What Tikva Users Have To Say


I have been taking these ingredients for over 1 year now.  It has been great!

My blood pressure went from 160/101 to 115/75.  My total cholesterol went from over 300 to 201.  This all happened in less than 6 months after taking these ingredients.  

Carter R.


My husband and I wanted to let you know what our experience with these ingredients has been, even at this early stage. This Wednesday marks 4 weeks on the drink.

Daniel is 42. His health is good except for the high blood pressure. He's been on Lisinopril and Indapam for about two years. He became a living zombie. It was a struggle for him some days to get the dishes washed and unload the dishwasher. He had almost every side effect listed for these drugs. In looking back, we realized that he is someone that is extremely sensitive to medicine and responds very quickly to them (either way).

We received the shipment on Wednesday, March 16th, and he began taking it.
His energy began coming back the following Monday, and has remained (and gotten better).

On Friday, April 1 he had to
stop taking the diuretic medicine because his blood pressure was dropping too low. Once this diuretic was stopped, everything leveled out within the target range.

He began having another symptom of skin rash/eczema and I got on the Internet to find out more about ACE inhibitors. Once we found out it was based on the venom of a Brazilian pit viper snake, the symptoms he's been experiencing were completely understandable.

He's now cut his ACE inhibitor in half, and is still in the target range on the blood pressure. We feel like that with a bit more time on the formula, he will be off of these medicines.

These ingredients have given me my husband back.

Thank you so much!

Best regards,
Ann and Dan R .



I am 45 years old and have been diagnosed with having high blood pressure (150 over 93). Because of my medical plan changing I have seen several different doctors, over a 2 year period, all are family practitioners. Each doctor prescribed different blood pressure medicine which I took and followed there direction. I saw no difference in my blood pressure. My biggest problem was with the side effects of each drug.

Then my life changed when I started taking these ingredients. I have seen my blood pressure drop to 125 over 79 in 2.5 months. I no longer take blood pressure prescription medication and my doctor considers my blood pressure to be normal, I agree. Thank you.

Brent M.



My mom died of a stroke at age fifty... My oldest brother died of a congenital heart problem at football practice at 16. My dad died at seventy of heart problems after suffering with bad circulation that limited, for many years, his ability to walk.

At age sixty I am 5' 9" and 163 lbs. I had been working out at a gym for six months and had all but eliminated alcohol. At an annual physical in early March, I was disappointed to learn that my blood pressure, for which I had been taking metoprolol, was 168/98.My doctor, an internal medicine guy who was tired of seeing his patients going down with heart attacks and strokes, made it clear that he viewed me as a "walking time bomb." Given the family history that I have to work with, it was impossible to argue and I put up only modest resistance when he prescribed Lipitor. Soon after I began taking these ingredients my daily readings began to go steadily down and the most recent lab results show:

LDL at 72 or one half of what it was a month ago

HDL 49, up 6 from a month ago

Triglycerides 82, down from 102

Blood pressure at 123/68.

My doctor was delighted. Me too. If the trend continues, he has promised to review the need for Lipitor and maybe even metoprolol. I will be one happy man to see those things go.

Regards,
Steve



Two months ago, despite swimming and jogging for an hour each day, my blood pressure was 187 over 98. I freaked. After using these ingredients for just
9 weeks now I am already down to 144/84. I know that it takes most people 3 months to get it down but I am very pleased so far.

Jack O



I have been using these ingredients for 2 1/2 months and my blood pressure has dropped from about 180/100 to an
average of 125/80. This decrease occurred without other medication. My doctor wanted to put me on an ace-inhibitor medication but I decided to take these ingredients instead. I'm glad I did.

J Patterson



Hi. This is Heidi. My husband has been taking these ingredients. His blood pressure was 144/83. Not real high, but high enough to become a problem.
His blood pressure now is averaging from 125 to 118. Well within normal range. He seems much more relaxed. I am convinced that this is helping him. It is just by a stroke of luck that I found your website. I am going to tell other people with similar conditions.

We are still working on losing the weight, but that takes a little time.

Thank you, and take care,

Heidi D.



In December 2005, during a physical my blood pressure was 149/95. My cholesterol was 267. I was headed for a stroke. My wife's physician had suggested liquid arginine for high blood pressure and she found these ingredients on the internet.

