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Lactose Intolerance in Thai Adults

Lactose Intolerance in Thai Adults
Lactose Intolerance in Thai Adults

Lactose Intolerance in Thai Adults

Narumon Densupsoontorn MD*,

Pipop Jirapinyo MD*, Nuchnoi Thamonsiri BSc*,Sasitorn Chantaratin MD**, Renu Wongarn BA*

* Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University ** Pediatrics Service, Pathumthani Hospital, Ministry of Public Health, Pathumthani

Lactose intolerance is common in Thai adults who ingest cow’s milk but its incidence has not been

clearly defined. The authors evaluated 45 volunteers (15 males, 35 females), aged 21-31 yrs old, who drank one 240-ml box of milk daily. A Lactose tolerance test was performed using a breath- hydrogen test (BHT)after oral intake of 25 g of lactose dissolved in 250 ml of water. The presence of gastrointestinal symptoms of lactose intolerance, flatulence, abdominal pain and diarrhea, were recorded. Twenty-one subjects (47%)were categorized as lactose malabsorbers and intolerant, two subjects (4%) were malabsorbers but tolerant,and 22 of 45 (49%) were absorbers and tolerant. The incidence of lactose malabsorption was, thus, 51%;symptoms of intolerance were found in 21 of the 23 malabsorbers, making the incidence of lactose intoler-ance 47%. In the lactose malabsorbant and intolerant group, the more breath-hydrogen (H 2) the more symptoms observed. All subjects who had a negative breath-H 2 test had no symptoms. The breath-H 2 test should be used as a standard method to evaluate lactose absorption and lactose tolerance. The incidence of lactose intolerance has decreased from the past and the symptoms are not so severe that the people limit the consumption of milk since it is a major source of food containing good quality of protein and calcium.Keywords : Lactose malabsorber, Lactose absorber , Lactose intolerance, Lactose tolerance, Lactase, Breath-hydrogen test

J Med Assoc Thai 2004; 87(12): 1501-5

Full text. e-Journal: https://www.sodocs.net/doc/db6307115.html,/journal Correspondence to : Densupsoontorn N, Division of Nutrition,Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.Phone: 0-2419-7000 ext. 5946-7, Fax: 0-2411-2535, E-mail:sinds@mahidol.ac.th, narumond@https://www.sodocs.net/doc/db6307115.html,, drnarumon@https://www.sodocs.net/doc/db6307115.html,

In Thailand, the consumption of fresh milk

and other dairy products has considerably increased.However, some people limit their intake of dairy products because of the resulting symptoms of lactose intolerance. Reduction of lactose hydrolyzing capacity of intestinal lactase results in lactose mal-digestion or malabsorption, the terms often being used interchangeably (1). Gastrointestinal symptoms occur when lactose, the major carbohydrate in milk, is not digested by lactase, an enzyme of the small intestinal mucosa. Consequently, the non-digested or unabsorbed lactose is fermented by the bacterial flora of the colon leading to the production of gases and short-chain fatty acids. Hydrogen, one of the gases produced,

diffuses into the blood circulation via the large intes-tinal mucosa and exhales via expired air. Lactose mal-absorption is, therefore, diagnosed when breath-H 2level increases more than 20 parts per million (ppm)over the baseline level using the breath-hydrogen test (BHT), the most widely used technique to analyze lactose absorption (1-5). Hydrogen, methane, and car-bon dioxide gases are produced resulting in flatulence,bloating, or the passage of flatus via the rectum. The excessive lactose remaining from bacterial fermenta-tion creates an osmotic effect and water is absorbed into the lumen of the large bowel causing osmotic diarrhea.

Lactose intolerance usually occurs in Thai

adults who ingest cow’s milk but its incidence in Thailand has not been clearly defined. The present study was done in order to determine the incidence of lactose malabsorption and lactose intolerance in Thai adults who drink 240 ml of milk daily using the BHT .

