So You Want to Be a… Medical Science Liaison (MSL)

By Sally Burn, PhD

I recently had the pleasure of talking to Alexandria Wise, PhD about her job as a Medical Science Liaison (MSL). It should be noted that she deserves special recognition for being so understanding in the face of an epic technological mess-up on my end. But then this personable nature is one of the traits, along with excellent communication skills, that make her a successful MSL. If you too are as good with people as you are with proteins, a career as an MSL could be the post-PhD path for you. Here’s the lowdown on this exciting career:

 

Hi Alexandria, so what does a Medical Science Liaison (MSL) do?

At its core, an MSL provides medical data to Health Care Professionals (HCPs) about a specific pharmaceutical drug product. An MSL is basically a library of knowledge for all groups who might be interested in a specific disease state or drug. I work for Sanofi-Genzyme in their Multiple Sclerosis (MS) division. My job is to know everything about our MS drugs, from clinical data to disease state information. When you’re in grad school you have four years to learn everything; here it’s much more intense, you have six months for training before you are put into the field. Following your training, you basically give what equates to a defense on the product. At this presentation, you are questioned by upper management to see how well you do under pressure and, more importantly, how well you know your stuff. We’ve got two MS drugs at the moment, and both are just amazing. Patients on our products are able to have a better overall quality of life, their MS is controlled and they can do things they couldn’t before. That’s a wonderful feeling.

 

In grad school you can work on a protein for four years, finally find out it tethers to the membrane… and then everyone outside your niche is like: so what? What you just described is a very different level of outcome.

Absolutely! I mean I used to work on ubiquitination and I thought everyone should be interested in it, but I talk to MDs and they’ve never heard of it. You spend so much time on a problem but then is anyone going to read your paper? Maybe some people but unless you are doing translational research then it’s probably only people in your very specific field of research. This is a problematic outcome of scientific research. I talk to doctors, nurses, physician assistants and answer their questions. And I love the variety because everyone’s perspective on the field of MS is different.

 

Can you tell us about three things you’re currently working on?

Right now I’m driving to have a quick discussion with an MD on some research that was carried out in like the late ‘90s, early 2000s that’s still relevant today. One thing about being an MSL is that we are on the road often or spend many hours traveling and you can’t always pick up a journal article to read. So, with the support of Sanofi-Genzyme, I’ve produced a podcast for MSLs, so we can learn about cutting edge research while we are traveling and reading isn’t convenient. I also work with doctors who carry out scientific research. Right now I’m working with one MD who’s working on functional MRI and neuronal metabolism in patients who are on one of our drugs.

 

You mentioned the amount of travel, so leading on from that, what are your favorite – and least favorite – parts of the job?

Understatement of the year, there is a lot of traveling! I cover New York and Long Island and I drive a lot. But also there are a lot of meetings that take place internally and externally (i.e. annual conferences) so I fly a lot too. My least favorite thing would be the scheduling and how it gets disrupted easily. I may be in Albany in the morning and then have to drive at a moment’s notice to Long Island. But often it’s because a HCP needs the information to give the best possible care to their patient and that’s fine, that’s what I’m here for, and I’m willing to drop everything to address that. My favorite – I’m very independent and so being an MSL works great with that. I talk to my boss, maybe once a week and I see him even less, maybe every quarter. Other than that I make my own schedule and decide what I do. And I know I’ll get it done. Some people aren’t suited to that – they need hand-holding for each step, and that doesn’t work out so well. But of course being a PhD you’re already suited to this because you know how to work alone, decide what needs doing, and manage your time.

 

Other than the needs to be independent, willing to travel, and outgoing – are there any other key skills required for this job?

A lot of the soft skills you’ll already have from your PhD. You are constantly working with people you’ve never met before but your goal is to develop a relationship with these HCPs. Being able to read body cues or other non-verbal cues are highly necessary for this job. It may not sound like a huge deal but when you are in a business meeting, being able to recognize and adjust your message, so that the audience receives your message better is the difference between being asked back for another meeting or never seeing that person again.

 

How did you get to where you are now? What is your educational and science background?

