Ora Organic's probiotics are independently certified as USDA made with organic. Similar to active dry yeast used in baking, the probiotics are freeze-dried to keep them alive without refrigeration. Ora's Probiotics and Prebiotics capsules, Trust Your Gut, is shelf stable and last longer than other leading brands. Ora's probiotic blend utilizes 6 different probiotic strains and pack 10 times the amount of probiotics found in a typical bottle of kombucha. The capsules contain organic Jerusalem Artichoke prebiotic, the fuel probiotics need to thrive. Ora's Probiotics + Prebiotics are independently tested and certified, plant-based, vegan, raw, dairy-free, gluten-free, soy-free, non-GMO, and contain no artificial ingredients. Made in the USA.