Material and Method Subjects

The present cross-sectional study was done

at Siriraj Hospital between August 2000 and August 2001. Fifty Thai adult volunteers (15 males, 35 females),medical students and medical personnel, ranging in age from 21 to 31 years old were included. All drank one serving (240 ml) of milk daily. Inclusion criterias were as follows: 1) healthy physical condition 2) non-smoker 3) no history of current diarrhea or constipa-tion in the previous 2 weeks 4) had not received anti-biotic drugs within 2 weeks prior to the study 5) did not consume any slowly digesting foods like beans,bran or other high-fiber cereals the day before the test was performed. Subjects were excluded if they were allergic to cow’s milk or had a baseline breath-H 2 con-centration > 20 parts per million (ppm) before inter-vention; a breath-H 2 concentration > 20 ppm which may indicate incomplete fasting, the ingestion of slowly digested food the day before or the presence of bacterial overgrowth in the small intestine. Of the 50 subjects that participated, five were excluded due to the high baseline level of H 2, leaving 45 subjects eligible to be analyzed. Subjects were informed and gave their consent that they may develop gastrointes-tinal symptoms because of lactose intolerance.Intervention

The subjects fasted overnight for a minimum

of 10 hours, consuming only water until the test started. In the morning, the authors collected their breath samples at 0 min for baseline, then at 30-, 60-,90-, and 120- minutes after oral ingestion of the test substrate, 25 g of lactose in 250 ml of water (10%solution). Eating was not allowed during the test.Symptoms of intolerance, including abdominal cramp,flatulence, watery stool, or passing of flatus via the rectum were recorded at the times the breath hydrogen test was done and then on until the evening.Hydrogen breath analysis

In order to obtain the alveolar air sample

without contamination by dead space air (the part of the expired air which was not from the alveolar region of the lung) and lack of room air, the authors used an AlveoSampler (QT01091), a polyethylene bag assembled with a three-way stopcock that was fitted with a syringe for sample collection. Each 20 ml of breath sample was analyzed for H 2 level using chromato-graphic analysis (Quintron model 12i Microlyzer,QuinTron Instruments, Milwaukee, Wisconsin, USA).

Hydrogen concentration was expressed in parts per million.

Lactose malabsorption was defined when the

breath-H 2 level increased to more than 20 ppm over the baseline level. Lactose intolerance was determined when the increase in H 2 was accompanied by one or more gastrointestinal symptoms after consumption of lactose solution

Statistical analysis

Data are presenteded as maximums, minimums, and means. The authors used SPSS (version 11.5; SPSS Inc, Chicago) for analyses.Results

As shown in Fig. 1, the breath-H 2 concentra-tions of lactose malabsorbers were markedly higher than those of lactose absorbers. In Fig. 2, 23 of the 45subjects (51%) demonstrated lactose malabsorbption after ingestion of 25 g of lactose. Seven of them (15.5%)showed signs of malabsorption at the 60 min interval,7 at 90 mins, and nine at 120 mins.

Table 1 demonstrates the relationship between

lactose absorbesr-malabsorbers and lactose tolerant-intolerant. Twenty-two subjects (49%) were lactose absorbers and all tolerated the ingestion of 25 g of lactose. Most of the lactose malabsorbers (21 of 23;91%) had symptoms of intolerance. In the malabsorp-tion group, two subjects (9%) were lactose tolerant.

Table 2 shows the relationship between

breath-H 2 difference from baseline and gastrointes-tinal symptoms of carbohydrate malabsorption. All lactose absorbers had no symptoms, whereas lactose malabsorbers developed symptoms either abdominal

Fig. 1

Minimum, maximum, and mean levels of breath-H 2of lactose malabsorbers and lactose absorbers during 120-minute test

discomfort or accompanying diarrhea. Abdominal discomfort occurred when the difference of breath-H 2was between 20 to 30 ppm. Most of the lactose mal-absorbers (19 of 23, 83%) whose difference in breath-H 2 >30 ppm developed both symptoms of abdominal discomfort and diarrhea.

