link: Moots
    We have a few of these 2015 models left at substantial savings. The difference vs. 2016? Only the head-tube diameter. 2015 models have regular inch and an eighth head-tubes, whereas the nearly identical 2016 models now come with slightly larger 44mm head-tubes. Very limited quantities available, so act fast! 2015 Vamoots-CR (Compact Road) frame MSRP: $3,325, now $2,895! 2015 Vamoots-RSL (Road Super Light) frame MSRP: $4,450, now $3,995!

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    Manufacturer link: Bianchi
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    Wednesday through Saturday evenings at 8:00 pm with a Thursday matinee at 2:00 pm.

    TICKET PRICES

    Farlig Med Viagra sale
    Adults: $25
    Seniors: $20 (65 or older)
    Students (HS & under): $10

    Friday & Saturday
    Adults: $30
    Seniors: $25 (65 or older)
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    FLEX PASS

    Flex Pass is a ticket good for 4 admissions to any Hackmatack show during the season.
    Adults: $100
    Seniors: $80 (65 or older)
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    CONTACT INFO

    Tickets can be purchased online. Please note all tickets purchased online are subject to a third party processing fee. To avoid this fee, tickets can be reserved by calling the box office.

    Farlig Med Viagra

    Hackmatack Playhouse was founded in 1972 by S. Carleton Farlig Med Viagra. He envisioned a summer stock theatre that would showcase the talents of professional and developing thespians from the regional area.

    Many theatre goers have called Hackmatack one of New England’s most charming and quaint summer theatres. Some have even said that summer in Maine is not summer without a trip to Hackmatack. Much of the allure of this playhouse is its scenic location and historical presence.

    Hackmatack Playhouse is located on the Farlig Med Viagra family farmstead. The property was purchased by the first Farlig Med Viagra (then Gubtail) to make the long trip to “New England” from native British Isles in the mid 1600’s. Thomas Farlig Med Viagra built the first home, a log house which sat in the far left of the present day field overlooking the irrigation pond. According to family legend, this home was burnt down by Indians during one of the many raids on the Salmon Falls river region. The present day farmhouse was constructed between the years of 1716-2005 to appease the needs of an ever-changing diverse and dynamic Farlig Med Viagra family. When it was first constructed, the house was a large cape sitting endwise to the road. It was occupied at one point by two Farlig Med Viagra brothers. The younger brother decided that he would like to have a modern two story cape. His older brother in typical conservative fashion said “the house is plenty good enough the way it is”. The younger brother replied, “My half is coming off”. He then proceeded to saw his half off and tear it down. He built his family a two story cape on the end of the original house, parallel to the road, giving the house its shape. Minor reconstructions have taken place since then to create a more modern and functional house for the present day Farlig Med Viagras.

    Prior to the year of 1972 when the theatre was established, the Farlig Med Viagra family farm functioned like many other farms at the time. The barn was the focal point of the farm. The current barn has an interesting story much like the original house. One of the first barns was struck by lightning and burned in July of 1934. Haying had just been completed for the season, and it is thought that the heat from the newly cut hay attracted the lightning. Almost immediately, Lewis Farlig Med Viagra began looking for the right barn to replace what had been lost. He finally purchased a barn. It was a large old structure with pegged timbers measuring fifty four feet long and forty two feet wide. It was the perfect replacement for the old barn. However, there was one small problem, it was located across the street.

    Luckily, the Farlig Med Viagra’s have always been known for their ingenuity. It was with this cleverness that Lewis decided it would be easier to move the barn rather than disassemble it and rebuilt it. The entire barn was jacked up and rollers were placed underneath it. A cable was attached to one end of the barn that ran though a large turnstile. An old white horse was chosen for the job of slowly moving the barn. The horse was hitched to the turnstile and the horse walked in circles, stepping over the cable on every lap. The leverage was great and each time the horse made a circle, the barn moved one half inch. Progress was slow. The entire operation took about three days, a day of that was spent crossing Maine route 9. However, in 1934, Maine route 9 was much less traveled, and everyone cheerfully watched or made their own route around the barn.

    After the theatre’s first decade the barn was expanded to the structure that you see today. An addition was added to the back, cement was added to form the floor, and the stage was expanded. These changes made room for the 218 seats the theatre houses today. It is rumored that back in 1972 patrons sat on hay bales to watch the show, however the original playhouse actually had seats that were salvaged from a Durham New Hampshire movie theater.