For my undergraduate I double majored in neuroscience and psychology. I did my undergrad at Ohio Wesleyan University; it’s a small liberal arts college. Then for grad school I went to Northwestern but transferred to City University in New York to complete my PhD in neuroscience. I then did my postdoc at Columbia, working in the pathology department on the ubiquitination pathway in neurons. I also represented postdocs on a Columbia committee and helped set up a New York wide postdoc society. But you know what it’s like, it’s expensive being a postdoc in New York and so I started exploring jobs outside of academia. All I kept hearing was “consulting, consulting” so I thought I’d give that a try. It took nine months from starting to look for a job to leaving the lab. I started working as a consultant for a small company and… yeah, I wasn’t that happy. Some projects were great, like this one diabetes project where we took one aspect of the drug – that it stayed in the system longer than competitors’ – and spun it to be the positive selling point. So if you forget to take it one day, it’s not the end of the world, your blood sugar isn’t going to plummet. That was how we sold it. A lot of it is about branding. But then there were other projects which had nothing to do with science and it just wasn’t for me.

I started reaching out to friends to see if anyone knew of any jobs going. I will say right now – LinkedIn is your friend! It is so useful, I cannot emphasize that enough. I messaged one of my friends on LinkedIn to ask if he knew of any jobs at Sannofi-Genzyme, where he worked. He was like “this is amazing, yes, we have two positions we’re looking to fill right now”. So I did an over-the-phone interview with my now boss, then a month later I was in Boston for an interview with the whole team from the Northeast, and a month after that I learned I got the job.

 

I was going to ask what your advice would be to a PhD wanting to become an MSL, but it sounds like the advice is LinkedIn!

Yes, absolutely, LinkedIn and networking! What I did was to email people at companies I was interested in. There’s the route of submitting your resume via an online application but honestly if you want someone to notice you, email the person who’ll be your co-worker or an HR person personally. Also, you have all these connections currently at grad school but they’re going to move on and make new connections and then you will have a whole new set of people you can reach out to. It’s such a useful resource. Even now I still get maybe three or four messages every week asking if I want to go transfer to their company. It’s crazy. But I’m happy where I am right now.

 

That brings me to the next question: what kind of positions do MSLs move on to?

There are various levels you can move up through. My friend who I messaged about the job initially, he is now medical director. Another option is moving into medical communications. They prepare scientific data for presentation on posters or in brochures for a pharmaceutical company about the products. And some people move across to consulting. There are lots of options and, like I said, I get offers every day to move companies. It’s a big field right now and the number of MSLs in the US is increasing.

 

So is the field expanding? What major changes do you see happening to the MSL field in the next ten years?

It’s going to continue to expand, very much so. At Sannofi-Genzyme the US territory used to be just carved up into four large areas, having one MSL for each region but now we have grown to 38 MSLs for the US. I cover New York and Long Island, and there’s another MSL just for Manhattan and Brooklyn. The job opportunities are only increasing. And I think now PhDs are beginning to become aware of it as a career. Previously it was just PharmDs who knew what an MSL was.

So I think as a whole the field is growing. But you should be aware of the lifecycle of the product you’re dealing with because if you work on a drug that’s been out for a while, soon it’ll be off patent and then go generic. In the US, most drugs go off patent in 10-15 years. At that point your company may downsize because other companies are also making your drug and data on the drug is more readily available. But there will be other MSL jobs you can fill elsewhere. And it’s a great job, the benefits are excellent. I don’t mind saying my salary, I earn around $130k and a brand new car but that’s not including the other benefits like an annual bonus. All my travel is covered, I have an Amex. At the consulting job, I started at $70k but that was at a small firm.

 

Is there anything you miss about academia?

Mmmm… yeah. I miss going to an interesting talk and having conversations about research. If I talk about ubiquitination to one of my MDs, they’re not going to know what it is, whereas I think everyone should be working on it – it’s the trash can of the cell! And I miss seeing cool stuff down the microscope. I used to work on neurons, so that was cool. But other than that… no, I’m good with where I am now!

