Courrier reçu de la DGS

STRATEGIE DE FREINAGE DE LA PROPAGATION DES VARIANTES DU SARS-COV-2 : PRECISIONS POUR LA DETECTION DES VARIANTES ET LE RENFORCEMENT DU CONTACT-TRACING

Mesdames, Messieurs,

Dans la continuité du DGS Urgent n°5, le présent message vient préciser les modalités de déploiement des kits RT-PCR spécifiques des variantes disponibles dès aujourd’hui et de renforcement du dispositif de contact-tracing.

Des kits RT-PCR spécifiques des variantes sont utilisables à partir du samedi 23 janvier 2021 sur l’ensemble du territoire (la liste est intégrée sur la plateforme du MSS et sera mise à jour régulièrement https://covid-19.sante.gouv.fr/) pour réaliser des tests RT-PCR de criblage de variantes, sur la base d’un premier test RT-PCR positif. Cette deuxième RT-PCR avec kit spécifique de criblage de variantes suit les mêmes règles de facturation que la RT-PCR initiale.

Dès samedi 23 janvier 2021, une seconde RT-PCR de criblage est réalisée à l’ensemble des résultats positifs de RT-PCR Cette RT-PCR de criblage est réalisée avec l’un des kits détectant une ou plusieurs variantes connues à ce jour et a minima la variante VOC 202012/01.

Cette stratégie de double analyse ne concerne pas les tests antigéniques. Toutefois, les personnes ayant été diagnostiquées positives à la suite d’un test antigénique et qui se situent dans une situation à risque (retour de voyage, clusters et zones d’augmentation forte et inexpliquée de l’incidence (uniquement sur quelques cas pour échantillonnage dans ces deux dernières situations)) doivent être invitées à réaliser un test RT-PCR.

Les laboratoires de biologie médicale doivent conserver les prélèvements ayant donné lieu à une RT-PCR afin de permettre la réalisation d’un second test de criblage aux variantes, et sont tenus d’envoyer sans délai aux plateformes réalisant ce deuxième test les prélèvements ayant donné lieu à un résultat de RT-PCR positif. Il est essentiel de saisir sans délai dans Si-DEP les résultats de cette deuxième RT-PCR selon le mode opératoire qui sera transmis. Des développements de l’outil SI-DEP ont été réalisés pour accueillir les résultats de cette deuxième RT-PCR.

S’agissant des séquençages, les prélèvements doivent être orientés de la manière suivante :

  • Les prélèvements réalisés sur des personnes de retour de l’étranger sont séquencés en priorité, uniquement s’ils n’ont pu faire l’objet d’un deuxième test RT-PCR réalisé avec un kit criblant les variantes, dans le réseau des laboratoires de biologie médicale disposant de la capacité de séquençage ou d’autres capacités de séquençage identifiées par les ARS et répondant au cahier des charges du CNR.
  •  Les prélèvements issus des personnes contaminées en clusters ou dans des zones présentant une augmentation forte et inexpliquée du TI sont orientés vers les laboratoires liés au réseau CNR-ANRS. Dans ces situations, l’envoi de 5 à 6 prélèvements avec un Ct <28 est nécessaire et suffisant, accompagné des renseignements clinico-épidémiologiques utiles tel que recommandé par le CNR (bon de demande disponible sur son site : https://www.pasteur.fr/fr/sante-publique/centres-nationaux-reference/cnr/virus-infections-respiratoires-dont-grippe) ; tout prélèvement non accompagné de ces renseignements ne sera pas techniqué.

Une attention particulière sera demandée :

  • Aux laboratoires qui séquencent quant au transfert de la séquence au laboratoire prescripteur, qui saisira ensuite la séquence dans la base de donnée GISAID ;
  • Aux laboratoires qui réalisent le test RT-PCR quant à l’inscription dans SI-DEP des résultats de séquençage qui leurs seront transmis par le laboratoire qui séquence.

Les kit Thermo Fisher pourront continuer d’être utilisées pour le diagnostic de première intention d’infection par le SARS-CoV2.