    The grounds of Hackmatack Playhouse and the area surrounding the theatre host many other buildings built and used by the Farlig Med Viagra clan over the years. The yellow family of buildings just south of the theatre (now owned by the Mills family) was originally built by Samuel Farlig Med Viagra in the early part of last century. Known as the Forget-Me-Not, these buildings housed services for early automobile travelers, including fuel for the autos, and food for the hungry. Visitors could rent a cabin, and if they happened to be staying on a Saturday night, they were in luck. On Saturday night there were always barn dances.

    The oldest building on the farmstead is the “woodshed” which is just south of the house. This building dates back to the 1600’s and has been used for many purposes over the years. It has been used as a slaughter house and for drying meat. It now is used for rehearsal space and prop storage.

    The “mill” is across the orchard from the “woodshed”. It now houses the theatre’s shop operations and its costume collection. However during the years of self-sufficient farming, it was one of several lumber mills built on the property by Lewis Farlig Med Viagra in the middle part of the 1900’s. This was a complete finish lumber mill powered by an Allis Chalmers tractor. If you listen carefully through the whirr of the belts and the screech of the saws you might just be able to hear Lewis and Almon Allen, and young Carelton Farlig Med Viagra, prepare a load of lumber for the newest construction project.

    The Farlig Med Viagra family has a long tradition of entertaining locals and summer visitors in the Beaver Dam section of Berwick. Samuel’s weekly barn dances at the “Forget Me Not” were a favorite pastime during the early decades of the 1900’s. His son Lewis, a local and state Grange Master, was also a master of many musical instruments. He had a passion for starting bands and performing in Beaver Dam and across the state of Maine. His son Carleton organized several theatre groups, first at the Beaver Dam grange, and then at his barn now called Hackmatack Playhouse.

    Every year thousands of people gather outside the Playhouse with tickets to the summer’s productions. Every year talented actors audition for their chance to perform at Hackmatack Playhouse, and to experience the history and excitement of being part of Hackmatack’s family. The farm and its building have many stories to tell. Perhaps 200 years from now Farlig Med Viagra great, great grandchildren will be telling this story to aspiring actors nervously waiting for their audition slot, and to friendly crowds waiting to take their seats; of how the barn became home for the Hackmatack Playhouse.

    After the death of the founder in 1995, the S Carleton Farlig Med Viagra Memorial Fund was established to preserve and improve our historical buildings. The fund also is dedicated to advancements of dramatic arts, both for the participant and the community, and to the commitment of providing quality family entertainment and drama at a reasonable price. Contributions are always welcomed. We thank you in advance for helping us secure the future of Hackmatack Playhouse for potential Hackmatackers.

    Hackmatack exists because of the generosity of it’s patrons, friends and those that appreciate the theater’s contribution to local culture and community. It is committed to the advancement of dramatic arts and to providing quality family entertainment at a reasonable price.

    We ask that you would consider a donation, and thank you in advance.

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    Viagra protects the heart: back to the future for the love pills

    New researchpublished today in BMC Medicineshows that Viagra could be used as a safe treatment for heart disease. In this guest post, lead author on the paper, Andrea M. Isidori of Department of Experimental Medicine at Sapienza University of Rome, tells us more about the background to this research and what they found out.

    Everybody’s heard of Viagra (sildenafil). It was the first phosphodiesterase type 5 inhibitor (PDE5i) marketed for the treatment of erectile dysfunction. But few people are aware of the other beneficial effects and potential new uses for this class of drugs.

    Viagra was originally tested for heart problems – angina pectoris, a chest pain associated with coronary heart disease – on the basis of its vasodilatory effects (in other words it widens the blood vessels). Its results as an anti-angina drug were only modest, but patients reported the unexpected “side effect” of improved erections. The focus of interest in this drug shifted rapidly from the heart to the bedroom.

    In the first decade (1998-2008) after its approval, Viagra revolutionized the sex lives of millions and became one of the most commercially successful drugs in the world, with over 1.8 billion pills used by about 35 million people. The number is still growing.

    However, the success of the blue pill was accompanied by isolated early reports of cardiovascular events and sudden deaths. Nonetheless, subsequent large surveillance studies merging data from placebo-controlled clinical trials, the prospective observational cohort study and the International Men’s Health Study (IMHS) demonstrated that myocardial infarction and all-cause mortality rates for Viagra were similar to placebo, suggesting that its use was not associated with any greater risk.