 

OK, the final, most important question: in the event of a zombie apocalypse, what skills would an MSL bring to the table?

There are definitely two types of zombies: fast-moving ones from 28 Days Later or the slower mob-like ones from Walking Dead. If you’re talking about full-on 28 Days Later type zombie apocalypse, MSLs would be useful as we know all about density, of where people are located because of all the travel we do. So we would know where it’s safer to be (i.e. less dense areas of people). And we know where all the remote clinics are, hidden away in woods. If these were like Walking Dead type slow zombies… I mean, come on, you can walk faster than them! Just walk fast! But I guess in that situation where you have a group of survivors coming together, MSLs would be really good at working with all different types of people and managing the balance/harmony within a group of survivors to build something constructive (i.e. a wall). I still can’t believe no one ever met a construction worker as a survivor on one of these shows! I live in NYC, there are millions of them!

 

1,522 Replies to “So You Want to Be a… Medical Science Liaison (MSL)”

  1. Pingback: visit the page
  2. Pingback: a source
  3. Pingback: click to continue
  4. Pingback: learn more here
  5. Pingback: read completely
  6. Pingback: continue reading
  7. Pingback: read further
  8. Pingback: click here
  9. Pingback: Bangalore Escorts
  10. Pingback: Kolkata Escorts
  11. Pingback: Goa Escorts
  12. Pingback: notehub.org
  13. Pingback: notehub.org
  14. Pingback: notehub.org
  15. Pingback: page address
  16. Pingback: taken from here
  17. Pingback: read
  18. Pingback: notehub.org
  19. Pingback: notehub.org
  20. Pingback: click to see more
  21. Pingback: notehub.org
  22. Pingback: notehub.org
  23. Pingback: notehub.org
  24. Pingback: follow the link
  25. Pingback: myscizzle.com604
  26. Pingback: myscizzle.com124
  27. Pingback: myscizzle.com140
  28. Pingback: myscizzle.com806
  29. Pingback: myscizzle.com775
  30. Pingback: comment967
  31. Pingback: comment613
  32. Pingback: comment340
  33. Pingback: comment281
  34. Pingback: comment778
  35. Pingback: comment662
  36. Pingback: comment690
  37. Pingback: comment94
  38. Pingback: comment769
  39. Pingback: comment89
  40. Pingback: comment61
  41. Pingback: comment990
  42. Pingback: comment837
  43. Pingback: comment624
  44. Pingback: comment854
  45. Pingback: comment389
  46. Pingback: comment736
  47. Pingback: comment950
  48. Pingback: comment58
  49. Pingback: comment883
  50. Pingback: comment713
  51. Pingback: comment297
  52. Pingback: comment116
  53. Pingback: comment885
  54. Pingback: comment66
  55. Pingback: comment961
  56. Pingback: comment620
  57. Pingback: comment551
  58. Pingback: comment294
  59. Pingback: comment287
  60. Pingback: comment420
  61. Pingback: comment718
  62. Pingback: comment884
  63. Pingback: comment926
  64. Pingback: comment655
  65. Pingback: comment984
  66. Pingback: comment791
  67. Pingback: comment304
  68. Pingback: comment488
  69. Pingback: comment64
  70. Pingback: comment865
  71. Pingback: comment481
  72. Pingback: comment738
  73. Pingback: comment364
  74. Pingback: comment450
  75. Pingback: comment848
  76. Pingback: comment537
  77. Pingback: comment628
  78. Pingback: comment558
  79. Pingback: comment121
  80. Pingback: comment360
  81. Pingback: comment831
  82. Pingback: comment958
  83. Pingback: comment193