Discussion

In the present study, the authors found that

23 of 45 (51%) of the Thai adults were lactose mal-absorbers using 25 g lactose oral load test. The lactose tolerance test was performed by having the partici-

pants ingest 25 g of lactose dissolved in 250 ml of water instead of whole milk for several reasons. First,it was physically easier to drink 250 ml of solution than to consume 510 ml of whole milk, which was 4.9 g lactose per 100 ml (6), at one time in order to get an equal amount of lactose. Second, these subjects regularly drank a 240-ml serving of whole milk before the study.Third, the gastric emptying time of whole milk is longer than that of lactose solution and will, thus, delay the appearance of lactose in the colon leading to prolonged duration of the study. The standard lactose tolerance test consists of 1 g of lactose per kg body weight, up to 25-50 g, dissolved in 6-8 oz water. A smaller dose of 25 g is sufficient and accepted as a standard dose for the breath-test in adults (7). A larger dose of 50 g causes intolerant patients to feel considerable discomfort,and it is not suitable to consume a liter of milk in one sitting. For any carbohydrate malabsorption test, the standard sugar-dose should be dissolved in at least 6-8 oz of water, to ensure that the intake volume is enough to stimulate emptying of the stomach when the solution is ingested (7). A variety of physiological factors such as gastric emptying time, rate of inges-tion, and volume of load may change the symptomatic response to lactose (8).

Lactose malabsorbers presented with a signi-ficant increase in breath-H 2 over the baseline levels at 30-120 min. after ingestion of the lactose load. The authors excluded 5 subjects who had a base H 2 greater than 20 ppm. This high H 2 level suggested that they may not have followed the instructions to completely avoid carbohydrate and fiber intake the night before the test, or they had bacterial overgrowth. In two of five subjects, the breath-H 2 levels gradually decreased after the beginning of the test. This shows that they were not lactose malabsorbers. On the contrary, three of them had a second rise in breath-H 2 levels follow-ing the initial decrease at beginning of the test. This occurrence was thought to be consistent with the bolus of lactose reaching the colon (9) indicating that they were malabsorbers. Consequently, the incidence of lactose malabsorption in Thai adults may be higher than the 51% reported in the present study. The study of Varavithya et al (10), in 1976, showed that all Thai children over 4 years of age were lactose malabsorbers,whereas, in 1999, Soontornchai et al (11) found that 77%of 39 healthy Thai adults became lactose malabsorbers after consumption of 12 g of lactose in 250 ml of water.The improvement of lactose malabsorption in Thai adults may be a result of the educational campaign advising not only children, but also adolescents and

Fig. 2

Maximum, minimum, and mean levels of difference in breath H 2 from baseline and percentage of lactose malabsorbers during 120-minute test

Table 1.Percentage of lactose absorbers and malabsorbers,

lactose tolerance and intolerance (n = 45)

Lactose Lactose

tolerance (%)

intolerance (%)

Lactose absorbers 49 -Lactose malabsorbers

4

47

Table 2.Relationship between breath-H 2 difference from baseline and gastrointestinal symptoms

?H 2 (ppm)

Number of subjects

No symptom

Symptoms Abdominal Diarrhea

Abdominal discomfort

discomfort & diarrhea

< 20(n = 22)22 ---21-30(n = 4) 2 2--> 30(n = 19)

-11

-

8

? H 2 = difference in breath-H 2 gas from baseline

adults, to drink fresh milk everyday. Regular consump-tion of milk causes continued stimulation of lactase activity by maintaining lactose in the diet and enough expression of lactase level even though the prevalence of primary adult lactose malabsorption is 90-100% in Eastern Asia (12).The review of Scrimshaw et al (13) and Sahi (14) demonstrated that the prevalence of lactose maldigestion was above 50% in South America,Africa, and Asia, reaching almost 100% in some Asian countries.

