Visbiome Extra Strength Powder - 900 Billion Live Bacteria   Are you familiar with our custom shipping policy? Click Here to learn more. Free Shipping! on all orders within the continental United States. 900 billion bacteria per packet available in 30 count boxes. Mix in 3-6 oz. cold water or any cold, non-carbonated beverage. Visbiome Extra Strength is a high potency probiotic medical food intended for the dietary management of dysbiosis associated with irritable bowel syndrome (IBS), ulcerative colitis (UC), pouchitis, and hepatic encephalopathy (HE). Visbiome Extra Strength is a non-drug therapy that address the distinct nutritional requirements, to promote microbial balance in people with IBS, UC, pouchitis, and HE that cannot be addressed by modification of the diet alone. Visbiome Extra Strength is a medical food dispensed with a prescription. Physician supervision required. Dispensed with a prescription from your health-care provider. Each packet contains 900 billion colony forming units (CFUs) of probiotic bacterium. Inactive ingredients: maltose. Visbiome contains milk. Visbiome may contain trace amounts of lactose (less than 0.1g per 100g) and dehydrated skim milk or milk protein (casein and beta-lacto globulin of less than 2mg/kg).   Visbiome is made in the U.S.A   Are you familiar with our custom shipping policy?