  84. Pingback: comment577
  85. Pingback: 502Bn2fEpac
  86. Pingback: hdmobilesex.me
  87. Pingback: go to the source
  88. Pingback: follow the link
  89. Pingback: xxxvipsearch.mobi
  90. Pingback: schatfreese.mobi
  91. Pingback: pronvipse.mobi
  92. Pingback: fastfuckse.mobi
  93. Pingback: view more
  94. Pingback: source
  95. Pingback: this web page
  96. Pingback: computer-arts.info
  97. Pingback: buy cialis
  98. Pingback: ABrand
  99. Pingback: cialis online
  100. Pingback: buy brand viagra
  101. Pingback: cheap brand viagra
  102. Pingback: brand viagra
  103. Pingback: brand viagra 100mg
  104. Pingback: name brand viagra
  105. Pingback: buy cytotec
  106. Pingback: online cytotec
  107. Pingback: cytotec online
  108. Pingback: cheap cytotec
  109. Pingback: buy cheap cytotec
  110. Pingback: cytotec
  111. Pingback: cytotec induction
  112. Pingback: buy cytotec amazon
  113. Pingback: buy dapoxetine
  114. Pingback: online dapoxetine
  115. Pingback: dapoxetine online
  116. Pingback: cheap dapoxetine
  117. Pingback: dapoxetine
  118. Pingback: dapoxetine at cvs
  119. Pingback: dapoxetine reviews
  120. Pingback: dapoxetine 100 mg
  121. Pingback: buy brand cialis
  122. Pingback: cheap brand cialis
  123. Pingback: brand cialis
  124. Pingback: cialis brand only
  125. Pingback: brand cialis 5 mg
  126. Pingback: buy zovirax
  127. Pingback: zovirax pill
  128. Pingback: zovirax
  129. Pingback: online zovirax
  130. Pingback: zovirax online
  131. Pingback: cheap zovirax
  132. Pingback: buy cheap zovirax
  133. Pingback: zovirax cream
  134. Pingback: zovirax ointment
  135. Pingback: extra super cialis
  136. Pingback: retin-a
  137. Pingback: buy retin-a
  138. Pingback: online retin-a
  139. Pingback: retin-a online
  140. Pingback: cheap retin-a
  141. Pingback: buy cheap retin-a
  142. Pingback: retin-a cream
  143. Pingback: retin-a micro
  144. Pingback: buy cialis soft
  145. Pingback: online cialis soft
  146. Pingback: cialis soft online
  147. Pingback: cheap cialis soft
  148. Pingback: cialis soft
  149. Pingback: soft tab cialis
  150. Pingback: fluoxetine
  151. Pingback: buy fluoxetine
  152. Pingback: online fluoxetine
  153. Pingback: fluoxetine online
  154. Pingback: cheap fluoxetine
  155. Pingback: fluoxetine hcl
  156. Pingback: fluoxetine 20 mg
  157. Pingback: fluoxetine 20mg
  158. Pingback: what is fluoxetine
  159. Pingback: fluoxetine 10 mg
  160. Pingback: fluoxetine dosage
  161. Pingback: fluoxetine reviews
  162. Pingback: fluoxetine coupons
  163. Pingback: fluoxetine prozac
  164. Pingback: prozac fluoxetine
  165. Pingback: extra super viagra
  166. Pingback: buy viagra plus
  167. Pingback: online viagra plus
  168. Pingback: viagra plus online
  169. Pingback: cheap viagra plus
  170. Pingback: viagra plus
  171. Pingback: viagra plus 400 mg
  172. Pingback: viagra plus pills
  173. Pingback: buy zithromax
  174. Pingback: online zithromax
  175. Pingback: zithromax online
  176. Pingback: cheap zithromax
  177. Pingback: zithromax
  178. Pingback: zithromax z-pak
  179. Pingback: zithromax dosage
  180. Pingback: zithromax for cats
  181. Pingback: buy lasix
  182. Pingback: online lasix
  183. Pingback: lasix online
  184. Pingback: cheap lasix
  185. Pingback: buy cheap lasix
  186. Pingback: lasix
  187. Pingback: lasix medication
  188. Pingback: lasix side effects
  189. Pingback: lasix dosage
  190. Pingback: lasix generic
  191. Pingback: what is lasix