Lactase, one of the disaccharidases, is

located only on small intestine enterocytes and is an important enzyme for the hydrolization of lactose,the principle carbohydrate of mammal milk, into glucose and galactose. The lactase gene (LCT), which is located on chromosome 2, determines messenger RNA expression and encodes lactase activity (15). The lactase activity is genetically determined and different at various stages of development. The lactase activity expresses at high levels in infants and remains so in lactase persistent adults who are northern and central Europeans and their migrating descendant (preva-lence of lactose maldigestion of 2% in Scandinavia,6% in Australia and 9% in New Zealand)(13,14) in contrast to lactase non-persistent adults, who have low lactase expression. Although the onset and extent are some-what variable, genetically programmed down-regula-tion of the lactase is detectable in children from the second year of life (16). Lactase non-persistence, or primary hypolactasia, tends to be the most frequent phenotype in populations where fresh milk does not form a significant part of the adult diet. Lactase non-persistence individuals can drink only a limited amount of whole milk without experiencing gastrointestinal symptoms. In the present study, 21 of 45 subjects (47%)who regularly consumed a 240-ml serving of fresh milk containing 12 g of lactose without experiencing symp-toms of intolerance, when loaded with 25 g of lactose,were intolerant. Of the 23 subjects in the lactose mal-absorption group, most of them (91%) had gastrointes-tinal symptoms; two subjects (9%) tolerated the test without gastrointestinal disturbance.

In the lactose malabsorbant and intolerant

group, the more breath-hydrogen (H 2) the more symp-toms observed. On the other hand, all subjects who had a negative result of breath-H 2 test had no symp-toms. Therefore, the breath-H 2 test is confirmed that it is an effective method to evaluate lactose absorption and lactose tolerance.

In general, people should not avoid consum-ing milk. Although 70-100% of adults worldwide are

lactose malabsorbers, milk and dairy products are major sources of calcium-rich food. Therefore, the symptoms resulting from lactose maldigestion are not a hindrance for pre- and postmenopausal women to intake a dairy-rich diet supplying 1500 mg Ca/day (17)in common with the study by Pribila et al who pre-sented that there was colonic adaptation to the high-lactose diet and lactose maldigestion should not be a restricting factor in developing adequate calcium diets (18). In the present study, the subjects in the lac-tose intolerant group could drink a 240-ml box of milk (12 g lactose) without experiencing gastrointestinal symptoms, so the authors, therefore, suggest that they do not consume 2 boxes in one sitting, but consume the 2 boxes at separate times. Another way to relieve the symptoms of lactose intolerance is to ingest fresh yogurt, fermented milk containing lived-lactic acid bacteria called probiotics, instead of fresh milk because lactose is hydrolyzed by -galactosidase produced

by those organisms (4,19)

.

In conclusion, the breath-H 2 test is a standard

method to analyze lactose absorption and tolerance.In order to maintain lactase activity and avoid the symp-toms of lactose intolerance, milk should continue to be consumed after weaning in infancy.

Acknowledgement

The authors wish to thank Michelle M. Miller

for her help in reviewing the manuscript.References

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2.Carroccio A, Montalto G, Cavera G, Notarbatolo A,

and the Lactase Deficiency Study Group. Lactose intolerance and self-reported milk intolerance: relation-ship with lactose maldigestion and nutrient intake. J Am Coll Nutr 1998; 17: 631-6.

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J Am Coll Nutr 2000; 19(Suppl): S165-75.

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in diagnosis and treatment. J Clin Gastroenterol 1999;28: 208-16.

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Milwaukee: QuinTron, 1998: 81-7.

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???? ??????????????, ???? ????????, ??????? ?????????, ????? ????????, ???? ??????????????????????????????????????????????????????????????????????????????? ???????????????????????????????????????????? ??????????????????????????????????????????????????????????????????????????? 45 ?? ?????????? 15 ?? ??????? 35 ?? ????????? 21 ??? 31 ?? ????????????????????????????????? 240 ??????????????????????? ???????????????????????????????????????????????????????????????????????????? 250 ???????? ?????????????????????? 25 ???? ???????????????????????????????????? 10 ?????? ????????????????????????????????????????????????????????? ? ???????????

???????? ?????????????????????????????? ??? 30 ???? ??????????????? 2 ???

??? ?????????????? ???????????????????????????????????????????????????????????????? ?????? ??????? ??????????? ??????????????????????????????????? 21 ?? (?????? 47) ??????????????????????????????? ??????????????????????????????? 2 ?? (?????? 2) ?????????????????????????????????????????????? 22 ?? (?????? 49) ??????????????????????????????????????????????? ?????????????????????????????????????????? ???????????????????????????????????????????????????? 51 ??? 47 ???????? ???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ?????????????????????????????????????????????????????????????????????????????????????????? ?????????????????????????????????????? ??????????????????????????????????????????????????