Dans tous les cas, le résultat du test de première intention doit déclencher les mesures de gestion individuelles sans retard. Il est impératif de ne pas attendre les résultats du test de criblage aux variantes pour lancer le processus de contact-tracing et d’isolement.

Compte-tenu d’une transmissibilité accrue des variantes le Haut Conseil de la Santé Publique a fait évoluer ses recommandations et Santé publique France a modifié la définition des contacts à risque :

  • L’augmentation de la distance de sécurité entre 2 individus, qui passe de 1 mètre à 2 mètres (en l’absence de port du masque) ;
  • Les masques grand public de catégorie 2 et les masques artisanaux ne sont plus recommandés pour se protéger de la contamination au SARS-CoV2 (le masque porté en population générale doit répondre à une norme de filtration élevée c’est-à-dire soit en tissu de catégorie 1 (AFNOR), soit de type chirurgical).

Les mesures de contact tracing qui en découlent doivent être renforcées dès le niveau 1:

  • La notion de « contact à risque » doit être interprétée de manière large : en cas de doute dans l’évaluation du niveau de risque d’un contact, celui-ci doit être considéré comme « à risque » ;
  • La mention par le cas de l’absence de contact à risque doit faire l’objet d’une investigation renforcée ;
  •  Le cas doit être invité à contacter ses contacts à risque pour les informer ;
  • La chaîne de contamination doit être investiguée de manière plus extensive : les personnes contact à risque devront alerter leurs propres personnes contact afin de pouvoir mobiliser et sensibiliser deux niveaux de transmission potentielle à la nécessité de prendre des mesures de précaution.

Un résultat positif issu des kits RT-PCR spécifiques permet de suspecter un variant et déclencheront de manière prioritaire des actions de contact-tracing renforcées autour du cas par l’ARS et l’Assurance Maladie. Il ne nécessite pas systématiquement une confirmation par séquençage.

Nous vous remercions vivement de votre mobilisation, essentielle pour documenter et freiner la circulation éventuelle de ces variantes sur le territoire national.

Pr. Jérôme Salomon
Directeur Général de la Santé

Partager cet Article
Avez-vous aimé cet article ?
0 0
158 Comments
  1. Thank you for your sharing. I am worried that I lack creative ideas. It is your article that makes me full of hope. Thank you. But, I have a question, can you help me? https://www.binance.com/id/register?ref=DB40ITMB

    Répondre
  2. order lipitor 20mg for sale buy atorvastatin online cheap lipitor 80mg pills

    Répondre
  3. propecia online proscar 5mg uk fluconazole 100mg cheap

    Répondre
  4. order generic cipro 1000mg – buy baycip generic order generic augmentin 625mg

    Répondre
  5. baycip price – buy myambutol without prescription buy generic augmentin 375mg

    Répondre
  6. ciprofloxacin 500 mg usa – doryx without prescription erythromycin 250mg for sale

    Répondre
  7. order metronidazole 400mg without prescription – generic cleocin order azithromycin 500mg without prescription

    Répondre
  8. buy ivermectin 3mg – buy sumycin 250mg online cheap sumycin 500mg brand

    Répondre
  9. valacyclovir online order – order vermox online cheap buy zovirax no prescription

    Répondre
  10. order ampicillin online penicillin order online buy generic amoxil

    Répondre
  11. order furosemide 100mg – minipress 1mg for sale buy capoten cheap

    Répondre
  12. order metformin 1000mg pill – ciprofloxacin 1000mg price lincomycin oral

    Répondre
  13. how to buy zidovudine – buy irbesartan 300mg generic purchase allopurinol online cheap

    Répondre
  14. clozaril 100mg brand – glimepiride 4mg oral order famotidine 20mg generic

    Répondre
  15. order quetiapine 50mg generic – buy effexor 75mg pills buy eskalith online

    Répondre
  16. brand clomipramine – buy generic doxepin 75mg order doxepin 25mg

    Répondre
  17. brand atarax 25mg – cheap atarax order endep 10mg online

    Répondre
  18. augmentin 625mg tablet – buy ciprofloxacin 500mg online cheap order cipro 500mg pills