  192. Pingback: lasix water pill
  193. Pingback: lasix generic name
  194. Pingback: bumex vs lasix
  195. Pingback: lasix potassium
  196. Pingback: generic for lasix
  197. Pingback: warnings for lasix
  198. Pingback: iv lasix
  199. Pingback: lasix for dogs
  200. Pingback: lasix 40 mg
  201. Pingback: buy kamagra
  202. Pingback: online kamagra
  203. Pingback: kamagra online
  204. Pingback: cheap kamagra
  205. Pingback: buy cheap kamagra
  206. Pingback: kamagra
  207. Pingback: kamagra oral jelly
  208. Pingback: kamagra 100mg
  209. Pingback: kamagra jelly
  210. Pingback: kamagra store
  211. Pingback: kamagra gel
  212. Pingback: super kamagra
  213. Pingback: buy levitra
  214. Pingback: online levitra
  215. Pingback: levitra online
  216. Pingback: cheap levitra
  217. Pingback: buy cheap levitra
  218. Pingback: levitra
  219. Pingback: levitra coupon
  220. Pingback: levitra 20 mg
  221. Pingback: levitra vs viagra
  222. Pingback: levitra generic
  223. Pingback: generic levitra
  224. Pingback: levitra prices
  225. Pingback: levitra cost
  226. Pingback: buy propecia
  227. Pingback: online propecia
  228. Pingback: propecia online
  229. Pingback: cheap propecia
  230. Pingback: buy cheap propecia
  231. Pingback: propecia
  232. Pingback: does propecia work
  233. Pingback: generic propecia
  234. Pingback: propecia for sale
  235. Pingback: propecia stock
  236. Pingback: cost of propecia
  237. Pingback: propecia for men
  238. Pingback: propecia tablets
  239. Pingback: buy doxycycline
  240. Pingback: online doxycycline
  241. Pingback: doxycycline online
  242. Pingback: cheap doxycycline
  243. Pingback: doxycycline
  244. Pingback: doxycycline 100mg
  245. Pingback: doxycycline dosage
  246. Pingback: doxycycline mono
  247. Pingback: doxycycline dose
  248. Pingback: doxycycline 100 mg
  249. Pingback: fish doxycycline
  250. Pingback: buy ventolin
  251. Pingback: online ventolin
  252. Pingback: ventolin online
  253. Pingback: cheap ventolin
  254. Pingback: buy cheap ventolin
  255. Pingback: ventolin
  256. Pingback: ventolin inhaler
  257. Pingback: $15 ventolin
  258. Pingback: generic ventolin
  259. Pingback: buy metformin
  260. Pingback: online metformin
  261. Pingback: metformin online
  262. Pingback: cheap metformin
  263. Pingback: metformin
  264. Pingback: metformin 500 mg
  265. Pingback: metformin dosage
  266. Pingback: metformin lawsuit
  267. Pingback: metformin hcl
  268. Pingback: metformin problems
  269. Pingback: metformin er
  270. Pingback: what is metformin
  271. Pingback: metformin dementia
  272. Pingback: metformin xr
  273. Pingback: metformin 1000 mg
  274. Pingback: metformin uses
  275. Pingback: metformin generic
  276. Pingback: metformin dose
  277. Pingback: metformin recall
  278. Pingback: metformin diarrhea
  279. Pingback: metformin 500mg
  280. Pingback: metformin for pcos
  281. Pingback: metformin diabetes
  282. Pingback: metformin 500
  283. Pingback: metformin overdose
  284. Pingback: metformin pcos
  285. Pingback: metformin 1000mg
  286. Pingback: metformin 1000
  287. Pingback: metformin and pcos
  288. Pingback: is metformin safe
  289. Pingback: metformin 850 mg
  290. Pingback: metformina
  291. Pingback: buy synthroid
  292. Pingback: online synthroid
  293. Pingback: synthroid online
  294. Pingback: cheap synthroid
  295. Pingback: synthroid
  296. Pingback: synthroid dosage
  297. Pingback: synthroid coupon
  298. Pingback: synthroid generic