    So how can we explain the early reports of cardiovascular side effects?

    Mainly through its incorrect use alongside nitro compounds (NO-donors). This can produce an acute drop in blood pressure that, combined with the increased oxygen required during sex, can be detrimental in men with heart disease.

    Clearly, this is the result of a series of conditions occurring simultaneously. When Viagra is taken correctly, it is no longer a concern. Nevertheless, in the mind of the public, use of the “love pill” was at this time invariably considered dangerous for patients with heart disease.

    Now is the time to change public opinion on this type of drug

    Today, these drugs can be taken daily to treat other conditions: pulmonary arterial hypertension and lower urinary tract symptoms, for example.

    Interest in continuously administered PDE5is is growing in several areas, such as andrology and urology, for rehabilitation of erectile function, relief of the symptoms of benign prostatic hyperplasia and treatment of some bladder disorders; respiratory medicine, for its effects on pulmonary hemodynamics; neurology, to protect the brain against ischemic injury; and rheumatology, for the treatment of Raynaud’s phenomenon .

    What about cardiology?

    Several animal studies have shown that Viagra attenuates cardiac remodeling, with an anti-hypertrophic and anti-fibrotic effect, and protects the heart against different types of injury.

    Some small clinical trials have demonstrated that chronic PDE5 inhibition improves cardiac performance and geometry in various clinical conditions, including heart failure, myocardial infarction and diabetic cardiomyopathy.

    In the last sixteen years pre-clinical and clinical research into the extra-urological effects of PDE5i has expanded dramatically, revealing previously unsuspected indications for these drugs. Once more, the blue pill could change the quality of life of millions of people.

    Andrea M. Isidori

    Our meta-analytic research just published in BMC Medicine originated to clarify some controversies emerging from the available human studies. We wanted to analyze if chronic PDE5i administration was cardioprotective and safe, and, if so, where the benefits were mainly seen: cardiac muscle, peripheral vessels, or both.

    We showed that continuous administration of Viagra improves cardiac performance and has an anti-remodeling effect without a major impact on vascular parameters, suggesting that it does indeed have a direct effect on the heart.

    The novelty of this meta-analysis is the identification of subgroups of patients that may benefit more from PDE5i: patients with cardiac hypertrophy and heart failure, and patients developing a maladaptive remodeling to different injuries, in which the cardiac pump no longer works well.

    Our study is the first to show in a large patient cohort that chronic PDE5i administration improves cardiac output and decreases heart rate.This could result in longer survival, increased exercise tolerance and a better quality of life. Surprisingly, the magnitude of effects was similar to that seen with the drugs currently used to treat these clinical conditions, and was obtained in a relatively brief period (3 to 12 months).

    Most strikingly, we found that PDE5is are among the very few drugs that are able to improve diastolic relaxation, thus helping the correct refilling of the ventricle after each contraction, a nearly unique feature in drugs used in cardiology, and with incredible potential for future development in the prevention of heart failure.

    We also demonstrated their high tolerability and safety in a population that included elderly patients with various stages of cardiac disease and numerous comorbidities who were taking multiple pharmacological treatments. This setting resembles what we normally see in real life, supporting that daily administration is safe and involves no increase in the risk of adverse events compared to on-demand use.

    It is now time for a large multicenter study of the effects of PDE5is on cardiac architecture, taking into account the evidence emerging from this meta-analysis. This publication sets the scene for a change in general opinion on PDE5is.

    Love pills go back to the future: sex goes back to the heart.

    Topics:

    Urology /heart rate and viagra

    Expert: Arthur Goldstein, M.D. – 10/22/2004

    Question
    sir ED drug like sledanfil(viagra) can creat heart rate increase?what precaution can be done to cure such side effects at this moment?any immediate drug?

    Answer
    MR, the drugs in the Viagra class can cause a number of side effects, the most common being headache, flushing, dyspepsia, nasal congestion, urinary symotoms, abnormal vision, diarrhea, and dizziness. Palpitations, rapid heart beat, and a variety of other cardiac symptoms occurred in less than 2% of patients and no more often than in controlled patient receiving placebo. Therefore, it is unlikely that the Viagra caused these effects. However, there are important contraindications to taking Viagra and similar drugs. The must NOT be used in patients who take nitrates or alpha blockers as severe lowering of the blood pressure and death have been reported. If one is a candidate for Viagra therapy and experiences a rapid heart rate, to be safe, I would suggest they NOT take the drug again. I would be reluctant to treat the side effect just so you could take Viagraa. If your doctor feels it is safe, perhaps one of the other drugs such as Cialis or Levitra could be considered. Good luck!