    Répondre
  19. amoxicillin uk – buy cefuroxime generic baycip pill

    Répondre
  20. azithromycin over the counter – ofloxacin 200mg uk ciplox cheap

    Répondre
  21. clindamycin oral – generic cleocin 150mg where can i buy chloromycetin

    Répondre
  22. stromectol generic name – aczone without prescription buy cefaclor generic

    Répondre
  23. ラブドール リアル 記事をありがとうございます。ありがとうございました。いいね。

    Répondre
  24. albuterol inhalator cheap – order generic advair diskus inhalator purchase theo-24 Cr online cheap

    Répondre
  25. methylprednisolone 4mg over counter – buy generic fluorometholone over the counter buy astelin medication

    Répondre
  26. buy desloratadine 5mg generic – buy ketotifen medication ventolin order online

    Répondre
  27. micronase 5mg uk – glyburide 2.5mg usa purchase forxiga without prescription

    Répondre
  28. order glucophage sale – order acarbose 25mg precose uk

    Répondre
  29. semaglutide 14 mg us – buy glucovance cheap desmopressin

    Répondre
  30. how to get lamisil without a prescription – order griseofulvin 250 mg sale buy generic grifulvin v online

    Répondre
  31. famvir usa – acyclovir 400mg cost valaciclovir oral

    Répondre
  32. digoxin cost – cost irbesartan 150mg buy furosemide

    Répondre
  33. buy metoprolol 50mg pills – how to get metoprolol without a prescription adalat 30mg over the counter

    Répondre
  34. microzide us – order bisoprolol 10mg generic buy generic bisoprolol 10mg

    Répondre
  35. SightCare formula aims to maintain 20/20 vision without the need for any surgical process. This supplement is a perfect solution for people facing issues as they grow older. https://sightcare-web.com/

    Répondre
  36. WeJiJ is here to help get you the best gaming setup, gaming PC and guide you through the games you like to play with news, reviews and guides. https://wejij.com/

    Répondre
  37. Find the latest technology news and expert tech product reviews. Learn about the latest gadgets and consumer tech products for entertainment, gaming, lifestyle and more. https://axget.com/

    Répondre
  38. Easier WWW is a leading technology site that is dedicated to produce great how-to, tips and tricks and cool software review. https://easierwww.com/

    Répondre
  39. Nagano Lean Body Tonic is a groundbreaking powdered supplement crafted to support your weight loss journey effortlessly. https://naganotonic-try.com/

    Répondre
  40. Sugar Defender is a natural supplement that helps control blood sugar levels, lower the risk of diabetes, improve heart health, and boost energy. https://sugardefender-web.com/

    Répondre
  41. – Shoot MASSIVE Loads For An Amazing Finish! https://semenax-try.com/

    Répondre
  42. BalMorex Pro is an exceptional solution for individuals who suffer from chronic joint pain and muscle aches. With its 27-in-1 formula comprised entirely of potent and natural ingredients, it provides unparalleled support for the health of your joints, back, and muscles. https://balmorex-try.com/

    Répondre
  43. Support the health of your ears with 100% natural ingredients, finally being able to enjoy your favorite songs and movies https://quietumplus-try.com/

    Répondre
  44. Peak BioBoost is a revolutionary dietary supplement that leverages the power of nature to support and improve your digestive system. https://peakbioboost-web.com/

    Répondre
  45. GutOptim is a digestive health supplement designed to support your gut and stomach. It restore balance in gut flora and reduce the symptoms of digestive disorders. https://gutoptim-try.com/

    Répondre
  46. Burn Boost Powder™ is a proven weight loss powder drink that helps to lose weight and boosts the overall metabolism in the body. https://burnboost-web.com

    Répondre
  47. NanoDefense Pro utilizes a potent blend of meticulously chosen components aimed at enhancing the wellness of both your nails and skin. https://nanodefense-web.com/

    Répondre
  48. dapoxetine marvel – fildena exchange cialis with dapoxetine oak

    Répondre
  49. FlowForce Max is an innovative, natural and effective way to address your prostate problems, while addressing your energy, libido, and vitality. https://flowforcemax-web.com/

    Répondre
  50. TestRX™ is a bodybuilding supplement. It’s formulated with high-quality natural ingredients proven to boost natural testosterone and stimulate muscle growth. https://testrx-web.com/