  299. Pingback: synthroid coupons
  300. Pingback: synthroid dosing
  301. Pingback: what is synthroid
  302. Pingback: generic synthroid
  303. Pingback: synthroid direct
  304. Pingback: synthroid dose
  305. Pingback: synthroid recall
  306. Pingback: synthroid dosages
  307. Pingback: buy flagyl
  308. Pingback: online flagyl
  309. Pingback: flagyl online
  310. Pingback: cheap flagyl
  311. Pingback: buy cheap flagyl
  312. Pingback: flagyl
  313. Pingback: flagyl antibiotic
  314. Pingback: flagyl dosage
  315. Pingback: flagyl and alcohol
  316. Pingback: flagyl 500 mg
  317. Pingback: flagyl for dogs
  318. Pingback: what is flagyl
  319. Pingback: flagyl dosing
  320. Pingback: flagyl 500
  321. Pingback: flagyl 400
  322. Pingback: flagyl bula
  323. Pingback: uses for flagyl
  324. Pingback: generic for flagyl
  325. Pingback: flagyl for kids
  326. Pingback: flagyl for uti
  327. Pingback: hctz
  328. Pingback: hctz side effects
  329. Pingback: hctz medication
  330. Pingback: hctz 25 mg
  331. Pingback: lisinopril/hctz
  332. Pingback: lisinopril hctz
  333. Pingback: hctz/lisinopril
  334. Pingback: diflucan
  335. Pingback: buy diflucan
  336. Pingback: online diflucan
  337. Pingback: diflucan online
  338. Pingback: cheap diflucan
  339. Pingback: buy cheap diflucan
  340. Pingback: diflucan dosage
  341. Pingback: diflucan 150 mg
  342. Pingback: antabuse
  343. Pingback: buy antabuse
  344. Pingback: online antabuse
  345. Pingback: antabuse online
  346. Pingback: cheap antabuse
  347. Pingback: buy cheap antabuse
  348. Pingback: buy clomid
  349. Pingback: clomid
  350. Pingback: online clomid
  351. Pingback: clomid online
  352. Pingback: cheap clomid
  353. Pingback: buy cheap clomid
  354. Pingback: clomid for men
  355. Pingback: clomid for women
  356. Pingback: clomid for sale
  357. Pingback: valtrex
  358. Pingback: buy valtrex
  359. Pingback: online valtrex
  360. Pingback: valtrex online
  361. Pingback: cheap valtrex
  362. Pingback: buy cheap valtrex
  363. Pingback: valtrex dosage
  364. Pingback: valtrex generic
  365. Pingback: valtrex dosing
  366. Pingback: generic valtrex
  367. Pingback: what is valtrex
  368. Pingback: cost of valtrex
  369. Pingback: valtrex website
  370. Pingback: valtrex brand name
  371. Pingback: good rx valtrex
  372. Pingback: buy female viagra
  373. Pingback: female viagra
  374. Pingback: buy prednisolone
  375. Pingback: prednisolone
  376. Pingback: cheap prednisolone
  377. Pingback: prednisolone 20 mg
  378. Pingback: methylprednisolone
  379. Pingback: prednisolone costs
  380. Pingback: prednisolone cream
  381. Pingback: cipro
  382. Pingback: buy cipro
  383. Pingback: online cipro
  384. Pingback: cipro online
  385. Pingback: cheap cipro
  386. Pingback: buy cheap cipro
  387. Pingback: cipro side effects
  388. Pingback: cipro antibiotic
  389. Pingback: cipro hc
  390. Pingback: cipro medication
  391. Pingback: cipro for uti
  392. Pingback: what is cipro
  393. Pingback: cipro dosing
  394. Pingback: cipro dosage
  395. Pingback: cipro eye drops
  396. Pingback: warnings for cipro
  397. Pingback: cipro 500 mg
  398. Pingback: cipro 500
  399. Pingback: zoloft
  400. Pingback: zoloft sertraline
  401. Pingback: buy zoloft
  402. Pingback: online zoloft
  403. Pingback: zoloft online
  404. Pingback: cheap zoloft
  405. Pingback: buy cheap zoloft
  406. Pingback: zoloft medication
  407. Pingback: zoloft dosage
  408. Pingback: zoloft generic
