I used this for a few years and happen to like Lanto Sinus better
I have had sinus issues with many surgeries since the 90s.  My ENT is an innovator and has so many treatments in his bag of tricks.  L. sakei is the BEST!  It seems to have restored the ecology of my sinuses.  It may not fix the bone infection (if you have had sinus infections for a while the bones are soft) but it seems to make the cilia function again and they start flowing within a short time of starting this treatment.  Here is how the ENT recommended it be done:  Mix one or two scoops of NasoBiotex or right amount of Lanto Sinus with an ounce or so of saline solution, then use it to fill the irrigation syringe and rinse both sides of your nose--make sure you tip your head to the side and way down to get it throughout.  He also recommended adding one scoop of the products to food in the am and pm meals.  Best wishes  This and Lanto Sinus are a great solution. If you have a serious infection, I would not mess around. I would see an ENT.  Sometimes you can make it worse if you don't treat the infection.  I view this as more for maintenance and preventing an infection/reducing inflammation.  It may take a few weeks of rinsing to get it that way.
Rating: 3 stars