My blood pressure is now a perfect 120/80 and my cholesterol is down to 222 so far. My doctor is so pleased that he decided to keep me OFF the medications.

Thanks,
Rick


My 81 year old mom got her 6 month check up from her doctor today and her blood pressure was 120 over 75, and he said whatever you are doing keep doing it. I asked her did you tell him about the ingredients you are taking. She said nope, she was afraid to, afraid that he would get mad at her….isn’t that something.
 
Well let me back up a little. Back in late October of 2006 my mom was very sick. She could barely stand up without passing out and you could forget going up stairs. We took her to her doctor and he had an ambulance take her right to the hospital with a blood pressure approaching 200 over 120+. So they did the little trick where they go up the leg and found her to be 90% blocked all over. They discussed open heart surgery but were concerned because the veins they would use in her legs were too small. Well she said no, she wanted to wait until after Christmas (in case it was her last) so she could spend it with her grand kids. That is when I put her on these ingredients.
 
Well the doctor’s office called her in January and told her she needed to get the angioplasty done. She said no I feel a whole lot better now with my blood pressure down to around the 140 over 80s range. So they talked her into going back up the leg to take a another look and this time at the very most she was only 40% blocked just in one spot, so they put in a stint (which I don’t think was necessary).
 
Well I just wanted to say thanks for adding a few more years to my mom’s life! I kind of like having her around.
 
Ted



Frequently Asked Questions

How was Tikva formulated, how can I know the quality and quantity of the ingredients is accurate, and what is the manufacturing process?

Why did we choose not to use hawthorn, cayenne, garlic, potassium, red yeast rice or guggul?

How often should I take Tikva?

How long will it take until I see results?

Will I need to take Tikva forever?

How does Tikva work to improve my health?

Do I still need to take my other vitamins or nutritional products if I take Tikva?

How does it taste?

Can I mix it into other drinks?

Can I take Tikva with other medications or nutritional products?

I have genital herpes, can I still take Tikva?

Should I stop taking my other medications?

Will I be able to replace my medications by taking Tikva?

Why is my urine so yellow?

What side effects can I expect?

What is the shelf life of each bottle of Tikva?

Why is Tikva more expensive than some of our competitors?

How much caffeine is in Tikva?

How long does a bottle of Tikva last?

Is there a guarantee?

Is Tikva FDA approved?

Why are the amounts of some of the ingredients in Tikva lower than the clinical trials show are needed to be effective?

If Tikva is all natural, why are there so many warnings on the bottle?

Is it safe to order online, and do you share my information with anyone?

How long has Heart 2 Heart of America been in business?

Is Tikva available in stores, doctors offices, etc.?

Why does it say not to take Tikva at the same time as a high protein meal?

I am diabetic. can I use Tikva?

 

How was Tikva formulated, how can I know the quality and quantity of the ingredients is accurate, and what is the manufacturing process?

Remember that the product was originally formulated for one of our founders, Don Goldstein, to help with his own cardiovascular disease. His main interest was to stop taking a handful of nutritional supplements, plus the 7 drugs he was using to control his high blood pressure, high cholesterol and angina pains.

We only chose and continue to use the highest quality ingredients. Remember, this product was not initially made to be sold, but to help Don personally. After seeing positive results, and Don being able to be weened off of all 7 medications in just 4 months, other family and friends, started taking the product and also had great results. This is when we realized that this product could really help many people.

Our research for the highest quality ingredients and the amounts needed to have them actually work was guided by two independent doctors. Further resources included the Physicians Desk Reference (PDR) for Nutritional Supplements, Disease Prevention and Treatment, The Cardiovascular Cure, The Arginine Solution, Encyclopedia of Nutritional Supplements, Life Extension, Mosby's Handbook of Herbs and Nutritional Supplements and many others.



Once the formula was complete, we chose a manufacturing facility experienced with powders that mix into water for maximum absorption. This manufacturer is FDA registered, licensed with the State Health and Sanitation Department, follows the highest industry standard (GMP's) and has been our sole manufacturer for years now.

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Why did we choose not to use hawthorn, cayenne, garlic, potassium and red yeast rice or guggul?