    Répondre
  51. DuoTrim is an innovative weight loss supplement that utilizes the power of natural plants and nutrients to create CSM bacteria https://duotrim-us.com/

    Répondre
  52. Dentitox Pro is a liquid dietary solution created as a serum to support healthy gums and teeth. Dentitox Pro formula is made in the best natural way with unique, powerful botanical ingredients that can support healthy teeth. https://dentitox-us.com/

    Répondre
  53. Sugar Balance is an ultra-potent blood sugar supplement that you can use to help control glucose levels, melt away fat and improve your overall health. https://sugarbalance-us.com/

    Répondre
  54. GlucoFlush is an advanced formula specially designed for pancreas support that will let you promote healthy weight by effectively maintaining the blood sugar level and cleansing and strengthening your gut. https://glucoflush-us.com/

    Répondre
  55. Alpha Tonic is a powder-based supplement that uses multiple natural herbs and essential vitamins and minerals to help optimize your body’s natural testosterone levels. https://alphatonic-web.com

    Répondre
  56. Vivo Tonic is a remarkable blood sugar support nutritional supplement that offers a wide range of benefits. https://vivotonic-web.com/

    Répondre
  57. Nervogen Pro is an effective dietary supplement designed to help patients with neuropathic pain. When you combine exotic herbs, spices, and other organic substances, your immune system will be strengthened. https://nervogenpro-web.com/

    Répondre
  58. Progenifix is designed to help maximize weight loss results using a mixture of natural, science-backed ingredients. The formula also has secondary benefits, including promoting overall wellness and vitality and assisting your immune system. https://progenifix-web.com/

    Répondre
  59. AquaPeace is an all-natural nutritional formula that uses a proprietary and potent blend of ingredients and nutrients to improve overall ear and hearing health and alleviate the symptoms of tinnitus. https://aquapeace-web.com

    Répondre
  60. FoliPrime is a simple serum containing a blend of vitamins designed to boost hair health. FoliPrime has 100 percent natural substances that enhance and supplement the vitamins in the scalp to promote hair growth. https://foliprime-web.com/

    Répondre
  61. Neuro-Thrive is a brain health supplement that claims to promote good memory and thinking skills and better quality sleep. This nootropic supplement achieves its cause with its potent blend of natural compounds and extracts that are proven to be effective in sharpening mental acuity. https://neurothrive-web.com/

    Répondre
  62. Fast Lean Pro is a herbal supplement that tricks your brain into imagining that you’re fasting and helps you maintain a healthy weight no matter when or what you eat. It offers a novel approach to reducing fat accumulation and promoting long-term weight management. https://fastleanpro-web.com/

    Répondre
  63. The ProNail Complex is a meticulously-crafted natural formula which combines extremely potent oils and skin-supporting vitamins. https://pronailcomplex-web.com/https://pronailcomplex-web.com/

    Répondre
  64. Erectin is a clinically-proven dietary supplement designed to enhance male https://erectin-web.com/

    Répondre
  65. 100% Natural Formula Expressly Designed to Help Control Blood Sugar Levels, Improve Insulin Response And Support Overall Health https://glucotrusttry.com/

    Répondre
  66. PowerBite stands as an innovative dental candy, dedicated to nurturing healthy teeth and gums. Infused with a potent formula, it champions the cause of a robust and radiant smile. Crafted meticulously https://powerbite-web.com/

    Répondre
  67. Protoflow is a prostate health supplement featuring a blend of plant extracts, vitamins, minerals, fruit extracts, and more. https://protoflow-web.com/

    Répondre
  68. Boostaro is a dietary supplement designed specifically for men who suffer from health issues. https://boostaro-try.com/

    Répondre
  69. Unlock the incredible potential of Puravive! Supercharge your metabolism and incinerate calories like never before with our unique fusion of 8 exotic components. Bid farewell to those stubborn pounds and welcome a reinvigorated metabolism and boundless vitality. Grab your bottle today and seize this golden opportunity! https://puravive-web.com/