  409. Pingback: zoloft for anxiety
  410. Pingback: zoloft reviews
  411. Pingback: generic zoloft
  412. Pingback: generic for zoloft
  413. Pingback: what is zoloft
  414. Pingback: zoloft withdrawal
  415. Pingback: zoloft dosing
  416. Pingback: dr gunter zoloft
  417. Pingback: zoloft and alcohol
  418. Pingback: lexapro vs zoloft
  419. Pingback: zoloft weight gain
  420. Pingback: weaning off zoloft
  421. Pingback: zoloft 50 mg
  422. Pingback: dosage of zoloft
  423. Pingback: zoloft recall
  424. Pingback: sertraline zoloft
  425. Pingback: lexapro
  426. Pingback: buy lexapro
  427. Pingback: online lexapro
  428. Pingback: lexapro online
  429. Pingback: cheap lexapro
  430. Pingback: buy cheap lexapro
  431. Pingback: lexapro medication
  432. Pingback: lexapro generic
  433. Pingback: lexapro dosage
  434. Pingback: lexapro reviews
  435. Pingback: generic lexapro
  436. Pingback: what is lexapro
  437. Pingback: lexapro withdrawal
  438. Pingback: lexapro dosing
  439. Pingback: lexapro 10 mg
  440. Pingback: lexapro 5mg
  441. Pingback: lexapro overdose
  442. Pingback: lexapro vs celexa
  443. Pingback: celexa vs lexapro
  444. Pingback: lexapro half life
  445. Pingback: lexapro for pain
  446. Pingback: propranolol
  447. Pingback: buy propranolol
  448. Pingback: online propranolol
  449. Pingback: propranolol online
  450. Pingback: cheap propranolol
  451. Pingback: propranolol dosage
  452. Pingback: propranolol hcl
  453. Pingback: propranolol er
  454. Pingback: propranolol 40mg
  455. Pingback: propranolol 10 mg
  456. Pingback: propranolol 10mg
  457. Pingback: propranolol 40 mg
  458. Pingback: ampicillin
  459. Pingback: buy ampicillin
  460. Pingback: online ampicillin
  461. Pingback: ampicillin online
  462. Pingback: cheap ampicillin
  463. Pingback: ampicillin for uti
  464. Pingback: lisinopril
  465. Pingback: buy lisinopril
  466. Pingback: online lisinopril
  467. Pingback: lisinopril online
  468. Pingback: cheap lisinopril
  469. Pingback: lisinopril 10mg
  470. Pingback: lisinopril dosage
  471. Pingback: lisinopril 20 mg
  472. Pingback: lisinopril cough
  473. Pingback: what is lisinopril
  474. Pingback: lisinopril generic
  475. Pingback: lisinopril 5mg
  476. Pingback: lisinopril dosing
  477. Pingback: zestril lisinopril
  478. Pingback: lisinopril 20mg
  479. Pingback: lisinopril 40 mg
  480. Pingback: lisinopril 2.5 mg
  481. Pingback: lisinopril 10 mg
  482. Pingback: lisinopril dose
  483. Pingback: lisinopril 5 mg
  484. Pingback: nolvadex
  485. Pingback: buy nolvadex
  486. Pingback: online nolvadex
  487. Pingback: nolvadex online
  488. Pingback: cheap nolvadex
  489. Pingback: buy cheap nolvadex
  490. Pingback: nolvadex for sale
  491. Pingback: nolvadex for men
  492. Pingback: nolvadex on cycle
  493. Pingback: nolvadex dosage
  494. Pingback: nolvadex tamoxifen
  495. Pingback: nolvadex pct
  496. Pingback: trazodone
  497. Pingback: buy trazodone
  498. Pingback: online trazodone
  499. Pingback: trazodone online
  500. Pingback: cheap trazodone
  501. Pingback: trazodone 50 mg
  502. Pingback: trazodone for dogs
  503. Pingback: trazodone dosage
  504. Pingback: trazodone hcl
  505. Pingback: what is trazodone
  506. Pingback: trazodone 100 mg
  507. Pingback: trazodone overdose
  508. Pingback: trazodone generic
  509. Pingback: desyrel trazodone
  510. Pingback: online cialis
  511. Pingback: trazodone 50mg
  512. Pingback: trazodone class