Many of our competitors use natural ingredients that may be effective in lowering your blood pressure or your cholesterol, but they do not tell you any of the cautions that go along with these ingredients. We as a company have chosen not to use these specific ingredients because either the risk to you may be too great or they don't mix into water.

Hawthorn - While hawthorn is very powerful and generally considered safe to use, there are also some strong precautions that need to be considered. In short, if you are taking hypertensives, beta blockers, ace inhibitors, nitroglycerine, sildenafil citrate (Viagra and others like it) you will need to adjust these medications, sometimes drastically. Unfortunately, most people who go to their doctor to make these adjustments find that their doctors are ignorant about drug/herb interactions and will not know what to do. Since a large percentage of our customers are already on medications, we consider it best to allow them to buy hawthorn separately if they want to.

Here are the cautions and drug interactions for hawthorn as listed on Whole Health MD:

General Interaction

  • If you take prescription heart medications, consult your doctor before taking this herb. Dosages of prescription medications may need to be lowered or altered in some other way when taken along with hawthorn. Never stop taking a prescription heart medication (or alter the dosage) without consulting your doctor.
  • The effect of the following classes of drugs may be dangerously increased by hawthorn: antihypertensives; calcium channel blockers (including amlodipine, diltiazem, verapamil); beta blockers (including atenolol, metoprolol, propranolol); ACE inhibitors (including benazepril, enalapril, fosinopril); digitalis drugs and cardiac glycosides (including digitoxin, digoxin); and nitrates (including amyl nitrate, nitroglycerin, sildenafil citrate, isosorbide mononitrate, and dinitrate)

Cautions

  • Because of hawthorn's strength and its effects on such a vital organ as the heart, consult your doctor before taking this herb. It's best not to take it if you already have low blood pressure. And don't expect hawthorn to help stop an acute attack of angina; it isn't capable of doing this.
  • Hawthorn is generally recognized as safe, although such side effects as nausea, sweating, fatigue, and rashes do develop on occasion. The herb can also drastically lower blood pressure and cause such symptoms as dizziness and fainting, even in people who have normal blood pressure and do not suffer from heart disease. Stop taking hawthorn and consult your doctor if any of these reactions occur.

Guggul - Generally speaking, most information that you will find says that guggul is beneficial for cholesterol. However, the controversy regarding its safety is growing. We chose not to use it since it is clearly not needed in our formula. Read what CBS News has to say - click here

Cayenne - The evidence that this ingredient lowers blood pressure is weak at best.

Garlic - The only reason that garlic is not in our product is because no matter how much you deoderize it, as soon as you put it in water, it immediately smells and tastes like garlic. Obviously you wouldn't want to go around smelling like garlic all day.

Potassium - Potassium is very important for controlling blood pressure, however most people get enough in their diet. Many of our customers come to us looking to get off their Ace Inhibitor high blood pressure medicines, or at least to reduce the amount of these drugs. If you are taking an Ace Inhibitor medication, you should not be taking potassium with this class of drug, thus potassium is not an ingredient in Tikva. The risks of taking potassium in supplement form are many and require a doctors supervision. It would be wise to read this information from WholeHealthMD - click here

Red Yeast Rice - The active ingredient that makes red yeast rice effective is lovastatin, which is a generic statin drug for cholesterol. Red yeast rice can be potentially dangerous because there is no way for you to know what level or quality of lovastatin might be in it. Lovastatin can interact with other medications you may take and harm your health. In addition, lovastatin can cause severe muscle problems and liver damage. We feel there are safer alternatives.

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How often should I take Tikva?

Directions: Tikva is best consumed once a day. Most people just mix Tikva into ROOM TEMPERATURE water. This is actually the best thing to mix it in. If you would prefer it in your favorite beverage that is fine just do NOT mix it in a protein drink as the proteins will inhibit the maximum absorption of Tikva into your sysytem. Do NOT put it into a cold drink as the cocoa will not dissolve and it will taste terrible. Do NOT mix into hot drinks.

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How long will it take until I see results?

Everyone’s body is unique. The ingredients in Tikva are designed to support your entire body at the cellular level. Depending on the levels of deficiencies and the amount of rebuilding that your particular body needs, you may see noticeable results in just a few weeks, however most people take about 3 full months of daily supplementation to BEGIN to obtain their desired results.

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Will I need to take Tikva forever?