    Répondre
  70. Zoracel is an extraordinary oral care product designed to promote healthy teeth and gums, provide long-lasting fresh breath, support immune health, and care for the ear, nose, and throat. https://zoracel-web.com

    Répondre
  71. Cerebrozen is an excellent liquid ear health supplement purported to relieve tinnitus and improve mental sharpness, among other benefits. The Cerebrozen supplement is made from a combination of natural ingredients, and customers say they have seen results in their hearing, focus, and memory after taking one or two droppers of the liquid solution daily for a week. https://cerebrozen-try.com/

    Répondre
  72. The human body can continue to live thanks to the correct functioning of certain systems. If even one of these systems does not work properly, it can cause problems in human life. https://calmlean-web.com/

    Répondre
  73. Zeneara is marketed as an expert-formulated health supplement that can improve hearing and alleviate tinnitus, among other hearing issues. https://zeneara-web.com/

    Répondre
  74. GlucoBerry is one of the biggest all-natural dietary and biggest scientific breakthrough formulas ever in the health industry today. This is all because of its amazing high-quality cutting-edge formula that helps treat high blood sugar levels very naturally and effectively. https://glucoberry-web.com/

    Répondre
  75. Pineal XT is a revolutionary supplement that promotes proper pineal gland function and energy levels to support healthy body function. https://pinealxt-web.com/

    Répondre
  76. Introducing TerraCalm, a soothing mask designed specifically for your toenails. Unlike serums and lotions that can be sticky and challenging to include in your daily routine, TerraCalm can be easily washed off after just a minute. https://terracalm-web.com/

    Répondre
  77. VidaCalm is an all-natural blend of herbs and plant extracts that treat tinnitus and help you live a peaceful life. https://vidacalm-web.com/

    Répondre
  78. Are you tired of looking in the mirror and noticing saggy skin? Is saggy skin making you feel like you are trapped in a losing battle against aging? Do you still long for the days when your complexion radiated youth and confidence? https://refirmance-web.com/

    Répondre
  79. Gorilla Flow prostate is an all-natural dietary supplement for men which aims to decrease inflammation in the prostate to decrease common urinary tract issues such as frequent and night-time urination, leakage, or blocked urine stream. https://gorillaflow-web.com

    Répondre
  80. HoneyBurn is a revolutionary liquid weight loss formula that stands as the epitome of excellence in the industry. https://honeyburn-web.com/

    Répondre
  81. Keravita Pro™ is a dietary supplement created by Benjamin Jones that effectively addresses nail fungus and hair loss, promoting the growth of healthier and thicker nails and hair. The formula is designed to target the underlying causes of these health issues and provide comprehensive treatment. https://keravitapro-web.com

    Répondre
  82. cenforce online hour – tadalafil price brand viagra online temper

    Répondre
  83. Volca Burn is a weight loss supplement that uses a “red tingle hack” to help you rapidly lose weight without dieting or exercising. https://volcaburn-web.com/

    Répondre
  84. Xitox’s foot pads contain a combination of powerful herbs that help provide a soothing experience for your feet after a long day. https://xitox-web.com/

    Répondre
  85. Hydrossential is actually a skincare serum or you can say a skincare supplement created by Emma Smith to help women keep their skin looking beautiful and flawless. https://hydrossential-web.com/

    Répondre
  86. Carbofix is the revolutionary dietary formula that promises to activate weight loss without all the extra hard work. https://carbofix-try.com

    Répondre
  87. Reliver Pro is a dietary supplement formulated with a blend of natural ingredients aimed at supporting liver health

    Répondre
  88. Abdomax is a nutritional supplement using an 8-second Nordic cleanse to eliminate gut issues, support gut health, and optimize pepsinogen levels. https://abdomax-web.com

    Répondre
  89. ProstaBiome is a carefully crafted dietary supplement aimed at promoting prostate health. Bid farewell to restless nights and discomfort with ProstaBiome precise strategy for addressing prostate concerns. https://prostabiome-web.com/

    Répondre
  90. Cacao Bliss is a powder form of unique raw cacao that can be used similarly to chocolate in powder form but comes with added benefits. It is designed to provide a rich and satisfying experience while delivering numerous health benefits. https://cacaobliss-web.com/