8.Jones DV, Latham MC, Kosikowski FV, Woodward

G. Symptom response to lactose-reduced milk in lactose-intolerant adults. Am J Clin Nutr 1976; 29:633-8.

9.Perman JA, Montes RG . Breath analysis. In: Walker

WA, Durie PR, Hamilton JR, Walker-Smith JA,Watkins JB, eds. Pediatric Gastrointestinal Disease.2nd ed. St. Louis: Mosby, 1996: 1635-45.

10.Varavithya W, Valyasevi A, Manu P, Kittikool J.

Lactose malabsorption in Thai infants and children:effect of prolonged milk feeding. Southeast Asian J Trop Med Public Health 1976; 7: 591-5.

11.Soontornchai S, Sirichakwal P, Puwastien P , Tontisirin

K, Kruger D, Grossklaus R. Lactitol tolerance in healthy Thai adults. Eur J Nutr 1999; 38: 218-26.12.Johnson JD. The regional and ethnic distribution of

lactose malabsorption. Adaptive and genetic hypo-theses. In: Paige DM, Bayless TM, eds. Lactose diges-tion. Clinical and nutritional implications. Baltimore:Johns Hopkins University Press, 1981: 11–22.

13.Scrimshaw NS, Murray EB. The acceptability of milk

and milk products in populations with high preva-lence of lactose intolerance. Am J Clin Nutr 1988;44(Suppl): S1079-159.14.Sahi T. Genetics and epidemiology of adult-type

hypolactasia. Scand J Gastroenterol 1994; 202(Suppl):S7-20.

15.Swallow DM, Poulter M, Hollox EJ. Intolerance to

lactose and other dietary sugars. Drug Metab Dispos 2001; 29: 513-6.

16. Wang Y , Harvey CB, Hollox EJ, et al. The genetically

programmed down-regulation of lactase in children.Gastroenterology 1998; 114: 1230-6.

17. Suarez FL, Adshead J, Furne JK, Levitt MD. Lactose

maldigestion is not an impediment to the intake of 1500 mg calcium daily as dairy products. Am J Clin Nutr 1998; 68: 1118-22.

18. Pribila BA, Hertzler SR, Martin BR, Weaver CM,

Savaiano DA. Improved lactose digestion and intolerance among African-American adolescent girls fed a dairy-rich diet. J Am Diet Assoc 2000; 100:524-8.

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Slama G. Chronic consumption of fresh but not heated yogurt improves breath-hydrogen status and short-chain fatty acid profiles: a controlled study in healthy men with or without lactose maldigestion. Am J Clin Nutr 2002; 72: 1474-9.

那些让人心疼的歌词

那些让人心疼的歌词 导读:本文是关于句子大全的文章,如果觉得很不错,欢迎点评和分享! 1、你的爱是个梦,却有真实的痛。——《我知道我会哭》江美琪 2、其实我很少想你,很少回忆,只是在傍晚。——《傍晚》刘若英 3、我们都没错,只是不适合。——《柠檬草的味道》蔡依林 4、虽然你还握着我的手,但我已不在你心中。——《我不难过》孙燕姿 5、但是天总会黑,人总要离别,谁也不能永远陪谁。——《当你孤单你会想起谁》张栋梁 6、其实我心里明白,永远远得很。——《爱上一个人》陈慧琳 7、有了梦寐以求的容颜,是否就算是拥有春天。——《凡人歌》李宗盛 8、曾以为你是全世界,但那天已经好遥远。——《柠檬草的味道》蔡依林 9、明明从前连争执都很甜美,现在怎会说句话就能痛一遍。——《我们到底怎么了》SHE 10、尽管呼吸着同一天空的气息,却无法拥抱到你。——《星月神话》金沙