This is actually the wrong question. The correct question is “Should I take Tikva forever?” If your body has responded positively to the increased nutritional support then it only makes sense that you would continue taking Tikva. If your car used to run poorly on regular gas, but now runs great on premium, would you go back to using regular gas? Of course not.

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How does Tikva work to improve my health?

The multitude of ingredients in Tikva, are synergistically formulated for maximum cellular support. These powerful natural ingredients have been proven to maintain long term health. We suggest that you research each ingredient and its' affect on your body. By doing this you will be confident about your decision and will understand why most people decide to continue taking Tikva every day.

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Do I still need to take my other vitamins or nutritional products if I take Tikva?

One of the advantages of Tikva's formulation is just how complete it is. Since so many nutritional supplements are already in Tikva, many of our customers actually save money because they can stop taking most of their other individual supplements. However, Tikva is not a complete replacement for every nutritional need of your body. We especially encourage you to supplement with the Omega 3 fish oils. We would have put them into the Tikva but fish and chocolate mint just don't go well together not do fish oils mix into water.

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How does it taste?

Since we use a very high quality cocoa and natural spearmint you will find that it tastes great!

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Can I mix it into other drinks?

Most people just mix Tikva into ROOM TEMPERATURE water. This is actually the best thing to mix it in. If you would prefer it in your favorite beverage just do NOT mix it in a protein drink as the proteins will inhibit the maximum absorption of Tikva into your sysytem. If you put it into a cold drink the cocoa will not dissolve and it will taste terrible. Do NOT mix into hot drinks.

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Can I take Tikva with other medications or nutritional products?

Again, Tikva is a powerful formula. Just because it is natural, don’t think that the ingredients aren’t strong enough to affect your bodily functions. They need to be to optimize your health. Therefore, consult with your doctor if you are taking vasodilators such as nitroglycerin, Viagra™, Cialas , or Levitra , etc.), taking strong anticoagulants (such as warfarin, Coumadin , or heparin, etc.), are diabetic, suffer from kidney problems, liver disorder, Crohn's disease, rheumatoid arthritis, or genital herpes. Do not take this product if you are pregnant, lactating, have brain or ocular herpes, Wilson's disease, are a hemophiliac, or are under 23 years of age. Do not take Tikva with L-lysine. The L-arginine and the L-lysine compete with each other. Do not take Tikva with proteins as the protein will reduce the absorption into your bloodstream. The best way to take Tikva is on an empty stomach but you can take it with food if it is not high in protein. If you are going to eat a high protein meal, take Tikvat 20  minutes before eating.
Special Note: Discontinue use of Tikva 2 weeks prior to surgery as this product contains natural blood thinning ingredients.

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I have genital herpes, can I still take Tikva?

In a very small number of people, arginine can reactivate latent genital herpes. You should consult with your doctor if you have genital herpes before consuming Tikva. You may also take 500 mg of lysine at least 4-6 hours before or after taking Tikva to help avoid an outbreak.

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Should I stop taking my other medications?

Absolutely NOT! Advise your doctor that you are taking Tikva.

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Will I be able to replace my medications by taking Tikva?

Over time, as you are monitored by your doctor he/she may be able to reduce your drug intake, or maybe even wean you off of them altogether. The time frame for this to happen is different for everyone because no two people are alike.

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Why is my urine so yellow?

Tikva is loaded with “B” vitamins which are yellow and are passed through your system without losing their natural color. This is normal and to be expected.

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What side effects can I expect?

Most people do not experience any side effects. However, men with erectile dysfunction (due to poor circulation) frequently see this issue resolve itself in a matter of a few months and never seem to complain about this "side effect". 

Depending upon your diet previous to starting on Tikva, you may experience temporary detoxification which is good for you. If you are not familiar with what detoxification is, here is a brief description. The cells in your body absorb whatever levels of nutrition you are feeding them. Fortunately, your cells are "smart" and if a higher level of nutrition suddenly comes into your blood stream from your food or drink, your cells will immediately absorb the higher level nutrients and "spit out" the inferior nutrients and toxins. Since Tikva is loaded with only high level nutrients that are in liquid form, the absorption into your cells is fast and dramatic. Therefore, if your body "spits out" too many of the inferior nutrients into your blood stream too quickly, you may experience a temporary "detox" which could come out of you as diarrhea, or gas. Again, detox with these side effects does NOT happen to most people, it is temporary, and is actually a great sign that you are increasing the health of your cells all the way to their core. If this happens to you simply back down to a half a scoop daily for a few days to let your system adjust more slowly. Drinking extra water is always a good idea too.

