Visbiome is a high potency probiotic powder for men and women, containing 8 strains of live bacteria in a concentration of 450 billion bacteria per packet. Shipped in styrofoam cooler w ice packs and temperature monitoring sensor, to ensure maximum potency. Over 70 human clinical trials as a medical food. Packaged using Activ-Vial technology to prevent humidity damage to the live bacteria. Non-GMO and Gluten Free. Made in USA. Live, lyophilized, probiotic cultures for oral admiration - L. acidophilus DSM24735, L. plantarum DSM24730, L. paracasei DSM24733, L. delbrueckii subsp. bulgaricus DSM24734, S. thermophilus DSM24731, B. longum DSM24736, B. breve DSM24732, B. infantis DSM24737. Inactive ingredients: microcrystalline cellulose, stearic acid, magnesium stearate, silicon dioxide, and vegetable capsule (hydroxypropyl methylcellulose). Contains highly concentrated natural yogurt bacteria which are grown using dairy ingredients to ensure their health and vitality. Trace levels of dairy may be present. The lactose level in all Visbiome products is well below the National Institutes of Health threshold for the amount of lactose intake generally tolerable by individuals with lactose intolerance (Suchy et al. 2010)