    Répondre
  91. Payments Latest provides in-depth journalism and insight into the most impactful news and trends shaping payments. https://paymentslatest.com/

    Répondre
  92. Utilitylatest provides news and analysis for energy and utility executives. We cover topics like smart grid tech, clean energy, regulation, generation, demand response, solar, storage, transmission distribution, and more. https://utilitylatest.com

    Répondre
  93. dtmliving multifamily news – https://dtmliving.com/

    Répondre
  94. Cneche provides in-depth journalism and insight into the most impactful news and trends shaping the finance industry. https://cneche.com/

    Répondre
  95. Lasixiv provides news and analysis for IT executives. We cover big data, IT strategy, cloud computing, security, mobile technology, infrastructure, software and more. https://lasixiv.com

    Répondre
  96. Wedstraunt has the latest news in the restaurant industry, covering topics like consumer trends, technology, marketing and branding, operations, mergers https://wedstraunt.com

    Répondre
  97. Cneche provides in-depth journalism and insight into the most impactful news and trends shaping the finance industry. https://cneche.com/

    Répondre
  98. Tvphc provides news and analysis for IT executives. We cover big data, IT strategy, cloud computing, security, mobile technology, infrastructure, software and more. https://tvphc.com

    Répondre
  99. Qcmpt provides in-depth journalism and insight into the news and trends impacting the customer experience space. https://qcmpt.com/

    Répondre
  100. Ellajon provides news and analysis for construction industry executives. We cover commercial and residential construction, focusing on topics like technology, design, regulation, legal issues and more. https://ellajon.com

    Répondre
  101. Sudaten provides in-depth journalism and insight into the news and trends impacting the energy, sustainability and governance space. https://sudaten.com

    Répondre
  102. Sinohuiyuan provides in-depth journalism and insight into the news and trends impacting facilities management https://sinohuiyuan.com

    Répondre
  103. NordinV provides in-depth journalism and insight into the news and trends impacting the fashion

    Répondre
  104. Huzad delivers the latest news in the grocery industry, with articles covering grocery delivery, online food shopping, shopper behavior, store formats, technology, and more. https://huzad.com/

    Répondre
  105. Grpduk provides news and analysis for human resource executives. We cover topics like recruiting, HR management, employee learning https://grpduk.com

    Répondre
  106. Susibu provides in-depth journalism and insight into the news and trends impacting the hotel https://susibu.com/

    Répondre
  107. iwinpak provides in-depth journalism and insight into the news and trends impacting the manufacturing sector https://iwinpak.com/

    Répondre
  108. Marketing Dive provides in-depth journalism covering the most impactful news shaping the marketing industry. We cover topics like social media, video marketing, mobile, data and analytics, technology, and more. https://centralhp.com

    Répondre
  109. The latest news, trends, and tips in social media. https://digimok.com

    Répondre
  110. Christside provides news and analysis for retail executives. We cover topics like retail tech, marketing, e-commerce, logistics, in-store operations, corporate retail news, and more. https://christside.com/

    Répondre
  111. Mscherrybomb provides in-depth journalism and insight into the most impactful news and trends shaping the trucking industry. https://mscherrybomb.com/

    Répondre
  112. cialis soft tabs online pillow – viagra super active gun viagra oral jelly graceful

    Répondre
  113. Janmckinley provides news and analysis for waste and recycling executives. We cover topics like landfills, collections, regulation, waste-to-energy, corporate news, fleet management, and more. https://janmckinley.com

    Répondre
  114. Serdar Akar provides in-depth journalism and insight into the news and trends impacting the packaging manufacturing space https://serdarakar.com/

    Répondre
  115. Ladarnas provides in-depth journalism and insight into the news and trends impacting the convenience store space. https://ladarnas.com

    Répondre
  116. Sugar Defender is the rated blood sugar formula with an advanced blend of 24 proven ingredients that support healthy glucose levels and natural weight loss. https://omiyabigan.com/

    Répondre
  117. Sugar Defender is the rated blood sugar formula with an advanced blend of 24 proven ingredients that support healthy glucose levels and natural weight loss. https://mimsbrook.com