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What is the shelf life of each bottle of Tikva?

Two years if not opened. Do NOT REFRIGERATE but store in a cool dry place. Close the lid tightly each time as Tikva absorbs moisture out of the air very quickly. If this happens and it starts to cake up, simply break it back up and use it with full confidence that it will be just as effective and is not ruined in any way.

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Why is Tikva more expensive than some of our competitors?

We as a company go out of our way to put in the elemental amounts of our ingredients. What does this mean? As an example, we quote on our bottle that we have 809 mg of calcium, but we actually have 5310 mg. How can this be? Minerals such as calcium and magnesium are made up of a certain percentage of "active" ingredient and a certain percentage of "non active" ingredient. There is no regulation in the nutrition industry that requires the amount of minerals in your bottle to be only the active (elemental) amounts. A company could legally say that they have 809 mg of calcium which would be true, but the amount of the active ingredient would actually only be 123 mg.

Additionally, some of our competitors put in just enough of an ingredient to say that it is in there. We do not believe this is how things should be done. If a company is not upfront enough to actually tell you the exact amount of each ingredient, how can you possibly know how much of each you are getting. When you see "a proprietary blend of" this enables them to give you a total amount of all of the ingredients that they list, and you can't be sure if they are using more of the inexpensive ingredients that are not as effective.

Remember, Tikva targets all of the major issues relating to the cardiovascular system and we use substantially more of each ingredient. This is why we say we are "simply the best".

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How much caffeine is in Tikva?

The amount of caffeine in Tikva is equal to less than half a cup of decaffeinated coffee. The caffeine occurs naturally in cocoa beans.


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How long does a bottle of Tikva last?

Each bottle of Tikva lasts for 1 full month.

We should caution you not to assume that our competitors bottles represent a full months supply.

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Is there a guarantee?


Our 30 Day Ironclad Guarantee:
1. If you are not completely satisfied with Tikva, you may return it postmarked within 30 days for a no questions asked refund on your first order only.

2. If you are wondering why there is only a 30 day money back guarantee on our 90 day and 120 day orders, here is the reason: Though it rarely happens, your system may be ultra sensitive and you may not be able to handle the high level of the 41 liquid nutrients. All of this will be apparent well within the 30 days if it happens at all.

Thus, no matter what size order you make if you are not satisfied for any reason, return it within 30 days and you will receive a no questions asked refund.

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Is Tikva FDA approved?

The US Food and Drug Administration (FDA) does not approve or dis-approve of any kind of dietary supplemets, such as Tikva, since it is not within their jurisdiction. The FDA only approves or dis-approves of pharmaceutical drugs, which Tikva is not.

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Why are the amounts of some of the ingredients lower than the clinical trials show are needed?

The results that our customers have gotten has been nothing short of amazing. Referrals and re-orders are the backbone of our business which is how it should be.

When you have several ingredients working together to affect the same problem (synergy) you do not always need as much of each ingredient to get the job done. This is where our professional formulators come in.

The best way to get any nutrient is naturally from your food. Since this is not always possible, this is where supplementation comes in. But remember the majority of your nutrition still comes from what you eat.

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If Tikva is all natural why are there so many warnings on the bottle?

The one thing that really burns us up is dishonesty. Failure to disclose information is a sin by omission. Simply saying to “consult with your doctor” before taking a product that has the potential to negatively affect people with specific medical conditions, is playing with people’s health. In our opinion that is a sorry misuse of the public’s trust and is an unacceptable tactic designed to make more sales.

Let’s look at just one ingredient that many of our competitors use but do not post appropriate warnings about; Hawthorn.

Here are the cautions and drug interactions for hawthorn as listed on Whole Health MD:

General Interaction

  • If you take prescription heart medications, consult your doctor before taking this herb. Dosages of prescription medications may need to be lowered or altered in some other way when taken along with hawthorn. Never stop taking a prescription heart medication (or alter the dosage) without consulting your doctor.