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生活中有些机会因瞬间的犹豫擦肩而过

生活中有些机会因瞬间的犹豫擦肩而过,有些缘分因一时的任性滑落指间。许 多感情疏远淡漠,无力挽回,只源于一念之差;许多感谢羞于表达,深埋心底,成为一生之憾。所以,当你举棋不定时,不防问问自己,这么做,将来会后悔吗?当你觉得生活无趣时,不妨看看下面这些! 1、“没有人有耐心听你讲完自己的故事,因为每个人都有自己的话要说;没有人喜欢听你抱怨生活,因为每个人都有自己的苦痛;世人多半寂寞,这世 界愿意倾听,习惯沉默的人,难得几个。我再也不想对别人提起自己的过往, 那些挣扎在梦魇中的寂寞,荒芜,还是交给时间,慢慢淡漠。” 2、所谓练习微笑,不是机械地挪动你的面部表情,而是努力地改变你的心态,调节你的心情。学会平静地接受现实,学会对自己说声顺其自然,学会坦 然地面对厄运,学会积极地看待人生,学会凡事都往好处想。这样,阳光就会 流进心里来,驱走恐惧,驱走黑暗,驱走所有的阴霾。 3、有时候,明明自己心里有很多话要说,却不知道怎样表达;有时候,自己的梦想很多,却力不从心;有时候,别人误解了自己有口无心的一句话,心 里郁闷的发慌;有时候,心里突然冒出一种厌倦的情绪,觉得自己很累很累; 有时候,发现自己一夜之间长大,却看不到自己未来的样子,迷茫得不知所措。 4、孤单是手机里的电话号码越来越多,每天接的电话越来越多,每天发的短信越来越多。可是当你突然看到一片曾经在梦里反复出现的葵花花田,你兴 奋地拍照,大声地呐喊,可是过后却不知道要把拍好的照片传给手机里的谁, 那一瞬间你突然明白,一路走到现在,一没有人站在你身边,陪你看风景。 5、对自己好一点,对别人好一点。善待自己,善待坚强乐观的自己。不再为不在乎我的人掉眼泪。选择相信对方,不管他是好是坏。做一个聪明的女孩子,只在调皮时装傻。认真地生活,少一点幻想。不再期待幸福的降临,它就 在身边。我想要,活得比夏天还要温暖。 6、可以一个人唱歌,一个人喝咖啡,一个人涂鸦,一个人旅行,一个人逛大街,一个人在雨中漫步,一个人听音乐,一个人自言自语,一个人发呆,一 个人跳舞,一个人看电视,一个人翻杂志……只有爱,是自己一个人做不到的。 7、世界那么大,爱上一个人那么容易,被爱也那么容易,但要互相相爱,竟这么难。当自己最爱的人和最爱自己的人是同一个人的时候,那么你就是世 界上最幸福的人。 8、我们总会在不设防的时候喜欢上一些人。没什么原因,也许只是一个温和的笑容,一句关切的问候。可能未曾谋面,可能志趣并不相投,可能不在一 个高度,却牢牢地放在心上了。冥冥中该来则来,无处可逃,就好像喜欢一首歌,往往就因为一个旋律或一句打动你的歌词。喜欢或者讨厌,是让人莫名其 妙的事情。 9、其实美丽的故事都是没有结局的,之因为它没有结局所以才会美丽,这就像为什么悲剧总是比喜剧更让人难忘。也就像人们总是找寻的真爱,却往往

伤感歌词句子

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10、你的爱是个梦,却有真实的痛。——《我知道我会哭》江美琪 11、爱是一万公顷的森林,迷了路的却是我和你,不是说好一起闯出去,怎能剩我一人回去。——《练习》刘德华 12、但是天总会黑,人总要离别,谁也不能永远陪谁。——《当你孤单你会想起谁》张栋梁 13、天天见到你却产生了距离,爱越冷心越热的关系。——阿杜 14、我只想愿来世不灭的灯,照亮这世界游戏的人,我只想要一个最深的吻,多年后仍有你的温存。——《不想问》林希辰 15、咖啡飘散过香味,剩苦涩陪着我,想念的心,埋葬我在深夜的脆弱。——《回忆的沙漏》邓紫棋 16、酝酿着的诺言,保存期又有几年。——《单人旅途》 17、孤芳自赏最心痛。――《女人花》梅艳芳 18、若生命直到这里,从此没有我,我会找个天使替我去爱你。——《天使的翅膀》徐誉滕 19、我太过爱你,爱到自己心会痛。我太过恨你,恨你不如恨自己软弱。我太过爱你,从没有尝过被爱的感动,太过爱你忘了自己需要爱情的理由。——《太过爱你》戚薇