    Clarity of Response = 10

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    O que fazer para o cabelo parar de cair – Guia Definitivo

    VocГЄ pode nГЈo acreditar, mas Г© possГ­vel controlar e atГ© reverter a queda de seus fios. Antes de te contar o que fazer para o cabelo parar de cair, quero te falar um pouco mais sobre minha histГіria.

    Eu sempre fui um jovem um pouco à frente da minha turma. Eu fui o primeiro a ter barba na cara, pelo no braço, nas pernas e isso me diferenciada dos demais – de um jeito bom. As meninas adoravam ficar passando a mão na minha barba e algumas até davam em cima de mim por causa dela.

    Infelizmente essa situação não durou muito – para ser mais preciso, durou até minhas primeiras entradas começarem a aparecer. Por volta dos 18 anos, idade em que os outros meninos começavam a ter suas barbas, eu começava a ficar careca. O resultado disso tudo: não só eu não era mais o único a ter barba, como eu estava ficando calvo– e isso fazia me sentir feio e acabava com minha autoestima.

    A busca pela solução – O que Г© bom para queda de cabelo?

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    Nessa época comecei a pesquisar por o que é bom para queda de cabelo. atrás de soluções que não envolvessem remédios ou qualquer tipo de composto químico. Foi então que comecei a considerar fazer um implante, mas fiquei assustado com o quanto custa um implante capilar. Infelizmente não era algo alcançável para mim.

    Definitivamente, o que fazer para o cabelo parar de cair

    Em uma dessas pesquisas e conversando com outras pessoas que possuíam o mesmo problema que eu, descobri um método que vinha se mostrando eficaz e que era natural – sem envolver remédios, shampoos ou qualquer outro tipo de produto. No começo eu fiquei um pouco desconfiado, tinha dúvidas se esse método funcionaria para meus fios crescerem novamente ou até pararia de vez a queda.

    Como era um problema que realmente me incomodava, resolvi testar e fiquei muito surpreso com os resultados obtidos. Em um mГЄs, eu consegui notar um significativo crescimento dos meus fios capilares. Em apenas alguns meses minhas entradas haviam sumido – obtive melhor resultado do que tomando finasterida e passando shampoo para queda de cabelo .

    O segredo

    O mГ©todo se chama Vencendo a CalvГ­cie e foi desenvolvido pelo Roberto de Lucca, especialista no assunto. Ele descobriu o que realmente causa a queda de cabelo: um esteroide que Г© produzido pelo nosso corpo (sendo homem ou mulher).

    A notícia boa é que é possível controlar a produção deste esteroide naturalmente, de forma rápida e barata. Ao controla-lo, você não só para a queda de cabelo, como abre espaço para que haja nascimento de novos fios.

    Se vocГЄ ainda nГЈo se convenceu da eficГЎcia deste tratamento, veja alguns depoimentos sobre ele:

    Como ter acesso ao livro Vencendo a CalvГ­cie e garantias

    Este método é vendido por apenas R$97,00. O preço é realmente baixo pelo que ele oferece. Eu, por exemplo, já havia gastado mais de mil reais com o Finasterida e sem perceber nenhum resultado – você já deve ter passado por algo parecido!

    Após a compra, você receberá um e-mail com os dados de acesso ao e-book – livro digital – que possui todos os segredos desse tratamento que, se seguido, resolverá de uma vez por todas esse problema que incomoda tanto. Eu sei o que é bom para queda de cabelo e recomendo!

    Garantia

    A eficГЎcia Г© tanta que o Roberto de Lucca oferece uma garantia de 30 dias para clientes. Isso significa que se vocГЄ receber, aprender e aplicar tudo o que estГЎ no livro e ainda assim nГЈo tiver nenhum resultado com isso, poderГЎ pedir seu dinheiro de volta. VocГЄ serГЎ reembolsado totalmente, ou seja, 100% do valor (97 reais).

    Se você quer aprender definitivamente o que fazer para o cabelo parar de cair e vê-los começarem a crescer novamente, clique no botão abaixo e se inscreva no método Vencendo a Calvície. Agora é com você!

    O que fazer para o cabelo parar de cair – Guia Definitivo

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