  • The effect of the following classes of drugs may be dangerously increased by hawthorn: antihypertensives; calcium channel blockers (including amlodipine, diltiazem, verapamil); beta blockers (including atenolol, metoprolol, propranolol); ACE inhibitors (including benazepril, enalapril, fosinopril); digitalis drugs and cardiac glycosides (including digitoxin, digoxin); and nitrates (including amyl nitrate, nitroglycerin, sildenafil citrate, isosorbide mononitrate, and dinitrate).

Cautions

  • Because of hawthorn's strength and its effects on such a vital organ as the heart, consult your doctor before taking this herb. It's best not to take it if you already have low blood pressure. And don't expect hawthorn to help stop an acute attack of angina; it isn't capable of doing this.
  • Hawthorn is generally recognized as safe, although such side effects as nausea, sweating, fatigue, and rashes do develop on occasion. The herb can also drastically lower blood pressure and cause such symptoms as dizziness and fainting, even in people who have normal blood pressure and do not suffer from heart disease. Stop taking hawthorn and consult your doctor if any of these reactions occur.

While being able to lower your doses of medications is a good thing, it is irresponsible not to let you know that your blood pressure could drop too low if you don't monitor and possibly adjust your medication dosages with your doctors help. The other warnings on the bottle are simply factual. We have searched out any possible drug interactions and disease precautions and disclosed them prominently.

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Is it safe to order online and do you share my information with anyone?

We collect your information for our own use only. It will never be shared or sold to anyone.

For your security and peace of mind, our shopping cart is Hacker Safe and features secure HTTPS/SSL encryption. It was among the first to be fully certified by Visa.

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How long has Heart 2 Heart of America been in business?

Heart 2 Heart of America, the exclusive maker of Tikva began distribution in September 2003 and we now have thousands of satisfied users worldwide. We are members of the Better Business Bureau (BBB) with an A+ rating and have no complaints.
This is a copy of the most recent report from the BBB.

Based on BBB files, this company has a satisfactory record with the BBB. To have a Satisfactory Record with the BBB, a company must be in business for at least 12 months, properly and promptly address matters referred to it by the BBB, and be free from an unusual volume or pattern of complaints and law enforcement action involving its marketplace conduct. In addition, the BBB must have a clear understanding of the company's business and no concerns about its industry.
The BBB processed a total of 0 complaints about this company in the last 36 months, our standard reporting period.



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Is Tikva available in stores, doctors offices, etc...?

Heart 2 Heart of America is the sole distributor of Tikva. Our entire operation is streamlined so we can keep the cost to you as low as possible. If we put the product in health food stores, doctors offices or had distributors, they would have to mark up the price in order for them to make a profit.

Interestingly enough, you would think that the health food stores would love to carry this product. However, they made it very clear that if they sold Tikva at the same prices as we do online, they would lose money. How is this possible? Because they already sell all of the ingredients in Tikva in individual bottles and make much more money that way.

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Why does it say not to take Tikva at the same time as a high protein meal?

The protein from the foods you eat are considered simple proteins. There are several amino acids in Tikva that are considered complex proteins. The way your body is set up, is that you will absorb the simple proteins easier than the complex proteins. So if you take Tikva at the same time as a high protein meal, Tikva will not be absorbed properly, and you will not get the full benefits.

You can take Tikva if you are eating a meal that is not high in protein. However, if your meal will be high in protein, take the Tikva either 20 minutes before eating or 2 hours after.

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I am diabetic, can I use Tikva?

Yes. We use low glycemic ingredients and no added sugars.

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The information herein is not intended to replace the medical advice of your physician. You are advised to consult with your physician with regards to matters relating to your health, and in particular regarding matters that may require diagnosis or medical attention. DO NOT stop taking medications without first consulting with your physician. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

Every effort has been made to ensure that the information provided herein is accurate, up-to-date, and complete, but no guarantee is made to that effect. This information has been compiled for use by healthcare practitioners and consumers in the United States. Heart 2 Heart of America does not endorse drugs, diagnose patients or recommend therapy. This informational resource is designed to assist licensed healthcare practitioners in caring for their patients and/ or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. Heart 2 Heart of America does not assume any responsibility for any aspect of healthcare administered with the aid of information Heart 2 Heart of America compiles. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions, check with your doctor, nurse or pharmacist.