Studies on 5, 6 EC metabolism showed that in some healthy tissues, including breast, 5, 6О± EC is metabolized into dendrogenin A DDA in the presence of histamine by an enzyme 19 25 Fig buy cheap cialis online Thus, it was recommended that varying cutoff scores result in different referral recommendations, such that low scores result in no referral, moderate scores result in an optional referral, and high scores result in a strong recommendation for further interventions