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不是都是心碎了后才懂是安静的时候 是没有人守候 也不需要任何人在身等候我终于了解你我 是最美丽的擦肩而过 没有了妳的我 还是一样洒脱 如果有一天再遇见妳时候我会微笑点头 灿烂的笑相对 会让人渐渐放下防备 你曾经说过要永远 但如今已无法还原 好多话留在你身边 我已不需要留恋 好多花再美再耀眼 会终究枯谢 我终于了解自由 不是都是心碎了后才懂

是安静的时候 是没有人守候 也不需要任何人在身等候我终于了解你我 是最美丽的擦肩而过 没有了妳的我 还是一样洒脱 如果有一天再遇见妳时候流过的泪都无所谓 学着体会爱的狼狈 我们之间谁错谁对已无所谓我终于了解自由 不是都是心碎了后才懂 是安静的时候 是没有人守候 也不需要任何人在身等候我终于了解你我 是最美丽的擦肩而过 没有了妳的我 还是一样洒脱

如果有一天再遇见妳时候 我会微笑点头 制作人:Eric周兴哲/于京延 制作协力:古皓宇 和声编写:于京延/Eric周兴哲和声:Eric周兴哲 弦乐编写:于京延 弦乐监制:于京延 弦乐 Strings:曜爆甘音乐工作室第一小提琴:蔡曜宇 第二小提琴:陈泱瑾 中提琴:甘威鹏 大提琴:刘涵(隐分子) 吉他:蔡侑良 配唱录音工程师:于京延 配唱录音助理:黄亭蓉 配唱录音室:杨大纬录音工作室弦乐录音工程师:于京延 弦乐录音助理:徐振程 弦乐录音室:玉成戏院录音室混音工程师:杨大纬 混音助理:黄亭蓉

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歌词刘燕辉

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T h e r e's a g i r l b u t I l e t h e r g e t a w a y曾经心爱的女孩我却让她擦肩而过It'sallmyfaultcausepridegotintheway自尊心作祟一切都是我的错 AndI'dbelyingifIsaidIwasok若说无事其实只是谎言未戳破 AboutthatgirltheoneIletgetaway那个女孩我们曾擦肩而过 Ikeepsayingno我一直否认 Thiscan'tbethewaywe'resupposedtobe这不该是我们的结果 Ikeepsayingno我一直否认 There'sgottabeawaytogetyouclosetome一定还有办法让我们重新来过 NowIknowyougotta到现在我才明白 Speakupifyouwantsomebody要对所爱之人大声诉说 Can'tlethimgetaway,ohno别让他错过 Youdon'twannaendupsorry你不愿后悔无措 ThewaythatI'mfeelingeveryday不要像我这样终日在悔恨中度过 Nononono不要像我这样 There'snohomeforthebrokenheart破碎的心无家可归 Nononono不要像我这样 There'snohomeforthebroken破碎的心无家可归 There'sagirlbutIlethergetaway曾经心爱的女孩我却让她擦肩而过 It'smyfaultcauseIsaidIneededspace全都因为我说需要空间都是我的错 I'vebeentorturingmyselfnightandday我不断折磨着自己日出日落 Aboutthatgirl,theoneIletgetaway那个女孩我们曾擦肩而过 Ikeepsayingno我一直否认 Thiscan'tbethewayitwassupposedtobe这不该是我们的结果 Ikeepsayingno我一直否认 There'sgottabeawaytogetyou应该还有办法 There'sgottabeawaytogetyou一定还有办法 Closetome让我们重新来过 Speakupifyouwantsomebody要对所爱之人大声诉说 Can'tlethimgetaway,ohno别让他错过 Youdon'twannaendupsorry你不愿后悔无措 ThewaythatI'mfeelingeveryday不要像我终日在悔恨中度过 Nononono不要像我这样 There'snohomeforthebrokenheart破碎的心无家可归 Nononono不要像我这样

让她降落歌词解

让她降落歌词解

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