  513. Pingback: cheap cialis
  514. Pingback: buy cheap cialis
  515. Pingback: cialis
  516. Pingback: trazodone uses
  517. Pingback: cialis generic
  518. Pingback: generic cialis
  519. Pingback: cialis prices
  520. Pingback: cialis 20 mg
  521. Pingback: cialis 20
  522. Pingback: cialis pills
  523. Pingback: buy cialis online
  524. Pingback: cialis tadalafil
  525. Pingback: cialis on line
  526. Pingback: cialis 20mg
  527. Pingback: cialis.com
  528. Pingback: cialis cost
  529. Pingback: cialis canada
  530. Pingback: cialis samples
  531. Pingback: what is cialis
  532. Pingback: canadian cialis
  533. Pingback: cialis from canada
  534. Pingback: cialis for sale
  535. Pingback: cost of cialis
  536. Pingback: cialis 5mg
  537. Pingback: cialis 5 mg
  538. Pingback: cialis daily
  539. Pingback: viagra cialis
  540. Pingback: cialis medication
  541. Pingback: cialis for women
  542. Pingback: cialis sale
  543. Pingback: discount cialis
  544. Pingback: cialis or viagra
  545. Pingback: cialis website
  546. Pingback: cialis 10mg
  547. Pingback: 2018-2019
  548. Pingback: 2019
  549. Pingback: casino real money
  550. Pingback: real money casino
  551. Pingback: parx online casino
  552. Pingback: hyper casinos
  553. Pingback: free online casino
  554. Pingback: mgm online casino
  555. Pingback: bovada casino
  556. Pingback: doubledown casino
  557. Pingback: hollywood casino
  558. Pingback: chumba casino
  559. Pingback: firekeepers casino
  560. Pingback: high 5 casino
  561. Pingback: gsn casino
  562. Pingback: gsn casino games
  563. Pingback: gsn casino slots
  564. Pingback: casino blackjack
  565. Pingback: zone online casino
  566. Pingback: real casino
  567. Pingback: las vegas casinos
  568. Pingback: casino games free
  569. Pingback: free online slots
  570. Pingback: casino bonus
  571. Pingback: lady luck
  572. Pingback: free slots games
  573. Pingback: best online casino
  574. Pingback: online gambling
  575. Pingback: slots online
  576. Pingback: online slots
  577. Pingback: real casino slots
  578. Pingback: play slots
  579. Pingback: online slot games
  580. Pingback: vegas casino slots
  581. Pingback: vegas slots online
  582. Pingback: slot games
  583. Pingback: play slots online
  584. Pingback: free slots
  585. Pingback: slots free
  586. Pingback: caesars slots
  587. Pingback: slots free games
  588. Pingback: vegas world slots
  589. Pingback: old vegas slots
  590. Pingback: slots lounge
  591. Pingback: pch slots
  592. Pingback: caesars free slots
  593. Pingback: house of fun slots
  594. Pingback: slots of vegas
  595. Pingback: vegas slots
  596. Pingback: free vegas slots
  597. Pingback: penny slots
  598. Pingback: scatter slots
  599. Pingback: buffalo gold slots
  600. Pingback: liberty slots
  601. Pingback: my vegas slots
  602. Pingback: free slots 777
  603. Pingback: slots games
  604. Pingback: slots games free
  605. Pingback: hypercasinos
  606. Pingback: gambling sites
  607. Pingback: slot machines
  608. Pingback: casino online
  609. Pingback: casino slots
  610. Pingback: casino bonus codes
  611. Pingback: casino games
  612. Pingback: online casino
  613. Pingback: online casinos
  614. Pingback: free casino
  615. Pingback: casino game
  616. Pingback: play casino
  617. Pingback: casino play
  618. Pingback: play online casino
  619. Pingback: free casino games
  620. Pingback: no deposit casino
  621. Pingback: big fish casino

Comments are closed.