    Répondre
  118. Sugar Defender is the rated blood sugar formula with an advanced blend of 24 proven ingredients that support healthy glucose levels and natural weight loss. https://smithsis.com

    Répondre
  119. Sugar Defender is the rated blood sugar formula with an advanced blend of 24 proven ingredients that support healthy glucose levels and natural weight loss. https://sokograd.com

    Répondre
  120. Sugar Defender is the rated blood sugar formula with an advanced blend of 24 proven ingredients that support healthy glucose levels and natural weight loss. https://bxbinc.com/

    Répondre
  121. Sugar Defender is the rated blood sugar formula with an advanced blend of 24 proven ingredients that support healthy glucose levels and natural weight loss. https://hostalmindanao.com

    Répondre
  122. Sugar Defender is the rated blood sugar formula with an advanced blend of 24 proven ingredients that support healthy glucose levels and natural weight loss. https://mariscosleomar.com/

    Répondre
  123. Sugar Defender is the rated blood sugar formula with an advanced blend of 24 proven ingredients that support healthy glucose levels and natural weight loss. https://manciniproductions.com/

    Répondre
  124. Sugar Defender is a revolutionary blood sugar support formula designed to support healthy glucose levels and promote natural weight loss. https://blackboxvending.com/

    Répondre
  125. Sugar Defender is a revolutionary blood sugar support formula designed to support healthy glucose levels and promote natural weight loss. https://mineryuta.com

    Répondre
  126. Sugar Defender is the rated blood sugar formula with an advanced blend of 24 proven ingredients that support healthy glucose levels and natural weight loss. https://ibcbellows.com/

    Répondre
  127. Manufactured in the United States with FDA approval, this product was crafted using only the highest quality ingredients and produced under hygienic conditions in a GMP-certified facility. https://mystylefiles.com/

    Répondre
  128. sugar defender: https://orchidsites.com/

    Répondre
  129. sugar defender: https://novabeaute.com/

    Répondre
  130. sugar defender: https://abmdds.com/

    Répondre
  131. sugar defender: https://peyfon.com/

    Répondre
  132. sugar defender: https://nilayoram.com/

    Répondre
  133. sugar defender: https://seahorsesoap.com/

    Répondre
  134. sugar defender: https://sjuesju.com/

    Répondre
  135. sugar defender: https://kandicandles.com/

    Répondre
  136. sugar defender: https://amydepreta.com/

    Répondre
  137. sugar defender: https://cmymorgans.com/

    Répondre
  138. sugar defender: https://sourceprousa.com/

    Répondre
  139. sugar defender: https://csicainfo.com/

    Répondre
  140. Répondre
  141. Répondre
  142. sugar defender: https://luckysloader.com/

    Répondre
  143. Répondre
  144. Répondre
  145. Répondre
  146. cialis soft tabs pills icy – valif courage viagra oral jelly steeple

    Répondre
  147. cenforce online tube – tadalis drawer brand viagra pills earnest

    Répondre
  148. inhalers for asthma guilty – asthma treatment telephone asthma treatment fork

    Répondre
  149. Best Natural Way to Restore Your Perfect Vision https://sightcare-eye.com/

    Répondre
  150. ascorbic acid prospect – ascorbic acid unhappy ascorbic acid glimpse

    Répondre
  151. promethazine boat – promethazine kick promethazine dwarf

    Répondre
  152. biaxin chant – albenza cell cytotec pills parchment

    Répondre
  153. rabeprazole where to buy – brand metoclopramide domperidone 10mg oral

    Répondre
  154. how to buy dulcolax – liv52 10mg drug liv52 10mg us

    Répondre
  155. zovirax creams – purchase hydroquinone online duphaston online

    Répondre
  156. forxiga 10 mg price – purchase sinequan generic buy acarbose 25mg for sale

    Répondre
  157. order fulvicin online – griseofulvin 250 mg ca buy gemfibrozil online

    Répondre
  158. generic etodolac – buy monograph pills buy pletal 100 mg generic

    Répondre

Laisser une réponse

Votre adresse e-mail ne sera pas publiée. Les champs requis sont marqués *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>